From 6b990695bd9c011ba6b84022b150b37c96526390 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Fri, 6 Sep 2019 12:13:32 -0400
Subject: [PATCH 001/144] Add test cases for invalid kick-off headers

---
 .../bulk_data_patient_export_sequence.rb      | 45 ++++++++++++++++---
 .../bulk_data/patient_export_sequence_test.rb | 44 +++++++++++++++---
 2 files changed, 76 insertions(+), 13 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
index fa28406ca..a67c5ff11 100644
--- a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
@@ -15,7 +15,7 @@ class BulkDataPatientExportSequence < SequenceBase
       conformance_supports :Patient
 
       def assert_export_kick_off(klass)
-        reply = export_kick_off(klass)
+        reply = export_kick_off(klass: klass)
 
         assert_response_accepted(reply)
         @content_location = reply.response[:headers]['content-location']
@@ -23,6 +23,16 @@ def assert_export_kick_off(klass)
         assert @content_location.present?, 'Export response header did not include "Content-Location"'
       end
 
+      def assert_export_kick_off_fail_invalid_accept(klass)
+        reply = export_kick_off(klass: klass, headers: { accept: 'application/fhir+xml', prefer: 'respond-async' })
+        assert_response_bad(reply)
+      end
+
+      def assert_export_kick_off_fail_invalid_prefer(klass)
+        reply = export_kick_off(klass: klass, headers: { accept: 'application/fhir+json', prefer: 'return=representation' })
+        assert_response_bad(reply)
+      end
+
       def assert_export_status(content_location = @content_location)
         reply = export_status_check(content_location)
 
@@ -58,7 +68,7 @@ def assert_export_status(content_location = @content_location)
         @client.set_no_auth
         skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
 
-        reply = export_kick_off('Patient')
+        reply = export_kick_off(klass: 'Patient')
         @client.set_bearer_token(@instance.token)
         assert_response_unauthorized reply
       end
@@ -75,9 +85,33 @@ def assert_export_status(content_location = @content_location)
         assert_export_kick_off('Patient')
       end
 
-      test 'Server shall return "202 Accepted" or "200 OK"' do
+      test 'Server shall reject for $export operation with invalid Accept header' do
         metadata do
           id '03'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#headers'
+          desc %(
+          )
+          versions :stu3
+        end
+
+        assert_export_kick_off_fail_invalid_accept('Patient')
+      end
+
+      test 'Server shall reject for $export operation with invalid Prefer header' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#headers'
+          desc %(
+          )
+          versions :stu3
+        end
+
+        assert_export_kick_off_fail_invalid_prefer('Patient')
+      end
+
+      test 'Server shall return "202 Accepted" or "200 OK"' do
+        metadata do
+          id '05'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-status-request'
           desc %(
           )
@@ -89,11 +123,10 @@ def assert_export_status(content_location = @content_location)
 
       private
 
-      def export_kick_off(klass)
-        headers = { accept: 'application/fhir+json', prefer: 'respond-async' }
-
+      def export_kick_off(klass: nil, id: nil, headers: { accept: 'application/fhir+json', prefer: 'respond-async' })
         url = ''
         url += "/#{klass}" if klass.present?
+        url += "/#{id}" if id.present?
         url += '/$export'
 
         @client.get(url, @client.fhir_headers(headers))
diff --git a/test/sequence/bulk_data/patient_export_sequence_test.rb b/test/sequence/bulk_data/patient_export_sequence_test.rb
index c5f120996..9ba1f1560 100644
--- a/test/sequence/bulk_data/patient_export_sequence_test.rb
+++ b/test/sequence/bulk_data/patient_export_sequence_test.rb
@@ -44,6 +44,17 @@ def setup
     @sequence = Inferno::Sequence::BulkDataPatientExportSequence.new(@instance, client, true)
   end
 
+  def include_export_stub_no_token
+    headers = @export_request_headers.clone
+    headers.delete(:authorization)
+
+    stub_request(:get, 'http://www.example.com/Patient/$export')
+      .with(headers: headers)
+      .to_return(
+        status: 401
+      )
+  end
+
   def include_export_stub(status_code: 202,
                           response_headers: { content_location: @content_location })
     stub_request(:get, 'http://www.example.com/Patient/$export')
@@ -54,6 +65,28 @@ def include_export_stub(status_code: 202,
       )
   end
 
+  def include_export_stub_invalid_accept
+    headers = @export_request_headers.clone
+    headers[:accept] = 'application/fhir+xml'
+
+    stub_request(:get, 'http://www.example.com/Patient/$export')
+      .with(headers: headers)
+      .to_return(
+        status: 400
+      )
+  end
+
+  def include_export_stub_invalid_prefer
+    headers = @export_request_headers.clone
+    headers[:prefer] = 'return=representation'
+
+    stub_request(:get, 'http://www.example.com/Patient/$export')
+      .with(headers: headers)
+      .to_return(
+        status: 400
+      )
+  end
+
   def include_status_check_stub(status_code: 200,
                                 response_headers: { content_type: 'application/json' },
                                 response_body: @complete_status)
@@ -69,14 +102,11 @@ def include_status_check_stub(status_code: 200,
   def test_all_pass
     WebMock.reset!
 
-    stub_request(:get, 'http://www.example.com/Patient/$export')
-      .with(headers: @export_request_headers_no_token)
-      .to_return(
-        status: 401
-      )
-
-    include_status_check_stub
+    include_export_stub_no_token
     include_export_stub
+    include_export_stub_invalid_accept
+    include_export_stub_invalid_prefer
+    include_status_check_stub
 
     sequence_result = @sequence.start
     failures = sequence_result.failures

From fe54d864af2bffb5c92b7d47b5cf2b8ecbd83cbd Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Fri, 6 Sep 2019 13:27:46 -0400
Subject: [PATCH 002/144] add exprt_file_request function

---
 config.yml                                    |  1 +
 .../bulk_data_patient_export_sequence.rb      | 42 +++++++++++++++----
 2 files changed, 34 insertions(+), 9 deletions(-)

diff --git a/config.yml b/config.yml
index df35e4f9d..3e7491a1f 100644
--- a/config.yml
+++ b/config.yml
@@ -47,6 +47,7 @@ modules:
   - smart
   - us_core_r4
   - argonaut
+  - bulk_data
 
 # preset fhir servers: optional. Minimally requires name, uri, module, optional inferno_uri, client_id, client_secret, scopes, instructions link
 presets:
diff --git a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
index a67c5ff11..de78fba9b 100644
--- a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
@@ -15,7 +15,7 @@ class BulkDataPatientExportSequence < SequenceBase
       conformance_supports :Patient
 
       def assert_export_kick_off(klass)
-        reply = export_kick_off(klass: klass)
+        reply = export_kick_off(klass)
 
         assert_response_accepted(reply)
         @content_location = reply.response[:headers]['content-location']
@@ -24,17 +24,17 @@ def assert_export_kick_off(klass)
       end
 
       def assert_export_kick_off_fail_invalid_accept(klass)
-        reply = export_kick_off(klass: klass, headers: { accept: 'application/fhir+xml', prefer: 'respond-async' })
+        reply = export_kick_off(klass, headers: { accept: 'application/fhir+xml', prefer: 'respond-async' })
         assert_response_bad(reply)
       end
 
       def assert_export_kick_off_fail_invalid_prefer(klass)
-        reply = export_kick_off(klass: klass, headers: { accept: 'application/fhir+json', prefer: 'return=representation' })
+        reply = export_kick_off(klass, headers: { accept: 'application/fhir+json', prefer: 'return=representation' })
         assert_response_bad(reply)
       end
 
-      def assert_export_status(content_location = @content_location)
-        reply = export_status_check(content_location)
+      def assert_export_status(url = @content_location)
+        reply = export_status_check(url)
 
         assert reply.code == 200, "Bad response code: expected 200, 202, but found #{reply.code}."
 
@@ -47,13 +47,17 @@ def assert_export_status(content_location = @content_location)
         @output = response_body['output']
       end
 
+      def assert_file_request(output = @output)
+        reply = export_file_request(output)
+      end
+
       details %(
 
         The #{title} Sequence tests `#{title}` operations.  The operation steps will be checked for consistency against the
         [Bulk Data Access Implementation Guide](https://build.fhir.org/ig/HL7/bulk-data/)
 
       )
-
+ 
       @resources_found = false
 
       test 'Server rejects $export request without authorization' do
@@ -68,7 +72,7 @@ def assert_export_status(content_location = @content_location)
         @client.set_no_auth
         skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
 
-        reply = export_kick_off(klass: 'Patient')
+        reply = export_kick_off('Patient')
         @client.set_bearer_token(@instance.token)
         assert_response_unauthorized reply
       end
@@ -121,9 +125,21 @@ def assert_export_status(content_location = @content_location)
         assert_export_status
       end
 
+      test 'Server shall return file in ndjson format' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
+          desc %(
+          )
+          versions :stu3
+        end
+
+        assert_file_request
+      end
+
       private
 
-      def export_kick_off(klass: nil, id: nil, headers: { accept: 'application/fhir+json', prefer: 'respond-async' })
+      def export_kick_off(klass, id: nil, headers: { accept: 'application/fhir+json', prefer: 'respond-async' })
         url = ''
         url += "/#{klass}" if klass.present?
         url += "/#{id}" if id.present?
@@ -132,7 +148,8 @@ def export_kick_off(klass: nil, id: nil, headers: { accept: 'application/fhir+js
         @client.get(url, @client.fhir_headers(headers))
       end
 
-      def export_status_check(url, headers = { accept: 'application/json' })
+      def export_status_check(url)
+        headers = { accept: 'application/json' }
         wait_time = 1
         reply = nil
 
@@ -150,6 +167,13 @@ def export_status_check(url, headers = { accept: 'application/json' })
         reply
       end
 
+      def export_file_request(output)
+        output.each do |item|
+          reply = @client.get(url)
+          binding.pry
+        end
+      end
+
       def assert_status_reponse_required_field(response_body)
         ['transactionTime', 'request', 'requiresAccessToken', 'output', 'error'].each do |key|
           assert response_body.key?(key), "Complete Status response did not contain \"#{key}\" as required"

From f875609d8015224ae9b243a30254b4b49b22a032 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Mon, 9 Sep 2019 16:25:31 -0400
Subject: [PATCH 003/144] fix function not found error

---
 .../bulk_data_patient_export_sequence.rb      | 24 +++++++++----------
 .../bulk_data/patient_export_sequence_test.rb |  2 +-
 2 files changed, 13 insertions(+), 13 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
index de78fba9b..334cf375b 100644
--- a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
@@ -57,7 +57,7 @@ def assert_file_request(output = @output)
         [Bulk Data Access Implementation Guide](https://build.fhir.org/ig/HL7/bulk-data/)
 
       )
- 
+
       @resources_found = false
 
       test 'Server rejects $export request without authorization' do
@@ -125,17 +125,17 @@ def assert_file_request(output = @output)
         assert_export_status
       end
 
-      test 'Server shall return file in ndjson format' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
-          desc %(
-          )
-          versions :stu3
-        end
-
-        assert_file_request
-      end
+      # test 'Server shall return file in ndjson format' do
+      #   metadata do
+      #     id '06'
+      #     link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
+      #     desc %(
+      #     )
+      #     versions :stu3
+      #   end
+
+      #   assert_file_request
+      # end
 
       private
 
diff --git a/test/sequence/bulk_data/patient_export_sequence_test.rb b/test/sequence/bulk_data/patient_export_sequence_test.rb
index 9ba1f1560..84ae6fa1d 100644
--- a/test/sequence/bulk_data/patient_export_sequence_test.rb
+++ b/test/sequence/bulk_data/patient_export_sequence_test.rb
@@ -8,7 +8,7 @@ def setup
       'transactionTime' => '2019-08-01',
       'request' => '[base]/Patient/$export?_type=Patient,Observation',
       'requiresAccessToken' => 'true',
-      'output' => 'output',
+      'output' => [{'type' => 'Patient', 'url' => 'http://www.example.com/patient-export-file'}],
       'error' => 'error'
     }
 

From c877108cf6b0538bf9e1284090a07d091d584e4f Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Thu, 12 Sep 2019 16:35:41 -0400
Subject: [PATCH 004/144] validate ndjson

---
 .../bulk_data_patient_export_sequence.rb      | 55 ++++++++++++-------
 test/fixtures/bulk_data_patient.ndjson        |  3 +
 .../bulk_data/patient_export_sequence_test.rb | 34 +++++++++++-
 test/test_helper.rb                           |  5 ++
 4 files changed, 75 insertions(+), 22 deletions(-)
 create mode 100644 test/fixtures/bulk_data_patient.ndjson

diff --git a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
index 0945e39d3..4252c39bc 100644
--- a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
@@ -47,10 +47,35 @@ def assert_export_status(url, timeout: 180)
         assert_status_reponse_required_field(response_body)
 
         @output = response_body['output']
+
+        assert_output_files(@output)
       end
 
-      def assert_file_request(output = @output)
-        reply = export_file_request(output)
+      def assert_output_files(output)
+        output.each do |file|
+          ['type', 'url'].each do |key|
+            assert file.key?(key), "Output file did not contain \"#{key}\" as required"
+          end
+        end
+      end
+
+      def assert_file_request(output)
+        headers = { accept: 'application/fhir+ndjson' }
+        output.each do |file|
+          url = file['url']
+          type = file['type']
+          reply = @client.get(url, @client.fhir_headers(headers))
+          assert_response_content_type(reply, 'application/fhir+ndjson')
+          lines = reply.body.split("\n")
+          lines.each do |line|  
+            resource = FHIR.from_contents(line)
+            binding.pry
+            assert resource.class.name.demodulize == type, "Resource in output file did not have type of \"#{type}\""
+            errors = resource.validate
+            assert errors.empty?, errors.join("<br/>\n")
+          end
+          # assert each line is a valid FHIR resource
+        end
       end
 
       details %(
@@ -127,17 +152,16 @@ def assert_file_request(output = @output)
         assert_export_status(@content_location)
       end
 
-      # test 'Server shall return file in ndjson format' do
-      #   metadata do
-      #     id '06'
-      #     link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
-      #     desc %(
-      #     )
-      #     versions :stu3
-      #   end
+      test 'Server shall return file in ndjson format' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
+          desc %(
+          )
+        end
 
-      #   assert_file_request
-      # end
+        assert_file_request(@output)
+      end
 
       private
 
@@ -169,13 +193,6 @@ def export_status_check(url, timeout)
 
         reply
       end
-
-      def export_file_request(output)
-        output.each do |item|
-          reply = @client.get(url)
-          binding.pry
-        end
-      end
       
       def get_wait_time(wait_time, reply)
         retry_after = reply.response[:headers]['retry-after']
diff --git a/test/fixtures/bulk_data_patient.ndjson b/test/fixtures/bulk_data_patient.ndjson
new file mode 100644
index 000000000..e830af7f3
--- /dev/null
+++ b/test/fixtures/bulk_data_patient.ndjson
@@ -0,0 +1,3 @@
+{"id":"5c41cecf-cf81-434f-9da7-e24e5a99dbc2","name":[{"given":["Brenda"],"family":["Jackson"]}],"gender":"female","birthDate":"1956-10-14T00:00:00.000Z","resourceType":"Patient"}
+{"id":"3fabcb98-0995-447d-a03f-314d202b32f4","name":[{"given":["Bram"],"family":["Sandeep"]}],"gender":"male","birthDate":"1994-11-01T00:00:00.000Z","resourceType":"Patient"}
+{"id":"945e5c7f-504b-43bd-9562-a2ef82c244b2","name":[{"given":["Sandy"],"family":["Hamlin"]}],"gender":"female","birthDate":"1988-01-24T00:00:00.000Z","resourceType":"Patient"}
\ No newline at end of file
diff --git a/test/sequence/bulk_data/patient_export_sequence_test.rb b/test/sequence/bulk_data/patient_export_sequence_test.rb
index eef9b2ecc..464b8e040 100644
--- a/test/sequence/bulk_data/patient_export_sequence_test.rb
+++ b/test/sequence/bulk_data/patient_export_sequence_test.rb
@@ -4,11 +4,14 @@
 
 class BulkDataPatientExportSequenceTest < MiniTest::Test
   def setup
+    @content_location = 'http://www.example.com/status'
+    @file_location = 'http://www.example.com/patient_export.ndjson'
+
     @complete_status = {
       'transactionTime' => '2019-08-01',
       'request' => '[base]/Patient/$export?_type=Patient,Observation',
       'requiresAccessToken' => 'true',
-      'output' => [{'type' => 'Patient', 'url' => 'http://www.example.com/patient-export-file'}],
+      'output' => [{'type' => 'Patient', 'url' => @file_location}],
       'error' => 'error'
     }
 
@@ -36,7 +39,10 @@ def setup
     @status_request_headers = { accept: 'application/json',
                                 authorization: "Bearer #{@instance.token}" }
 
-    @content_location = 'http://www.example.com/status'
+    @file_request_headers = { accept: 'application/fhir+ndjson',
+                                  authorization: "Bearer #{@instance.token}" }
+
+    @patient_export = load_fixture_with_extension('bulk_data_patient.ndjson')
 
     client = FHIR::Client.new(@instance.url)
     client.use_stu3
@@ -99,6 +105,19 @@ def include_status_check_stub(status_code: 200,
       )
   end
 
+  def include_file_request_stub(response_headers: { content_type: 'application/fhir+ndjson' })
+    headers = @export_request_headers.clone
+    headers[:prefer] = 'return=representation'
+
+    stub_request(:get, @file_location)
+      .with(headers: @file_request_headers)
+      .to_return(
+        status: 200,
+        headers: response_headers,
+        body: @patient_export
+      )
+  end
+
   def test_all_pass
     WebMock.reset!
 
@@ -107,6 +126,7 @@ def test_all_pass
     include_export_stub_invalid_accept
     include_export_stub_invalid_prefer
     include_status_check_stub
+    include_file_request_stub
 
     sequence_result = @sequence.start
     failures = sequence_result.failures
@@ -181,4 +201,12 @@ def test_status_check_fail_invalid_response_header
       @sequence.assert_export_status(@content_location)
     end
   end
-end
+
+  def test_output_file_fail_no_url
+    output = [{'type' => 'Patient', 'count' => 1}]
+
+    assert_raises Inferno::AssertionException do
+      @sequence.assert_output_files(output)
+    end
+  end  
+end
\ No newline at end of file
diff --git a/test/test_helper.rb b/test/test_helper.rb
index 464578ea9..71ae739d2 100644
--- a/test/test_helper.rb
+++ b/test/test_helper.rb
@@ -25,6 +25,11 @@ def load_fixture(file)
   File.read(File.join(root, 'fixtures', "#{file}.json"))
 end
 
+def load_fixture_with_extension(file_name)
+  root = File.dirname(File.absolute_path(__FILE__))
+  File.read(File.join(root, 'fixtures', file_name))
+end
+
 def save_fixture(_file_name, content)
   root = File.dirname(File.absolute_path(__FILE__))
   File.write(File.join(root, 'fixtures', file.to_s), content)

From 595a45f3f2ddbee3eb0df6176f641d136297aae3 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Thu, 12 Sep 2019 16:36:28 -0400
Subject: [PATCH 005/144] rubocop!

---
 .../bulk_data/bulk_data_patient_export_sequence.rb     |  5 ++---
 .../sequence/bulk_data/patient_export_sequence_test.rb | 10 +++++-----
 2 files changed, 7 insertions(+), 8 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
index 4252c39bc..9bf1ed3b7 100644
--- a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
@@ -67,9 +67,8 @@ def assert_file_request(output)
           reply = @client.get(url, @client.fhir_headers(headers))
           assert_response_content_type(reply, 'application/fhir+ndjson')
           lines = reply.body.split("\n")
-          lines.each do |line|  
+          lines.each do |line|
             resource = FHIR.from_contents(line)
-            binding.pry
             assert resource.class.name.demodulize == type, "Resource in output file did not have type of \"#{type}\""
             errors = resource.validate
             assert errors.empty?, errors.join("<br/>\n")
@@ -193,7 +192,7 @@ def export_status_check(url, timeout)
 
         reply
       end
-      
+
       def get_wait_time(wait_time, reply)
         retry_after = reply.response[:headers]['retry-after']
         retry_after_int = (retry_after.presence || 0).to_i
diff --git a/test/sequence/bulk_data/patient_export_sequence_test.rb b/test/sequence/bulk_data/patient_export_sequence_test.rb
index 464b8e040..9203b594d 100644
--- a/test/sequence/bulk_data/patient_export_sequence_test.rb
+++ b/test/sequence/bulk_data/patient_export_sequence_test.rb
@@ -11,7 +11,7 @@ def setup
       'transactionTime' => '2019-08-01',
       'request' => '[base]/Patient/$export?_type=Patient,Observation',
       'requiresAccessToken' => 'true',
-      'output' => [{'type' => 'Patient', 'url' => @file_location}],
+      'output' => [{ 'type' => 'Patient', 'url' => @file_location }],
       'error' => 'error'
     }
 
@@ -40,7 +40,7 @@ def setup
                                 authorization: "Bearer #{@instance.token}" }
 
     @file_request_headers = { accept: 'application/fhir+ndjson',
-                                  authorization: "Bearer #{@instance.token}" }
+                              authorization: "Bearer #{@instance.token}" }
 
     @patient_export = load_fixture_with_extension('bulk_data_patient.ndjson')
 
@@ -203,10 +203,10 @@ def test_status_check_fail_invalid_response_header
   end
 
   def test_output_file_fail_no_url
-    output = [{'type' => 'Patient', 'count' => 1}]
+    output = [{ 'type' => 'Patient', 'count' => 1 }]
 
     assert_raises Inferno::AssertionException do
       @sequence.assert_output_files(output)
     end
-  end  
-end
\ No newline at end of file
+  end
+end

From 518f919355769b887cacdb3826b0b35db363d7f5 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Fri, 13 Sep 2019 21:07:07 -0400
Subject: [PATCH 006/144] add unit test

---
 .../bulk_data_patient_export_sequence.rb      |  3 ++-
 .../bulk_data/patient_export_sequence_test.rb | 22 +++++++++++++++++--
 2 files changed, 22 insertions(+), 3 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
index 9bf1ed3b7..f8086375b 100644
--- a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
@@ -71,7 +71,8 @@ def assert_file_request(output)
             resource = FHIR.from_contents(line)
             assert resource.class.name.demodulize == type, "Resource in output file did not have type of \"#{type}\""
             errors = resource.validate
-            assert errors.empty?, errors.join("<br/>\n")
+            message = errors.join("<br/>\n") unless errors.empty?
+            assert errors.empty?, message
           end
           # assert each line is a valid FHIR resource
         end
diff --git a/test/sequence/bulk_data/patient_export_sequence_test.rb b/test/sequence/bulk_data/patient_export_sequence_test.rb
index 9203b594d..44bb76bf2 100644
--- a/test/sequence/bulk_data/patient_export_sequence_test.rb
+++ b/test/sequence/bulk_data/patient_export_sequence_test.rb
@@ -106,9 +106,16 @@ def include_status_check_stub(status_code: 200,
   end
 
   def include_file_request_stub(response_headers: { content_type: 'application/fhir+ndjson' })
-    headers = @export_request_headers.clone
-    headers[:prefer] = 'return=representation'
+    stub_request(:get, @file_location)
+      .with(headers: @file_request_headers)
+      .to_return(
+        status: 200,
+        headers: response_headers,
+        body: @patient_export
+      )
+  end
 
+  def include_file_request_stub_unmatched_type(response_headers: { content_type: 'application/fhir+ndjson' })
     stub_request(:get, @file_location)
       .with(headers: @file_request_headers)
       .to_return(
@@ -209,4 +216,15 @@ def test_output_file_fail_no_url
       @sequence.assert_output_files(output)
     end
   end
+
+  def test_file_request_fail_unmatched_type
+    unmatched_type_output = @complete_status['output'].clone
+    unmatched_type_output.first['type'] = 'Condition'
+
+    include_file_request_stub
+
+    assert_raises Inferno::AssertionException do
+      @sequence.assert_file_request(unmatched_type_output)
+    end
+  end
 end

From 5db25afc24c90bc039a62e510e05a7330f4b6d1b Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Sun, 15 Sep 2019 16:58:12 -0400
Subject: [PATCH 007/144] connectathon end

---
 ...bulk_data_capability_statement_sequence.rb |   6 +-
 .../bulk_data_export_sequence_base.rb         | 287 ++++++++++++++++++
 .../bulk_data_patient_export_sequence.rb      | 107 +++++--
 ...bulk_data_system_export_sequence copy 2.rb | 287 ++++++++++++++++++
 lib/app/modules/bulk_data_module.yml          |   1 -
 .../core/capability_statement_sequence.rb     |   6 +-
 lib/app/sequence_base.rb                      |   2 +-
 .../bulk_data/patient_export_sequence_test.rb |  23 +-
 8 files changed, 695 insertions(+), 24 deletions(-)
 create mode 100644 lib/app/modules/bulk_data/bulk_data_export_sequence_base.rb
 create mode 100644 lib/app/modules/bulk_data/bulk_data_system_export_sequence copy 2.rb

diff --git a/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb b/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
index 8b4b36202..f61e21aaa 100644
--- a/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
@@ -88,7 +88,7 @@ def assert_operation(op_name); end
           )
         end
 
-        assert @conformance.class == versioned_conformance_class, 'Expected valid Conformance resource'
+        assert @conformance.class.name.demodulize == versioned_conformance_class.name.demodulize, 'Expected valid Conformance resource'
         formats = ['json', 'applcation/json', 'application/json+fhir', 'application/fhir+json']
         assert formats.any? { |format| @conformance.format.include? format }, 'Conformance does not state support for json.'
       end
@@ -106,7 +106,7 @@ def assert_operation(op_name); end
           optional
         end
 
-        assert @conformance.instantiates&.include?('http://www.hl7.org/fhir/bulk-data/CapabilityStatement-bulk-data.html'), 'CapabilityStatement did not instantiate from "http://www.hl7.org/fhir/bulk-data/CapabilityStatement-bulk-data.html"'
+        assert @conformance.instantiates&.include?('http://hl7.org/fhir/uv/bulkdata/CapabilityStatement/bulk-data'), 'CapabilityStatement did not instantiate from "http://www.hl7.org/fhir/bulk-data/CapabilityStatement-bulk-data.html"'
       end
 
       test 'FHIR server capability SHOULD have export operation' do
@@ -136,7 +136,7 @@ def assert_operation(op_name); end
         assert_operation_supported(@instance.server_capabilities, 'export')
       end
 
-      test 'FHIR server capability SHOULD have export operation' do
+      test 'FHIR server capability SHOULD have patient-export operation' do
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/bulk-data/operations/index.html'
diff --git a/lib/app/modules/bulk_data/bulk_data_export_sequence_base.rb b/lib/app/modules/bulk_data/bulk_data_export_sequence_base.rb
new file mode 100644
index 000000000..d59f06dc6
--- /dev/null
+++ b/lib/app/modules/bulk_data/bulk_data_export_sequence_base.rb
@@ -0,0 +1,287 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class BulkDataExportSequenceBase < SequenceBase
+      group 'Bulk Data Patient Export'
+
+      title 'Patient Tests'
+
+      description 'Verify that Patient resources on the Bulk Data server follow the Bulk Data Access Implementation Guide'
+
+      test_id_prefix 'Patient'
+
+      requires :token
+      conformance_supports :Patient
+      
+      def assert_export_kick_off(klass, search_params: nil)
+        reply = export_kick_off(klass, search_params: search_params)
+
+        if search_params.present? && reply.code > 400
+          response_body = JSON.parse(reply.body)
+          message = ''
+          response_body['issue'].each do |issue|
+            message += issue['diagnostics'].presence || ''
+          end
+
+          skip message
+        end
+
+        @search_params_applied = true
+
+        assert_response_accepted(reply)
+        @content_location = reply.response[:headers]['content-location']
+
+        assert @content_location.present?, 'Export response header did not include "Content-Location"'
+      end
+
+      def assert_export_kick_off_fail_invalid_accept(klass)
+        reply = export_kick_off(klass, headers: { accept: 'application/fhir+xml', prefer: 'respond-async' })
+        assert_response_bad(reply)
+      end
+
+      def assert_export_kick_off_fail_invalid_prefer(klass)
+        reply = export_kick_off(klass, headers: { accept: 'application/fhir+json', prefer: 'return=representation' })
+        assert_response_bad(reply)
+      end
+
+      def assert_export_status(url, timeout: 180)
+        reply = export_status_check(url, timeout)
+
+        skip "Server took more than #{timeout} seconds to process the request." if reply.code == 202
+
+        assert reply.code == 200, "Bad response code: expected 200, 202, but found #{reply.code}."
+
+        assert_response_content_type(reply, 'application/json')
+
+        response_body = JSON.parse(reply.body)
+
+        assert_status_reponse_required_field(response_body)
+
+        @output = response_body['output']
+
+        assert_output_files(@output)
+      end
+
+      def assert_output_files(output)
+        search_type = @search_params['_type'].split(',').map(&:strip)
+        output.each do |file|
+          ['type', 'url'].each do |key|
+            assert file.key?(key), "Output file did not contain \"#{key}\" as required"
+
+            next unless @search_params_applied
+
+            search_type.each do |type|
+              assert file['type'] == type, "Output file had type #{file[type]} not specified in export parameter #{@search_params['_type']}"
+            end
+          end
+        end
+      end
+
+      def assert_file_request(output)
+        headers = { accept: 'application/fhir+ndjson' }
+        output.each do |file|
+          url = file['url']
+          type = file['type']
+          reply = @client.get(url, @client.fhir_headers(headers))
+          assert_response_content_type(reply, 'application/fhir+ndjson')
+          lines = reply.body.split("\n")
+          lines.each do |line|
+            resource = FHIR.from_contents(line)
+            assert resource.class.name.demodulize == type, "Resource in output file did not have type of \"#{type}\""
+            errors = resource.validate
+            message = errors.join("<br/>\n") unless errors.empty?
+            assert errors.empty?, message
+          end
+        end
+      end
+
+      def assert_delete_request(url)
+        reply = @client.delete(url, {})
+        assert_response_accepted(reply)
+      end
+
+      def assert_cancel_request(_klass)
+        @content_location = nil
+        assert_export_kick_off('Patient')
+        assert_delete_request(@content_location)
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title}` operations.  The operation steps will be checked for consistency against the
+        [Bulk Data Access Implementation Guide](https://build.fhir.org/ig/HL7/bulk-data/)
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects $export request without authorization' do
+        metadata do
+          id '01'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-kick-off-request'
+          desc %(
+          )
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        reply = export_kick_off('Patient')
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server shall return "202 Accepted" and "Content-location" for $export operation with parameters' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
+          desc %(
+          )
+        end
+
+        @search_params = { '_type' => 'Patient' }
+        assert_export_kick_off('Patient', search_params: @search_params)
+      end
+
+      test 'Server shall return "202 Accepted" and "Content-location" for $export operation' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-kick-off-request'
+          desc %(
+          )
+        end
+
+        skip('Skip testing $export without parameters')
+
+        assert_export_kick_off('Patient') if @search_type_applied
+      end
+
+      test 'Server shall reject for $export operation with invalid Accept header' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#headers'
+          desc %(
+          )
+        end
+
+        assert_export_kick_off_fail_invalid_accept('Patient')
+      end
+
+      test 'Server shall reject for $export operation with invalid Prefer header' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#headers'
+          desc %(
+          )
+        end
+
+        assert_export_kick_off_fail_invalid_prefer('Patient')
+      end
+
+      test 'Server shall return "202 Accepted" or "200 OK"' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-status-request'
+          desc %(
+          )
+        end
+
+        assert_export_status(@content_location)
+      end
+
+      test 'Server shall return file in ndjson format' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
+          desc %(
+          )
+        end
+
+        assert_file_request(@output)
+      end
+
+      test 'Server should return "202 Accepted" for delete export content' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
+          desc %(
+          )
+          optional
+        end
+
+        assert_delete_request(@content_location)
+      end
+
+      test 'Server shall return "202 Accepted" for cancel export request' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
+          desc %(
+          )
+        end
+
+        assert_cancel_request('Patient')
+      end
+
+      private
+
+      def export_kick_off(klass,
+                          search_params: nil,
+                          id: nil,
+                          headers: { accept: 'application/fhir+json', prefer: 'respond-async' })
+        url = ''
+        url += "/#{klass}" if klass.present?
+        url += "/#{id}" if id.present?
+        url += '/$export'
+
+        uri = Addressable::URI.parse(url)
+        uri.query_values = search_params if search_params.present?
+        full_url = uri.to_s
+
+        @client.get(full_url, @client.fhir_headers(headers))
+      end
+
+      def export_status_check(url, timeout)
+        wait_time = 1
+        reply = nil
+        headers = { accept: 'application/json' }
+        start = Time.now
+
+        loop do
+          reply = @client.get(url, @client.fhir_headers(headers))
+
+          wait_time = get_wait_time(wait_time, reply)
+          seconds_used = Time.now - start + wait_time
+
+          break if reply.code != 202 || seconds_used > timeout
+
+          sleep wait_time
+        end
+
+        reply
+      end
+
+      def get_wait_time(wait_time, reply)
+        retry_after = reply.response[:headers]['retry-after']
+        retry_after_int = (retry_after.presence || 0).to_i
+
+        if retry_after_int.positive?
+          retry_after_int
+        else
+          wait_time * 2
+        end
+      end
+
+      def delete_request(url)
+        @client.delete(url)
+      end
+
+      def assert_status_reponse_required_field(response_body)
+        ['transactionTime', 'request', 'requiresAccessToken', 'output', 'error'].each do |key|
+          assert response_body.key?(key), "Complete Status response did not contain \"#{key}\" as required"
+        end
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
index f8086375b..ca83f9b8d 100644
--- a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
@@ -1,4 +1,5 @@
 # frozen_string_literal: true
+#require_relative 'bulk_data_export_sequence_base'
 
 module Inferno
   module Sequence
@@ -14,8 +15,20 @@ class BulkDataPatientExportSequence < SequenceBase
       requires :token
       conformance_supports :Patient
 
-      def assert_export_kick_off(klass)
-        reply = export_kick_off(klass)
+      def assert_export_kick_off(klass, search_params: nil)
+        reply = export_kick_off(klass, search_params: search_params)
+
+        if search_params.present? && reply.code > 400
+          response_body = JSON.parse(reply.body)
+          message = ''
+          response_body['issue'].each do |issue|
+            message += issue['diagnostics'].presence || ''
+          end
+
+          skip message
+        end
+
+        @search_params_applied = true
 
         assert_response_accepted(reply)
         @content_location = reply.response[:headers]['content-location']
@@ -48,13 +61,20 @@ def assert_export_status(url, timeout: 180)
 
         @output = response_body['output']
 
-        assert_output_files(@output)
+        assert_output_files(@output, @search_params_applied)
       end
 
-      def assert_output_files(output)
+      def assert_output_files(output, check_parameters)
+        search_type = @search_params['_type'].split(',').map(&:strip) if @search_params.present?
         output.each do |file|
           ['type', 'url'].each do |key|
             assert file.key?(key), "Output file did not contain \"#{key}\" as required"
+
+            next unless check_parameters && search_type.present?
+
+            search_type.each do |type|
+              assert file['type'] == type, "Output file had type #{file[type]} not specified in export parameter #{@search_params['_type']}"
+            end
           end
         end
       end
@@ -74,10 +94,20 @@ def assert_file_request(output)
             message = errors.join("<br/>\n") unless errors.empty?
             assert errors.empty?, message
           end
-          # assert each line is a valid FHIR resource
         end
       end
 
+      def assert_delete_request(url)
+        reply = @client.delete(url, {})
+        assert_response_accepted(reply)
+      end
+
+      def assert_cancel_request(_klass)
+        @content_location = nil
+        assert_export_kick_off('Patient')
+        assert_delete_request(@content_location)
+      end
+
       details %(
 
         The #{title} Sequence tests `#{title}` operations.  The operation steps will be checked for consistency against the
@@ -93,7 +123,6 @@ def assert_file_request(output)
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-kick-off-request'
           desc %(
           )
-          versions :stu3
         end
 
         @client.set_no_auth
@@ -104,25 +133,37 @@ def assert_file_request(output)
         assert_response_unauthorized reply
       end
 
-      test 'Server shall return "202 Accepted" and "Content-location" for $export operation' do
+      test 'Server shall return "202 Accepted" and "Content-location" for $export operation with parameters' do
         metadata do
           id '02'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
+          desc %(
+          )
+        end
+
+        @search_params = { '_type' => 'Patient' }
+        assert_export_kick_off('Patient', search_params: @search_params)
+      end
+
+      test 'Server shall return "202 Accepted" and "Content-location" for $export operation' do
+        metadata do
+          id '03'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-kick-off-request'
           desc %(
           )
-          versions :stu3
         end
 
+        skip 'Skip testing $export without parameters' if @search_type_applied
+
         assert_export_kick_off('Patient')
       end
 
       test 'Server shall reject for $export operation with invalid Accept header' do
         metadata do
-          id '03'
+          id '04'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#headers'
           desc %(
           )
-          versions :stu3
         end
 
         assert_export_kick_off_fail_invalid_accept('Patient')
@@ -130,11 +171,10 @@ def assert_file_request(output)
 
       test 'Server shall reject for $export operation with invalid Prefer header' do
         metadata do
-          id '04'
+          id '05'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#headers'
           desc %(
           )
-          versions :stu3
         end
 
         assert_export_kick_off_fail_invalid_prefer('Patient')
@@ -142,11 +182,10 @@ def assert_file_request(output)
 
       test 'Server shall return "202 Accepted" or "200 OK"' do
         metadata do
-          id '05'
+          id '06'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-status-request'
           desc %(
           )
-          versions :stu3
         end
 
         assert_export_status(@content_location)
@@ -154,7 +193,7 @@ def assert_file_request(output)
 
       test 'Server shall return file in ndjson format' do
         metadata do
-          id '06'
+          id '07'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
           desc %(
           )
@@ -163,15 +202,45 @@ def assert_file_request(output)
         assert_file_request(@output)
       end
 
+      test 'Server should return "202 Accepted" for delete export content' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
+          desc %(
+          )
+          optional
+        end
+
+        assert_delete_request(@content_location)
+      end
+
+      test 'Server shall return "202 Accepted" for cancel export request' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
+          desc %(
+          )
+        end
+
+        assert_cancel_request('Patient')
+      end
+
       private
 
-      def export_kick_off(klass, id: nil, headers: { accept: 'application/fhir+json', prefer: 'respond-async' })
+      def export_kick_off(klass,
+                          search_params: nil,
+                          id: nil,
+                          headers: { accept: 'application/fhir+json', prefer: 'respond-async' })
         url = ''
         url += "/#{klass}" if klass.present?
         url += "/#{id}" if id.present?
         url += '/$export'
 
-        @client.get(url, @client.fhir_headers(headers))
+        uri = Addressable::URI.parse(url)
+        uri.query_values = search_params if search_params.present?
+        full_url = uri.to_s
+
+        @client.get(full_url, @client.fhir_headers(headers))
       end
 
       def export_status_check(url, timeout)
@@ -205,6 +274,10 @@ def get_wait_time(wait_time, reply)
         end
       end
 
+      def delete_request(url)
+        @client.delete(url)
+      end
+
       def assert_status_reponse_required_field(response_body)
         ['transactionTime', 'request', 'requiresAccessToken', 'output', 'error'].each do |key|
           assert response_body.key?(key), "Complete Status response did not contain \"#{key}\" as required"
diff --git a/lib/app/modules/bulk_data/bulk_data_system_export_sequence copy 2.rb b/lib/app/modules/bulk_data/bulk_data_system_export_sequence copy 2.rb
new file mode 100644
index 000000000..04f07f32b
--- /dev/null
+++ b/lib/app/modules/bulk_data/bulk_data_system_export_sequence copy 2.rb	
@@ -0,0 +1,287 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class BulkDataPatientExportSequence < SequenceBase
+      group 'Bulk Data Patient Export'
+
+      title 'Patient Tests'
+
+      description 'Verify that Patient resources on the Bulk Data server follow the Bulk Data Access Implementation Guide'
+
+      test_id_prefix 'Patient'
+
+      requires :token
+      conformance_supports :Patient
+
+      def assert_export_kick_off(klass, search_params: nil)
+        reply = export_kick_off(klass, search_params: search_params)
+
+        # if search_params.present? && reply.code > 400
+        #   response_body = JSON.parse(reply.body)
+        #   message = ''
+        #   response_body['issue'].each do |issue|
+        #     message += issue['diagnostics'].presence || ''
+        #   end
+
+        #   skip message
+        # end
+
+        @search_params_applied = true
+
+        assert_response_accepted(reply)
+        @content_location = reply.response[:headers]['content-location']
+
+        assert @content_location.present?, 'Export response header did not include "Content-Location"'
+      end
+
+      def assert_export_kick_off_fail_invalid_accept(klass)
+        reply = export_kick_off(klass, headers: { accept: 'application/fhir+xml', prefer: 'respond-async' })
+        assert_response_bad(reply)
+      end
+
+      def assert_export_kick_off_fail_invalid_prefer(klass)
+        reply = export_kick_off(klass, headers: { accept: 'application/fhir+json', prefer: 'return=representation' })
+        assert_response_bad(reply)
+      end
+
+      def assert_export_status(url, timeout: 180)
+        reply = export_status_check(url, timeout)
+
+        skip "Server took more than #{timeout} seconds to process the request." if reply.code == 202
+
+        assert reply.code == 200, "Bad response code: expected 200, 202, but found #{reply.code}."
+
+        assert_response_content_type(reply, 'application/json')
+
+        response_body = JSON.parse(reply.body)
+
+        assert_status_reponse_required_field(response_body)
+
+        @output = response_body['output']
+
+        assert_output_files(@output)
+      end
+
+      def assert_output_files(output)
+        search_type = @search_params['_type'].split(',').map(&:strip)
+        output.each do |file|
+          ['type', 'url'].each do |key|
+            assert file.key?(key), "Output file did not contain \"#{key}\" as required"
+
+            next unless @search_type_applied
+
+            search_type.each do |type|
+              assert file['type'] == type, "Output file had type #{file[type]} not specified in export parameter #{@search_params['_type']}"
+            end
+          end
+        end
+      end
+
+      def assert_file_request(output)
+        headers = { accept: 'application/fhir+ndjson' }
+        output.each do |file|
+          url = file['url']
+          type = file['type']
+          reply = @client.get(url, @client.fhir_headers(headers))
+          assert_response_content_type(reply, 'application/fhir+ndjson')
+          lines = reply.body.split("\n")
+          lines.each do |line|
+            resource = FHIR.from_contents(line)
+            assert resource.class.name.demodulize == type, "Resource in output file did not have type of \"#{type}\""
+            errors = resource.validate
+            message = errors.join("<br/>\n") unless errors.empty?
+            assert errors.empty?, message
+          end
+        end
+      end
+
+      def assert_delete_request(url)
+        reply = @client.delete(url, {})
+        assert_response_accepted(reply)
+      end
+
+      def assert_cancel_request(_klass)
+        @content_location = nil
+        assert_export_kick_off('Patient')
+        assert_delete_request(@content_location)
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title}` operations.  The operation steps will be checked for consistency against the
+        [Bulk Data Access Implementation Guide](https://build.fhir.org/ig/HL7/bulk-data/)
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects $export request without authorization' do
+        metadata do
+          id '01'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-kick-off-request'
+          desc %(
+          )
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        reply = export_kick_off('Patient')
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server shall return "202 Accepted" and "Content-location" for $export operation with parameters' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
+          desc %(
+          )
+        end
+
+        @search_params = { '_type' => 'Patient' }
+        assert_export_kick_off('Patient', search_params: @search_params)
+      end
+
+      test 'Server shall return "202 Accepted" and "Content-location" for $export operation' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-kick-off-request'
+          desc %(
+          )
+        end
+
+        skip('Skip testing $export without parameters')
+
+        assert_export_kick_off('Patient') if @search_type_applied
+      end
+
+      test 'Server shall reject for $export operation with invalid Accept header' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#headers'
+          desc %(
+          )
+        end
+
+        assert_export_kick_off_fail_invalid_accept('Patient')
+      end
+
+      test 'Server shall reject for $export operation with invalid Prefer header' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#headers'
+          desc %(
+          )
+        end
+
+        assert_export_kick_off_fail_invalid_prefer('Patient')
+      end
+
+      test 'Server shall return "202 Accepted" or "200 OK"' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-status-request'
+          desc %(
+          )
+        end
+
+        assert_export_status(@content_location)
+      end
+
+      test 'Server shall return file in ndjson format' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
+          desc %(
+          )
+        end
+
+        assert_file_request(@output)
+      end
+
+      test 'Server should return "202 Accepted" for delete export content' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
+          desc %(
+          )
+          optional
+        end
+
+        assert_delete_request(@content_location)
+      end
+
+      test 'Server shall return "202 Accepted" for cancel export request' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
+          desc %(
+          )
+        end
+
+        assert_cancel_request('Patient')
+      end
+
+      private
+
+      def export_kick_off(klass,
+                          search_params: nil,
+                          id: nil,
+                          headers: { accept: 'application/fhir+json', prefer: 'respond-async' })
+        url = ''
+        url += "/#{klass}" if klass.present?
+        url += "/#{id}" if id.present?
+        url += '/$export'
+
+        uri = Addressable::URI.parse(url)
+        uri.query_values = search_params if search_params.present?
+        full_url = uri.to_s
+
+        @client.get(full_url, @client.fhir_headers(headers))
+      end
+
+      def export_status_check(url, timeout)
+        wait_time = 1
+        reply = nil
+        headers = { accept: 'application/json' }
+        start = Time.now
+
+        loop do
+          reply = @client.get(url, @client.fhir_headers(headers))
+
+          wait_time = get_wait_time(wait_time, reply)
+          seconds_used = Time.now - start + wait_time
+
+          break if reply.code != 202 || seconds_used > timeout
+
+          sleep wait_time
+        end
+
+        reply
+      end
+
+      def get_wait_time(wait_time, reply)
+        retry_after = reply.response[:headers]['retry-after']
+        retry_after_int = (retry_after.presence || 0).to_i
+
+        if retry_after_int.positive?
+          retry_after_int
+        else
+          wait_time * 2
+        end
+      end
+
+      def delete_request(url)
+        @client.delete(url)
+      end
+
+      def assert_status_reponse_required_field(response_body)
+        ['transactionTime', 'request', 'requiresAccessToken', 'output', 'error'].each do |key|
+          assert response_body.key?(key), "Complete Status response did not contain \"#{key}\" as required"
+        end
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/bulk_data_module.yml b/lib/app/modules/bulk_data_module.yml
index 07803092a..e1e5d7dcc 100644
--- a/lib/app/modules/bulk_data_module.yml
+++ b/lib/app/modules/bulk_data_module.yml
@@ -1,7 +1,6 @@
 name: bulk_data
 title: FHIR Bulk Data Access Implementation Guide STU1
 description: Bulk Data Access Testing
-fhir_version: stu3
 default_test_set: developer
 test_sets:
   developer:
diff --git a/lib/app/modules/core/capability_statement_sequence.rb b/lib/app/modules/core/capability_statement_sequence.rb
index ba8a27d91..29fdc9698 100644
--- a/lib/app/modules/core/capability_statement_sequence.rb
+++ b/lib/app/modules/core/capability_statement_sequence.rb
@@ -120,7 +120,11 @@ class CapabilityStatementSequence < SequenceBase
         @conformance = @client.conformance_statement
         assert_response_ok @client.reply
 
-        assert @conformance.class == versioned_conformance_class, 'Expected valid Conformance resource.'
+        if @instance.fhir_version.blank?
+          assert @conformance.class.name.demodulize == versioned_conformance_class.name.demodulize, 'Expected valid Conformance resource.'
+        else
+          assert @conformance.class == versioned_conformance_class, 'Expected valid Conformance resource.'
+        end
       end
     end
   end
diff --git a/lib/app/sequence_base.rb b/lib/app/sequence_base.rb
index e972b12d6..a96b89ec6 100644
--- a/lib/app/sequence_base.rb
+++ b/lib/app/sequence_base.rb
@@ -393,7 +393,7 @@ def self.test(name, &block)
             test_index: test_index
           )
           begin
-            fhir_version_included = @instance.fhir_version.present? && versions.include?(@instance.fhir_version&.to_sym)
+            fhir_version_included = !@instance.fhir_version.present? || versions.include?(@instance.fhir_version&.to_sym)
             skip_unless(fhir_version_included, 'This test does not run with this FHIR version')
             Inferno.logger.info "Starting Test: #{test_id} [#{name}]"
             instance_eval(&block)
diff --git a/test/sequence/bulk_data/patient_export_sequence_test.rb b/test/sequence/bulk_data/patient_export_sequence_test.rb
index 44bb76bf2..bef222eef 100644
--- a/test/sequence/bulk_data/patient_export_sequence_test.rb
+++ b/test/sequence/bulk_data/patient_export_sequence_test.rb
@@ -44,6 +44,8 @@ def setup
 
     @patient_export = load_fixture_with_extension('bulk_data_patient.ndjson')
 
+    @search_params = {'_type' => 'Patient'}
+
     client = FHIR::Client.new(@instance.url)
     client.use_stu3
     client.default_json
@@ -71,6 +73,16 @@ def include_export_stub(status_code: 202,
       )
   end
 
+  def include_export_stub_type_patient(status_code: 202,
+                                       response_headers: { content_location: @content_location })
+    stub_request(:get, 'http://www.example.com/Patient/$export?_type=Patient')
+      .with(headers: @export_request_headers)
+      .to_return(
+        status: status_code,
+        headers: response_headers
+      )
+  end
+
   def include_export_stub_invalid_accept
     headers = @export_request_headers.clone
     headers[:accept] = 'application/fhir+xml'
@@ -125,15 +137,24 @@ def include_file_request_stub_unmatched_type(response_headers: { content_type: '
       )
   end
 
+  def include_delete_request_stub
+    stub_request(:delete, @content_location)
+      .to_return(
+        status: 202
+      )
+  end
+
   def test_all_pass
     WebMock.reset!
 
     include_export_stub_no_token
+    include_export_stub_type_patient
     include_export_stub
     include_export_stub_invalid_accept
     include_export_stub_invalid_prefer
     include_status_check_stub
     include_file_request_stub
+    include_delete_request_stub
 
     sequence_result = @sequence.start
     failures = sequence_result.failures
@@ -213,7 +234,7 @@ def test_output_file_fail_no_url
     output = [{ 'type' => 'Patient', 'count' => 1 }]
 
     assert_raises Inferno::AssertionException do
-      @sequence.assert_output_files(output)
+      @sequence.assert_output_files(output, false)
     end
   end
 

From 750e6475b929373dd8995a9af5bf11e01ff7a576 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Tue, 17 Sep 2019 09:29:23 -0400
Subject: [PATCH 008/144] Skip delete content test if server does not support

---
 lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb | 3 ++-
 1 file changed, 2 insertions(+), 1 deletion(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
index ca83f9b8d..82353b1c6 100644
--- a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
@@ -99,6 +99,7 @@ def assert_file_request(output)
 
       def assert_delete_request(url)
         reply = @client.delete(url, {})
+        skip 'Server did not accept client request to delete export file after export completed' if reply.code > 400
         assert_response_accepted(reply)
       end
 
@@ -153,7 +154,7 @@ def assert_cancel_request(_klass)
           )
         end
 
-        skip 'Skip testing $export without parameters' if @search_type_applied
+        skip 'Skip testing $export without parameters' if @search_params_applied
 
         assert_export_kick_off('Patient')
       end

From b2f3076f61289c135042a6c48de3d8e3151bdd19 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Tue, 17 Sep 2019 10:07:27 -0400
Subject: [PATCH 009/144] ready for checkin

---
 .../bulk_data_export_sequence_base.rb         | 287 ------------------
 .../bulk_data_patient_export_sequence.rb      |   1 -
 ...bulk_data_system_export_sequence copy 2.rb | 287 ------------------
 .../bulk_data/patient_export_sequence_test.rb |   2 +-
 4 files changed, 1 insertion(+), 576 deletions(-)
 delete mode 100644 lib/app/modules/bulk_data/bulk_data_export_sequence_base.rb
 delete mode 100644 lib/app/modules/bulk_data/bulk_data_system_export_sequence copy 2.rb

diff --git a/lib/app/modules/bulk_data/bulk_data_export_sequence_base.rb b/lib/app/modules/bulk_data/bulk_data_export_sequence_base.rb
deleted file mode 100644
index d59f06dc6..000000000
--- a/lib/app/modules/bulk_data/bulk_data_export_sequence_base.rb
+++ /dev/null
@@ -1,287 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class BulkDataExportSequenceBase < SequenceBase
-      group 'Bulk Data Patient Export'
-
-      title 'Patient Tests'
-
-      description 'Verify that Patient resources on the Bulk Data server follow the Bulk Data Access Implementation Guide'
-
-      test_id_prefix 'Patient'
-
-      requires :token
-      conformance_supports :Patient
-      
-      def assert_export_kick_off(klass, search_params: nil)
-        reply = export_kick_off(klass, search_params: search_params)
-
-        if search_params.present? && reply.code > 400
-          response_body = JSON.parse(reply.body)
-          message = ''
-          response_body['issue'].each do |issue|
-            message += issue['diagnostics'].presence || ''
-          end
-
-          skip message
-        end
-
-        @search_params_applied = true
-
-        assert_response_accepted(reply)
-        @content_location = reply.response[:headers]['content-location']
-
-        assert @content_location.present?, 'Export response header did not include "Content-Location"'
-      end
-
-      def assert_export_kick_off_fail_invalid_accept(klass)
-        reply = export_kick_off(klass, headers: { accept: 'application/fhir+xml', prefer: 'respond-async' })
-        assert_response_bad(reply)
-      end
-
-      def assert_export_kick_off_fail_invalid_prefer(klass)
-        reply = export_kick_off(klass, headers: { accept: 'application/fhir+json', prefer: 'return=representation' })
-        assert_response_bad(reply)
-      end
-
-      def assert_export_status(url, timeout: 180)
-        reply = export_status_check(url, timeout)
-
-        skip "Server took more than #{timeout} seconds to process the request." if reply.code == 202
-
-        assert reply.code == 200, "Bad response code: expected 200, 202, but found #{reply.code}."
-
-        assert_response_content_type(reply, 'application/json')
-
-        response_body = JSON.parse(reply.body)
-
-        assert_status_reponse_required_field(response_body)
-
-        @output = response_body['output']
-
-        assert_output_files(@output)
-      end
-
-      def assert_output_files(output)
-        search_type = @search_params['_type'].split(',').map(&:strip)
-        output.each do |file|
-          ['type', 'url'].each do |key|
-            assert file.key?(key), "Output file did not contain \"#{key}\" as required"
-
-            next unless @search_params_applied
-
-            search_type.each do |type|
-              assert file['type'] == type, "Output file had type #{file[type]} not specified in export parameter #{@search_params['_type']}"
-            end
-          end
-        end
-      end
-
-      def assert_file_request(output)
-        headers = { accept: 'application/fhir+ndjson' }
-        output.each do |file|
-          url = file['url']
-          type = file['type']
-          reply = @client.get(url, @client.fhir_headers(headers))
-          assert_response_content_type(reply, 'application/fhir+ndjson')
-          lines = reply.body.split("\n")
-          lines.each do |line|
-            resource = FHIR.from_contents(line)
-            assert resource.class.name.demodulize == type, "Resource in output file did not have type of \"#{type}\""
-            errors = resource.validate
-            message = errors.join("<br/>\n") unless errors.empty?
-            assert errors.empty?, message
-          end
-        end
-      end
-
-      def assert_delete_request(url)
-        reply = @client.delete(url, {})
-        assert_response_accepted(reply)
-      end
-
-      def assert_cancel_request(_klass)
-        @content_location = nil
-        assert_export_kick_off('Patient')
-        assert_delete_request(@content_location)
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title}` operations.  The operation steps will be checked for consistency against the
-        [Bulk Data Access Implementation Guide](https://build.fhir.org/ig/HL7/bulk-data/)
-
-      )
-
-      @resources_found = false
-
-      test 'Server rejects $export request without authorization' do
-        metadata do
-          id '01'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-kick-off-request'
-          desc %(
-          )
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        reply = export_kick_off('Patient')
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server shall return "202 Accepted" and "Content-location" for $export operation with parameters' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
-          desc %(
-          )
-        end
-
-        @search_params = { '_type' => 'Patient' }
-        assert_export_kick_off('Patient', search_params: @search_params)
-      end
-
-      test 'Server shall return "202 Accepted" and "Content-location" for $export operation' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-kick-off-request'
-          desc %(
-          )
-        end
-
-        skip('Skip testing $export without parameters')
-
-        assert_export_kick_off('Patient') if @search_type_applied
-      end
-
-      test 'Server shall reject for $export operation with invalid Accept header' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#headers'
-          desc %(
-          )
-        end
-
-        assert_export_kick_off_fail_invalid_accept('Patient')
-      end
-
-      test 'Server shall reject for $export operation with invalid Prefer header' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#headers'
-          desc %(
-          )
-        end
-
-        assert_export_kick_off_fail_invalid_prefer('Patient')
-      end
-
-      test 'Server shall return "202 Accepted" or "200 OK"' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-status-request'
-          desc %(
-          )
-        end
-
-        assert_export_status(@content_location)
-      end
-
-      test 'Server shall return file in ndjson format' do
-        metadata do
-          id '07'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
-          desc %(
-          )
-        end
-
-        assert_file_request(@output)
-      end
-
-      test 'Server should return "202 Accepted" for delete export content' do
-        metadata do
-          id '08'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
-          desc %(
-          )
-          optional
-        end
-
-        assert_delete_request(@content_location)
-      end
-
-      test 'Server shall return "202 Accepted" for cancel export request' do
-        metadata do
-          id '09'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
-          desc %(
-          )
-        end
-
-        assert_cancel_request('Patient')
-      end
-
-      private
-
-      def export_kick_off(klass,
-                          search_params: nil,
-                          id: nil,
-                          headers: { accept: 'application/fhir+json', prefer: 'respond-async' })
-        url = ''
-        url += "/#{klass}" if klass.present?
-        url += "/#{id}" if id.present?
-        url += '/$export'
-
-        uri = Addressable::URI.parse(url)
-        uri.query_values = search_params if search_params.present?
-        full_url = uri.to_s
-
-        @client.get(full_url, @client.fhir_headers(headers))
-      end
-
-      def export_status_check(url, timeout)
-        wait_time = 1
-        reply = nil
-        headers = { accept: 'application/json' }
-        start = Time.now
-
-        loop do
-          reply = @client.get(url, @client.fhir_headers(headers))
-
-          wait_time = get_wait_time(wait_time, reply)
-          seconds_used = Time.now - start + wait_time
-
-          break if reply.code != 202 || seconds_used > timeout
-
-          sleep wait_time
-        end
-
-        reply
-      end
-
-      def get_wait_time(wait_time, reply)
-        retry_after = reply.response[:headers]['retry-after']
-        retry_after_int = (retry_after.presence || 0).to_i
-
-        if retry_after_int.positive?
-          retry_after_int
-        else
-          wait_time * 2
-        end
-      end
-
-      def delete_request(url)
-        @client.delete(url)
-      end
-
-      def assert_status_reponse_required_field(response_body)
-        ['transactionTime', 'request', 'requiresAccessToken', 'output', 'error'].each do |key|
-          assert response_body.key?(key), "Complete Status response did not contain \"#{key}\" as required"
-        end
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
index 82353b1c6..b8c7035aa 100644
--- a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
@@ -1,5 +1,4 @@
 # frozen_string_literal: true
-#require_relative 'bulk_data_export_sequence_base'
 
 module Inferno
   module Sequence
diff --git a/lib/app/modules/bulk_data/bulk_data_system_export_sequence copy 2.rb b/lib/app/modules/bulk_data/bulk_data_system_export_sequence copy 2.rb
deleted file mode 100644
index 04f07f32b..000000000
--- a/lib/app/modules/bulk_data/bulk_data_system_export_sequence copy 2.rb	
+++ /dev/null
@@ -1,287 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class BulkDataPatientExportSequence < SequenceBase
-      group 'Bulk Data Patient Export'
-
-      title 'Patient Tests'
-
-      description 'Verify that Patient resources on the Bulk Data server follow the Bulk Data Access Implementation Guide'
-
-      test_id_prefix 'Patient'
-
-      requires :token
-      conformance_supports :Patient
-
-      def assert_export_kick_off(klass, search_params: nil)
-        reply = export_kick_off(klass, search_params: search_params)
-
-        # if search_params.present? && reply.code > 400
-        #   response_body = JSON.parse(reply.body)
-        #   message = ''
-        #   response_body['issue'].each do |issue|
-        #     message += issue['diagnostics'].presence || ''
-        #   end
-
-        #   skip message
-        # end
-
-        @search_params_applied = true
-
-        assert_response_accepted(reply)
-        @content_location = reply.response[:headers]['content-location']
-
-        assert @content_location.present?, 'Export response header did not include "Content-Location"'
-      end
-
-      def assert_export_kick_off_fail_invalid_accept(klass)
-        reply = export_kick_off(klass, headers: { accept: 'application/fhir+xml', prefer: 'respond-async' })
-        assert_response_bad(reply)
-      end
-
-      def assert_export_kick_off_fail_invalid_prefer(klass)
-        reply = export_kick_off(klass, headers: { accept: 'application/fhir+json', prefer: 'return=representation' })
-        assert_response_bad(reply)
-      end
-
-      def assert_export_status(url, timeout: 180)
-        reply = export_status_check(url, timeout)
-
-        skip "Server took more than #{timeout} seconds to process the request." if reply.code == 202
-
-        assert reply.code == 200, "Bad response code: expected 200, 202, but found #{reply.code}."
-
-        assert_response_content_type(reply, 'application/json')
-
-        response_body = JSON.parse(reply.body)
-
-        assert_status_reponse_required_field(response_body)
-
-        @output = response_body['output']
-
-        assert_output_files(@output)
-      end
-
-      def assert_output_files(output)
-        search_type = @search_params['_type'].split(',').map(&:strip)
-        output.each do |file|
-          ['type', 'url'].each do |key|
-            assert file.key?(key), "Output file did not contain \"#{key}\" as required"
-
-            next unless @search_type_applied
-
-            search_type.each do |type|
-              assert file['type'] == type, "Output file had type #{file[type]} not specified in export parameter #{@search_params['_type']}"
-            end
-          end
-        end
-      end
-
-      def assert_file_request(output)
-        headers = { accept: 'application/fhir+ndjson' }
-        output.each do |file|
-          url = file['url']
-          type = file['type']
-          reply = @client.get(url, @client.fhir_headers(headers))
-          assert_response_content_type(reply, 'application/fhir+ndjson')
-          lines = reply.body.split("\n")
-          lines.each do |line|
-            resource = FHIR.from_contents(line)
-            assert resource.class.name.demodulize == type, "Resource in output file did not have type of \"#{type}\""
-            errors = resource.validate
-            message = errors.join("<br/>\n") unless errors.empty?
-            assert errors.empty?, message
-          end
-        end
-      end
-
-      def assert_delete_request(url)
-        reply = @client.delete(url, {})
-        assert_response_accepted(reply)
-      end
-
-      def assert_cancel_request(_klass)
-        @content_location = nil
-        assert_export_kick_off('Patient')
-        assert_delete_request(@content_location)
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title}` operations.  The operation steps will be checked for consistency against the
-        [Bulk Data Access Implementation Guide](https://build.fhir.org/ig/HL7/bulk-data/)
-
-      )
-
-      @resources_found = false
-
-      test 'Server rejects $export request without authorization' do
-        metadata do
-          id '01'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-kick-off-request'
-          desc %(
-          )
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        reply = export_kick_off('Patient')
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server shall return "202 Accepted" and "Content-location" for $export operation with parameters' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
-          desc %(
-          )
-        end
-
-        @search_params = { '_type' => 'Patient' }
-        assert_export_kick_off('Patient', search_params: @search_params)
-      end
-
-      test 'Server shall return "202 Accepted" and "Content-location" for $export operation' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-kick-off-request'
-          desc %(
-          )
-        end
-
-        skip('Skip testing $export without parameters')
-
-        assert_export_kick_off('Patient') if @search_type_applied
-      end
-
-      test 'Server shall reject for $export operation with invalid Accept header' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#headers'
-          desc %(
-          )
-        end
-
-        assert_export_kick_off_fail_invalid_accept('Patient')
-      end
-
-      test 'Server shall reject for $export operation with invalid Prefer header' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#headers'
-          desc %(
-          )
-        end
-
-        assert_export_kick_off_fail_invalid_prefer('Patient')
-      end
-
-      test 'Server shall return "202 Accepted" or "200 OK"' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-status-request'
-          desc %(
-          )
-        end
-
-        assert_export_status(@content_location)
-      end
-
-      test 'Server shall return file in ndjson format' do
-        metadata do
-          id '07'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
-          desc %(
-          )
-        end
-
-        assert_file_request(@output)
-      end
-
-      test 'Server should return "202 Accepted" for delete export content' do
-        metadata do
-          id '08'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
-          desc %(
-          )
-          optional
-        end
-
-        assert_delete_request(@content_location)
-      end
-
-      test 'Server shall return "202 Accepted" for cancel export request' do
-        metadata do
-          id '09'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
-          desc %(
-          )
-        end
-
-        assert_cancel_request('Patient')
-      end
-
-      private
-
-      def export_kick_off(klass,
-                          search_params: nil,
-                          id: nil,
-                          headers: { accept: 'application/fhir+json', prefer: 'respond-async' })
-        url = ''
-        url += "/#{klass}" if klass.present?
-        url += "/#{id}" if id.present?
-        url += '/$export'
-
-        uri = Addressable::URI.parse(url)
-        uri.query_values = search_params if search_params.present?
-        full_url = uri.to_s
-
-        @client.get(full_url, @client.fhir_headers(headers))
-      end
-
-      def export_status_check(url, timeout)
-        wait_time = 1
-        reply = nil
-        headers = { accept: 'application/json' }
-        start = Time.now
-
-        loop do
-          reply = @client.get(url, @client.fhir_headers(headers))
-
-          wait_time = get_wait_time(wait_time, reply)
-          seconds_used = Time.now - start + wait_time
-
-          break if reply.code != 202 || seconds_used > timeout
-
-          sleep wait_time
-        end
-
-        reply
-      end
-
-      def get_wait_time(wait_time, reply)
-        retry_after = reply.response[:headers]['retry-after']
-        retry_after_int = (retry_after.presence || 0).to_i
-
-        if retry_after_int.positive?
-          retry_after_int
-        else
-          wait_time * 2
-        end
-      end
-
-      def delete_request(url)
-        @client.delete(url)
-      end
-
-      def assert_status_reponse_required_field(response_body)
-        ['transactionTime', 'request', 'requiresAccessToken', 'output', 'error'].each do |key|
-          assert response_body.key?(key), "Complete Status response did not contain \"#{key}\" as required"
-        end
-      end
-    end
-  end
-end
diff --git a/test/sequence/bulk_data/patient_export_sequence_test.rb b/test/sequence/bulk_data/patient_export_sequence_test.rb
index bef222eef..b2dd20970 100644
--- a/test/sequence/bulk_data/patient_export_sequence_test.rb
+++ b/test/sequence/bulk_data/patient_export_sequence_test.rb
@@ -44,7 +44,7 @@ def setup
 
     @patient_export = load_fixture_with_extension('bulk_data_patient.ndjson')
 
-    @search_params = {'_type' => 'Patient'}
+    @search_params = { '_type' => 'Patient' }
 
     client = FHIR::Client.new(@instance.url)
     client.use_stu3

From ca360fa322480c014c54beddf76f71dab01f5ca8 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Tue, 17 Sep 2019 12:17:02 -0400
Subject: [PATCH 010/144] done!

---
 .../bulk_data/bulk_data_export_sequence.rb    | 292 ++++++++++++++++++
 .../bulk_data_patient_export_sequence.rb      | 271 +---------------
 test/fixtures/bulk_data_conformance.json      |   2 +-
 .../bulk_data/patient_export_sequence_test.rb |   7 +-
 4 files changed, 304 insertions(+), 268 deletions(-)
 create mode 100644 lib/app/modules/bulk_data/bulk_data_export_sequence.rb

diff --git a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
new file mode 100644
index 000000000..0ae401d48
--- /dev/null
+++ b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
@@ -0,0 +1,292 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class BulkDataExportSequence < SequenceBase
+      group 'Bulk Data Export'
+
+      title 'Bulk Data Export Tests'
+
+      description 'Verify that system level export on the Bulk Data server follow the Bulk Data Access Implementation Guide'
+
+      test_id_prefix 'System'
+
+      requires :token
+      # conformance_supports :Patient
+
+      attr_writer :klass, :run_all_kick_off_tests
+
+      # def klass(value)
+      #   @klass = value
+      # end
+
+      def assert_export_kick_off(search_params: nil)
+        reply = export_kick_off(@klass, search_params: search_params)
+
+        if search_params.present? && reply.code > 400
+          response_body = JSON.parse(reply.body)
+          message = ''
+          response_body['issue'].each do |issue|
+            message += issue['diagnostics'].presence || ''
+          end
+
+          skip message
+        end
+
+        @search_params_applied = true
+
+        assert_response_accepted(reply)
+        @content_location = reply.response[:headers]['content-location']
+
+        assert @content_location.present?, 'Export response header did not include "Content-Location"'
+      end
+
+      def assert_export_kick_off_fail_invalid_accept
+        reply = export_kick_off(@klass, headers: { accept: 'application/fhir+xml', prefer: 'respond-async' })
+        assert_response_bad(reply)
+      end
+
+      def assert_export_kick_off_fail_invalid_prefer
+        reply = export_kick_off(@klass, headers: { accept: 'application/fhir+json', prefer: 'return=representation' })
+        assert_response_bad(reply)
+      end
+
+      def assert_export_status(url, timeout: 180)
+        reply = export_status_check(url, timeout)
+
+        skip "Server took more than #{timeout} seconds to process the request." if reply.code == 202
+
+        assert reply.code == 200, "Bad response code: expected 200, 202, but found #{reply.code}."
+
+        assert_response_content_type(reply, 'application/json')
+
+        response_body = JSON.parse(reply.body)
+
+        assert_status_reponse_required_field(response_body)
+
+        @output = response_body['output']
+
+        assert_output_files(@output, @search_params_applied)
+      end
+
+      def assert_output_files(output, check_parameters)
+        search_type = @search_params['_type'].split(',').map(&:strip) if @search_params.present?
+        output.each do |file|
+          ['type', 'url'].each do |key|
+            assert file.key?(key), "Output file did not contain \"#{key}\" as required"
+
+            next unless check_parameters && search_type.present?
+
+            search_type.each do |type|
+              assert file['type'] == type, "Output file had type #{file[type]} not specified in export parameter #{@search_params['_type']}"
+            end
+          end
+        end
+      end
+
+      def assert_file_request(output)
+        headers = { accept: 'application/fhir+ndjson' }
+        output.each do |file|
+          url = file['url']
+          type = file['type']
+          reply = @client.get(url, @client.fhir_headers(headers))
+          assert_response_content_type(reply, 'application/fhir+ndjson')
+          lines = reply.body.split("\n")
+          lines.each do |line|
+            resource = FHIR.from_contents(line)
+            assert resource.class.name.demodulize == type, "Resource in output file did not have type of \"#{type}\""
+            errors = resource.validate
+            message = errors.join("<br/>\n") unless errors.empty?
+            assert errors.empty?, message
+          end
+        end
+      end
+
+      def assert_delete_request(url)
+        reply = @client.delete(url, {})
+        skip 'Server did not accept client request to delete export file after export completed' if reply.code > 400
+        assert_response_accepted(reply)
+      end
+
+      def assert_cancel_request
+        @content_location = nil
+        assert_export_kick_off
+        assert_delete_request(@content_location)
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title}` operations.  The operation steps will be checked for consistency against the
+        [Bulk Data Access Implementation Guide](https://build.fhir.org/ig/HL7/bulk-data/)
+
+      )
+
+      test 'Server rejects $export request without authorization' do
+        metadata do
+          id '01'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-kick-off-request'
+          desc %(
+          )
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        reply = export_kick_off(@klass)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server shall return "202 Accepted" and "Content-location" for $export operation with parameters' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
+          desc %(
+          )
+        end
+
+        @search_params = { '_type' => 'Patient' }
+        assert_export_kick_off(search_params: @search_params)
+      end
+
+      test 'Server shall return "202 Accepted" and "Content-location" for $export operation' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-kick-off-request'
+          desc %(
+          )
+        end
+
+        skip 'Skip testing $export without parameters' if @search_params_applied && !@run_all_kick_off_tests
+
+        assert_export_kick_off
+      end
+
+      test 'Server shall reject for $export operation with invalid Accept header' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#headers'
+          desc %(
+          )
+        end
+
+        assert_export_kick_off_fail_invalid_accept
+      end
+
+      test 'Server shall reject for $export operation with invalid Prefer header' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#headers'
+          desc %(
+          )
+        end
+
+        assert_export_kick_off_fail_invalid_prefer
+      end
+
+      test 'Server shall return "202 Accepted" or "200 OK"' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-status-request'
+          desc %(
+          )
+        end
+
+        assert_export_status(@content_location)
+      end
+
+      test 'Server shall return file in ndjson format' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
+          desc %(
+          )
+        end
+
+        assert_file_request(@output)
+      end
+
+      test 'Server should return "202 Accepted" for delete export content' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
+          desc %(
+          )
+          optional
+        end
+
+        assert_delete_request(@content_location)
+      end
+
+      test 'Server shall return "202 Accepted" for cancel export request' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
+          desc %(
+          )
+        end
+
+        assert_cancel_request
+      end
+
+      private
+
+      def export_kick_off(klass,
+                          search_params: nil,
+                          id: nil,
+                          headers: { accept: 'application/fhir+json', prefer: 'respond-async' })
+        url = ''
+        url += "/#{klass}" if klass.present?
+        url += "/#{id}" if id.present?
+        url += '/$export'
+
+        uri = Addressable::URI.parse(url)
+        uri.query_values = search_params if search_params.present?
+        full_url = uri.to_s
+
+        @client.get(full_url, @client.fhir_headers(headers))
+      end
+
+      def export_status_check(url, timeout)
+        wait_time = 1
+        reply = nil
+        headers = { accept: 'application/json' }
+        start = Time.now
+
+        loop do
+          reply = @client.get(url, @client.fhir_headers(headers))
+
+          wait_time = get_wait_time(wait_time, reply)
+          seconds_used = Time.now - start + wait_time
+
+          break if reply.code != 202 || seconds_used > timeout
+
+          sleep wait_time
+        end
+
+        reply
+      end
+
+      def get_wait_time(wait_time, reply)
+        retry_after = reply.response[:headers]['retry-after']
+        retry_after_int = (retry_after.presence || 0).to_i
+
+        if retry_after_int.positive?
+          retry_after_int
+        else
+          wait_time * 2
+        end
+      end
+
+      def delete_request(url)
+        @client.delete(url)
+      end
+
+      def assert_status_reponse_required_field(response_body)
+        ['transactionTime', 'request', 'requiresAccessToken', 'output', 'error'].each do |key|
+          assert response_body.key?(key), "Complete Status response did not contain \"#{key}\" as required"
+        end
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
index b8c7035aa..f57280ab6 100644
--- a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
@@ -1,112 +1,22 @@
 # frozen_string_literal: true
 
+require_relative 'bulk_data_export_sequence'
+
 module Inferno
   module Sequence
-    class BulkDataPatientExportSequence < SequenceBase
+    class BulkDataPatientExportSequence < BulkDataExportSequence
       group 'Bulk Data Patient Export'
 
-      title 'Patient Tests'
+      title 'Patient Compartment Export Tests'
 
-      description 'Verify that Patient resources on the Bulk Data server follow the Bulk Data Access Implementation Guide'
+      description 'Verify that patient compartment export on the Bulk Data server follow the Bulk Data Access Implementation Guide'
 
       test_id_prefix 'Patient'
 
       requires :token
       conformance_supports :Patient
 
-      def assert_export_kick_off(klass, search_params: nil)
-        reply = export_kick_off(klass, search_params: search_params)
-
-        if search_params.present? && reply.code > 400
-          response_body = JSON.parse(reply.body)
-          message = ''
-          response_body['issue'].each do |issue|
-            message += issue['diagnostics'].presence || ''
-          end
-
-          skip message
-        end
-
-        @search_params_applied = true
-
-        assert_response_accepted(reply)
-        @content_location = reply.response[:headers]['content-location']
-
-        assert @content_location.present?, 'Export response header did not include "Content-Location"'
-      end
-
-      def assert_export_kick_off_fail_invalid_accept(klass)
-        reply = export_kick_off(klass, headers: { accept: 'application/fhir+xml', prefer: 'respond-async' })
-        assert_response_bad(reply)
-      end
-
-      def assert_export_kick_off_fail_invalid_prefer(klass)
-        reply = export_kick_off(klass, headers: { accept: 'application/fhir+json', prefer: 'return=representation' })
-        assert_response_bad(reply)
-      end
-
-      def assert_export_status(url, timeout: 180)
-        reply = export_status_check(url, timeout)
-
-        skip "Server took more than #{timeout} seconds to process the request." if reply.code == 202
-
-        assert reply.code == 200, "Bad response code: expected 200, 202, but found #{reply.code}."
-
-        assert_response_content_type(reply, 'application/json')
-
-        response_body = JSON.parse(reply.body)
-
-        assert_status_reponse_required_field(response_body)
-
-        @output = response_body['output']
-
-        assert_output_files(@output, @search_params_applied)
-      end
-
-      def assert_output_files(output, check_parameters)
-        search_type = @search_params['_type'].split(',').map(&:strip) if @search_params.present?
-        output.each do |file|
-          ['type', 'url'].each do |key|
-            assert file.key?(key), "Output file did not contain \"#{key}\" as required"
-
-            next unless check_parameters && search_type.present?
-
-            search_type.each do |type|
-              assert file['type'] == type, "Output file had type #{file[type]} not specified in export parameter #{@search_params['_type']}"
-            end
-          end
-        end
-      end
-
-      def assert_file_request(output)
-        headers = { accept: 'application/fhir+ndjson' }
-        output.each do |file|
-          url = file['url']
-          type = file['type']
-          reply = @client.get(url, @client.fhir_headers(headers))
-          assert_response_content_type(reply, 'application/fhir+ndjson')
-          lines = reply.body.split("\n")
-          lines.each do |line|
-            resource = FHIR.from_contents(line)
-            assert resource.class.name.demodulize == type, "Resource in output file did not have type of \"#{type}\""
-            errors = resource.validate
-            message = errors.join("<br/>\n") unless errors.empty?
-            assert errors.empty?, message
-          end
-        end
-      end
-
-      def assert_delete_request(url)
-        reply = @client.delete(url, {})
-        skip 'Server did not accept client request to delete export file after export completed' if reply.code > 400
-        assert_response_accepted(reply)
-      end
-
-      def assert_cancel_request(_klass)
-        @content_location = nil
-        assert_export_kick_off('Patient')
-        assert_delete_request(@content_location)
-      end
+      @klass = :Patient
 
       details %(
 
@@ -114,175 +24,6 @@ def assert_cancel_request(_klass)
         [Bulk Data Access Implementation Guide](https://build.fhir.org/ig/HL7/bulk-data/)
 
       )
-
-      @resources_found = false
-
-      test 'Server rejects $export request without authorization' do
-        metadata do
-          id '01'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-kick-off-request'
-          desc %(
-          )
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        reply = export_kick_off('Patient')
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server shall return "202 Accepted" and "Content-location" for $export operation with parameters' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
-          desc %(
-          )
-        end
-
-        @search_params = { '_type' => 'Patient' }
-        assert_export_kick_off('Patient', search_params: @search_params)
-      end
-
-      test 'Server shall return "202 Accepted" and "Content-location" for $export operation' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-kick-off-request'
-          desc %(
-          )
-        end
-
-        skip 'Skip testing $export without parameters' if @search_params_applied
-
-        assert_export_kick_off('Patient')
-      end
-
-      test 'Server shall reject for $export operation with invalid Accept header' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#headers'
-          desc %(
-          )
-        end
-
-        assert_export_kick_off_fail_invalid_accept('Patient')
-      end
-
-      test 'Server shall reject for $export operation with invalid Prefer header' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#headers'
-          desc %(
-          )
-        end
-
-        assert_export_kick_off_fail_invalid_prefer('Patient')
-      end
-
-      test 'Server shall return "202 Accepted" or "200 OK"' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-status-request'
-          desc %(
-          )
-        end
-
-        assert_export_status(@content_location)
-      end
-
-      test 'Server shall return file in ndjson format' do
-        metadata do
-          id '07'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
-          desc %(
-          )
-        end
-
-        assert_file_request(@output)
-      end
-
-      test 'Server should return "202 Accepted" for delete export content' do
-        metadata do
-          id '08'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
-          desc %(
-          )
-          optional
-        end
-
-        assert_delete_request(@content_location)
-      end
-
-      test 'Server shall return "202 Accepted" for cancel export request' do
-        metadata do
-          id '09'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
-          desc %(
-          )
-        end
-
-        assert_cancel_request('Patient')
-      end
-
-      private
-
-      def export_kick_off(klass,
-                          search_params: nil,
-                          id: nil,
-                          headers: { accept: 'application/fhir+json', prefer: 'respond-async' })
-        url = ''
-        url += "/#{klass}" if klass.present?
-        url += "/#{id}" if id.present?
-        url += '/$export'
-
-        uri = Addressable::URI.parse(url)
-        uri.query_values = search_params if search_params.present?
-        full_url = uri.to_s
-
-        @client.get(full_url, @client.fhir_headers(headers))
-      end
-
-      def export_status_check(url, timeout)
-        wait_time = 1
-        reply = nil
-        headers = { accept: 'application/json' }
-        start = Time.now
-
-        loop do
-          reply = @client.get(url, @client.fhir_headers(headers))
-
-          wait_time = get_wait_time(wait_time, reply)
-          seconds_used = Time.now - start + wait_time
-
-          break if reply.code != 202 || seconds_used > timeout
-
-          sleep wait_time
-        end
-
-        reply
-      end
-
-      def get_wait_time(wait_time, reply)
-        retry_after = reply.response[:headers]['retry-after']
-        retry_after_int = (retry_after.presence || 0).to_i
-
-        if retry_after_int.positive?
-          retry_after_int
-        else
-          wait_time * 2
-        end
-      end
-
-      def delete_request(url)
-        @client.delete(url)
-      end
-
-      def assert_status_reponse_required_field(response_body)
-        ['transactionTime', 'request', 'requiresAccessToken', 'output', 'error'].each do |key|
-          assert response_body.key?(key), "Complete Status response did not contain \"#{key}\" as required"
-        end
-      end
     end
   end
 end
diff --git a/test/fixtures/bulk_data_conformance.json b/test/fixtures/bulk_data_conformance.json
index e754424e5..61aa44700 100644
--- a/test/fixtures/bulk_data_conformance.json
+++ b/test/fixtures/bulk_data_conformance.json
@@ -12,7 +12,7 @@
       "description": "SMART Sample Bulk FHIR Server"
   },
   "instantiates": [
-    "http://www.hl7.org/fhir/bulk-data/CapabilityStatement-bulk-data.html"
+    "http://hl7.org/fhir/uv/bulkdata/CapabilityStatement/bulk-data"
   ],  
   "fhirVersion": "3.0.1",
   "acceptUnknown": "extensions",
diff --git a/test/sequence/bulk_data/patient_export_sequence_test.rb b/test/sequence/bulk_data/patient_export_sequence_test.rb
index b2dd20970..993395b76 100644
--- a/test/sequence/bulk_data/patient_export_sequence_test.rb
+++ b/test/sequence/bulk_data/patient_export_sequence_test.rb
@@ -50,6 +50,8 @@ def setup
     client.use_stu3
     client.default_json
     @sequence = Inferno::Sequence::BulkDataPatientExportSequence.new(@instance, client, true)
+    @sequence.run_all_kick_off_tests = true
+    @sequence.klass = :Patient
   end
 
   def include_export_stub_no_token
@@ -158,6 +160,7 @@ def test_all_pass
 
     sequence_result = @sequence.start
     failures = sequence_result.failures
+
     assert failures.empty?, "All tests should pass. First error: #{failures&.first&.message}"
     assert !sequence_result.skip?, 'No tests should be skipped.'
     assert sequence_result.pass?, 'The sequence should be marked as pass.'
@@ -169,7 +172,7 @@ def test_export_fail_wrong_status
     include_export_stub(status_code: 200)
 
     assert_raises Inferno::AssertionException do
-      @sequence.assert_export_kick_off('Patient')
+      @sequence.assert_export_kick_off
     end
   end
 
@@ -179,7 +182,7 @@ def test_export_fail_no_content_location
     include_export_stub(response_headers: {})
 
     assert_raises Inferno::AssertionException do
-      @sequence.assert_export_kick_off('Patient')
+      @sequence.assert_export_kick_off
     end
   end
 

From 7ffb73abecac1c0a8a485efe19646627cd238cd3 Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Fri, 20 Sep 2019 14:47:21 -0400
Subject: [PATCH 011/144] Refactor Generator.

---
 config.yml                                    |    3 +-
 generator/generator_base.rb                   |   82 +
 generator/uscore/metadata_extractor.rb        |  251 ++
 .../uscore}/templates/module.yml.erb          |   10 +-
 .../uscore}/templates/sequence.rb.erb         |    7 +-
 generator/uscore/uscore_generator.rb          |  476 +++
 generators/uscore-r4/generator.rb             |  479 ---
 generators/uscore-r4/metadata_extractor.rb    |  234 --
 lib/app/modules/onc_program_r4_module.yml     |   68 +-
 lib/app/modules/us_core_module.yml            |   49 -
 .../pediatric_bmi_for_age_sequence.rb         |  334 +++
 .../pediatric_weight_for_height_sequence.rb   |  334 +++
 .../us_core_allergyintolerance_sequence.rb    |  214 ++
 .../us_core_careplan_sequence.rb              |  289 ++
 .../us_core_careteam_sequence.rb              |  188 ++
 .../us_core_condition_sequence.rb             |  306 ++
 .../uscore_v3.0.0/us_core_device_sequence.rb  |  215 ++
 .../us_core_diagnosticreport_lab_sequence.rb  |  383 +++
 .../us_core_diagnosticreport_note_sequence.rb |  383 +++
 .../us_core_documentreference_sequence.rb     |  384 +++
 .../us_core_encounter_sequence.rb             |  368 +++
 .../uscore_v3.0.0/us_core_goal_sequence.rb    |  253 ++
 .../us_core_immunization_sequence.rb          |  254 ++
 .../us_core_location_sequence.rb              |  296 ++
 .../us_core_medication_sequence.rb            |  125 +
 .../us_core_medicationrequest_sequence.rb     |  244 ++
 .../us_core_medicationstatement_sequence.rb   |  255 ++
 .../us_core_observation_lab_sequence.rb       |  324 +++
 .../us_core_organization_sequence.rb          |  221 ++
 .../uscore_v3.0.0/us_core_patient_sequence.rb |  376 +++
 .../us_core_practitioner_sequence.rb          |  223 ++
 .../us_core_practitionerrole_sequence.rb      |  218 ++
 .../us_core_procedure_sequence.rb             |  287 ++
 .../us_core_smokingstatus_sequence.rb         |  311 ++
 lib/app/modules/uscore_v3.0.0_module.yml      |   49 +
 .../pediatric_bmi_for_age_sequence.rb         |  319 ++
 .../pediatric_weight_for_height_sequence.rb   |  319 ++
 .../us_core_allergyintolerance_sequence.rb    |  214 ++
 .../us_core_careplan_sequence.rb              |  289 ++
 .../us_core_careteam_sequence.rb              |  188 ++
 .../us_core_condition_sequence.rb             |  306 ++
 .../us_core_diagnosticreport_lab_sequence.rb  |  405 +++
 .../us_core_diagnosticreport_note_sequence.rb |  404 +++
 .../us_core_documentreference_sequence.rb     |  376 +++
 .../us_core_encounter_sequence.rb             |  368 +++
 .../uscore_v3.0.1/us_core_goal_sequence.rb    |  252 ++
 .../us_core_immunization_sequence.rb          |  254 ++
 .../us_core_implantable_device_sequence.rb    |  221 ++
 .../us_core_location_sequence.rb              |  296 ++
 .../us_core_medication_sequence.rb            |  125 +
 .../us_core_medicationrequest_sequence.rb     |  284 ++
 .../us_core_observation_lab_sequence.rb       |  309 ++
 .../us_core_organization_sequence.rb          |  224 ++
 .../uscore_v3.0.1/us_core_patient_sequence.rb |  378 +++
 .../us_core_practitioner_sequence.rb          |  222 ++
 .../us_core_practitionerrole_sequence.rb      |  218 ++
 .../us_core_procedure_sequence.rb             |  271 ++
 .../us_core_provenance_sequence.rb            |  134 +
 .../us_core_pulse_oximetry_sequence.rb        |  446 +++
 .../us_core_smokingstatus_sequence.rb         |  295 ++
 lib/app/modules/uscore_v3.0.1_module.yml      |   50 +
 lib/tasks/tasks.rake                          |   20 +-
 .../CapabilityStatement-us-core-server.json   |    0
 ...mentationGuide-hl7.fhir.us.core-3.0.0.json |    1 +
 ...re-allergyintolerance-clinical-status.json |    0
 ...er-us-core-allergyintolerance-patient.json |    0
 ...chParameter-us-core-careplan-category.json |    0
 ...SearchParameter-us-core-careplan-date.json |    0
 ...rchParameter-us-core-careplan-patient.json |    0
 ...archParameter-us-core-careplan-status.json |    0
 ...rchParameter-us-core-careteam-patient.json |    0
 ...archParameter-us-core-careteam-status.json |    0
 ...hParameter-us-core-condition-category.json |    0
 ...ter-us-core-condition-clinical-status.json |    0
 ...earchParameter-us-core-condition-code.json |    0
 ...arameter-us-core-condition-onset-date.json |    0
 ...chParameter-us-core-condition-patient.json |    0
 ...earchParameter-us-core-device-patient.json |    0
 .../SearchParameter-us-core-device-type.json  |    0
 ...ter-us-core-diagnosticreport-category.json |    0
 ...rameter-us-core-diagnosticreport-code.json |    0
 ...rameter-us-core-diagnosticreport-date.json |    0
 ...eter-us-core-diagnosticreport-patient.json |    0
 ...meter-us-core-diagnosticreport-status.json |    0
 ...er-us-core-documentreference-category.json |    0
 ...ameter-us-core-documentreference-date.json |    0
 ...arameter-us-core-documentreference-id.json |    0
 ...ter-us-core-documentreference-patient.json |    0
 ...eter-us-core-documentreference-period.json |    0
 ...eter-us-core-documentreference-status.json |    0
 ...ameter-us-core-documentreference-type.json |    0
 ...archParameter-us-core-encounter-class.json |    0
 ...earchParameter-us-core-encounter-date.json |    0
 .../SearchParameter-us-core-encounter-id.json |    0
 ...arameter-us-core-encounter-identifier.json |    0
 ...chParameter-us-core-encounter-patient.json |    0
 ...rchParameter-us-core-encounter-status.json |    0
 ...earchParameter-us-core-encounter-type.json |    0
 ...rameter-us-core-goal-lifecycle-status.json |    0
 .../SearchParameter-us-core-goal-patient.json |    0
 ...rchParameter-us-core-goal-target-date.json |    0
 ...chParameter-us-core-immunization-date.json |    0
 ...arameter-us-core-immunization-patient.json |    0
 ...Parameter-us-core-immunization-status.json |    0
 ...rameter-us-core-location-address-city.json |    0
 ...r-us-core-location-address-postalcode.json |    0
 ...ameter-us-core-location-address-state.json |    0
 ...rchParameter-us-core-location-address.json |    0
 ...SearchParameter-us-core-location-name.json |    0
 ...-us-core-medicationrequest-authoredon.json |    0
 ...ter-us-core-medicationrequest-patient.json |    0
 ...eter-us-core-medicationrequest-status.json |    0
 ...us-core-medicationstatement-effective.json |    0
 ...r-us-core-medicationstatement-patient.json |    0
 ...er-us-core-medicationstatement-status.json |    0
 ...arameter-us-core-observation-category.json |    0
 ...rchParameter-us-core-observation-code.json |    0
 ...rchParameter-us-core-observation-date.json |    0
 ...Parameter-us-core-observation-patient.json |    0
 ...hParameter-us-core-observation-status.json |    0
 ...arameter-us-core-organization-address.json |    0
 ...chParameter-us-core-organization-name.json |    0
 ...chParameter-us-core-patient-birthdate.json |    0
 ...earchParameter-us-core-patient-family.json |    0
 ...earchParameter-us-core-patient-gender.json |    0
 ...SearchParameter-us-core-patient-given.json |    0
 .../SearchParameter-us-core-patient-id.json   |    0
 ...hParameter-us-core-patient-identifier.json |    0
 .../SearchParameter-us-core-patient-name.json |    0
 ...meter-us-core-practitioner-identifier.json |    0
 ...chParameter-us-core-practitioner-name.json |    0
 ...us-core-practitionerrole-practitioner.json |    0
 ...er-us-core-practitionerrole-specialty.json |    0
 ...earchParameter-us-core-procedure-code.json |    0
 ...earchParameter-us-core-procedure-date.json |    0
 ...chParameter-us-core-procedure-patient.json |    0
 ...rchParameter-us-core-procedure-status.json |    0
 ...ctureDefinition-pediatric-bmi-for-age.json |    0
 ...efinition-pediatric-weight-for-height.json |    0
 ...Definition-us-core-allergyintolerance.json |    0
 .../StructureDefinition-us-core-careplan.json |    0
 .../StructureDefinition-us-core-careteam.json |    0
 ...StructureDefinition-us-core-condition.json |    0
 .../StructureDefinition-us-core-device.json   |    0
 ...finition-us-core-diagnosticreport-lab.json |    0
 ...inition-us-core-diagnosticreport-note.json |    0
 ...eDefinition-us-core-documentreference.json |    0
 ...StructureDefinition-us-core-encounter.json |    0
 .../StructureDefinition-us-core-goal.json     |    0
 ...uctureDefinition-us-core-immunization.json |    0
 .../StructureDefinition-us-core-location.json |    0
 ...tructureDefinition-us-core-medication.json |    0
 ...eDefinition-us-core-medicationrequest.json |    0
 ...efinition-us-core-medicationstatement.json |    0
 ...ureDefinition-us-core-observation-lab.json |    0
 ...uctureDefinition-us-core-organization.json |    0
 .../StructureDefinition-us-core-patient.json  |    0
 ...uctureDefinition-us-core-practitioner.json |    0
 ...reDefinition-us-core-practitionerrole.json |    0
 ...StructureDefinition-us-core-procedure.json |    0
 ...ctureDefinition-us-core-smokingstatus.json |    0
 .../CapabilityStatement-us-core-client.json   |    1 +
 .../CapabilityStatement-us-core-server.json   |    1 +
 .../CodeSystem-careplan-category.json         |    1 +
 .../uscore_v3.0.1/CodeSystem-cdcrec.json      |    1 +
 .../CodeSystem-condition-category.json        |    1 +
 ...em-us-core-documentreference-category.json |    1 +
 ...m-us-core-provenance-participant-type.json |    1 +
 .../uscore_v3.0.1/ConceptMap-ndc-cvx.json     |    1 +
 .../ImplementationGuide-hl7.fhir.us.core.json |    1 +
 .../OperationDefinition-docref.json           |    1 +
 ...re-allergyintolerance-clinical-status.json |    1 +
 ...er-us-core-allergyintolerance-patient.json |    1 +
 ...chParameter-us-core-careplan-category.json |    1 +
 ...SearchParameter-us-core-careplan-date.json |  142 +
 ...rchParameter-us-core-careplan-patient.json |    1 +
 ...archParameter-us-core-careplan-status.json |    1 +
 ...rchParameter-us-core-careteam-patient.json |    1 +
 ...archParameter-us-core-careteam-status.json |    1 +
 ...hParameter-us-core-condition-category.json |    1 +
 ...ter-us-core-condition-clinical-status.json |    1 +
 ...earchParameter-us-core-condition-code.json |    1 +
 ...arameter-us-core-condition-onset-date.json |  142 +
 ...chParameter-us-core-condition-patient.json |    1 +
 ...earchParameter-us-core-device-patient.json |    1 +
 .../SearchParameter-us-core-device-type.json  |    1 +
 ...ter-us-core-diagnosticreport-category.json |    1 +
 ...rameter-us-core-diagnosticreport-code.json |    1 +
 ...rameter-us-core-diagnosticreport-date.json |  142 +
 ...eter-us-core-diagnosticreport-patient.json |    1 +
 ...meter-us-core-diagnosticreport-status.json |    1 +
 ...er-us-core-documentreference-category.json |    1 +
 ...ameter-us-core-documentreference-date.json |  142 +
 ...arameter-us-core-documentreference-id.json |    1 +
 ...ter-us-core-documentreference-patient.json |    1 +
 ...eter-us-core-documentreference-period.json |    1 +
 ...eter-us-core-documentreference-status.json |    1 +
 ...ameter-us-core-documentreference-type.json |    1 +
 ...archParameter-us-core-encounter-class.json |    1 +
 ...earchParameter-us-core-encounter-date.json |  142 +
 .../SearchParameter-us-core-encounter-id.json |    1 +
 ...arameter-us-core-encounter-identifier.json |    1 +
 ...chParameter-us-core-encounter-patient.json |    1 +
 ...rchParameter-us-core-encounter-status.json |    1 +
 ...earchParameter-us-core-encounter-type.json |    1 +
 .../SearchParameter-us-core-ethnicity.json    |    1 +
 ...rameter-us-core-goal-lifecycle-status.json |    1 +
 .../SearchParameter-us-core-goal-patient.json |    1 +
 ...rchParameter-us-core-goal-target-date.json |  142 +
 ...chParameter-us-core-immunization-date.json |  142 +
 ...arameter-us-core-immunization-patient.json |    1 +
 ...Parameter-us-core-immunization-status.json |    1 +
 ...rameter-us-core-location-address-city.json |    1 +
 ...r-us-core-location-address-postalcode.json |    1 +
 ...ameter-us-core-location-address-state.json |    1 +
 ...rchParameter-us-core-location-address.json |    1 +
 ...SearchParameter-us-core-location-name.json |    1 +
 ...-us-core-medicationrequest-authoredon.json |    1 +
 ...r-us-core-medicationrequest-encounter.json |    1 +
 ...eter-us-core-medicationrequest-intent.json |    1 +
 ...ter-us-core-medicationrequest-patient.json |    1 +
 ...eter-us-core-medicationrequest-status.json |    1 +
 ...arameter-us-core-observation-category.json |    1 +
 ...rchParameter-us-core-observation-code.json |    1 +
 ...rchParameter-us-core-observation-date.json |    1 +
 ...Parameter-us-core-observation-patient.json |    1 +
 ...hParameter-us-core-observation-status.json |    1 +
 ...arameter-us-core-organization-address.json |    1 +
 ...chParameter-us-core-organization-name.json |    1 +
 ...chParameter-us-core-patient-birthdate.json |    1 +
 ...earchParameter-us-core-patient-family.json |    1 +
 ...earchParameter-us-core-patient-gender.json |    1 +
 ...SearchParameter-us-core-patient-given.json |    1 +
 .../SearchParameter-us-core-patient-id.json   |    1 +
 ...hParameter-us-core-patient-identifier.json |    1 +
 .../SearchParameter-us-core-patient-name.json |    1 +
 ...meter-us-core-practitioner-identifier.json |    1 +
 ...chParameter-us-core-practitioner-name.json |    1 +
 ...us-core-practitionerrole-practitioner.json |    1 +
 ...er-us-core-practitionerrole-specialty.json |    1 +
 ...earchParameter-us-core-procedure-code.json |    1 +
 ...earchParameter-us-core-procedure-date.json |    1 +
 ...chParameter-us-core-procedure-patient.json |    1 +
 ...rchParameter-us-core-procedure-status.json |    1 +
 .../SearchParameter-us-core-race.json         |    1 +
 ...ctureDefinition-pediatric-bmi-for-age.json |    1 +
 ...efinition-pediatric-weight-for-height.json |    1 +
 ...Definition-us-core-allergyintolerance.json |    1 +
 .../StructureDefinition-us-core-birthsex.json |    1 +
 .../StructureDefinition-us-core-careplan.json |    1 +
 .../StructureDefinition-us-core-careteam.json |    1 +
 ...StructureDefinition-us-core-condition.json |    1 +
 ...finition-us-core-diagnosticreport-lab.json | 1666 +++++++++++
 ...inition-us-core-diagnosticreport-note.json |    1 +
 .../StructureDefinition-us-core-direct.json   |    1 +
 ...eDefinition-us-core-documentreference.json |    1 +
 ...StructureDefinition-us-core-encounter.json |    1 +
 ...StructureDefinition-us-core-ethnicity.json |    1 +
 .../StructureDefinition-us-core-goal.json     |    1 +
 ...uctureDefinition-us-core-immunization.json |    1 +
 ...Definition-us-core-implantable-device.json |    1 +
 .../StructureDefinition-us-core-location.json |    1 +
 ...tructureDefinition-us-core-medication.json |    1 +
 ...eDefinition-us-core-medicationrequest.json |    1 +
 ...ureDefinition-us-core-observation-lab.json | 2573 +++++++++++++++++
 ...uctureDefinition-us-core-organization.json |    1 +
 .../StructureDefinition-us-core-patient.json  |    1 +
 ...uctureDefinition-us-core-practitioner.json |    1 +
 ...reDefinition-us-core-practitionerrole.json |    1 +
 ...StructureDefinition-us-core-procedure.json |    1 +
 ...tructureDefinition-us-core-provenance.json |    1 +
 ...tureDefinition-us-core-pulse-oximetry.json |    1 +
 .../StructureDefinition-us-core-race.json     |    1 +
 ...ctureDefinition-us-core-smokingstatus.json |    1 +
 .../uscore_v3.0.1/ValueSet-birthsex.json      |    1 +
 .../ValueSet-detailed-ethnicity.json          |    1 +
 .../uscore_v3.0.1/ValueSet-detailed-race.json |    1 +
 .../ValueSet-omb-ethnicity-category.json      |    1 +
 .../ValueSet-omb-race-category.json           |    1 +
 .../ValueSet-simple-language.json             |    1 +
 .../ValueSet-us-core-allergy-substance.json   |    1 +
 ...ueSet-us-core-careteam-provider-roles.json |    1 +
 .../ValueSet-us-core-clinical-note-type.json  |    1 +
 .../ValueSet-us-core-condition-category.json  |    1 +
 ...Set-us-core-diagnosticreport-category.json |    1 +
 ...et-us-core-diagnosticreport-lab-codes.json |    1 +
 ...iagnosticreport-report-and-note-codes.json |    1 +
 ...et-us-core-documentreference-category.json |    1 +
 ...lueSet-us-core-documentreference-type.json |    1 +
 .../ValueSet-us-core-encounter-type.json      |    1 +
 .../ValueSet-us-core-medication-codes.json    |    1 +
 .../ValueSet-us-core-narrative-status.json    |    1 +
 .../ValueSet-us-core-ndc-vaccine-codes.json   |    1 +
 ...ore-observation-smoking-status-status.json |    1 +
 ...Set-us-core-observation-smokingstatus.json |    1 +
 ...ueSet-us-core-observation-value-codes.json |    1 +
 .../ValueSet-us-core-problem.json             |    1 +
 .../ValueSet-us-core-procedure-code.json      |    1 +
 .../ValueSet-us-core-procedure-icd10pcs.json  |    1 +
 ...t-us-core-provenance-participant-type.json |    1 +
 .../ValueSet-us-core-provider-role.json       |    1 +
 .../ValueSet-us-core-provider-specialty.json  |    1 +
 ...core-smoking-status-observation-codes.json |    1 +
 .../ValueSet-us-core-usps-state.json          |    1 +
 .../ValueSet-us-core-vaccines-cvx.json        |    1 +
 resources/uscore_v3.0.1/ig-r4.json            |    1 +
 306 files changed, 20229 insertions(+), 821 deletions(-)
 create mode 100644 generator/generator_base.rb
 create mode 100644 generator/uscore/metadata_extractor.rb
 rename {generators/uscore-r4 => generator/uscore}/templates/module.yml.erb (81%)
 rename {generators/uscore-r4 => generator/uscore}/templates/sequence.rb.erb (74%)
 create mode 100644 generator/uscore/uscore_generator.rb
 delete mode 100644 generators/uscore-r4/generator.rb
 delete mode 100644 generators/uscore-r4/metadata_extractor.rb
 delete mode 100644 lib/app/modules/us_core_module.yml
 create mode 100644 lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.0/us_core_medication_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.0_module.yml
 create mode 100644 lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1/us_core_medication_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1/us_core_provenance_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb
 create mode 100644 lib/app/modules/uscore_v3.0.1_module.yml
 rename resources/{us_core_r4 => uscore_v3.0.0}/CapabilityStatement-us-core-server.json (100%)
 create mode 100644 resources/uscore_v3.0.0/ImplementationGuide-hl7.fhir.us.core-3.0.0.json
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-allergyintolerance-clinical-status.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-allergyintolerance-patient.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-careplan-category.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-careplan-date.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-careplan-patient.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-careplan-status.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-careteam-patient.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-careteam-status.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-condition-category.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-condition-clinical-status.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-condition-code.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-condition-onset-date.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-condition-patient.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-device-patient.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-device-type.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-diagnosticreport-category.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-diagnosticreport-code.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-diagnosticreport-date.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-diagnosticreport-patient.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-diagnosticreport-status.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-documentreference-category.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-documentreference-date.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-documentreference-id.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-documentreference-patient.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-documentreference-period.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-documentreference-status.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-documentreference-type.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-encounter-class.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-encounter-date.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-encounter-id.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-encounter-identifier.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-encounter-patient.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-encounter-status.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-encounter-type.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-goal-lifecycle-status.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-goal-patient.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-goal-target-date.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-immunization-date.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-immunization-patient.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-immunization-status.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-location-address-city.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-location-address-postalcode.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-location-address-state.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-location-address.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-location-name.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-medicationrequest-authoredon.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-medicationrequest-patient.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-medicationrequest-status.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-medicationstatement-effective.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-medicationstatement-patient.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-medicationstatement-status.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-observation-category.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-observation-code.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-observation-date.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-observation-patient.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-observation-status.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-organization-address.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-organization-name.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-patient-birthdate.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-patient-family.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-patient-gender.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-patient-given.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-patient-id.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-patient-identifier.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-patient-name.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-practitioner-identifier.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-practitioner-name.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-practitionerrole-practitioner.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-practitionerrole-specialty.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-procedure-code.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-procedure-date.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-procedure-patient.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/SearchParameter-us-core-procedure-status.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/StructureDefinition-pediatric-bmi-for-age.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/StructureDefinition-pediatric-weight-for-height.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/StructureDefinition-us-core-allergyintolerance.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/StructureDefinition-us-core-careplan.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/StructureDefinition-us-core-careteam.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/StructureDefinition-us-core-condition.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/StructureDefinition-us-core-device.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/StructureDefinition-us-core-diagnosticreport-lab.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/StructureDefinition-us-core-diagnosticreport-note.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/StructureDefinition-us-core-documentreference.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/StructureDefinition-us-core-encounter.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/StructureDefinition-us-core-goal.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/StructureDefinition-us-core-immunization.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/StructureDefinition-us-core-location.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/StructureDefinition-us-core-medication.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/StructureDefinition-us-core-medicationrequest.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/StructureDefinition-us-core-medicationstatement.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/StructureDefinition-us-core-observation-lab.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/StructureDefinition-us-core-organization.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/StructureDefinition-us-core-patient.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/StructureDefinition-us-core-practitioner.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/StructureDefinition-us-core-practitionerrole.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/StructureDefinition-us-core-procedure.json (100%)
 rename resources/{us_core_r4 => uscore_v3.0.0}/StructureDefinition-us-core-smokingstatus.json (100%)
 create mode 100644 resources/uscore_v3.0.1/CapabilityStatement-us-core-client.json
 create mode 100644 resources/uscore_v3.0.1/CapabilityStatement-us-core-server.json
 create mode 100644 resources/uscore_v3.0.1/CodeSystem-careplan-category.json
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 create mode 100644 resources/uscore_v3.0.1/CodeSystem-condition-category.json
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 create mode 100644 resources/uscore_v3.0.1/CodeSystem-us-core-provenance-participant-type.json
 create mode 100644 resources/uscore_v3.0.1/ConceptMap-ndc-cvx.json
 create mode 100644 resources/uscore_v3.0.1/ImplementationGuide-hl7.fhir.us.core.json
 create mode 100644 resources/uscore_v3.0.1/OperationDefinition-docref.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-allergyintolerance-clinical-status.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-allergyintolerance-patient.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-careplan-category.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-careplan-date.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-careplan-patient.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-careplan-status.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-careteam-patient.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-careteam-status.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-condition-category.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-condition-clinical-status.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-condition-code.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-condition-onset-date.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-condition-patient.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-device-patient.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-device-type.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-diagnosticreport-category.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-diagnosticreport-code.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-diagnosticreport-date.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-diagnosticreport-patient.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-diagnosticreport-status.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-category.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-date.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-id.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-patient.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-period.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-status.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-type.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-encounter-class.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-encounter-date.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-encounter-id.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-encounter-identifier.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-encounter-patient.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-encounter-status.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-encounter-type.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-ethnicity.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-goal-lifecycle-status.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-goal-patient.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-goal-target-date.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-immunization-date.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-immunization-patient.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-immunization-status.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-location-address-city.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-location-address-postalcode.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-location-address-state.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-location-address.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-location-name.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-medicationrequest-authoredon.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-medicationrequest-encounter.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-medicationrequest-intent.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-medicationrequest-patient.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-medicationrequest-status.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-observation-category.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-observation-code.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-observation-date.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-observation-patient.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-observation-status.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-organization-address.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-organization-name.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-patient-birthdate.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-patient-family.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-patient-gender.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-patient-given.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-patient-id.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-patient-identifier.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-patient-name.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-practitioner-identifier.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-practitioner-name.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-practitionerrole-practitioner.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-practitionerrole-specialty.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-procedure-code.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-procedure-date.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-procedure-patient.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-procedure-status.json
 create mode 100644 resources/uscore_v3.0.1/SearchParameter-us-core-race.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-pediatric-bmi-for-age.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-pediatric-weight-for-height.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-allergyintolerance.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-birthsex.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-careplan.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-careteam.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-condition.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-diagnosticreport-lab.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-diagnosticreport-note.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-direct.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-documentreference.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-encounter.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-ethnicity.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-goal.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-immunization.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-implantable-device.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-location.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-medication.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-medicationrequest.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-observation-lab.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-organization.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-patient.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-practitioner.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-practitionerrole.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-procedure.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-provenance.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-pulse-oximetry.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-race.json
 create mode 100644 resources/uscore_v3.0.1/StructureDefinition-us-core-smokingstatus.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-birthsex.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-detailed-ethnicity.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-detailed-race.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-omb-ethnicity-category.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-omb-race-category.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-simple-language.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-allergy-substance.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-careteam-provider-roles.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-clinical-note-type.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-condition-category.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-diagnosticreport-category.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-diagnosticreport-lab-codes.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-diagnosticreport-report-and-note-codes.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-documentreference-category.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-documentreference-type.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-encounter-type.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-medication-codes.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-narrative-status.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-ndc-vaccine-codes.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-observation-smoking-status-status.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-observation-smokingstatus.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-observation-value-codes.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-problem.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-procedure-code.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-procedure-icd10pcs.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-provenance-participant-type.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-provider-role.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-provider-specialty.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-smoking-status-observation-codes.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-usps-state.json
 create mode 100644 resources/uscore_v3.0.1/ValueSet-us-core-vaccines-cvx.json
 create mode 100644 resources/uscore_v3.0.1/ig-r4.json

diff --git a/config.yml b/config.yml
index 12a2e9783..91af03f9b 100644
--- a/config.yml
+++ b/config.yml
@@ -42,8 +42,9 @@ modules:
   - onc
   - onc_r4
   - smart
-  - us_core_r4
   - argonaut
+  - uscore_v3.0.0
+  - uscore_v3.0.1
 
 # preset fhir servers: optional. Minimally requires name, uri, module, optional inferno_uri, client_id, client_secret, scopes, instructions link
 presets:
diff --git a/generator/generator_base.rb b/generator/generator_base.rb
new file mode 100644
index 000000000..56d135feb
--- /dev/null
+++ b/generator/generator_base.rb
@@ -0,0 +1,82 @@
+# frozen_string_literal: true
+
+require 'erb'
+require 'pry'
+require 'fileutils'
+require 'net/http'
+require 'fhir_models'
+
+module Inferno
+  module Generator
+    class Base
+      def initialize(path, extras)
+        @path = path
+        @extras = extras
+        load_resources
+      end
+
+      def load_resources
+        @resource_by_path = Hash.new {}
+        @resources_by_type = Hash.new { |h, k| h[k] = [] }
+        Dir.glob("#{resource_file_path}/**/*.*") do |resource| # note one extra "*"
+          if File.file?(resource) && (resource.end_with?('json') || resource.end_with?('xml'))
+
+            # We should consider using the native Ruby models instead of JSON
+            # There were problems with round-tripping certain SearchParameters though
+            new_resource_json = JSON.parse(File.read(resource))
+            new_resource = FHIR.from_contents(File.read(resource))
+            @resource_by_path[resource_path(new_resource)] = new_resource_json
+            type = new_resource.class.name.demodulize
+            type = 'CapabilityStatement' if type == 'Conformance'
+            @resources_by_type[type].push(new_resource_json)
+          end
+        end
+      end
+
+      def ig_resource
+        @resources_by_type['ImplementationGuide'].first
+      end
+
+      def capability_statement(mode)
+        @resources_by_type['CapabilityStatement'].find { |re| re['rest'].any? { |r| r['mode'] == mode } }
+      end
+
+      def resource_path(resource)
+        "#{resource.class.name.demodulize}/#{resource.id}"
+      end
+
+      def format_output
+        # system('sh', "rubocop -x --display-only-fail-level-offenses #{sequence_out_path}/")
+        system("rubocop -x --display-only-fail-level-offenses #{sequence_out_path}")
+      end
+
+      def run
+        generate
+        format_output
+      end
+
+      # subclass must implement the following:
+      # def generate
+
+      # end
+
+      def sequence_prefix
+        version = ig_resource['version'].delete('.')
+        name = ig_metadata['name']
+        "#{version}#{name}"
+      end
+
+      def module_yml_out_path
+        File.expand_path('./lib/app/modules/')
+      end
+
+      def sequence_out_path
+        File.expand_path("./lib/app/modules/#{@path}")
+      end
+
+      def resource_file_path
+        File.expand_path("./resources/#{@path}")
+      end
+    end
+  end
+end
diff --git a/generator/uscore/metadata_extractor.rb b/generator/uscore/metadata_extractor.rb
new file mode 100644
index 000000000..735bbc9c3
--- /dev/null
+++ b/generator/uscore/metadata_extractor.rb
@@ -0,0 +1,251 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Generator
+    module USCoreMetadataExtractor
+      PROFILE_URIS = Inferno::ValidationUtil::US_CORE_R4_URIS
+
+      def profile_uri(profile)
+        "http://hl7.org/fhir/us/core/StructureDefinition/#{profile}"
+      end
+
+      def profile_json_uri(profile)
+        "https://www.hl7.org/fhir/us/core/StructureDefinition-#{profile}.json"
+      end
+
+      def search_param_path(resource, param)
+        param = 'id' if param == '_id'
+        "SearchParameter/us-core-#{resource.downcase}-#{param}"
+      end
+
+      def extract_metadata
+        metadata = {
+          # The 'key' for the module is just the directory the IG is in
+          name: @path
+        }
+
+        # Note: consider using the Ruby representation instead of JSON
+        # We aren't right now because some information is being scrubbed
+        # from SearchParameter resource
+
+        capability_statement_json = capability_statement('server')
+        add_metadata_from_ig(metadata, ig_resource)
+        add_metadata_from_resources(metadata, capability_statement_json['rest'][0]['resource'])
+        add_special_cases(metadata)
+      end
+
+      def add_metadata_from_ig(metadata, implementation_guide)
+        metadata[:title] = "#{implementation_guide['title']} v#{implementation_guide['version']}"
+        metadata[:description] = "#{implementation_guide['title']} v#{implementation_guide['version']}"
+      end
+
+      def build_new_sequence(resource, profile)
+        base_path = profile.split('us/core/').last
+        base_name = profile.split('StructureDefinition/').last
+        profile_json = @resource_by_path[base_path]
+        reformatted_version = ig_resource['version'].delete('.')
+        profile_title = profile_json['title'].gsub(/US\s*Core\s*/, '').gsub(/\s*Profile/, '').strip
+        class_name = base_name
+          .split('-')
+          .map(&:capitalize)
+          .join
+          .gsub('UsCore', "USCore#{reformatted_version}") + 'Sequence'
+
+        # In case the profile doesn't start with US Core
+        class_name = "USCore#{reformatted_version}#{class_name}" unless class_name.start_with? 'USCore'
+
+        {
+          name: base_name.tr('-', '_'),
+          class_name: class_name,
+          resource: resource['type'],
+          profile: profile_uri(base_name), # link in capability statement is incorrect,
+          profile_json: profile_json_uri(base_name),
+          title: profile_title,
+          interactions: [],
+          searches: [],
+          search_param_descriptions: {},
+          element_descriptions: {},
+          must_supports: [],
+          tests: []
+        }
+      end
+
+      def add_metadata_from_resources(metadata, resources)
+        metadata[:sequences] = []
+
+        resources.each do |resource|
+          # This doesn't get ValueSet, which doesn't have a profile
+          # because it is to check ValueSet expansion
+          # We should update this to get that
+          resource['supportedProfile']&.each do |supported_profile|
+            new_sequence = build_new_sequence(resource, supported_profile)
+
+            add_basic_searches(resource, new_sequence)
+            add_combo_searches(resource, new_sequence)
+            add_interactions(resource, new_sequence)
+
+            base_path = new_sequence[:profile].split('us/core/').last
+            profile_definition = @resource_by_path[base_path]
+            add_must_support_elements(profile_definition, new_sequence)
+            add_search_param_descriptions(profile_definition, new_sequence)
+            add_element_definitions(profile_definition, new_sequence)
+
+            metadata[:sequences] << new_sequence
+          end
+        end
+      end
+
+      def add_basic_searches(resource, sequence)
+        basic_searches = resource['searchParam']
+        basic_searches&.each do |search_param|
+          new_search_param = {
+            names: [search_param['name']],
+            expectation: search_param['extension'][0]['valueCode']
+          }
+          sequence[:searches] << new_search_param
+          sequence[:search_param_descriptions][search_param['name'].to_sym] = {}
+        end
+      end
+
+      def add_combo_searches(resource, sequence)
+        search_combos = resource['extension'] || []
+        search_combo_url = 'http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination'
+        search_combos
+          .select { |combo| combo['url'] == search_combo_url }
+          .each do |combo|
+            combo_params = combo['extension']
+            new_search_combo = {
+              expectation: combo_params[0]['valueCode'],
+              names: []
+            }
+            combo_params.each do |param|
+              next unless param.key?('valueString')
+
+              new_search_combo[:names] << param['valueString']
+              sequence[:search_param_descriptions][param['valueString'].to_sym] = {}
+            end
+            sequence[:searches] << new_search_combo
+          end
+      end
+
+      def add_interactions(resource, sequence)
+        interactions = resource['interaction']
+        interactions&.each do |interaction|
+          new_interaction = {
+            code: interaction['code'],
+            expectation: interaction['extension'][0]['valueCode']
+          }
+          sequence[:interactions] << new_interaction
+        end
+      end
+
+      def add_must_support_elements(profile_definition, sequence)
+        profile_definition['snapshot']['element'].select { |el| el['mustSupport'] }.each do |element|
+          if element['path'].end_with? 'extension'
+            sequence[:must_supports] <<
+              {
+                type: 'extension',
+                id: element['id'],
+                path: element['path'],
+                url: element['type'].first['profile'].first
+              }
+            next
+          end
+
+          path = element['path']
+          if path.include? '[x]'
+            choice_el = profile_definition['snapshot']['element'].find { |el| el['id'] == (path.split('[x]').first + '[x]') }
+            choice_el['type'].each do |type|
+              sequence[:must_supports] <<
+                {
+                  type: 'element',
+                  path: path.gsub('[x]', type['code'].slice(0).capitalize + type['code'].slice(1..-1))
+                }
+            end
+          else
+            sequence[:must_supports] <<
+              {
+                type: 'element',
+                path: path
+              }
+          end
+        end
+      end
+
+      def add_search_param_descriptions(profile_definition, sequence)
+        sequence[:search_param_descriptions].each_key do |param|
+          search_param_definition = @resource_by_path[search_param_path(sequence[:resource], param.to_s)]
+          path_parts = search_param_definition['xpath'].split('/f:')
+          if param.to_s != '_id'
+            path_parts[0] = sequence[:resource]
+            path = path_parts.join('.')
+          else
+            path = path_parts[0]
+          end
+          profile_element = profile_definition['snapshot']['element'].select { |el| el['id'] == path }.first
+          param_metadata = {
+            path: path,
+            comparators: {}
+          }
+          if !profile_element.nil?
+            param_metadata[:type] = profile_element['type'].first['code']
+            param_metadata[:contains_multiple] = (profile_element['max'] == '*')
+          else
+            # search is a variable type eg.) Condition.onsetDateTime - element in profile def is Condition.onset[x]
+            param_metadata[:type] = search_param_definition['type']
+            param_metadata[:contains_multiple] = false
+          end
+          search_param_definition['comparator']&.each_with_index do |comparator, index|
+            expectation_extension = search_param_definition['_comparator']
+            expectation = 'MAY'
+            expectation = expectation_extension[index]['extension'].first['valueCode'] unless expectation_extension.nil?
+            param_metadata[:comparators][comparator.to_sym] = expectation
+          end
+          sequence[:search_param_descriptions][param] = param_metadata
+        end
+      end
+
+      def add_element_definitions(profile_definition, sequence)
+        profile_definition['snapshot']['element'].each do |element|
+          next if element['type'].nil? # base profile
+
+          path = element['id']
+          if path.include? '[x]'
+            element['type'].each do |type|
+              sequence[:element_descriptions][path.gsub('[x]', type['code']).downcase.to_sym] = { type: type['code'], contains_multiple: element['max'] == '*' }
+            end
+          else
+            sequence[:element_descriptions][path.downcase.to_sym] = { type: element['type'].first['code'], contains_multiple: element['max'] == '*' }
+          end
+        end
+      end
+
+      def add_special_cases(metadata)
+        category_first_profiles = [
+          PROFILE_URIS[:diagnostic_report_lab],
+          PROFILE_URIS[:lab_results],
+          PROFILE_URIS[:diagnostic_report_note]
+        ]
+
+        # search by patient first
+        metadata[:sequences].each do |sequence|
+          patient_search = sequence[:searches].select { |param| param[:names] == ['patient'] } &.first
+          unless patient_search.nil?
+            sequence[:searches].delete(patient_search)
+            sequence[:searches].unshift(patient_search)
+          end
+        end
+
+        # search by patient + category first for these specific profiles
+        metadata[:sequences].select { |sequence| category_first_profiles.include?(sequence[:profile]) }.each do |sequence|
+          category_search = sequence[:searches].select { |param| param[:names] == ['patient', 'category'] } &.first
+          unless category_search.nil?
+            sequence[:searches].delete(category_search)
+            sequence[:searches].unshift(category_search)
+          end
+        end
+        metadata
+      end
+    end
+  end
+end
diff --git a/generators/uscore-r4/templates/module.yml.erb b/generator/uscore/templates/module.yml.erb
similarity index 81%
rename from generators/uscore-r4/templates/module.yml.erb
rename to generator/uscore/templates/module.yml.erb
index efe5656b7..3fce5e556 100644
--- a/generators/uscore-r4/templates/module.yml.erb
+++ b/generator/uscore/templates/module.yml.erb
@@ -1,6 +1,6 @@
-name: us_core_r4
-title: US Core R4
-description : US Core R4
+name: <%= name %>
+title: <%= title %>
+description : <%= description %>
 fhir_version: r4
 default_test_set: ad_hoc_testing
 test_sets:
@@ -21,7 +21,7 @@ test_sets:
       - name: US Core R4 Patient Based Profiles
         run_all: true
         sequences:<% non_delayed_sequences.each do |sequence| %>
-        - <%=sequence[:classname]%><% end %>
+        - <%=sequence[:class_name]%><% end %>
         - R4ProvenanceSequence
         - USCoreR4ClinicalNotesSequence<% delayed_sequences.each do |sequence| %>
-        - <%=sequence[:classname]%><% end %>
+        - <%=sequence[:class_name]%><% end %>
diff --git a/generators/uscore-r4/templates/sequence.rb.erb b/generator/uscore/templates/sequence.rb.erb
similarity index 74%
rename from generators/uscore-r4/templates/sequence.rb.erb
rename to generator/uscore/templates/sequence.rb.erb
index 175db2e24..1ae33f894 100644
--- a/generators/uscore-r4/templates/sequence.rb.erb
+++ b/generator/uscore/templates/sequence.rb.erb
@@ -2,9 +2,7 @@
 
 module Inferno
   module Sequence
-    class <%=classname%> < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
+    class <%=class_name%> < SequenceBase
       title '<%=title%> Tests'
 
       description 'Verify that <%=resource%> resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
@@ -17,8 +15,7 @@ module Inferno
 <%=search_validator%>
       details %(
 
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [<%= classname.gsub('USCoreR4','').gsub('Sequence','') %> Argonaut Profile](<%=profile.gsub('.json','')%>)
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient. 
 
       )
 
diff --git a/generator/uscore/uscore_generator.rb b/generator/uscore/uscore_generator.rb
new file mode 100644
index 000000000..eec2bbb99
--- /dev/null
+++ b/generator/uscore/uscore_generator.rb
@@ -0,0 +1,476 @@
+# frozen_string_literal: true
+
+require_relative './metadata_extractor'
+require_relative '../../lib/app/utils/validation'
+require_relative '../generator_base'
+
+module Inferno
+  module Generator
+    class USCoreGenerator < Generator::Base
+      include USCoreMetadataExtractor
+
+      PROFILE_URIS = Inferno::ValidationUtil::US_CORE_R4_URIS
+
+      def validation_profile_uri(sequence)
+        profile_uri = PROFILE_URIS.key(sequence[:profile])
+        "Inferno::ValidationUtil::US_CORE_R4_URIS[:#{profile_uri}]" if profile_uri
+      end
+
+      def generate
+        metadata = extract_metadata
+        generate_tests(metadata)
+        generate_search_validators(metadata)
+        metadata[:sequences].each do |sequence|
+          generate_sequence(sequence)
+        end
+        generate_module(metadata)
+      end
+
+      def generate_search_validators(metadata)
+        metadata[:sequences].each do |sequence|
+          sequence[:search_validator] = create_search_validation(sequence)
+        end
+      end
+
+      def generate_tests(metadata)
+        # first isolate the profiles that don't have patient searches
+        mark_delayed_sequences(metadata)
+
+        metadata[:sequences].each do |sequence|
+          puts "Generating test #{sequence[:name]}"
+
+          # read reference if sequence contains no search sequences
+          create_read_test(sequence) if sequence[:delayed_sequence]
+
+          # authorization test
+          create_authorization_test(sequence)
+
+          # make tests for each SHALL and SHOULD search param, SHALL's first
+          sequence[:searches]
+            .select { |search_param| search_param[:expectation] == 'SHALL' }
+            .each { |search_param| create_search_test(sequence, search_param) }
+
+          sequence[:searches]
+            .select { |search_param| search_param[:expectation] == 'SHOULD' }
+            .each { |search_param| create_search_test(sequence, search_param) }
+
+          # make tests for each SHALL and SHOULD interaction
+          sequence[:interactions]
+            .select { |interaction| ['SHALL', 'SHOULD'].include? interaction[:expectation] }
+            .reject { |interaction| interaction[:code] == 'search-type' }
+            .each do |interaction|
+              # specific edge cases
+              interaction[:code] = 'history' if interaction[:code] == 'history-instance'
+              next if interaction[:code] == 'read' && sequence[:delayed_sequence]
+
+              create_interaction_test(sequence, interaction)
+            end
+
+          create_resource_profile_test(sequence)
+          create_must_support_test(sequence)
+          create_references_resolved_test(sequence)
+        end
+      end
+
+      def mark_delayed_sequences(metadata)
+        metadata[:sequences].each do |sequence|
+          sequence[:delayed_sequence] = sequence[:resource] != 'Patient' && sequence[:searches].none? { |search| search[:names].include? 'patient' }
+        end
+        metadata[:delayed_sequences] = metadata[:sequences].select { |seq| seq[:delayed_sequence] }
+        metadata[:non_delayed_sequences] = metadata[:sequences].reject { |seq| seq[:delayed_sequence] }
+      end
+
+      def find_first_search(sequence)
+        sequence[:searches].find { |search_param| search_param[:expectation] == 'SHALL' } ||
+          sequence[:searches].find { |search_param| search_param[:expectation] == 'SHOULD' }
+      end
+
+      def generate_sequence(sequence)
+        puts "Generating #{sequence[:name]}\n"
+        file_name = sequence_out_path + '/' + sequence[:name].downcase + '_sequence.rb'
+
+        template = ERB.new(File.read(File.join(__dir__, 'templates/sequence.rb.erb')))
+        output =   template.result_with_hash(sequence)
+        FileUtils.mkdir_p(sequence_out_path) unless File.directory?(sequence_out_path)
+        File.write(file_name, output)
+      end
+
+      def create_read_test(sequence)
+        read_test = {
+          tests_that: "Can read #{sequence[:resource]} from the server",
+          index: sequence[:tests].length + 1,
+          link: 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+        }
+
+        read_test[:test_code] = %(
+              #{sequence[:resource].downcase}_id = @instance.resource_references.find { |reference| reference.resource_type == '#{sequence[:resource]}' }&.resource_id
+              skip 'No #{sequence[:resource]} references found from the prior searches' if #{sequence[:resource].downcase}_id.nil?
+              @#{sequence[:resource].downcase} = fetch_resource('#{sequence[:resource]}', #{sequence[:resource].downcase}_id)
+              @resources_found = !@#{sequence[:resource].downcase}.nil?)
+        sequence[:tests] << read_test
+      end
+
+      def create_authorization_test(sequence)
+        authorization_test = {
+          tests_that: "Server rejects #{sequence[:resource]} search without authorization",
+          index: sequence[:tests].length + 1,
+          link: 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+        }
+
+        first_search = find_first_search(sequence)
+        return if first_search.nil?
+
+        authorization_test[:test_code] = %(
+              @client.set_no_auth
+              skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+      #{get_search_params(first_search[:names], sequence)}
+              reply = get_resource_by_params(versioned_resource_class('#{sequence[:resource]}'), search_params)
+              @client.set_bearer_token(@instance.token)
+              assert_response_unauthorized reply)
+
+        sequence[:tests] << authorization_test
+      end
+
+      def create_search_test(sequence, search_param)
+        search_test = {
+          tests_that: "Server returns expected results from #{sequence[:resource]} search by #{search_param[:names].join('+')}",
+          index: sequence[:tests].length + 1,
+          link: 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html',
+          optional: search_param[:expectation] != 'SHALL'
+        }
+
+        is_first_search = search_param == find_first_search(sequence)
+        save_resource_ids_in_bundle_arguments = [
+          "versioned_resource_class('#{sequence[:resource]}')",
+          'reply',
+          validation_profile_uri(sequence)
+        ].compact.join(', ')
+
+        search_test[:test_code] =
+          if is_first_search
+            %(#{get_search_params(search_param[:names], sequence)}
+              reply = get_resource_by_params(versioned_resource_class('#{sequence[:resource]}'), search_params)
+              assert_response_ok(reply)
+              assert_bundle_response(reply)
+
+              resource_count = reply&.resource&.entry&.length || 0
+              @resources_found = true if resource_count.positive?
+
+              skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+              @#{sequence[:resource].downcase} = reply.try(:resource).try(:entry).try(:first).try(:resource)
+              @#{sequence[:resource].downcase}_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+              save_resource_ids_in_bundle(#{save_resource_ids_in_bundle_arguments})
+              save_delayed_sequence_references(@#{sequence[:resource].downcase})
+              validate_search_reply(versioned_resource_class('#{sequence[:resource]}'), reply, search_params))
+          else
+            %(
+              skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+              assert !@#{sequence[:resource].downcase}.nil?, 'Expected valid #{sequence[:resource]} resource to be present'
+      #{get_search_params(search_param[:names], sequence)}
+              reply = get_resource_by_params(versioned_resource_class('#{sequence[:resource]}'), search_params)
+              validate_search_reply(versioned_resource_class('#{sequence[:resource]}'), reply, search_params)
+              assert_response_ok(reply))
+          end
+        search_test[:test_code] += get_comparator_searches(search_param[:names], sequence)
+        sequence[:tests] << search_test
+      end
+
+      def create_interaction_test(sequence, interaction)
+        interaction_test = {
+          tests_that: "#{sequence[:resource]} #{interaction[:code]} resource supported",
+          index: sequence[:tests].length + 1,
+          link: 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+        }
+
+        interaction_test[:test_code] = %(
+              skip_if_not_supported(:#{sequence[:resource]}, [:#{interaction[:code]}])
+              skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+              validate_#{interaction[:code]}_reply(@#{sequence[:resource].downcase}, versioned_resource_class('#{sequence[:resource]}')))
+
+        sequence[:tests] << interaction_test
+      end
+
+      def create_must_support_test(sequence)
+        test = {
+          tests_that: "At least one of every must support element is provided in any #{sequence[:resource]} for this patient.",
+          index: sequence[:tests].length + 1,
+          link: 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support',
+          test_code: ''
+        }
+
+        test[:test_code] += %(
+              skip 'No resources appear to be available for this patient. Please use patients with more information' unless @#{sequence[:resource].downcase}_ary&.any?)
+
+        test[:test_code] += %(
+              must_support_confirmed = {})
+
+        extensions_list = []
+        sequence[:must_supports].select { |must_support| must_support[:type] == 'extension' }.each do |extension|
+          extensions_list << "'#{extension[:id]}': '#{extension[:url]}'"
+        end
+        if extensions_list.any?
+          test[:test_code] += %(
+              extensions_list = {
+                #{extensions_list.join(",\n          ")}
+              }
+              extensions_list.each do |id, url|
+                @#{sequence[:resource].downcase}_ary&.each do |resource|
+                  must_support_confirmed[id] = true if resource.extension.any? { |extension| extension.url == url }
+                  break if must_support_confirmed[id]
+                end
+                skip_notification = "Could not find \#{id} in any of the \#{@#{sequence[:resource].downcase}_ary.length} provided #{sequence[:resource]} resource(s)"
+                skip skip_notification unless must_support_confirmed[id]
+              end
+      )
+        end
+        elements_list = []
+        sequence[:must_supports].select { |must_support| must_support[:type] == 'element' }.each do |element|
+          element[:path] = element[:path].gsub('.class', '.local_class') # class is mapped to local_class in fhir_models
+          elements_list << "'#{element[:path]}'"
+        end
+
+        if elements_list.any?
+          test[:test_code] += %(
+              must_support_elements = [
+                #{elements_list.join(",\n          ")}
+              ]
+              must_support_elements.each do |path|
+                @#{sequence[:resource].downcase}_ary&.each do |resource|
+                  truncated_path = path.gsub('#{sequence[:resource]}.', '')
+                  must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+                  break if must_support_confirmed[path]
+                end
+                resource_count = @#{sequence[:resource].downcase}_ary.length
+
+                skip "Could not find \#{path} in any of the \#{resource_count} provided #{sequence[:resource]} resource(s)" unless must_support_confirmed[path]
+              end)
+        end
+
+        test[:test_code] += %(
+              @instance.save!)
+
+        sequence[:tests] << test
+      end
+
+      def create_resource_profile_test(sequence)
+        test = {
+          tests_that: "#{sequence[:resource]} resources associated with Patient conform to US Core R4 profiles",
+          index: sequence[:tests].length + 1,
+          link: sequence[:profile]
+        }
+        test[:test_code] = %(
+              skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+              test_resources_against_profile('#{sequence[:resource]}'#{', ' + validation_profile_uri(sequence) if validation_profile_uri(sequence)}))
+
+        sequence[:tests] << test
+      end
+
+      def create_references_resolved_test(sequence)
+        test = {
+          tests_that: 'All references can be resolved',
+          index: sequence[:tests].length + 1,
+          link: 'https://www.hl7.org/fhir/DSTU2/references.html'
+        }
+
+        test[:test_code] = %(
+              skip_if_not_supported(:#{sequence[:resource]}, [:search, :read])
+              skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+              validate_reference_resolutions(@#{sequence[:resource].downcase}))
+        sequence[:tests] << test
+      end
+
+      def resolve_element_path(search_param_description)
+        type = search_param_description[:type]
+        element_path = search_param_description[:path] + get_value_path_by_type(type)
+        element_path.gsub('.class', '.local_class') # match fhir_models because class is protected keyword in ruby
+        path_parts = element_path.split('.')
+        resource_val = "@#{path_parts.shift.downcase}"
+        "resolve_element_from_path(#{resource_val}, '#{path_parts.join('.')}')"
+      end
+
+      def get_value_path_by_type(type)
+        case type
+        when 'CodeableConcept'
+          '.coding.code'
+        when 'Reference'
+          '.reference'
+        when 'Period'
+          '.start'
+        when 'Identifier'
+          '.value'
+        when 'Coding'
+          '.code'
+        when 'HumanName'
+          '.family'
+        when 'Address'
+          '.city'
+        else
+          ''
+        end
+      end
+
+      def param_value_name(param)
+        if param == '_id'
+          'id_val'
+        else
+          param.tr('-', '_') + '_val'
+        end
+      end
+
+      def get_search_params(search_parameters, sequence)
+        unless search_param_constants(search_parameters, sequence).nil?
+          return %(
+              search_params = { #{search_param_constants(search_parameters, sequence)} }\n)
+        end
+        search_values = []
+        search_assignments = []
+        search_parameters.each do |param|
+          variable_name = param_value_name(param)
+          variable_value =
+            if param == 'patient'
+              '@instance.patient_id'
+            else
+              resolve_element_path(sequence[:search_param_descriptions][param.to_sym])
+            end
+          search_values << "#{variable_name} = #{variable_value}"
+          search_assignments << "'#{param}': #{variable_name}"
+        end
+
+        search_code = ''
+        search_values.each do |value|
+          search_code += %(
+              #{value})
+        end
+        search_code += %(
+              search_params = { #{search_assignments.join(', ')} }
+              search_params.each { |param, value| skip "Could not resolve \#{param} in given resource" if value.nil? }
+      )
+        search_code
+      end
+
+      def get_comparator_searches(search_params, sequence)
+        search_code = ''
+        search_assignments = search_params.map do |param|
+          "'#{param}': #{param_value_name(param)}"
+        end
+        search_assignments_str = "{ #{search_assignments.join(', ')} }"
+        search_params.each do |param|
+          param_val_name = param_value_name(param)
+          param_info = sequence[:search_param_descriptions][param.to_sym]
+          comparators = param_info[:comparators].select { |_comparator, expectation| ['SHALL', 'SHOULD'].include? expectation }
+          next if comparators.empty?
+
+          type = param_info[:type]
+          case type
+          when 'Period', 'date'
+            search_code += %(\n
+              [#{comparators.keys.map { |comparator| "'#{comparator}'" }.join(', ')}].each do |comparator|
+                comparator_val = date_comparator_value(comparator, #{param_val_name})
+                comparator_search_params = #{search_assignments_str.gsub(param_val_name, 'comparator_val')}
+                reply = get_resource_by_params(versioned_resource_class('#{sequence[:resource]}'), comparator_search_params)
+                validate_search_reply(versioned_resource_class('#{sequence[:resource]}'), reply, comparator_search_params)
+                assert_response_ok(reply)
+              end)
+          end
+        end
+        search_code
+      end
+
+      def search_param_constants(search_parameters, sequence)
+        return "patient: @instance.patient_id, category: 'assess-plan'" if search_parameters == ['patient', 'category'] && sequence[:resource] == 'CarePlan'
+        return "patient: @instance.patient_id, status: 'active'" if search_parameters == ['patient', 'status'] && sequence[:resource] == 'CareTeam'
+        return "'_id': @instance.patient_id" if search_parameters == ['_id'] && sequence[:resource] == 'Patient'
+        return "patient: @instance.patient_id, code: '72166-2'" if search_parameters == ['patient', 'code'] && sequence[:profile] == PROFILE_URIS[:smoking_status]
+        return "patient: @instance.patient_id, category: 'laboratory'" if search_parameters == ['patient', 'category'] && sequence[:profile] == PROFILE_URIS[:lab_results]
+        return "patient: @instance.patient_id, code: '77606-2'" if search_parameters == ['patient', 'code'] && sequence[:profile] == PROFILE_URIS[:pediatric_weight_height]
+        return "patient: @instance.patient_id, code: '59576-9'" if search_parameters == ['patient', 'code'] && sequence[:profile] == PROFILE_URIS[:pediatric_bmi_age]
+        return "patient: @instance.patient_id, category: 'LAB'" if search_parameters == ['patient', 'category'] && sequence[:profile] == PROFILE_URIS[:diagnostic_report_lab]
+        return "patient: @instance.patient_id, code: 'LP29684-5'" if search_parameters == ['patient', 'category'] && sequence[:profile] == PROFILE_URIS[:diagnostic_report_note]
+      end
+
+      def create_search_validation(sequence)
+        search_validators = ''
+        sequence[:search_param_descriptions].each do |element, definition|
+          search_validators += %(
+              when '#{element}')
+          type = definition[:type]
+          path_parts = definition[:path].split('.')
+          path_parts = path_parts.map { |part| part == 'class' ? 'local_class' : part }
+          path_parts.shift
+          case type
+          when 'Period'
+            search_validators += %(
+                value_found = can_resolve_path(resource, '#{path_parts.join('.')}') do |period|
+                  validate_period_search(value, period)
+                end
+                assert value_found, '#{element} on resource does not match #{element} requested'
+      )
+          when 'date'
+            search_validators += %(
+                value_found = can_resolve_path(resource, '#{path_parts.join('.')}') do |date|
+                  validate_date_search(value, date)
+                end
+                assert value_found, '#{element} on resource does not match #{element} requested'
+      )
+          when 'HumanName'
+            # When a string search parameter refers to the types HumanName and Address,
+            # the search covers the elements of type string, and does not cover elements such as use and period
+            # https://www.hl7.org/fhir/search.html#string
+            search_validators += %(
+                value = value.downcase
+                value_found = can_resolve_path(resource, '#{path_parts.join('.')}') do |name|
+                  name&.text&.start_with?(value) ||
+                    name&.family&.downcase&.include?(value) ||
+                    name&.given&.any? { |given| given.downcase.start_with?(value) } ||
+                    name&.prefix&.any? { |prefix| prefix.downcase.start_with?(value) } ||
+                    name&.suffix&.any? { |suffix| suffix.downcase.start_with?(value) }
+                end
+                assert value_found, '#{element} on resource does not match #{element} requested'
+      )
+          else
+            # searching by patient requires special case because we are searching by a resource identifier
+            # references can also be URL's, so we made need to resolve those url's
+            search_validators +=
+              if ['subject', 'patient'].include? element.to_s
+                %(
+                value_found = can_resolve_path(resource, '#{path_parts.join('.') + get_value_path_by_type(type)}') { |reference| [value, 'Patient/' + value].include? reference }
+                assert value_found, '#{element} on resource does not match #{element} requested'
+      )
+              else
+                %(
+                value_found = can_resolve_path(resource, '#{path_parts.join('.') + get_value_path_by_type(type)}') { |value_in_resource| value_in_resource == value }
+                assert value_found, '#{element} on resource does not match #{element} requested'
+      )
+              end
+          end
+        end
+
+        validate_function = ''
+
+        unless search_validators.empty?
+          validate_function = %(
+            def validate_resource_item(resource, property, value)
+              case property
+      #{search_validators}
+              end
+            end
+      )
+        end
+
+        validate_function
+      end
+
+      def generate_module(module_info)
+        file_name = "#{module_yml_out_path}/#{@path}_module.yml"
+
+        template = ERB.new(File.read(File.join(__dir__, 'templates/module.yml.erb')))
+        output = template.result_with_hash(module_info)
+
+        File.write(file_name, output)
+      end
+    end
+  end
+end
diff --git a/generators/uscore-r4/generator.rb b/generators/uscore-r4/generator.rb
deleted file mode 100644
index 58637deb1..000000000
--- a/generators/uscore-r4/generator.rb
+++ /dev/null
@@ -1,479 +0,0 @@
-# frozen_string_literal: true
-
-require 'erb'
-require 'pry'
-require 'fileutils'
-require 'net/http'
-require 'fhir_models'
-require_relative './metadata_extractor'
-require_relative '../../lib/app/utils/validation'
-
-OUT_PATH = File.expand_path('../../lib/app/modules', __dir__)
-RESOURCE_PATH = File.expand_path('../../resources/us_core_r4', __dir__)
-
-PROFILE_URIS = Inferno::ValidationUtil::US_CORE_R4_URIS
-
-def validation_profile_uri(sequence)
-  profile_uri = PROFILE_URIS.key(sequence[:profile])
-  "Inferno::ValidationUtil::US_CORE_R4_URIS[:#{profile_uri}]" if profile_uri
-end
-
-def run
-  redownload_files = (ARGV&.first == '-d')
-  FileUtils.rm Dir.glob("#{RESOURCE_PATH}*") if redownload_files
-
-  metadata_extractor = MetadataExtractor.new
-  metadata = metadata_extractor.extract_metadata
-  generate_tests(metadata)
-  generate_search_validators(metadata)
-  metadata[:sequences].each do |sequence|
-    generate_sequence(sequence)
-  end
-  generate_module(metadata)
-end
-
-def generate_search_validators(metadata)
-  metadata[:sequences].each do |sequence|
-    sequence[:search_validator] = create_search_validation(sequence)
-  end
-end
-
-def generate_tests(metadata)
-  # first isolate the profiles that don't have patient searches
-  mark_delayed_sequences(metadata)
-
-  metadata[:sequences].each do |sequence|
-    puts "Generating test #{sequence[:name]}"
-
-    # read reference if sequence contains no search sequences
-    create_read_test(sequence) if sequence[:delayed_sequence]
-
-    # authorization test
-    create_authorization_test(sequence)
-
-    # make tests for each SHALL and SHOULD search param, SHALL's first
-    sequence[:searches]
-      .select { |search_param| search_param[:expectation] == 'SHALL' }
-      .each { |search_param| create_search_test(sequence, search_param) }
-
-    sequence[:searches]
-      .select { |search_param| search_param[:expectation] == 'SHOULD' }
-      .each { |search_param| create_search_test(sequence, search_param) }
-
-    # make tests for each SHALL and SHOULD interaction
-    sequence[:interactions]
-      .select { |interaction| ['SHALL', 'SHOULD'].include? interaction[:expectation] }
-      .reject { |interaction| interaction[:code] == 'search-type' }
-      .each do |interaction|
-        # specific edge cases
-        interaction[:code] = 'history' if interaction[:code] == 'history-instance'
-        next if interaction[:code] == 'read' && sequence[:delayed_sequence]
-
-        create_interaction_test(sequence, interaction)
-      end
-
-    create_resource_profile_test(sequence)
-    create_must_support_test(sequence)
-    create_references_resolved_test(sequence)
-  end
-end
-
-def mark_delayed_sequences(metadata)
-  metadata[:sequences].each do |sequence|
-    sequence[:delayed_sequence] = sequence[:resource] != 'Patient' && sequence[:searches].none? { |search| search[:names].include? 'patient' }
-  end
-  metadata[:delayed_sequences] = metadata[:sequences].select { |seq| seq[:delayed_sequence] }
-  metadata[:non_delayed_sequences] = metadata[:sequences].reject { |seq| seq[:delayed_sequence] }
-end
-
-def find_first_search(sequence)
-  sequence[:searches].find { |search_param| search_param[:expectation] == 'SHALL' } ||
-    sequence[:searches].find { |search_param| search_param[:expectation] == 'SHOULD' }
-end
-
-def generate_sequence(sequence)
-  puts "Generating #{sequence[:name]}\n"
-  file_name = OUT_PATH + '/us_core_r4/' + sequence[:name].downcase + '_sequence.rb'
-
-  template = ERB.new(File.read(File.join(__dir__, 'templates/sequence.rb.erb')))
-  output =   template.result_with_hash(sequence)
-  FileUtils.mkdir_p(OUT_PATH + '/us_core_r4') unless File.directory?(OUT_PATH + '/us_core_r4')
-  File.write(file_name, output)
-end
-
-def create_read_test(sequence)
-  read_test = {
-    tests_that: "Can read #{sequence[:resource]} from the server",
-    index: sequence[:tests].length + 1,
-    link: 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-  }
-
-  read_test[:test_code] = %(
-        #{sequence[:resource].downcase}_id = @instance.resource_references.find { |reference| reference.resource_type == '#{sequence[:resource]}' }&.resource_id
-        skip 'No #{sequence[:resource]} references found from the prior searches' if #{sequence[:resource].downcase}_id.nil?
-        @#{sequence[:resource].downcase} = fetch_resource('#{sequence[:resource]}', #{sequence[:resource].downcase}_id)
-        @resources_found = !@#{sequence[:resource].downcase}.nil?)
-  sequence[:tests] << read_test
-end
-
-def create_authorization_test(sequence)
-  authorization_test = {
-    tests_that: "Server rejects #{sequence[:resource]} search without authorization",
-    index: sequence[:tests].length + 1,
-    link: 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-  }
-
-  first_search = find_first_search(sequence)
-  return if first_search.nil?
-
-  authorization_test[:test_code] = %(
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-#{get_search_params(first_search[:names], sequence)}
-        reply = get_resource_by_params(versioned_resource_class('#{sequence[:resource]}'), search_params)
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply)
-
-  sequence[:tests] << authorization_test
-end
-
-def create_search_test(sequence, search_param)
-  search_test = {
-    tests_that: "Server returns expected results from #{sequence[:resource]} search by #{search_param[:names].join('+')}",
-    index: sequence[:tests].length + 1,
-    link: 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html',
-    optional: search_param[:expectation] != 'SHALL'
-  }
-
-  is_first_search = search_param == find_first_search(sequence)
-  save_resource_ids_in_bundle_arguments = [
-    "versioned_resource_class('#{sequence[:resource]}')",
-    'reply',
-    validation_profile_uri(sequence)
-  ].compact.join(', ')
-
-  search_test[:test_code] =
-    if is_first_search
-      %(#{get_search_params(search_param[:names], sequence)}
-        reply = get_resource_by_params(versioned_resource_class('#{sequence[:resource]}'), search_params)
-        assert_response_ok(reply)
-        assert_bundle_response(reply)
-
-        resource_count = reply&.resource&.entry&.length || 0
-        @resources_found = true if resource_count.positive?
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        @#{sequence[:resource].downcase} = reply.try(:resource).try(:entry).try(:first).try(:resource)
-        @#{sequence[:resource].downcase}_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(#{save_resource_ids_in_bundle_arguments})
-        save_delayed_sequence_references(@#{sequence[:resource].downcase})
-        validate_search_reply(versioned_resource_class('#{sequence[:resource]}'), reply, search_params))
-    else
-      %(
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@#{sequence[:resource].downcase}.nil?, 'Expected valid #{sequence[:resource]} resource to be present'
-#{get_search_params(search_param[:names], sequence)}
-        reply = get_resource_by_params(versioned_resource_class('#{sequence[:resource]}'), search_params)
-        validate_search_reply(versioned_resource_class('#{sequence[:resource]}'), reply, search_params)
-        assert_response_ok(reply))
-    end
-  search_test[:test_code] += get_comparator_searches(search_param[:names], sequence)
-  sequence[:tests] << search_test
-end
-
-def create_interaction_test(sequence, interaction)
-  interaction_test = {
-    tests_that: "#{sequence[:resource]} #{interaction[:code]} resource supported",
-    index: sequence[:tests].length + 1,
-    link: 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-  }
-
-  interaction_test[:test_code] = %(
-        skip_if_not_supported(:#{sequence[:resource]}, [:#{interaction[:code]}])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_#{interaction[:code]}_reply(@#{sequence[:resource].downcase}, versioned_resource_class('#{sequence[:resource]}')))
-
-  sequence[:tests] << interaction_test
-end
-
-def create_must_support_test(sequence)
-  test = {
-    tests_that: "At least one of every must support element is provided in any #{sequence[:resource]} for this patient.",
-    index: sequence[:tests].length + 1,
-    link: 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support',
-    test_code: ''
-  }
-
-  test[:test_code] += %(
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @#{sequence[:resource].downcase}_ary&.any?)
-
-  test[:test_code] += %(
-        must_support_confirmed = {})
-
-  extensions_list = []
-  sequence[:must_supports].select { |must_support| must_support[:type] == 'extension' }.each do |extension|
-    extensions_list << "'#{extension[:id]}': '#{extension[:url]}'"
-  end
-  if extensions_list.any?
-    test[:test_code] += %(
-        extensions_list = {
-          #{extensions_list.join(",\n          ")}
-        }
-        extensions_list.each do |id, url|
-          @#{sequence[:resource].downcase}_ary&.each do |resource|
-            must_support_confirmed[id] = true if resource.extension.any? { |extension| extension.url == url }
-            break if must_support_confirmed[id]
-          end
-          skip "Could not find \#{id} in any of the \#{@#{sequence[:resource].downcase}_ary.length} provided #{sequence[:resource]} resource(s)" unless must_support_confirmed[id]
-        end
-)
-  end
-  elements_list = []
-  sequence[:must_supports].select { |must_support| must_support[:type] == 'element' }.each do |element|
-    element[:path] = element[:path].gsub('.class', '.local_class') # class is mapped to local_class in fhir_models
-    elements_list << "'#{element[:path]}'"
-  end
-
-  if elements_list.any?
-    test[:test_code] += %(
-        must_support_elements = [
-          #{elements_list.join(",\n          ")}
-        ]
-        must_support_elements.each do |path|
-          @#{sequence[:resource].downcase}_ary&.each do |resource|
-            truncated_path = path.gsub('#{sequence[:resource]}.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @#{sequence[:resource].downcase}_ary.length
-
-          skip "Could not find \#{path} in any of the \#{resource_count} provided #{sequence[:resource]} resource(s)" unless must_support_confirmed[path]
-        end)
-  end
-
-  test[:test_code] += %(
-        @instance.save!)
-
-  sequence[:tests] << test
-end
-
-def create_resource_profile_test(sequence)
-  test = {
-    tests_that: "#{sequence[:resource]} resources associated with Patient conform to US Core R4 profiles",
-    index: sequence[:tests].length + 1,
-    link: sequence[:profile]
-  }
-  test[:test_code] = %(
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('#{sequence[:resource]}'#{', ' + validation_profile_uri(sequence) if validation_profile_uri(sequence)}))
-
-  sequence[:tests] << test
-end
-
-def create_references_resolved_test(sequence)
-  test = {
-    tests_that: 'All references can be resolved',
-    index: sequence[:tests].length + 1,
-    link: 'https://www.hl7.org/fhir/DSTU2/references.html'
-  }
-
-  test[:test_code] = %(
-        skip_if_not_supported(:#{sequence[:resource]}, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@#{sequence[:resource].downcase}))
-  sequence[:tests] << test
-end
-
-def resolve_element_path(search_param_description)
-  type = search_param_description[:type]
-  element_path = search_param_description[:path] + get_value_path_by_type(type)
-  element_path.gsub('.class', '.local_class') # match fhir_models because class is protected keyword in ruby
-  path_parts = element_path.split('.')
-  resource_val = "@#{path_parts.shift.downcase}"
-  "resolve_element_from_path(#{resource_val}, '#{path_parts.join('.')}')"
-end
-
-def get_value_path_by_type(type)
-  case type
-  when 'CodeableConcept'
-    '.coding.code'
-  when 'Reference'
-    '.reference'
-  when 'Period'
-    '.start'
-  when 'Identifier'
-    '.value'
-  when 'Coding'
-    '.code'
-  when 'HumanName'
-    '.family'
-  when 'Address'
-    '.city'
-  else
-    ''
-  end
-end
-
-def param_value_name(param)
-  if param == '_id'
-    'id_val'
-  else
-    param.tr('-', '_') + '_val'
-  end
-end
-
-def get_search_params(search_parameters, sequence)
-  unless search_param_constants(search_parameters, sequence).nil?
-    return %(
-        search_params = { #{search_param_constants(search_parameters, sequence)} }\n)
-  end
-  search_values = []
-  search_assignments = []
-  search_parameters.each do |param|
-    variable_name = param_value_name(param)
-    variable_value =
-      if param == 'patient'
-        '@instance.patient_id'
-      else
-        resolve_element_path(sequence[:search_param_descriptions][param.to_sym])
-      end
-    search_values << "#{variable_name} = #{variable_value}"
-    search_assignments << "'#{param}': #{variable_name}"
-  end
-
-  search_code = ''
-  search_values.each do |value|
-    search_code += %(
-        #{value})
-  end
-  search_code += %(
-        search_params = { #{search_assignments.join(', ')} }
-        search_params.each { |param, value| skip "Could not resolve \#{param} in given resource" if value.nil? }
-)
-  search_code
-end
-
-def get_comparator_searches(search_params, sequence)
-  search_code = ''
-  search_assignments = search_params.map do |param|
-    "'#{param}': #{param_value_name(param)}"
-  end
-  search_assignments_str = "{ #{search_assignments.join(', ')} }"
-  search_params.each do |param|
-    param_val_name = param_value_name(param)
-    param_info = sequence[:search_param_descriptions][param.to_sym]
-    comparators = param_info[:comparators].select { |_comparator, expectation| ['SHALL', 'SHOULD'].include? expectation }
-    next if comparators.empty?
-
-    type = param_info[:type]
-    case type
-    when 'Period', 'date'
-      search_code += %(\n
-        [#{comparators.keys.map { |comparator| "'#{comparator}'" }.join(', ')}].each do |comparator|
-          comparator_val = date_comparator_value(comparator, #{param_val_name})
-          comparator_search_params = #{search_assignments_str.gsub(param_val_name, 'comparator_val')}
-          reply = get_resource_by_params(versioned_resource_class('#{sequence[:resource]}'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('#{sequence[:resource]}'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end)
-    end
-  end
-  search_code
-end
-
-def search_param_constants(search_parameters, sequence)
-  return "patient: @instance.patient_id, category: 'assess-plan'" if search_parameters == ['patient', 'category'] && sequence[:resource] == 'CarePlan'
-  return "patient: @instance.patient_id, status: 'active'" if search_parameters == ['patient', 'status'] && sequence[:resource] == 'CareTeam'
-  return "'_id': @instance.patient_id" if search_parameters == ['_id'] && sequence[:resource] == 'Patient'
-  return "patient: @instance.patient_id, code: '72166-2'" if search_parameters == ['patient', 'code'] && sequence[:profile] == PROFILE_URIS[:smoking_status]
-  return "patient: @instance.patient_id, category: 'laboratory'" if search_parameters == ['patient', 'category'] && sequence[:profile] == PROFILE_URIS[:lab_results]
-  return "patient: @instance.patient_id, code: '77606-2'" if search_parameters == ['patient', 'code'] && sequence[:profile] == PROFILE_URIS[:pediatric_weight_height]
-  return "patient: @instance.patient_id, code: '59576-9'" if search_parameters == ['patient', 'code'] && sequence[:profile] == PROFILE_URIS[:pediatric_bmi_age]
-  return "patient: @instance.patient_id, category: 'LAB'" if search_parameters == ['patient', 'category'] && sequence[:profile] == PROFILE_URIS[:diagnostic_report_lab]
-  return "patient: @instance.patient_id, code: 'LP29684-5'" if search_parameters == ['patient', 'category'] && sequence[:profile] == PROFILE_URIS[:diagnostic_report_note]
-end
-
-def create_search_validation(sequence)
-  search_validators = ''
-  sequence[:search_param_descriptions].each do |element, definition|
-    search_validators += %(
-        when '#{element}')
-    type = definition[:type]
-    path_parts = definition[:path].split('.')
-    path_parts = path_parts.map { |part| part == 'class' ? 'local_class' : part }
-    path_parts.shift
-    case type
-    when 'Period'
-      search_validators += %(
-          value_found = can_resolve_path(resource, '#{path_parts.join('.')}') do |period|
-            validate_period_search(value, period)
-          end
-          assert value_found, '#{element} on resource does not match #{element} requested'
-)
-    when 'date'
-      search_validators += %(
-          value_found = can_resolve_path(resource, '#{path_parts.join('.')}') do |date|
-            validate_date_search(value, date)
-          end
-          assert value_found, '#{element} on resource does not match #{element} requested'
-)
-    when 'HumanName'
-      # When a string search parameter refers to the types HumanName and Address, the search covers the elements of type string, and does not cover elements such as use and period
-      # https://www.hl7.org/fhir/search.html#string
-      search_validators += %(
-          value = value.downcase
-          value_found = can_resolve_path(resource, '#{path_parts.join('.')}') do |name|
-            name&.text&.start_with?(value) ||
-              name&.family&.downcase&.include?(value) ||
-              name&.given&.any? { |given| given.downcase.start_with?(value) } ||
-              name&.prefix&.any? { |prefix| prefix.downcase.start_with?(value) } ||
-              name&.suffix&.any? { |suffix| suffix.downcase.start_with?(value) }
-          end
-          assert value_found, '#{element} on resource does not match #{element} requested'
-)
-    else
-      # searching by patient requires special case because we are searching by a resource identifier
-      # references can also be URL's, so we made need to resolve those url's
-      search_validators +=
-        if ['subject', 'patient'].include? element.to_s
-          %(
-          value_found = can_resolve_path(resource, '#{path_parts.join('.') + get_value_path_by_type(type)}') { |reference| [value, 'Patient/' + value].include? reference }
-          assert value_found, '#{element} on resource does not match #{element} requested'
-)
-        else
-          %(
-          value_found = can_resolve_path(resource, '#{path_parts.join('.') + get_value_path_by_type(type)}') { |value_in_resource| value_in_resource == value }
-          assert value_found, '#{element} on resource does not match #{element} requested'
-)
-        end
-    end
-  end
-
-  validate_function = ''
-
-  unless search_validators.empty?
-    validate_function = %(
-      def validate_resource_item(resource, property, value)
-        case property
-#{search_validators}
-        end
-      end
-)
-  end
-
-  validate_function
-end
-
-def generate_module(module_info)
-  file_name = OUT_PATH + '/us_core_module.yml'
-
-  template = ERB.new(File.read(File.join(__dir__, 'templates/module.yml.erb')))
-  output = template.result_with_hash(module_info)
-
-  File.write(file_name, output)
-end
-
-run
diff --git a/generators/uscore-r4/metadata_extractor.rb b/generators/uscore-r4/metadata_extractor.rb
deleted file mode 100644
index 675cbd684..000000000
--- a/generators/uscore-r4/metadata_extractor.rb
+++ /dev/null
@@ -1,234 +0,0 @@
-# frozen_string_literal: true
-
-class MetadataExtractor
-  CAPABILITY_STATEMENT_URI = 'https://www.hl7.org/fhir/us/core/CapabilityStatement-us-core-server.json'
-
-  def profile_uri(profile)
-    "http://hl7.org/fhir/us/core/StructureDefinition/#{profile}"
-  end
-
-  def profile_json_uri(profile)
-    "https://www.hl7.org/fhir/us/core/StructureDefinition-#{profile}.json"
-  end
-
-  def search_param_uri(resource, param)
-    param = 'id' if param == '_id'
-    "https://www.hl7.org/fhir/us/core/SearchParameter-us-core-#{resource.downcase}-#{param}.json"
-  end
-
-  def get_json_from_uri(uri)
-    filename = File.join(RESOURCE_PATH, uri.split('/').last)
-    unless File.exist?(filename)
-      puts "Downloading #{uri}\n"
-      json_result = Net::HTTP.get(URI(uri))
-      JSON.parse(json_result)
-      File.write(filename, json_result)
-    end
-
-    JSON.parse(File.read(filename))
-  end
-
-  def extract_metadata
-    capability_statement_json = get_json_from_uri(CAPABILITY_STATEMENT_URI)
-    @metadata = extract_metadata_from_resources(capability_statement_json['rest'][0]['resource'])
-    add_special_cases
-    @metadata
-  end
-
-  def build_new_sequence(resource, profile)
-    base_name = profile.split('StructureDefinition/')[1]
-    profile_json = get_json_from_uri(profile_json_uri(base_name))
-    profile_title = profile_json['title'].gsub(/US\s*Core\s*/, '').gsub(/\s*Profile/, '').strip
-    {
-      name: base_name.tr('-', '_'),
-      classname: base_name
-        .split('-')
-        .map(&:capitalize)
-        .join
-        .gsub('UsCore', 'USCoreR4') + 'Sequence',
-      resource: resource['type'],
-      profile: profile_uri(base_name), # link in capability statement is incorrect,
-      profile_json: profile_json_uri(base_name),
-      title: profile_title,
-      interactions: [],
-      searches: [],
-      search_param_descriptions: {},
-      element_descriptions: {},
-      must_supports: [],
-      tests: []
-    }
-  end
-
-  def extract_metadata_from_resources(resources)
-    data = {
-      sequences: []
-    }
-
-    resources.each do |resource|
-      resource['supportedProfile'].each do |supported_profile|
-        new_sequence = build_new_sequence(resource, supported_profile)
-
-        add_basic_searches(resource, new_sequence)
-        add_combo_searches(resource, new_sequence)
-        add_interactions(resource, new_sequence)
-
-        profile_definition = get_json_from_uri(new_sequence[:profile_json])
-        add_must_support_elements(profile_definition, new_sequence)
-        add_search_param_descriptions(profile_definition, new_sequence)
-        add_element_definitions(profile_definition, new_sequence)
-
-        data[:sequences] << new_sequence
-      end
-    end
-    data
-  end
-
-  def add_basic_searches(resource, sequence)
-    basic_searches = resource['searchParam']
-    basic_searches&.each do |search_param|
-      new_search_param = {
-        names: [search_param['name']],
-        expectation: search_param['extension'][0]['valueCode']
-      }
-      sequence[:searches] << new_search_param
-      sequence[:search_param_descriptions][search_param['name'].to_sym] = {}
-    end
-  end
-
-  def add_combo_searches(resource, sequence)
-    search_combos = resource['extension'] || []
-    search_combo_url = 'http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination'
-    search_combos
-      .select { |combo| combo['url'] == search_combo_url }
-      .each do |combo|
-        combo_params = combo['extension']
-        new_search_combo = {
-          expectation: combo_params[0]['valueCode'],
-          names: []
-        }
-        combo_params.each do |param|
-          next unless param.key?('valueString')
-
-          new_search_combo[:names] << param['valueString']
-          sequence[:search_param_descriptions][param['valueString'].to_sym] = {}
-        end
-        sequence[:searches] << new_search_combo
-      end
-  end
-
-  def add_interactions(resource, sequence)
-    interactions = resource['interaction']
-    interactions&.each do |interaction|
-      new_interaction = {
-        code: interaction['code'],
-        expectation: interaction['extension'][0]['valueCode']
-      }
-      sequence[:interactions] << new_interaction
-    end
-  end
-
-  def add_must_support_elements(profile_definition, sequence)
-    profile_definition['snapshot']['element'].select { |el| el['mustSupport'] }.each do |element|
-      if element['path'].end_with? 'extension'
-        sequence[:must_supports] <<
-          {
-            type: 'extension',
-            id: element['id'],
-            path: element['path'],
-            url: element['type'].first['profile'].first
-          }
-        next
-      end
-
-      path = element['path']
-      if path.include? '[x]'
-        choice_el = profile_definition['snapshot']['element'].find { |el| el['id'] == (path.split('[x]').first + '[x]') }
-        choice_el['type'].each do |type|
-          sequence[:must_supports] <<
-            {
-              type: 'element',
-              path: path.gsub('[x]', type['code'].slice(0).capitalize + type['code'].slice(1..-1))
-            }
-        end
-      else
-        sequence[:must_supports] <<
-          {
-            type: 'element',
-            path: path
-          }
-      end
-    end
-  end
-
-  def add_search_param_descriptions(profile_definition, sequence)
-    sequence[:search_param_descriptions].each_key do |param|
-      search_param_definition = get_json_from_uri(search_param_uri(sequence[:resource], param.to_s))
-      path_parts = search_param_definition['xpath'].split('/f:')
-      if param.to_s != '_id'
-        path_parts[0] = sequence[:resource]
-        path = path_parts.join('.')
-      else
-        path = path_parts[0]
-      end
-      profile_element = profile_definition['snapshot']['element'].select { |el| el['id'] == path }.first
-      param_metadata = {
-        path: path,
-        comparators: {}
-      }
-      if !profile_element.nil?
-        param_metadata[:type] = profile_element['type'].first['code']
-        param_metadata[:contains_multiple] = (profile_element['max'] == '*')
-      else
-        # search is a variable type eg.) Condition.onsetDateTime - element in profile def is Condition.onset[x]
-        param_metadata[:type] = search_param_definition['type']
-        param_metadata[:contains_multiple] = false
-      end
-      search_param_definition['comparator']&.each_with_index do |comparator, index|
-        expectation = search_param_definition['_comparator'][index]['extension'].first['valueCode']
-        param_metadata[:comparators][comparator.to_sym] = expectation
-      end
-      sequence[:search_param_descriptions][param] = param_metadata
-    end
-  end
-
-  def add_element_definitions(profile_definition, sequence)
-    profile_definition['snapshot']['element'].each do |element|
-      next if element['type'].nil? # base profile
-
-      path = element['id']
-      if path.include? '[x]'
-        element['type'].each do |type|
-          sequence[:element_descriptions][path.gsub('[x]', type['code']).downcase.to_sym] = { type: type['code'], contains_multiple: element['max'] == '*' }
-        end
-      else
-        sequence[:element_descriptions][path.downcase.to_sym] = { type: element['type'].first['code'], contains_multiple: element['max'] == '*' }
-      end
-    end
-  end
-
-  def add_special_cases
-    category_first_profiles = [
-      PROFILE_URIS[:diagnostic_report_lab],
-      PROFILE_URIS[:lab_results],
-      PROFILE_URIS[:diagnostic_report_note]
-    ]
-
-    # search by patient first
-    @metadata[:sequences].each do |sequence|
-      patient_search = sequence[:searches].select { |param| param[:names] == ['patient'] } &.first
-      unless patient_search.nil?
-        sequence[:searches].delete(patient_search)
-        sequence[:searches].unshift(patient_search)
-      end
-    end
-
-    # search by patient + category first for these specific profiles
-    @metadata[:sequences].select { |sequence| category_first_profiles.include?(sequence[:profile]) }.each do |sequence|
-      category_search = sequence[:searches].select { |param| param[:names] == ['patient', 'category'] } &.first
-      unless category_search.nil?
-        sequence[:searches].delete(category_search)
-        sequence[:searches].unshift(category_search)
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/onc_program_r4_module.yml b/lib/app/modules/onc_program_r4_module.yml
index bf7e9e7b0..2410658b6 100644
--- a/lib/app/modules/onc_program_r4_module.yml
+++ b/lib/app/modules/onc_program_r4_module.yml
@@ -109,45 +109,29 @@ test_sets:
           - patient_id
           - token
         sequences:
-          - sequence: USCoreR4PatientSequence
-            title: Patient
-          - sequence: USCoreR4AllergyintoleranceSequence
-            title: Allergy Intolerance
-          - sequence: USCoreR4CareplanSequence
-            title: Careplan
-          - sequence: USCoreR4CareteamSequence
-            title: Careteam
-          - sequence: USCoreR4ConditionSequence
-            title: Condition
-          - sequence: USCoreR4DeviceSequence
-            title: Device
-          - sequence: USCoreR4DiagnosticreportNoteSequence
-            title: Diagnostic Report Note
-          - sequence: USCoreR4DiagnosticreportLabSequence
-            title: Diagnostic Report Lab
-          - sequence: USCoreR4DocumentreferenceSequence
-            title: Document Reference
-          - sequence: USCoreR4EncounterSequence
-            title: Encounter
-          - sequence: USCoreR4GoalSequence
-            title: Goal
-          - sequence: USCoreR4ImmunizationSequence
-            title: Immunization
-          - sequence: USCoreR4MedicationSequence
-            title: Medication
-          - sequence: USCoreR4MedicationrequestSequence
-            title: Medication Request
-          - sequence: USCoreR4MedicationstatementSequence
-            title: Medication Statement
-          - sequence: USCoreR4SmokingstatusSequence
-            title: Smoking Status
-          - sequence: PediatricWeightForHeightSequence
-            title: Pediatric Weight for Height
-          - sequence: USCoreR4ObservationLabSequence
-            title: Observation Lab
-          - sequence: PediatricBmiForAgeSequence
-            title: BMI For Age
-          - sequence: USCoreR4ProcedureSequence
-            title: Procedure
-          - sequence: R4ProvenanceSequence
-            title: Provenance
+          - USCore300AllergyintoleranceSequence
+          - USCore300CareplanSequence
+          - USCore300CareteamSequence
+          - USCore300ConditionSequence
+          - USCore300DeviceSequence
+          - USCore300DiagnosticreportNoteSequence
+          - USCore300DiagnosticreportLabSequence
+          - USCore300DocumentreferenceSequence
+          - USCore300EncounterSequence
+          - USCore300GoalSequence
+          - USCore300ImmunizationSequence
+          - USCore300MedicationrequestSequence
+          - USCore300MedicationstatementSequence
+          - USCore300SmokingstatusSequence
+          - USCore300PediatricWeightForHeightSequence
+          - USCore300ObservationLabSequence
+          - USCore300PediatricBmiForAgeSequence
+          - USCore300PatientSequence
+          - USCore300ProcedureSequence
+          - R4ProvenanceSequence
+          - USCoreR4ClinicalNotesSequence
+          - USCore300LocationSequence
+          - USCore300MedicationSequence
+          - USCore300OrganizationSequence
+          - USCore300PractitionerSequence
+          - USCore300PractitionerroleSequence
\ No newline at end of file
diff --git a/lib/app/modules/us_core_module.yml b/lib/app/modules/us_core_module.yml
deleted file mode 100644
index cfb5e4225..000000000
--- a/lib/app/modules/us_core_module.yml
+++ /dev/null
@@ -1,49 +0,0 @@
-name: us_core_r4
-title: US Core R4
-description : US Core R4
-fhir_version: r4
-default_test_set: ad_hoc_testing
-test_sets:
-  ad_hoc_testing:
-    view: default
-    tests:
-      - name: Discovery
-        sequences:
-        - UsCoreR4CapabilityStatementSequence
-        - SMARTDiscoverySequence
-        run_all: true
-      - name: Authorization and Authentication
-        sequences:
-        - DynamicRegistrationSequence
-        - ManualRegistrationSequence
-        - StandaloneLaunchSequence
-        - EHRLaunchSequence
-      - name: US Core R4 Patient Based Profiles
-        run_all: true
-        sequences:
-        - USCoreR4AllergyintoleranceSequence
-        - USCoreR4CareplanSequence
-        - USCoreR4CareteamSequence
-        - USCoreR4ConditionSequence
-        - USCoreR4DeviceSequence
-        - USCoreR4DiagnosticreportNoteSequence
-        - USCoreR4DiagnosticreportLabSequence
-        - USCoreR4DocumentreferenceSequence
-        - USCoreR4EncounterSequence
-        - USCoreR4GoalSequence
-        - USCoreR4ImmunizationSequence
-        - USCoreR4MedicationrequestSequence
-        - USCoreR4MedicationstatementSequence
-        - USCoreR4SmokingstatusSequence
-        - PediatricWeightForHeightSequence
-        - USCoreR4ObservationLabSequence
-        - PediatricBmiForAgeSequence
-        - USCoreR4PatientSequence
-        - USCoreR4ProcedureSequence
-        - R4ProvenanceSequence
-        - USCoreR4ClinicalNotesSequence
-        - USCoreR4LocationSequence
-        - USCoreR4MedicationSequence
-        - USCoreR4OrganizationSequence
-        - USCoreR4PractitionerSequence
-        - USCoreR4PractitionerroleSequence
diff --git a/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb b/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb
new file mode 100644
index 000000000..32f0e6cbb
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb
@@ -0,0 +1,334 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore300PediatricBmiForAgeSequence < SequenceBase
+      title 'Pediatric BMI for Age Observation Tests'
+
+      description 'Verify that Observation resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Observation' # change me
+
+      requires :token, :patient_id
+      conformance_supports :Observation
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        when 'category'
+          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'category on resource does not match category requested'
+
+        when 'code'
+          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'code on resource does not match code requested'
+
+        when 'date'
+          value_found = can_resolve_path(resource, 'effectiveDateTime') do |date|
+            validate_date_search(value, date)
+          end
+          assert value_found, 'date on resource does not match date requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects Observation search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        search_params = { patient: @instance.patient_id, code: '59576-9' }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Observation search by patient+code' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        search_params = { patient: @instance.patient_id, code: '59576-9' }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @observation = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:pediatric_bmi_age])
+        save_delayed_sequence_references(@observation)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Observation search by patient+category' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        search_params = { 'patient': patient_val, 'category': category_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Observation search by patient+category+date' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('Observation'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('Observation'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from Observation search by patient+code+date' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@observation, 'code.coding.code')
+        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'code': code_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('Observation'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('Observation'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from Observation search by patient+category+status' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        status_val = resolve_element_from_path(@observation, 'status')
+        search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Observation read resource supported' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation vread resource supported' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation history resource supported' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '10'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Observation', Inferno::ValidationUtil::US_CORE_R4_URIS[:pediatric_bmi_age])
+      end
+
+      test 'At least one of every must support element is provided in any Observation for this patient.' do
+        metadata do
+          id '11'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @observation_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Observation.status',
+          'Observation.category',
+          'Observation.category',
+          'Observation.category.coding',
+          'Observation.category.coding.system',
+          'Observation.category.coding.code',
+          'Observation.subject',
+          'Observation.effectiveDateTime',
+          'Observation.effectivePeriod',
+          'Observation.valueQuantity.value',
+          'Observation.valueQuantity.unit',
+          'Observation.valueQuantity.system',
+          'Observation.valueQuantity.code',
+          'Observation.dataAbsentReason',
+          'Observation.component',
+          'Observation.component.code',
+          'Observation.component.valueQuantity',
+          'Observation.component.valueCodeableConcept',
+          'Observation.component.valueString',
+          'Observation.component.valueBoolean',
+          'Observation.component.valueInteger',
+          'Observation.component.valueRange',
+          'Observation.component.valueRatio',
+          'Observation.component.valueSampledData',
+          'Observation.component.valueTime',
+          'Observation.component.valueDateTime',
+          'Observation.component.valuePeriod',
+          'Observation.component.dataAbsentReason'
+        ]
+        must_support_elements.each do |path|
+          @observation_ary&.each do |resource|
+            truncated_path = path.gsub('Observation.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @observation_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Observation resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '12'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@observation)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb b/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb
new file mode 100644
index 000000000..9172bf676
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb
@@ -0,0 +1,334 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore300PediatricWeightForHeightSequence < SequenceBase
+      title 'Pediatric Weight for Height Observation Tests'
+
+      description 'Verify that Observation resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Observation' # change me
+
+      requires :token, :patient_id
+      conformance_supports :Observation
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        when 'category'
+          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'category on resource does not match category requested'
+
+        when 'code'
+          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'code on resource does not match code requested'
+
+        when 'date'
+          value_found = can_resolve_path(resource, 'effectiveDateTime') do |date|
+            validate_date_search(value, date)
+          end
+          assert value_found, 'date on resource does not match date requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects Observation search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        search_params = { patient: @instance.patient_id, code: '77606-2' }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Observation search by patient+code' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        search_params = { patient: @instance.patient_id, code: '77606-2' }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @observation = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:pediatric_weight_height])
+        save_delayed_sequence_references(@observation)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Observation search by patient+category' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        search_params = { 'patient': patient_val, 'category': category_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Observation search by patient+category+date' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('Observation'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('Observation'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from Observation search by patient+code+date' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@observation, 'code.coding.code')
+        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'code': code_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('Observation'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('Observation'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from Observation search by patient+category+status' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        status_val = resolve_element_from_path(@observation, 'status')
+        search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Observation read resource supported' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation vread resource supported' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation history resource supported' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '10'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Observation', Inferno::ValidationUtil::US_CORE_R4_URIS[:pediatric_weight_height])
+      end
+
+      test 'At least one of every must support element is provided in any Observation for this patient.' do
+        metadata do
+          id '11'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @observation_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Observation.status',
+          'Observation.category',
+          'Observation.category',
+          'Observation.category.coding',
+          'Observation.category.coding.system',
+          'Observation.category.coding.code',
+          'Observation.subject',
+          'Observation.effectiveDateTime',
+          'Observation.effectivePeriod',
+          'Observation.valueQuantity.value',
+          'Observation.valueQuantity.unit',
+          'Observation.valueQuantity.system',
+          'Observation.valueQuantity.code',
+          'Observation.dataAbsentReason',
+          'Observation.component',
+          'Observation.component.code',
+          'Observation.component.valueQuantity',
+          'Observation.component.valueCodeableConcept',
+          'Observation.component.valueString',
+          'Observation.component.valueBoolean',
+          'Observation.component.valueInteger',
+          'Observation.component.valueRange',
+          'Observation.component.valueRatio',
+          'Observation.component.valueSampledData',
+          'Observation.component.valueTime',
+          'Observation.component.valueDateTime',
+          'Observation.component.valuePeriod',
+          'Observation.component.dataAbsentReason'
+        ]
+        must_support_elements.each do |path|
+          @observation_ary&.each do |resource|
+            truncated_path = path.gsub('Observation.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @observation_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Observation resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '12'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@observation)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb
new file mode 100644
index 000000000..c47fd456d
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb
@@ -0,0 +1,214 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore300AllergyintoleranceSequence < SequenceBase
+      title 'AllergyIntolerance Tests'
+
+      description 'Verify that AllergyIntolerance resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'AllergyIntolerance' # change me
+
+      requires :token, :patient_id
+      conformance_supports :AllergyIntolerance
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'clinical-status'
+          value_found = can_resolve_path(resource, 'clinicalStatus.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'clinical-status on resource does not match clinical-status requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'patient.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects AllergyIntolerance search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('AllergyIntolerance'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from AllergyIntolerance search by patient' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('AllergyIntolerance'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @allergyintolerance = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @allergyintolerance_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('AllergyIntolerance'), reply)
+        save_delayed_sequence_references(@allergyintolerance)
+        validate_search_reply(versioned_resource_class('AllergyIntolerance'), reply, search_params)
+      end
+
+      test 'Server returns expected results from AllergyIntolerance search by patient+clinical-status' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@allergyintolerance.nil?, 'Expected valid AllergyIntolerance resource to be present'
+
+        patient_val = @instance.patient_id
+        clinical_status_val = resolve_element_from_path(@allergyintolerance, 'clinicalStatus.coding.code')
+        search_params = { 'patient': patient_val, 'clinical-status': clinical_status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('AllergyIntolerance'), search_params)
+        validate_search_reply(versioned_resource_class('AllergyIntolerance'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'AllergyIntolerance read resource supported' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:AllergyIntolerance, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@allergyintolerance, versioned_resource_class('AllergyIntolerance'))
+      end
+
+      test 'AllergyIntolerance vread resource supported' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:AllergyIntolerance, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@allergyintolerance, versioned_resource_class('AllergyIntolerance'))
+      end
+
+      test 'AllergyIntolerance history resource supported' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:AllergyIntolerance, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@allergyintolerance, versioned_resource_class('AllergyIntolerance'))
+      end
+
+      test 'AllergyIntolerance resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '07'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('AllergyIntolerance')
+      end
+
+      test 'At least one of every must support element is provided in any AllergyIntolerance for this patient.' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @allergyintolerance_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'AllergyIntolerance.clinicalStatus',
+          'AllergyIntolerance.verificationStatus',
+          'AllergyIntolerance.code',
+          'AllergyIntolerance.patient'
+        ]
+        must_support_elements.each do |path|
+          @allergyintolerance_ary&.each do |resource|
+            truncated_path = path.gsub('AllergyIntolerance.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @allergyintolerance_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided AllergyIntolerance resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '09'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:AllergyIntolerance, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@allergyintolerance)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb
new file mode 100644
index 000000000..c85a6da1d
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb
@@ -0,0 +1,289 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore300CareplanSequence < SequenceBase
+      title 'CarePlan Tests'
+
+      description 'Verify that CarePlan resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'CarePlan' # change me
+
+      requires :token, :patient_id
+      conformance_supports :CarePlan
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'category'
+          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'category on resource does not match category requested'
+
+        when 'date'
+          value_found = can_resolve_path(resource, 'period') do |period|
+            validate_period_search(value, period)
+          end
+          assert value_found, 'date on resource does not match date requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects CarePlan search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        search_params = { patient: @instance.patient_id, category: 'assess-plan' }
+
+        reply = get_resource_by_params(versioned_resource_class('CarePlan'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from CarePlan search by patient+category' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        search_params = { patient: @instance.patient_id, category: 'assess-plan' }
+
+        reply = get_resource_by_params(versioned_resource_class('CarePlan'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @careplan = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @careplan_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('CarePlan'), reply)
+        save_delayed_sequence_references(@careplan)
+        validate_search_reply(versioned_resource_class('CarePlan'), reply, search_params)
+      end
+
+      test 'Server returns expected results from CarePlan search by patient+category+status' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@careplan.nil?, 'Expected valid CarePlan resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@careplan, 'category.coding.code')
+        status_val = resolve_element_from_path(@careplan, 'status')
+        search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('CarePlan'), search_params)
+        validate_search_reply(versioned_resource_class('CarePlan'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from CarePlan search by patient+category+status+date' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@careplan.nil?, 'Expected valid CarePlan resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@careplan, 'category.coding.code')
+        status_val = resolve_element_from_path(@careplan, 'status')
+        date_val = resolve_element_from_path(@careplan, 'period.start')
+        search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('CarePlan'), search_params)
+        validate_search_reply(versioned_resource_class('CarePlan'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('CarePlan'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('CarePlan'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from CarePlan search by patient+category+date' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@careplan.nil?, 'Expected valid CarePlan resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@careplan, 'category.coding.code')
+        date_val = resolve_element_from_path(@careplan, 'period.start')
+        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('CarePlan'), search_params)
+        validate_search_reply(versioned_resource_class('CarePlan'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('CarePlan'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('CarePlan'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'CarePlan read resource supported' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:CarePlan, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@careplan, versioned_resource_class('CarePlan'))
+      end
+
+      test 'CarePlan vread resource supported' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:CarePlan, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@careplan, versioned_resource_class('CarePlan'))
+      end
+
+      test 'CarePlan history resource supported' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:CarePlan, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@careplan, versioned_resource_class('CarePlan'))
+      end
+
+      test 'CarePlan resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '09'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('CarePlan')
+      end
+
+      test 'At least one of every must support element is provided in any CarePlan for this patient.' do
+        metadata do
+          id '10'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @careplan_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'CarePlan.text',
+          'CarePlan.text.status',
+          'CarePlan.status',
+          'CarePlan.intent',
+          'CarePlan.category',
+          'CarePlan.category',
+          'CarePlan.subject'
+        ]
+        must_support_elements.each do |path|
+          @careplan_ary&.each do |resource|
+            truncated_path = path.gsub('CarePlan.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @careplan_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided CarePlan resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '11'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:CarePlan, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@careplan)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb
new file mode 100644
index 000000000..8cd10c4bf
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb
@@ -0,0 +1,188 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore300CareteamSequence < SequenceBase
+      title 'CareTeam Tests'
+
+      description 'Verify that CareTeam resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'CareTeam' # change me
+
+      requires :token, :patient_id
+      conformance_supports :CareTeam
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects CareTeam search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        search_params = { patient: @instance.patient_id, status: 'active' }
+
+        reply = get_resource_by_params(versioned_resource_class('CareTeam'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from CareTeam search by patient+status' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        search_params = { patient: @instance.patient_id, status: 'active' }
+
+        reply = get_resource_by_params(versioned_resource_class('CareTeam'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @careteam = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @careteam_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('CareTeam'), reply)
+        save_delayed_sequence_references(@careteam)
+        validate_search_reply(versioned_resource_class('CareTeam'), reply, search_params)
+      end
+
+      test 'CareTeam read resource supported' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:CareTeam, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@careteam, versioned_resource_class('CareTeam'))
+      end
+
+      test 'CareTeam vread resource supported' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:CareTeam, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@careteam, versioned_resource_class('CareTeam'))
+      end
+
+      test 'CareTeam history resource supported' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:CareTeam, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@careteam, versioned_resource_class('CareTeam'))
+      end
+
+      test 'CareTeam resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '06'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('CareTeam')
+      end
+
+      test 'At least one of every must support element is provided in any CareTeam for this patient.' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @careteam_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'CareTeam.status',
+          'CareTeam.subject',
+          'CareTeam.participant',
+          'CareTeam.participant.role',
+          'CareTeam.participant.member'
+        ]
+        must_support_elements.each do |path|
+          @careteam_ary&.each do |resource|
+            truncated_path = path.gsub('CareTeam.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @careteam_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided CareTeam resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '08'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:CareTeam, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@careteam)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb
new file mode 100644
index 000000000..8793bb004
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb
@@ -0,0 +1,306 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore300ConditionSequence < SequenceBase
+      title 'Condition Tests'
+
+      description 'Verify that Condition resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Condition' # change me
+
+      requires :token, :patient_id
+      conformance_supports :Condition
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'category'
+          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'category on resource does not match category requested'
+
+        when 'clinical-status'
+          value_found = can_resolve_path(resource, 'clinicalStatus.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'clinical-status on resource does not match clinical-status requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'onset-date'
+          value_found = can_resolve_path(resource, 'onsetDateTime') do |date|
+            validate_date_search(value, date)
+          end
+          assert value_found, 'onset-date on resource does not match onset-date requested'
+
+        when 'code'
+          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'code on resource does not match code requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects Condition search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Condition'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Condition search by patient' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Condition'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @condition = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @condition_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Condition'), reply)
+        save_delayed_sequence_references(@condition)
+        validate_search_reply(versioned_resource_class('Condition'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Condition search by patient+onset-date' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@condition.nil?, 'Expected valid Condition resource to be present'
+
+        patient_val = @instance.patient_id
+        onset_date_val = resolve_element_from_path(@condition, 'onsetDateTime')
+        search_params = { 'patient': patient_val, 'onset-date': onset_date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Condition'), search_params)
+        validate_search_reply(versioned_resource_class('Condition'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, onset_date_val)
+          comparator_search_params = { 'patient': patient_val, 'onset-date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('Condition'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('Condition'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from Condition search by patient+category' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@condition.nil?, 'Expected valid Condition resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@condition, 'category.coding.code')
+        search_params = { 'patient': patient_val, 'category': category_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Condition'), search_params)
+        validate_search_reply(versioned_resource_class('Condition'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Condition search by patient+code' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@condition.nil?, 'Expected valid Condition resource to be present'
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@condition, 'code.coding.code')
+        search_params = { 'patient': patient_val, 'code': code_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Condition'), search_params)
+        validate_search_reply(versioned_resource_class('Condition'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Condition search by patient+clinical-status' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@condition.nil?, 'Expected valid Condition resource to be present'
+
+        patient_val = @instance.patient_id
+        clinical_status_val = resolve_element_from_path(@condition, 'clinicalStatus.coding.code')
+        search_params = { 'patient': patient_val, 'clinical-status': clinical_status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Condition'), search_params)
+        validate_search_reply(versioned_resource_class('Condition'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Condition read resource supported' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Condition, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@condition, versioned_resource_class('Condition'))
+      end
+
+      test 'Condition vread resource supported' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Condition, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@condition, versioned_resource_class('Condition'))
+      end
+
+      test 'Condition history resource supported' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Condition, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@condition, versioned_resource_class('Condition'))
+      end
+
+      test 'Condition resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '10'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Condition')
+      end
+
+      test 'At least one of every must support element is provided in any Condition for this patient.' do
+        metadata do
+          id '11'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @condition_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Condition.clinicalStatus',
+          'Condition.verificationStatus',
+          'Condition.category',
+          'Condition.code',
+          'Condition.subject'
+        ]
+        must_support_elements.each do |path|
+          @condition_ary&.each do |resource|
+            truncated_path = path.gsub('Condition.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @condition_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Condition resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '12'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Condition, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@condition)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb
new file mode 100644
index 000000000..d978b7e64
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb
@@ -0,0 +1,215 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore300DeviceSequence < SequenceBase
+      title 'Device Tests'
+
+      description 'Verify that Device resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Device' # change me
+
+      requires :token, :patient_id
+      conformance_supports :Device
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'patient.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'type'
+          value_found = can_resolve_path(resource, 'type.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'type on resource does not match type requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects Device search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Device'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Device search by patient' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Device'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @device = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @device_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Device'), reply)
+        save_delayed_sequence_references(@device)
+        validate_search_reply(versioned_resource_class('Device'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Device search by patient+type' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@device.nil?, 'Expected valid Device resource to be present'
+
+        patient_val = @instance.patient_id
+        type_val = resolve_element_from_path(@device, 'type.coding.code')
+        search_params = { 'patient': patient_val, 'type': type_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Device'), search_params)
+        validate_search_reply(versioned_resource_class('Device'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Device read resource supported' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Device, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@device, versioned_resource_class('Device'))
+      end
+
+      test 'Device vread resource supported' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Device, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@device, versioned_resource_class('Device'))
+      end
+
+      test 'Device history resource supported' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Device, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@device, versioned_resource_class('Device'))
+      end
+
+      test 'Device resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '07'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-device'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Device')
+      end
+
+      test 'At least one of every must support element is provided in any Device for this patient.' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @device_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Device.udiCarrier',
+          'Device.udiCarrier.carrierAIDC',
+          'Device.udiCarrier.carrierHRF',
+          'Device.type',
+          'Device.patient'
+        ]
+        must_support_elements.each do |path|
+          @device_ary&.each do |resource|
+            truncated_path = path.gsub('Device.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @device_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Device resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '09'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Device, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@device)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb
new file mode 100644
index 000000000..b40e8fc67
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb
@@ -0,0 +1,383 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore300DiagnosticreportLabSequence < SequenceBase
+      title 'DiagnosticReport for Laboratory Results Reporting Tests'
+
+      description 'Verify that DiagnosticReport resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'DiagnosticReport' # change me
+
+      requires :token, :patient_id
+      conformance_supports :DiagnosticReport
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'category'
+          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'category on resource does not match category requested'
+
+        when 'code'
+          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'code on resource does not match code requested'
+
+        when 'date'
+          value_found = can_resolve_path(resource, 'effectiveDateTime') do |date|
+            validate_date_search(value, date)
+          end
+          assert value_found, 'date on resource does not match date requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects DiagnosticReport search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        search_params = { patient: @instance.patient_id, category: 'LAB' }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+category' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        search_params = { patient: @instance.patient_id, category: 'LAB' }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @diagnosticreport = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @diagnosticreport_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('DiagnosticReport'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:diagnostic_report_lab])
+        save_delayed_sequence_references(@diagnosticreport)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+code' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@diagnosticreport, 'code.coding.code')
+        search_params = { 'patient': patient_val, 'code': code_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+category+date' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@diagnosticreport, 'category.coding.code')
+        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+code+date' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@diagnosticreport, 'code.coding.code')
+        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'code': code_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+status' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        patient_val = @instance.patient_id
+        status_val = resolve_element_from_path(@diagnosticreport, 'status')
+        search_params = { 'patient': patient_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+category' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        search_params = { patient: @instance.patient_id, category: 'LAB' }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+category+date' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@diagnosticreport, 'category.coding.code')
+        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'DiagnosticReport create resource supported' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DiagnosticReport, [:create])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_create_reply(@diagnosticreport, versioned_resource_class('DiagnosticReport'))
+      end
+
+      test 'DiagnosticReport read resource supported' do
+        metadata do
+          id '10'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DiagnosticReport, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@diagnosticreport, versioned_resource_class('DiagnosticReport'))
+      end
+
+      test 'DiagnosticReport vread resource supported' do
+        metadata do
+          id '11'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DiagnosticReport, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@diagnosticreport, versioned_resource_class('DiagnosticReport'))
+      end
+
+      test 'DiagnosticReport history resource supported' do
+        metadata do
+          id '12'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DiagnosticReport, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@diagnosticreport, versioned_resource_class('DiagnosticReport'))
+      end
+
+      test 'DiagnosticReport resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '13'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('DiagnosticReport', Inferno::ValidationUtil::US_CORE_R4_URIS[:diagnostic_report_lab])
+      end
+
+      test 'At least one of every must support element is provided in any DiagnosticReport for this patient.' do
+        metadata do
+          id '14'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @diagnosticreport_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'DiagnosticReport.status',
+          'DiagnosticReport.category',
+          'DiagnosticReport.code',
+          'DiagnosticReport.subject',
+          'DiagnosticReport.effectiveDateTime',
+          'DiagnosticReport.effectivePeriod',
+          'DiagnosticReport.issued',
+          'DiagnosticReport.performer',
+          'DiagnosticReport.result',
+          'DiagnosticReport.media',
+          'DiagnosticReport.presentedForm'
+        ]
+        must_support_elements.each do |path|
+          @diagnosticreport_ary&.each do |resource|
+            truncated_path = path.gsub('DiagnosticReport.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @diagnosticreport_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided DiagnosticReport resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '15'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DiagnosticReport, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@diagnosticreport)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb
new file mode 100644
index 000000000..b915e3f39
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb
@@ -0,0 +1,383 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore300DiagnosticreportNoteSequence < SequenceBase
+      title 'DiagnosticReport for Report and Note exchange Tests'
+
+      description 'Verify that DiagnosticReport resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'DiagnosticReport' # change me
+
+      requires :token, :patient_id
+      conformance_supports :DiagnosticReport
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'category'
+          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'category on resource does not match category requested'
+
+        when 'code'
+          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'code on resource does not match code requested'
+
+        when 'date'
+          value_found = can_resolve_path(resource, 'effectiveDateTime') do |date|
+            validate_date_search(value, date)
+          end
+          assert value_found, 'date on resource does not match date requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects DiagnosticReport search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        search_params = { patient: @instance.patient_id, code: 'LP29684-5' }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+category' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        search_params = { patient: @instance.patient_id, code: 'LP29684-5' }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @diagnosticreport = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @diagnosticreport_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('DiagnosticReport'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:diagnostic_report_note])
+        save_delayed_sequence_references(@diagnosticreport)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+code' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@diagnosticreport, 'code.coding.code')
+        search_params = { 'patient': patient_val, 'code': code_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+category+date' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@diagnosticreport, 'category.coding.code')
+        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+code+date' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@diagnosticreport, 'code.coding.code')
+        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'code': code_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+status' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        patient_val = @instance.patient_id
+        status_val = resolve_element_from_path(@diagnosticreport, 'status')
+        search_params = { 'patient': patient_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+category' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        search_params = { patient: @instance.patient_id, code: 'LP29684-5' }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+category+date' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@diagnosticreport, 'category.coding.code')
+        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'DiagnosticReport create resource supported' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DiagnosticReport, [:create])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_create_reply(@diagnosticreport, versioned_resource_class('DiagnosticReport'))
+      end
+
+      test 'DiagnosticReport read resource supported' do
+        metadata do
+          id '10'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DiagnosticReport, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@diagnosticreport, versioned_resource_class('DiagnosticReport'))
+      end
+
+      test 'DiagnosticReport vread resource supported' do
+        metadata do
+          id '11'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DiagnosticReport, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@diagnosticreport, versioned_resource_class('DiagnosticReport'))
+      end
+
+      test 'DiagnosticReport history resource supported' do
+        metadata do
+          id '12'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DiagnosticReport, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@diagnosticreport, versioned_resource_class('DiagnosticReport'))
+      end
+
+      test 'DiagnosticReport resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '13'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('DiagnosticReport', Inferno::ValidationUtil::US_CORE_R4_URIS[:diagnostic_report_note])
+      end
+
+      test 'At least one of every must support element is provided in any DiagnosticReport for this patient.' do
+        metadata do
+          id '14'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @diagnosticreport_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'DiagnosticReport.status',
+          'DiagnosticReport.category',
+          'DiagnosticReport.code',
+          'DiagnosticReport.subject',
+          'DiagnosticReport.encounter',
+          'DiagnosticReport.effectiveDateTime',
+          'DiagnosticReport.effectivePeriod',
+          'DiagnosticReport.issued',
+          'DiagnosticReport.performer',
+          'DiagnosticReport.media',
+          'DiagnosticReport.presentedForm'
+        ]
+        must_support_elements.each do |path|
+          @diagnosticreport_ary&.each do |resource|
+            truncated_path = path.gsub('DiagnosticReport.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @diagnosticreport_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided DiagnosticReport resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '15'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DiagnosticReport, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@diagnosticreport)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb
new file mode 100644
index 000000000..af3bda04d
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb
@@ -0,0 +1,384 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore300DocumentreferenceSequence < SequenceBase
+      title 'DocumentReference Tests'
+
+      description 'Verify that DocumentReference resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'DocumentReference' # change me
+
+      requires :token, :patient_id
+      conformance_supports :DocumentReference
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when '_id'
+          value_found = can_resolve_path(resource, 'id') { |value_in_resource| value_in_resource == value }
+          assert value_found, '_id on resource does not match _id requested'
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'category'
+          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'category on resource does not match category requested'
+
+        when 'type'
+          value_found = can_resolve_path(resource, 'type.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'type on resource does not match type requested'
+
+        when 'date'
+          value_found = can_resolve_path(resource, 'date') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'date on resource does not match date requested'
+
+        when 'period'
+          value_found = can_resolve_path(resource, 'context.period') do |period|
+            validate_period_search(value, period)
+          end
+          assert value_found, 'period on resource does not match period requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects DocumentReference search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DocumentReference'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from DocumentReference search by patient' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DocumentReference'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @documentreference = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @documentreference_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('DocumentReference'), reply)
+        save_delayed_sequence_references(@documentreference)
+        validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
+      end
+
+      test 'Server returns expected results from DocumentReference search by _id' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
+
+        id_val = resolve_element_from_path(@documentreference, 'id')
+        search_params = { '_id': id_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DocumentReference'), search_params)
+        validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from DocumentReference search by patient+category' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@documentreference, 'category.coding.code')
+        search_params = { 'patient': patient_val, 'category': category_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DocumentReference'), search_params)
+        validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from DocumentReference search by patient+category+date' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@documentreference, 'category.coding.code')
+        date_val = resolve_element_from_path(@documentreference, 'date')
+        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DocumentReference'), search_params)
+        validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from DocumentReference search by patient+type' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
+
+        patient_val = @instance.patient_id
+        type_val = resolve_element_from_path(@documentreference, 'type.coding.code')
+        search_params = { 'patient': patient_val, 'type': type_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DocumentReference'), search_params)
+        validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from DocumentReference search by patient+status' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
+
+        patient_val = @instance.patient_id
+        status_val = resolve_element_from_path(@documentreference, 'status')
+        search_params = { 'patient': patient_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DocumentReference'), search_params)
+        validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from DocumentReference search by patient+type+period' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
+
+        patient_val = @instance.patient_id
+        type_val = resolve_element_from_path(@documentreference, 'type.coding.code')
+        period_val = resolve_element_from_path(@documentreference, 'context.period.start')
+        search_params = { 'patient': patient_val, 'type': type_val, 'period': period_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DocumentReference'), search_params)
+        validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, period_val)
+          comparator_search_params = { 'patient': patient_val, 'type': type_val, 'period': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('DocumentReference'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('DocumentReference'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'DocumentReference create resource supported' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DocumentReference, [:create])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_create_reply(@documentreference, versioned_resource_class('DocumentReference'))
+      end
+
+      test 'DocumentReference read resource supported' do
+        metadata do
+          id '10'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DocumentReference, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@documentreference, versioned_resource_class('DocumentReference'))
+      end
+
+      test 'DocumentReference vread resource supported' do
+        metadata do
+          id '11'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DocumentReference, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@documentreference, versioned_resource_class('DocumentReference'))
+      end
+
+      test 'DocumentReference history resource supported' do
+        metadata do
+          id '12'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DocumentReference, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@documentreference, versioned_resource_class('DocumentReference'))
+      end
+
+      test 'DocumentReference resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '13'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('DocumentReference')
+      end
+
+      test 'At least one of every must support element is provided in any DocumentReference for this patient.' do
+        metadata do
+          id '14'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @documentreference_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'DocumentReference.identifier',
+          'DocumentReference.status',
+          'DocumentReference.type',
+          'DocumentReference.category',
+          'DocumentReference.subject',
+          'DocumentReference.date',
+          'DocumentReference.author',
+          'DocumentReference.custodian',
+          'DocumentReference.content',
+          'DocumentReference.content.attachment',
+          'DocumentReference.content.attachment.contentType',
+          'DocumentReference.content.attachment.data',
+          'DocumentReference.content.attachment.url',
+          'DocumentReference.content.format',
+          'DocumentReference.context',
+          'DocumentReference.context.encounter',
+          'DocumentReference.context.period'
+        ]
+        must_support_elements.each do |path|
+          @documentreference_ary&.each do |resource|
+            truncated_path = path.gsub('DocumentReference.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @documentreference_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided DocumentReference resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '15'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DocumentReference, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@documentreference)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb
new file mode 100644
index 000000000..c16d21425
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb
@@ -0,0 +1,368 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore300EncounterSequence < SequenceBase
+      title 'Encounter Tests'
+
+      description 'Verify that Encounter resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Encounter' # change me
+
+      requires :token, :patient_id
+      conformance_supports :Encounter
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when '_id'
+          value_found = can_resolve_path(resource, 'id') { |value_in_resource| value_in_resource == value }
+          assert value_found, '_id on resource does not match _id requested'
+
+        when 'class'
+          value_found = can_resolve_path(resource, 'local_class.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'class on resource does not match class requested'
+
+        when 'date'
+          value_found = can_resolve_path(resource, 'period') do |period|
+            validate_period_search(value, period)
+          end
+          assert value_found, 'date on resource does not match date requested'
+
+        when 'identifier'
+          value_found = can_resolve_path(resource, 'identifier.value') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'identifier on resource does not match identifier requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        when 'type'
+          value_found = can_resolve_path(resource, 'type.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'type on resource does not match type requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects Encounter search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Encounter'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Encounter search by patient' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Encounter'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @encounter = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @encounter_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Encounter'), reply)
+        save_delayed_sequence_references(@encounter)
+        validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Encounter search by _id' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
+
+        id_val = resolve_element_from_path(@encounter, 'id')
+        search_params = { '_id': id_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Encounter'), search_params)
+        validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Encounter search by date+patient' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
+
+        date_val = resolve_element_from_path(@encounter, 'period.start')
+        patient_val = @instance.patient_id
+        search_params = { 'date': date_val, 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Encounter'), search_params)
+        validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'date': comparator_val, 'patient': patient_val }
+          reply = get_resource_by_params(versioned_resource_class('Encounter'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('Encounter'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from Encounter search by identifier' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
+
+        identifier_val = resolve_element_from_path(@encounter, 'identifier.value')
+        search_params = { 'identifier': identifier_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Encounter'), search_params)
+        validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Encounter search by patient+status' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
+
+        patient_val = @instance.patient_id
+        status_val = resolve_element_from_path(@encounter, 'status')
+        search_params = { 'patient': patient_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Encounter'), search_params)
+        validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Encounter search by class+patient' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
+
+        class_val = resolve_element_from_path(@encounter, 'class.code')
+        patient_val = @instance.patient_id
+        search_params = { 'class': class_val, 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Encounter'), search_params)
+        validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Encounter search by patient+type' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
+
+        patient_val = @instance.patient_id
+        type_val = resolve_element_from_path(@encounter, 'type.coding.code')
+        search_params = { 'patient': patient_val, 'type': type_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Encounter'), search_params)
+        validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Encounter read resource supported' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Encounter, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@encounter, versioned_resource_class('Encounter'))
+      end
+
+      test 'Encounter vread resource supported' do
+        metadata do
+          id '10'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Encounter, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@encounter, versioned_resource_class('Encounter'))
+      end
+
+      test 'Encounter history resource supported' do
+        metadata do
+          id '11'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Encounter, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@encounter, versioned_resource_class('Encounter'))
+      end
+
+      test 'Encounter resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '12'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Encounter')
+      end
+
+      test 'At least one of every must support element is provided in any Encounter for this patient.' do
+        metadata do
+          id '13'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @encounter_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Encounter.identifier',
+          'Encounter.identifier.system',
+          'Encounter.identifier.value',
+          'Encounter.status',
+          'Encounter.local_class',
+          'Encounter.type',
+          'Encounter.subject',
+          'Encounter.participant',
+          'Encounter.participant.type',
+          'Encounter.participant.period',
+          'Encounter.participant.individual',
+          'Encounter.period',
+          'Encounter.reasonCode',
+          'Encounter.hospitalization',
+          'Encounter.hospitalization.dischargeDisposition',
+          'Encounter.location',
+          'Encounter.location.location'
+        ]
+        must_support_elements.each do |path|
+          @encounter_ary&.each do |resource|
+            truncated_path = path.gsub('Encounter.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @encounter_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Encounter resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '14'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Encounter, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@encounter)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb
new file mode 100644
index 000000000..31fc5f9be
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb
@@ -0,0 +1,253 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore300GoalSequence < SequenceBase
+      title 'Goal Tests'
+
+      description 'Verify that Goal resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Goal' # change me
+
+      requires :token, :patient_id
+      conformance_supports :Goal
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'lifecycle-status'
+          value_found = can_resolve_path(resource, 'lifecycleStatus') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'lifecycle-status on resource does not match lifecycle-status requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'target-date'
+          value_found = can_resolve_path(resource, 'target.dueDate') do |date|
+            validate_date_search(value, date)
+          end
+          assert value_found, 'target-date on resource does not match target-date requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects Goal search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Goal'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Goal search by patient' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Goal'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @goal = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @goal_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Goal'), reply)
+        save_delayed_sequence_references(@goal)
+        validate_search_reply(versioned_resource_class('Goal'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Goal search by patient+target-date' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@goal.nil?, 'Expected valid Goal resource to be present'
+
+        patient_val = @instance.patient_id
+        target_date_val = resolve_element_from_path(@goal, 'target.dueDate')
+        search_params = { 'patient': patient_val, 'target-date': target_date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Goal'), search_params)
+        validate_search_reply(versioned_resource_class('Goal'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, target_date_val)
+          comparator_search_params = { 'patient': patient_val, 'target-date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('Goal'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('Goal'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from Goal search by patient+lifecycle-status' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@goal.nil?, 'Expected valid Goal resource to be present'
+
+        patient_val = @instance.patient_id
+        lifecycle_status_val = resolve_element_from_path(@goal, 'lifecycleStatus')
+        search_params = { 'patient': patient_val, 'lifecycle-status': lifecycle_status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Goal'), search_params)
+        validate_search_reply(versioned_resource_class('Goal'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Goal read resource supported' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Goal, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@goal, versioned_resource_class('Goal'))
+      end
+
+      test 'Goal vread resource supported' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Goal, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@goal, versioned_resource_class('Goal'))
+      end
+
+      test 'Goal history resource supported' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Goal, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@goal, versioned_resource_class('Goal'))
+      end
+
+      test 'Goal resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '08'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Goal')
+      end
+
+      test 'At least one of every must support element is provided in any Goal for this patient.' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @goal_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Goal.lifecycleStatus',
+          'Goal.description',
+          'Goal.subject',
+          'Goal.target',
+          'Goal.target.dueDate',
+          'Goal.target.dueDuration'
+        ]
+        must_support_elements.each do |path|
+          @goal_ary&.each do |resource|
+            truncated_path = path.gsub('Goal.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @goal_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Goal resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '10'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Goal, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@goal)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb
new file mode 100644
index 000000000..4e63d44c9
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb
@@ -0,0 +1,254 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore300ImmunizationSequence < SequenceBase
+      title 'Immunization Tests'
+
+      description 'Verify that Immunization resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Immunization' # change me
+
+      requires :token, :patient_id
+      conformance_supports :Immunization
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'patient.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        when 'date'
+          value_found = can_resolve_path(resource, 'occurrenceDateTime') do |date|
+            validate_date_search(value, date)
+          end
+          assert value_found, 'date on resource does not match date requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects Immunization search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Immunization'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Immunization search by patient' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Immunization'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @immunization = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @immunization_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Immunization'), reply)
+        save_delayed_sequence_references(@immunization)
+        validate_search_reply(versioned_resource_class('Immunization'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Immunization search by patient+date' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@immunization.nil?, 'Expected valid Immunization resource to be present'
+
+        patient_val = @instance.patient_id
+        date_val = resolve_element_from_path(@immunization, 'occurrenceDateTime')
+        search_params = { 'patient': patient_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Immunization'), search_params)
+        validate_search_reply(versioned_resource_class('Immunization'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('Immunization'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('Immunization'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from Immunization search by patient+status' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@immunization.nil?, 'Expected valid Immunization resource to be present'
+
+        patient_val = @instance.patient_id
+        status_val = resolve_element_from_path(@immunization, 'status')
+        search_params = { 'patient': patient_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Immunization'), search_params)
+        validate_search_reply(versioned_resource_class('Immunization'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Immunization read resource supported' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Immunization, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@immunization, versioned_resource_class('Immunization'))
+      end
+
+      test 'Immunization vread resource supported' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Immunization, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@immunization, versioned_resource_class('Immunization'))
+      end
+
+      test 'Immunization history resource supported' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Immunization, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@immunization, versioned_resource_class('Immunization'))
+      end
+
+      test 'Immunization resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '08'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Immunization')
+      end
+
+      test 'At least one of every must support element is provided in any Immunization for this patient.' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @immunization_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Immunization.status',
+          'Immunization.statusReason',
+          'Immunization.vaccineCode',
+          'Immunization.patient',
+          'Immunization.occurrenceDateTime',
+          'Immunization.occurrenceString',
+          'Immunization.primarySource'
+        ]
+        must_support_elements.each do |path|
+          @immunization_ary&.each do |resource|
+            truncated_path = path.gsub('Immunization.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @immunization_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Immunization resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '10'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Immunization, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@immunization)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
new file mode 100644
index 000000000..b74c10abc
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
@@ -0,0 +1,296 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore300LocationSequence < SequenceBase
+      title 'Location Tests'
+
+      description 'Verify that Location resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Location' # change me
+
+      requires :token
+      conformance_supports :Location
+      delayed_sequence
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'name'
+          value_found = can_resolve_path(resource, 'name') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'name on resource does not match name requested'
+
+        when 'address'
+          value_found = can_resolve_path(resource, 'address.city') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'address on resource does not match address requested'
+
+        when 'address-city'
+          value_found = can_resolve_path(resource, 'address.city') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'address-city on resource does not match address-city requested'
+
+        when 'address-state'
+          value_found = can_resolve_path(resource, 'address.state') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'address-state on resource does not match address-state requested'
+
+        when 'address-postalcode'
+          value_found = can_resolve_path(resource, 'address.postalCode') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'address-postalcode on resource does not match address-postalcode requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Can read Location from the server' do
+        metadata do
+          id '01'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        location_id = @instance.resource_references.find { |reference| reference.resource_type == 'Location' }&.resource_id
+        skip 'No Location references found from the prior searches' if location_id.nil?
+        @location = fetch_resource('Location', location_id)
+        @resources_found = !@location.nil?
+      end
+
+      test 'Server rejects Location search without authorization' do
+        metadata do
+          id '02'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        name_val = resolve_element_from_path(@location, 'name')
+        search_params = { 'name': name_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Location'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Location search by name' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        name_val = resolve_element_from_path(@location, 'name')
+        search_params = { 'name': name_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Location'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @location = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @location_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Location'), reply)
+        save_delayed_sequence_references(@location)
+        validate_search_reply(versioned_resource_class('Location'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Location search by address' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@location.nil?, 'Expected valid Location resource to be present'
+
+        address_val = resolve_element_from_path(@location, 'address.city')
+        search_params = { 'address': address_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Location'), search_params)
+        validate_search_reply(versioned_resource_class('Location'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Location search by address-city' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@location.nil?, 'Expected valid Location resource to be present'
+
+        address_city_val = resolve_element_from_path(@location, 'address.city')
+        search_params = { 'address-city': address_city_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Location'), search_params)
+        validate_search_reply(versioned_resource_class('Location'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Location search by address-state' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@location.nil?, 'Expected valid Location resource to be present'
+
+        address_state_val = resolve_element_from_path(@location, 'address.state')
+        search_params = { 'address-state': address_state_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Location'), search_params)
+        validate_search_reply(versioned_resource_class('Location'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Location search by address-postalcode' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@location.nil?, 'Expected valid Location resource to be present'
+
+        address_postalcode_val = resolve_element_from_path(@location, 'address.postalCode')
+        search_params = { 'address-postalcode': address_postalcode_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Location'), search_params)
+        validate_search_reply(versioned_resource_class('Location'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Location vread resource supported' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Location, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@location, versioned_resource_class('Location'))
+      end
+
+      test 'Location history resource supported' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Location, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@location, versioned_resource_class('Location'))
+      end
+
+      test 'Location resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '10'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-location'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Location')
+      end
+
+      test 'At least one of every must support element is provided in any Location for this patient.' do
+        metadata do
+          id '11'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @location_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Location.status',
+          'Location.name',
+          'Location.telecom',
+          'Location.address',
+          'Location.address.line',
+          'Location.address.city',
+          'Location.address.state',
+          'Location.address.postalCode',
+          'Location.managingOrganization'
+        ]
+        must_support_elements.each do |path|
+          @location_ary&.each do |resource|
+            truncated_path = path.gsub('Location.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @location_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Location resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '12'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Location, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@location)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_medication_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_medication_sequence.rb
new file mode 100644
index 000000000..dafce7b17
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0/us_core_medication_sequence.rb
@@ -0,0 +1,125 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore300MedicationSequence < SequenceBase
+      title 'Medication Tests'
+
+      description 'Verify that Medication resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Medication' # change me
+
+      requires :token
+      conformance_supports :Medication
+      delayed_sequence
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Can read Medication from the server' do
+        metadata do
+          id '01'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        medication_id = @instance.resource_references.find { |reference| reference.resource_type == 'Medication' }&.resource_id
+        skip 'No Medication references found from the prior searches' if medication_id.nil?
+        @medication = fetch_resource('Medication', medication_id)
+        @resources_found = !@medication.nil?
+      end
+
+      test 'Medication vread resource supported' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Medication, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@medication, versioned_resource_class('Medication'))
+      end
+
+      test 'Medication history resource supported' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Medication, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@medication, versioned_resource_class('Medication'))
+      end
+
+      test 'Medication resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '04'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Medication')
+      end
+
+      test 'At least one of every must support element is provided in any Medication for this patient.' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @medication_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Medication.code'
+        ]
+        must_support_elements.each do |path|
+          @medication_ary&.each do |resource|
+            truncated_path = path.gsub('Medication.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @medication_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Medication resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '06'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Medication, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@medication)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb
new file mode 100644
index 000000000..dfe9a0067
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb
@@ -0,0 +1,244 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore300MedicationrequestSequence < SequenceBase
+      title 'MedicationRequest Tests'
+
+      description 'Verify that MedicationRequest resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'MedicationRequest' # change me
+
+      requires :token, :patient_id
+      conformance_supports :MedicationRequest
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'authoredon'
+          value_found = can_resolve_path(resource, 'authoredOn') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'authoredon on resource does not match authoredon requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects MedicationRequest search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('MedicationRequest'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from MedicationRequest search by patient' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('MedicationRequest'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @medicationrequest = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @medicationrequest_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('MedicationRequest'), reply)
+        save_delayed_sequence_references(@medicationrequest)
+        validate_search_reply(versioned_resource_class('MedicationRequest'), reply, search_params)
+      end
+
+      test 'Server returns expected results from MedicationRequest search by patient+status' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@medicationrequest.nil?, 'Expected valid MedicationRequest resource to be present'
+
+        patient_val = @instance.patient_id
+        status_val = resolve_element_from_path(@medicationrequest, 'status')
+        search_params = { 'patient': patient_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('MedicationRequest'), search_params)
+        validate_search_reply(versioned_resource_class('MedicationRequest'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from MedicationRequest search by patient+authoredon' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@medicationrequest.nil?, 'Expected valid MedicationRequest resource to be present'
+
+        patient_val = @instance.patient_id
+        authoredon_val = resolve_element_from_path(@medicationrequest, 'authoredOn')
+        search_params = { 'patient': patient_val, 'authoredon': authoredon_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('MedicationRequest'), search_params)
+        validate_search_reply(versioned_resource_class('MedicationRequest'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'MedicationRequest read resource supported' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:MedicationRequest, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@medicationrequest, versioned_resource_class('MedicationRequest'))
+      end
+
+      test 'MedicationRequest vread resource supported' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:MedicationRequest, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@medicationrequest, versioned_resource_class('MedicationRequest'))
+      end
+
+      test 'MedicationRequest history resource supported' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:MedicationRequest, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@medicationrequest, versioned_resource_class('MedicationRequest'))
+      end
+
+      test 'MedicationRequest resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '08'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('MedicationRequest')
+      end
+
+      test 'At least one of every must support element is provided in any MedicationRequest for this patient.' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @medicationrequest_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'MedicationRequest.status',
+          'MedicationRequest.medicationCodeableConcept',
+          'MedicationRequest.medicationReference',
+          'MedicationRequest.subject',
+          'MedicationRequest.authoredOn',
+          'MedicationRequest.requester',
+          'MedicationRequest.dosageInstruction',
+          'MedicationRequest.dosageInstruction.text'
+        ]
+        must_support_elements.each do |path|
+          @medicationrequest_ary&.each do |resource|
+            truncated_path = path.gsub('MedicationRequest.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @medicationrequest_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided MedicationRequest resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '10'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:MedicationRequest, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@medicationrequest)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb
new file mode 100644
index 000000000..0b57b6e86
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb
@@ -0,0 +1,255 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore300MedicationstatementSequence < SequenceBase
+      title 'MedicationStatement Tests'
+
+      description 'Verify that MedicationStatement resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'MedicationStatement' # change me
+
+      requires :token, :patient_id
+      conformance_supports :MedicationStatement
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'effective'
+          value_found = can_resolve_path(resource, 'effectiveDateTime') do |date|
+            validate_date_search(value, date)
+          end
+          assert value_found, 'effective on resource does not match effective requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects MedicationStatement search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('MedicationStatement'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from MedicationStatement search by patient' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('MedicationStatement'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @medicationstatement = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @medicationstatement_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('MedicationStatement'), reply)
+        save_delayed_sequence_references(@medicationstatement)
+        validate_search_reply(versioned_resource_class('MedicationStatement'), reply, search_params)
+      end
+
+      test 'Server returns expected results from MedicationStatement search by patient+effective' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@medicationstatement.nil?, 'Expected valid MedicationStatement resource to be present'
+
+        patient_val = @instance.patient_id
+        effective_val = resolve_element_from_path(@medicationstatement, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'effective': effective_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('MedicationStatement'), search_params)
+        validate_search_reply(versioned_resource_class('MedicationStatement'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, effective_val)
+          comparator_search_params = { 'patient': patient_val, 'effective': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('MedicationStatement'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('MedicationStatement'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from MedicationStatement search by patient+status' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@medicationstatement.nil?, 'Expected valid MedicationStatement resource to be present'
+
+        patient_val = @instance.patient_id
+        status_val = resolve_element_from_path(@medicationstatement, 'status')
+        search_params = { 'patient': patient_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('MedicationStatement'), search_params)
+        validate_search_reply(versioned_resource_class('MedicationStatement'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'MedicationStatement read resource supported' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:MedicationStatement, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@medicationstatement, versioned_resource_class('MedicationStatement'))
+      end
+
+      test 'MedicationStatement vread resource supported' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:MedicationStatement, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@medicationstatement, versioned_resource_class('MedicationStatement'))
+      end
+
+      test 'MedicationStatement history resource supported' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:MedicationStatement, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@medicationstatement, versioned_resource_class('MedicationStatement'))
+      end
+
+      test 'MedicationStatement resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '08'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationstatement'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('MedicationStatement')
+      end
+
+      test 'At least one of every must support element is provided in any MedicationStatement for this patient.' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @medicationstatement_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'MedicationStatement.status',
+          'MedicationStatement.medicationCodeableConcept',
+          'MedicationStatement.medicationReference',
+          'MedicationStatement.subject',
+          'MedicationStatement.effectiveDateTime',
+          'MedicationStatement.effectivePeriod',
+          'MedicationStatement.dateAsserted',
+          'MedicationStatement.derivedFrom'
+        ]
+        must_support_elements.each do |path|
+          @medicationstatement_ary&.each do |resource|
+            truncated_path = path.gsub('MedicationStatement.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @medicationstatement_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided MedicationStatement resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '10'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:MedicationStatement, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@medicationstatement)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb
new file mode 100644
index 000000000..f6d3a5d11
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb
@@ -0,0 +1,324 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore300ObservationLabSequence < SequenceBase
+      title 'Laboratory Result Observation Tests'
+
+      description 'Verify that Observation resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Observation' # change me
+
+      requires :token, :patient_id
+      conformance_supports :Observation
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        when 'category'
+          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'category on resource does not match category requested'
+
+        when 'code'
+          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'code on resource does not match code requested'
+
+        when 'date'
+          value_found = can_resolve_path(resource, 'effectiveDateTime') do |date|
+            validate_date_search(value, date)
+          end
+          assert value_found, 'date on resource does not match date requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects Observation search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        search_params = { patient: @instance.patient_id, category: 'laboratory' }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Observation search by patient+category' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        search_params = { patient: @instance.patient_id, category: 'laboratory' }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @observation = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:lab_results])
+        save_delayed_sequence_references(@observation)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Observation search by patient+code' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@observation, 'code.coding.code')
+        search_params = { 'patient': patient_val, 'code': code_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Observation search by patient+category+date' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('Observation'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('Observation'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from Observation search by patient+code+date' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@observation, 'code.coding.code')
+        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'code': code_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('Observation'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('Observation'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from Observation search by patient+category+status' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        status_val = resolve_element_from_path(@observation, 'status')
+        search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Observation read resource supported' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation vread resource supported' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation history resource supported' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '10'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Observation', Inferno::ValidationUtil::US_CORE_R4_URIS[:lab_results])
+      end
+
+      test 'At least one of every must support element is provided in any Observation for this patient.' do
+        metadata do
+          id '11'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @observation_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Observation.status',
+          'Observation.category',
+          'Observation.code',
+          'Observation.subject',
+          'Observation.effectiveDateTime',
+          'Observation.effectivePeriod',
+          'Observation.valueQuantity',
+          'Observation.valueCodeableConcept',
+          'Observation.valueString',
+          'Observation.valueBoolean',
+          'Observation.valueInteger',
+          'Observation.valueRange',
+          'Observation.valueRatio',
+          'Observation.valueSampledData',
+          'Observation.valueTime',
+          'Observation.valueDateTime',
+          'Observation.valuePeriod',
+          'Observation.dataAbsentReason'
+        ]
+        must_support_elements.each do |path|
+          @observation_ary&.each do |resource|
+            truncated_path = path.gsub('Observation.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @observation_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Observation resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '12'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@observation)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
new file mode 100644
index 000000000..4db74965f
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
@@ -0,0 +1,221 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore300OrganizationSequence < SequenceBase
+      title 'Organization Tests'
+
+      description 'Verify that Organization resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Organization' # change me
+
+      requires :token
+      conformance_supports :Organization
+      delayed_sequence
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'name'
+          value_found = can_resolve_path(resource, 'name') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'name on resource does not match name requested'
+
+        when 'address'
+          value_found = can_resolve_path(resource, 'address.city') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'address on resource does not match address requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Can read Organization from the server' do
+        metadata do
+          id '01'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        organization_id = @instance.resource_references.find { |reference| reference.resource_type == 'Organization' }&.resource_id
+        skip 'No Organization references found from the prior searches' if organization_id.nil?
+        @organization = fetch_resource('Organization', organization_id)
+        @resources_found = !@organization.nil?
+      end
+
+      test 'Server rejects Organization search without authorization' do
+        metadata do
+          id '02'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        name_val = resolve_element_from_path(@organization, 'name')
+        search_params = { 'name': name_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Organization'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Organization search by name' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        name_val = resolve_element_from_path(@organization, 'name')
+        search_params = { 'name': name_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Organization'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @organization = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @organization_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Organization'), reply)
+        save_delayed_sequence_references(@organization)
+        validate_search_reply(versioned_resource_class('Organization'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Organization search by address' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@organization.nil?, 'Expected valid Organization resource to be present'
+
+        address_val = resolve_element_from_path(@organization, 'address.city')
+        search_params = { 'address': address_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Organization'), search_params)
+        validate_search_reply(versioned_resource_class('Organization'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Organization vread resource supported' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Organization, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@organization, versioned_resource_class('Organization'))
+      end
+
+      test 'Organization history resource supported' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Organization, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@organization, versioned_resource_class('Organization'))
+      end
+
+      test 'Organization resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '07'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Organization')
+      end
+
+      test 'At least one of every must support element is provided in any Organization for this patient.' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @organization_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Organization.identifier',
+          'Organization.identifier.system',
+          'Organization.active',
+          'Organization.name',
+          'Organization.telecom',
+          'Organization.address',
+          'Organization.address.line',
+          'Organization.address.city',
+          'Organization.address.state',
+          'Organization.address.postalCode',
+          'Organization.address.country',
+          'Organization.endpoint'
+        ]
+        must_support_elements.each do |path|
+          @organization_ary&.each do |resource|
+            truncated_path = path.gsub('Organization.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @organization_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Organization resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '09'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Organization, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@organization)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb
new file mode 100644
index 000000000..8f8188bb3
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb
@@ -0,0 +1,376 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore300PatientSequence < SequenceBase
+      title 'Patient Tests'
+
+      description 'Verify that Patient resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Patient' # change me
+
+      requires :token, :patient_id
+      conformance_supports :Patient
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when '_id'
+          value_found = can_resolve_path(resource, 'id') { |value_in_resource| value_in_resource == value }
+          assert value_found, '_id on resource does not match _id requested'
+
+        when 'birthdate'
+          value_found = can_resolve_path(resource, 'birthDate') do |date|
+            validate_date_search(value, date)
+          end
+          assert value_found, 'birthdate on resource does not match birthdate requested'
+
+        when 'family'
+          value_found = can_resolve_path(resource, 'name.family') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'family on resource does not match family requested'
+
+        when 'gender'
+          value_found = can_resolve_path(resource, 'gender') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'gender on resource does not match gender requested'
+
+        when 'given'
+          value_found = can_resolve_path(resource, 'name.given') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'given on resource does not match given requested'
+
+        when 'identifier'
+          value_found = can_resolve_path(resource, 'identifier.value') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'identifier on resource does not match identifier requested'
+
+        when 'name'
+          value = value.downcase
+          value_found = can_resolve_path(resource, 'name') do |name|
+            name&.text&.start_with?(value) ||
+              name&.family&.downcase&.include?(value) ||
+              name&.given&.any? { |given| given.downcase.start_with?(value) } ||
+              name&.prefix&.any? { |prefix| prefix.downcase.start_with?(value) } ||
+              name&.suffix&.any? { |suffix| suffix.downcase.start_with?(value) }
+          end
+          assert value_found, 'name on resource does not match name requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects Patient search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        search_params = { '_id': @instance.patient_id }
+
+        reply = get_resource_by_params(versioned_resource_class('Patient'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Patient search by _id' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        search_params = { '_id': @instance.patient_id }
+
+        reply = get_resource_by_params(versioned_resource_class('Patient'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @patient = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @patient_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Patient'), reply)
+        save_delayed_sequence_references(@patient)
+        validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Patient search by identifier' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@patient.nil?, 'Expected valid Patient resource to be present'
+
+        identifier_val = resolve_element_from_path(@patient, 'identifier.value')
+        search_params = { 'identifier': identifier_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Patient'), search_params)
+        validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Patient search by name' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@patient.nil?, 'Expected valid Patient resource to be present'
+
+        name_val = resolve_element_from_path(@patient, 'name.family')
+        search_params = { 'name': name_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Patient'), search_params)
+        validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Patient search by birthdate+name' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@patient.nil?, 'Expected valid Patient resource to be present'
+
+        birthdate_val = resolve_element_from_path(@patient, 'birthDate')
+        name_val = resolve_element_from_path(@patient, 'name.family')
+        search_params = { 'birthdate': birthdate_val, 'name': name_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Patient'), search_params)
+        validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Patient search by gender+name' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@patient.nil?, 'Expected valid Patient resource to be present'
+
+        gender_val = resolve_element_from_path(@patient, 'gender')
+        name_val = resolve_element_from_path(@patient, 'name.family')
+        search_params = { 'gender': gender_val, 'name': name_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Patient'), search_params)
+        validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Patient search by family+gender' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@patient.nil?, 'Expected valid Patient resource to be present'
+
+        family_val = resolve_element_from_path(@patient, 'name.family')
+        gender_val = resolve_element_from_path(@patient, 'gender')
+        search_params = { 'family': family_val, 'gender': gender_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Patient'), search_params)
+        validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Patient search by birthdate+family' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@patient.nil?, 'Expected valid Patient resource to be present'
+
+        birthdate_val = resolve_element_from_path(@patient, 'birthDate')
+        family_val = resolve_element_from_path(@patient, 'name.family')
+        search_params = { 'birthdate': birthdate_val, 'family': family_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Patient'), search_params)
+        validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Patient read resource supported' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Patient, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@patient, versioned_resource_class('Patient'))
+      end
+
+      test 'Patient vread resource supported' do
+        metadata do
+          id '10'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Patient, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@patient, versioned_resource_class('Patient'))
+      end
+
+      test 'Patient history resource supported' do
+        metadata do
+          id '11'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Patient, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@patient, versioned_resource_class('Patient'))
+      end
+
+      test 'Patient resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '12'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Patient')
+      end
+
+      test 'At least one of every must support element is provided in any Patient for this patient.' do
+        metadata do
+          id '13'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @patient_ary&.any?
+        must_support_confirmed = {}
+        extensions_list = {
+          'Patient.extension:race': 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race',
+          'Patient.extension:ethnicity': 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity',
+          'Patient.extension:birthsex': 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex'
+        }
+        extensions_list.each do |id, url|
+          @patient_ary&.each do |resource|
+            must_support_confirmed[id] = true if resource.extension.any? { |extension| extension.url == url }
+            break if must_support_confirmed[id]
+          end
+          skip_notification = "Could not find #{id} in any of the #{@patient_ary.length} provided Patient resource(s)"
+          skip skip_notification unless must_support_confirmed[id]
+        end
+
+        must_support_elements = [
+          'Patient.identifier',
+          'Patient.identifier.system',
+          'Patient.identifier.value',
+          'Patient.name',
+          'Patient.name.family',
+          'Patient.name.given',
+          'Patient.telecom',
+          'Patient.telecom.system',
+          'Patient.telecom.value',
+          'Patient.gender',
+          'Patient.birthDate',
+          'Patient.address',
+          'Patient.address.line',
+          'Patient.address.city',
+          'Patient.address.state',
+          'Patient.address.postalCode',
+          'Patient.communication',
+          'Patient.communication.language'
+        ]
+        must_support_elements.each do |path|
+          @patient_ary&.each do |resource|
+            truncated_path = path.gsub('Patient.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @patient_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Patient resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '14'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Patient, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@patient)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
new file mode 100644
index 000000000..aba4bf148
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
@@ -0,0 +1,223 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore300PractitionerSequence < SequenceBase
+      title 'Practitioner Tests'
+
+      description 'Verify that Practitioner resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Practitioner' # change me
+
+      requires :token
+      conformance_supports :Practitioner
+      delayed_sequence
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'name'
+          value = value.downcase
+          value_found = can_resolve_path(resource, 'name') do |name|
+            name&.text&.start_with?(value) ||
+              name&.family&.downcase&.include?(value) ||
+              name&.given&.any? { |given| given.downcase.start_with?(value) } ||
+              name&.prefix&.any? { |prefix| prefix.downcase.start_with?(value) } ||
+              name&.suffix&.any? { |suffix| suffix.downcase.start_with?(value) }
+          end
+          assert value_found, 'name on resource does not match name requested'
+
+        when 'identifier'
+          value_found = can_resolve_path(resource, 'identifier.value') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'identifier on resource does not match identifier requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Can read Practitioner from the server' do
+        metadata do
+          id '01'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        practitioner_id = @instance.resource_references.find { |reference| reference.resource_type == 'Practitioner' }&.resource_id
+        skip 'No Practitioner references found from the prior searches' if practitioner_id.nil?
+        @practitioner = fetch_resource('Practitioner', practitioner_id)
+        @resources_found = !@practitioner.nil?
+      end
+
+      test 'Server rejects Practitioner search without authorization' do
+        metadata do
+          id '02'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        name_val = resolve_element_from_path(@practitioner, 'name.family')
+        search_params = { 'name': name_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Practitioner'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Practitioner search by name' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        name_val = resolve_element_from_path(@practitioner, 'name.family')
+        search_params = { 'name': name_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Practitioner'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @practitioner = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @practitioner_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Practitioner'), reply)
+        save_delayed_sequence_references(@practitioner)
+        validate_search_reply(versioned_resource_class('Practitioner'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Practitioner search by identifier' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@practitioner.nil?, 'Expected valid Practitioner resource to be present'
+
+        identifier_val = resolve_element_from_path(@practitioner, 'identifier.value')
+        search_params = { 'identifier': identifier_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Practitioner'), search_params)
+        validate_search_reply(versioned_resource_class('Practitioner'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Practitioner vread resource supported' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Practitioner, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@practitioner, versioned_resource_class('Practitioner'))
+      end
+
+      test 'Practitioner history resource supported' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Practitioner, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@practitioner, versioned_resource_class('Practitioner'))
+      end
+
+      test 'Practitioner resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '07'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Practitioner')
+      end
+
+      test 'At least one of every must support element is provided in any Practitioner for this patient.' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @practitioner_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Practitioner.identifier',
+          'Practitioner.identifier.system',
+          'Practitioner.identifier.value',
+          'Practitioner.identifier',
+          'Practitioner.identifier.system',
+          'Practitioner.name',
+          'Practitioner.name.family'
+        ]
+        must_support_elements.each do |path|
+          @practitioner_ary&.each do |resource|
+            truncated_path = path.gsub('Practitioner.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @practitioner_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Practitioner resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '09'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Practitioner, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@practitioner)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
new file mode 100644
index 000000000..d588182fc
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
@@ -0,0 +1,218 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore300PractitionerroleSequence < SequenceBase
+      title 'PractitionerRole Tests'
+
+      description 'Verify that PractitionerRole resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'PractitionerRole' # change me
+
+      requires :token
+      conformance_supports :PractitionerRole
+      delayed_sequence
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'specialty'
+          value_found = can_resolve_path(resource, 'specialty.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'specialty on resource does not match specialty requested'
+
+        when 'practitioner'
+          value_found = can_resolve_path(resource, 'practitioner.reference') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'practitioner on resource does not match practitioner requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Can read PractitionerRole from the server' do
+        metadata do
+          id '01'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        practitionerrole_id = @instance.resource_references.find { |reference| reference.resource_type == 'PractitionerRole' }&.resource_id
+        skip 'No PractitionerRole references found from the prior searches' if practitionerrole_id.nil?
+        @practitionerrole = fetch_resource('PractitionerRole', practitionerrole_id)
+        @resources_found = !@practitionerrole.nil?
+      end
+
+      test 'Server rejects PractitionerRole search without authorization' do
+        metadata do
+          id '02'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        specialty_val = resolve_element_from_path(@practitionerrole, 'specialty.coding.code')
+        search_params = { 'specialty': specialty_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('PractitionerRole'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from PractitionerRole search by specialty' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        specialty_val = resolve_element_from_path(@practitionerrole, 'specialty.coding.code')
+        search_params = { 'specialty': specialty_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('PractitionerRole'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @practitionerrole = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @practitionerrole_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('PractitionerRole'), reply)
+        save_delayed_sequence_references(@practitionerrole)
+        validate_search_reply(versioned_resource_class('PractitionerRole'), reply, search_params)
+      end
+
+      test 'Server returns expected results from PractitionerRole search by practitioner' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@practitionerrole.nil?, 'Expected valid PractitionerRole resource to be present'
+
+        practitioner_val = resolve_element_from_path(@practitionerrole, 'practitioner.reference')
+        search_params = { 'practitioner': practitioner_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('PractitionerRole'), search_params)
+        validate_search_reply(versioned_resource_class('PractitionerRole'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'PractitionerRole vread resource supported' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:PractitionerRole, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@practitionerrole, versioned_resource_class('PractitionerRole'))
+      end
+
+      test 'PractitionerRole history resource supported' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:PractitionerRole, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@practitionerrole, versioned_resource_class('PractitionerRole'))
+      end
+
+      test 'PractitionerRole resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '07'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('PractitionerRole')
+      end
+
+      test 'At least one of every must support element is provided in any PractitionerRole for this patient.' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @practitionerrole_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'PractitionerRole.practitioner',
+          'PractitionerRole.organization',
+          'PractitionerRole.code',
+          'PractitionerRole.specialty',
+          'PractitionerRole.location',
+          'PractitionerRole.telecom',
+          'PractitionerRole.telecom.system',
+          'PractitionerRole.telecom.value',
+          'PractitionerRole.endpoint'
+        ]
+        must_support_elements.each do |path|
+          @practitionerrole_ary&.each do |resource|
+            truncated_path = path.gsub('PractitionerRole.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @practitionerrole_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided PractitionerRole resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '09'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:PractitionerRole, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@practitionerrole)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
new file mode 100644
index 000000000..88034c2a0
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
@@ -0,0 +1,287 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore300ProcedureSequence < SequenceBase
+      title 'Procedure Tests'
+
+      description 'Verify that Procedure resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Procedure' # change me
+
+      requires :token, :patient_id
+      conformance_supports :Procedure
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'date'
+          value_found = can_resolve_path(resource, 'occurrenceDateTime') do |date|
+            validate_date_search(value, date)
+          end
+          assert value_found, 'date on resource does not match date requested'
+
+        when 'code'
+          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'code on resource does not match code requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects Procedure search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Procedure'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Procedure search by patient' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Procedure'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @procedure = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @procedure_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Procedure'), reply)
+        save_delayed_sequence_references(@procedure)
+        validate_search_reply(versioned_resource_class('Procedure'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Procedure search by patient+date' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@procedure.nil?, 'Expected valid Procedure resource to be present'
+
+        patient_val = @instance.patient_id
+        date_val = resolve_element_from_path(@procedure, 'occurrenceDateTime')
+        search_params = { 'patient': patient_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Procedure'), search_params)
+        validate_search_reply(versioned_resource_class('Procedure'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('Procedure'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('Procedure'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from Procedure search by patient+code+date' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@procedure.nil?, 'Expected valid Procedure resource to be present'
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@procedure, 'code.coding.code')
+        date_val = resolve_element_from_path(@procedure, 'occurrenceDateTime')
+        search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Procedure'), search_params)
+        validate_search_reply(versioned_resource_class('Procedure'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'code': code_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('Procedure'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('Procedure'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from Procedure search by patient+status' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@procedure.nil?, 'Expected valid Procedure resource to be present'
+
+        patient_val = @instance.patient_id
+        status_val = resolve_element_from_path(@procedure, 'status')
+        search_params = { 'patient': patient_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Procedure'), search_params)
+        validate_search_reply(versioned_resource_class('Procedure'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Procedure read resource supported' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Procedure, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@procedure, versioned_resource_class('Procedure'))
+      end
+
+      test 'Procedure vread resource supported' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Procedure, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@procedure, versioned_resource_class('Procedure'))
+      end
+
+      test 'Procedure history resource supported' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Procedure, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@procedure, versioned_resource_class('Procedure'))
+      end
+
+      test 'Procedure resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '09'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Procedure')
+      end
+
+      test 'At least one of every must support element is provided in any Procedure for this patient.' do
+        metadata do
+          id '10'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @procedure_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Procedure.status',
+          'Procedure.code',
+          'Procedure.subject',
+          'Procedure.performedDateTime',
+          'Procedure.performedPeriod'
+        ]
+        must_support_elements.each do |path|
+          @procedure_ary&.each do |resource|
+            truncated_path = path.gsub('Procedure.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @procedure_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Procedure resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '11'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Procedure, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@procedure)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb
new file mode 100644
index 000000000..20875a61a
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb
@@ -0,0 +1,311 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore300SmokingstatusSequence < SequenceBase
+      title 'Smoking Status Observation Tests'
+
+      description 'Verify that Observation resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Observation' # change me
+
+      requires :token, :patient_id
+      conformance_supports :Observation
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        when 'category'
+          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'category on resource does not match category requested'
+
+        when 'code'
+          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'code on resource does not match code requested'
+
+        when 'date'
+          value_found = can_resolve_path(resource, 'effectiveDateTime') do |date|
+            validate_date_search(value, date)
+          end
+          assert value_found, 'date on resource does not match date requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects Observation search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        search_params = { patient: @instance.patient_id, code: '72166-2' }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Observation search by patient+code' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        search_params = { patient: @instance.patient_id, code: '72166-2' }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @observation = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:smoking_status])
+        save_delayed_sequence_references(@observation)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Observation search by patient+category' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        search_params = { 'patient': patient_val, 'category': category_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Observation search by patient+category+date' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('Observation'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('Observation'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from Observation search by patient+code+date' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@observation, 'code.coding.code')
+        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'code': code_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('Observation'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('Observation'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from Observation search by patient+category+status' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        status_val = resolve_element_from_path(@observation, 'status')
+        search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Observation read resource supported' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation vread resource supported' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation history resource supported' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '10'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Observation', Inferno::ValidationUtil::US_CORE_R4_URIS[:smoking_status])
+      end
+
+      test 'At least one of every must support element is provided in any Observation for this patient.' do
+        metadata do
+          id '11'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @observation_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Observation.status',
+          'Observation.code',
+          'Observation.subject',
+          'Observation.issued',
+          'Observation.valueCodeableConcept'
+        ]
+        must_support_elements.each do |path|
+          @observation_ary&.each do |resource|
+            truncated_path = path.gsub('Observation.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @observation_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Observation resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '12'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@observation)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.0_module.yml b/lib/app/modules/uscore_v3.0.0_module.yml
new file mode 100644
index 000000000..672e59439
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.0_module.yml
@@ -0,0 +1,49 @@
+name: uscore_v3.0.0
+title: US Core R4 v3.0.0
+description : US Core R4 v3.0.0
+fhir_version: r4
+default_test_set: ad_hoc_testing
+test_sets:
+  ad_hoc_testing:
+    view: default
+    tests:
+      - name: Discovery
+        sequences:
+        - UsCoreR4CapabilityStatementSequence
+        - SMARTDiscoverySequence
+        run_all: true
+      - name: Authorization and Authentication
+        sequences:
+        - DynamicRegistrationSequence
+        - ManualRegistrationSequence
+        - StandaloneLaunchSequence
+        - EHRLaunchSequence
+      - name: US Core R4 Patient Based Profiles
+        run_all: true
+        sequences:
+        - USCore300AllergyintoleranceSequence
+        - USCore300CareplanSequence
+        - USCore300CareteamSequence
+        - USCore300ConditionSequence
+        - USCore300DeviceSequence
+        - USCore300DiagnosticreportNoteSequence
+        - USCore300DiagnosticreportLabSequence
+        - USCore300DocumentreferenceSequence
+        - USCore300EncounterSequence
+        - USCore300GoalSequence
+        - USCore300ImmunizationSequence
+        - USCore300MedicationrequestSequence
+        - USCore300MedicationstatementSequence
+        - USCore300SmokingstatusSequence
+        - USCore300PediatricWeightForHeightSequence
+        - USCore300ObservationLabSequence
+        - USCore300PediatricBmiForAgeSequence
+        - USCore300PatientSequence
+        - USCore300ProcedureSequence
+        - R4ProvenanceSequence
+        - USCoreR4ClinicalNotesSequence
+        - USCore300LocationSequence
+        - USCore300MedicationSequence
+        - USCore300OrganizationSequence
+        - USCore300PractitionerSequence
+        - USCore300PractitionerroleSequence
diff --git a/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb b/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb
new file mode 100644
index 000000000..05fb05587
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb
@@ -0,0 +1,319 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301PediatricBmiForAgeSequence < SequenceBase
+      title 'Pediatric BMI for Age Observation Tests'
+
+      description 'Verify that Observation resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Observation' # change me
+
+      requires :token, :patient_id
+      conformance_supports :Observation
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        when 'category'
+          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'category on resource does not match category requested'
+
+        when 'code'
+          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'code on resource does not match code requested'
+
+        when 'date'
+          value_found = can_resolve_path(resource, 'effectiveDateTime') do |date|
+            validate_date_search(value, date)
+          end
+          assert value_found, 'date on resource does not match date requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects Observation search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        search_params = { patient: @instance.patient_id, code: '59576-9' }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Observation search by patient+code' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        search_params = { patient: @instance.patient_id, code: '59576-9' }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @observation = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:pediatric_bmi_age])
+        save_delayed_sequence_references(@observation)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Observation search by patient+category+date' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Observation search by patient+category' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        search_params = { 'patient': patient_val, 'category': category_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Observation search by patient+category+status' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        status_val = resolve_element_from_path(@observation, 'status')
+        search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Observation search by patient+code+date' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@observation, 'code.coding.code')
+        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Observation read resource supported' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation vread resource supported' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation history resource supported' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '10'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Observation', Inferno::ValidationUtil::US_CORE_R4_URIS[:pediatric_bmi_age])
+      end
+
+      test 'At least one of every must support element is provided in any Observation for this patient.' do
+        metadata do
+          id '11'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @observation_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Observation.status',
+          'Observation.category',
+          'Observation.category',
+          'Observation.category.coding',
+          'Observation.category.coding.system',
+          'Observation.category.coding.code',
+          'Observation.subject',
+          'Observation.effectiveDateTime',
+          'Observation.effectivePeriod',
+          'Observation.valueQuantity',
+          'Observation.valueQuantity.value',
+          'Observation.valueQuantity.unit',
+          'Observation.valueQuantity.system',
+          'Observation.valueQuantity.code',
+          'Observation.dataAbsentReason',
+          'Observation.component',
+          'Observation.component.code',
+          'Observation.component.valueQuantity',
+          'Observation.component.valueCodeableConcept',
+          'Observation.component.valueString',
+          'Observation.component.valueBoolean',
+          'Observation.component.valueInteger',
+          'Observation.component.valueRange',
+          'Observation.component.valueRatio',
+          'Observation.component.valueSampledData',
+          'Observation.component.valueTime',
+          'Observation.component.valueDateTime',
+          'Observation.component.valuePeriod',
+          'Observation.component.dataAbsentReason'
+        ]
+        must_support_elements.each do |path|
+          @observation_ary&.each do |resource|
+            truncated_path = path.gsub('Observation.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @observation_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Observation resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '12'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@observation)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb b/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb
new file mode 100644
index 000000000..595ac8223
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb
@@ -0,0 +1,319 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301PediatricWeightForHeightSequence < SequenceBase
+      title 'Pediatric Weight for Height Observation Tests'
+
+      description 'Verify that Observation resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Observation' # change me
+
+      requires :token, :patient_id
+      conformance_supports :Observation
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        when 'category'
+          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'category on resource does not match category requested'
+
+        when 'code'
+          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'code on resource does not match code requested'
+
+        when 'date'
+          value_found = can_resolve_path(resource, 'effectiveDateTime') do |date|
+            validate_date_search(value, date)
+          end
+          assert value_found, 'date on resource does not match date requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects Observation search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        search_params = { patient: @instance.patient_id, code: '77606-2' }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Observation search by patient+code' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        search_params = { patient: @instance.patient_id, code: '77606-2' }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @observation = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:pediatric_weight_height])
+        save_delayed_sequence_references(@observation)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Observation search by patient+category+date' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Observation search by patient+category' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        search_params = { 'patient': patient_val, 'category': category_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Observation search by patient+category+status' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        status_val = resolve_element_from_path(@observation, 'status')
+        search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Observation search by patient+code+date' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@observation, 'code.coding.code')
+        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Observation read resource supported' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation vread resource supported' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation history resource supported' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '10'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Observation', Inferno::ValidationUtil::US_CORE_R4_URIS[:pediatric_weight_height])
+      end
+
+      test 'At least one of every must support element is provided in any Observation for this patient.' do
+        metadata do
+          id '11'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @observation_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Observation.status',
+          'Observation.category',
+          'Observation.category',
+          'Observation.category.coding',
+          'Observation.category.coding.system',
+          'Observation.category.coding.code',
+          'Observation.subject',
+          'Observation.effectiveDateTime',
+          'Observation.effectivePeriod',
+          'Observation.valueQuantity',
+          'Observation.valueQuantity.value',
+          'Observation.valueQuantity.unit',
+          'Observation.valueQuantity.system',
+          'Observation.valueQuantity.code',
+          'Observation.dataAbsentReason',
+          'Observation.component',
+          'Observation.component.code',
+          'Observation.component.valueQuantity',
+          'Observation.component.valueCodeableConcept',
+          'Observation.component.valueString',
+          'Observation.component.valueBoolean',
+          'Observation.component.valueInteger',
+          'Observation.component.valueRange',
+          'Observation.component.valueRatio',
+          'Observation.component.valueSampledData',
+          'Observation.component.valueTime',
+          'Observation.component.valueDateTime',
+          'Observation.component.valuePeriod',
+          'Observation.component.dataAbsentReason'
+        ]
+        must_support_elements.each do |path|
+          @observation_ary&.each do |resource|
+            truncated_path = path.gsub('Observation.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @observation_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Observation resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '12'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@observation)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb
new file mode 100644
index 000000000..8c3c8f3f5
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb
@@ -0,0 +1,214 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301AllergyintoleranceSequence < SequenceBase
+      title 'AllergyIntolerance Tests'
+
+      description 'Verify that AllergyIntolerance resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'AllergyIntolerance' # change me
+
+      requires :token, :patient_id
+      conformance_supports :AllergyIntolerance
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'clinical-status'
+          value_found = can_resolve_path(resource, 'clinicalStatus.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'clinical-status on resource does not match clinical-status requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'patient.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects AllergyIntolerance search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('AllergyIntolerance'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from AllergyIntolerance search by patient' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('AllergyIntolerance'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @allergyintolerance = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @allergyintolerance_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('AllergyIntolerance'), reply)
+        save_delayed_sequence_references(@allergyintolerance)
+        validate_search_reply(versioned_resource_class('AllergyIntolerance'), reply, search_params)
+      end
+
+      test 'Server returns expected results from AllergyIntolerance search by patient+clinical-status' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@allergyintolerance.nil?, 'Expected valid AllergyIntolerance resource to be present'
+
+        patient_val = @instance.patient_id
+        clinical_status_val = resolve_element_from_path(@allergyintolerance, 'clinicalStatus.coding.code')
+        search_params = { 'patient': patient_val, 'clinical-status': clinical_status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('AllergyIntolerance'), search_params)
+        validate_search_reply(versioned_resource_class('AllergyIntolerance'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'AllergyIntolerance read resource supported' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:AllergyIntolerance, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@allergyintolerance, versioned_resource_class('AllergyIntolerance'))
+      end
+
+      test 'AllergyIntolerance vread resource supported' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:AllergyIntolerance, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@allergyintolerance, versioned_resource_class('AllergyIntolerance'))
+      end
+
+      test 'AllergyIntolerance history resource supported' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:AllergyIntolerance, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@allergyintolerance, versioned_resource_class('AllergyIntolerance'))
+      end
+
+      test 'AllergyIntolerance resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '07'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('AllergyIntolerance')
+      end
+
+      test 'At least one of every must support element is provided in any AllergyIntolerance for this patient.' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @allergyintolerance_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'AllergyIntolerance.clinicalStatus',
+          'AllergyIntolerance.verificationStatus',
+          'AllergyIntolerance.code',
+          'AllergyIntolerance.patient'
+        ]
+        must_support_elements.each do |path|
+          @allergyintolerance_ary&.each do |resource|
+            truncated_path = path.gsub('AllergyIntolerance.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @allergyintolerance_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided AllergyIntolerance resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '09'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:AllergyIntolerance, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@allergyintolerance)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb
new file mode 100644
index 000000000..65887370a
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb
@@ -0,0 +1,289 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301CareplanSequence < SequenceBase
+      title 'CarePlan Tests'
+
+      description 'Verify that CarePlan resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'CarePlan' # change me
+
+      requires :token, :patient_id
+      conformance_supports :CarePlan
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'category'
+          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'category on resource does not match category requested'
+
+        when 'date'
+          value_found = can_resolve_path(resource, 'period') do |period|
+            validate_period_search(value, period)
+          end
+          assert value_found, 'date on resource does not match date requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects CarePlan search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        search_params = { patient: @instance.patient_id, category: 'assess-plan' }
+
+        reply = get_resource_by_params(versioned_resource_class('CarePlan'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from CarePlan search by patient+category' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        search_params = { patient: @instance.patient_id, category: 'assess-plan' }
+
+        reply = get_resource_by_params(versioned_resource_class('CarePlan'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @careplan = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @careplan_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('CarePlan'), reply)
+        save_delayed_sequence_references(@careplan)
+        validate_search_reply(versioned_resource_class('CarePlan'), reply, search_params)
+      end
+
+      test 'Server returns expected results from CarePlan search by patient+category+status' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@careplan.nil?, 'Expected valid CarePlan resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@careplan, 'category.coding.code')
+        status_val = resolve_element_from_path(@careplan, 'status')
+        search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('CarePlan'), search_params)
+        validate_search_reply(versioned_resource_class('CarePlan'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from CarePlan search by patient+category+date' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@careplan.nil?, 'Expected valid CarePlan resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@careplan, 'category.coding.code')
+        date_val = resolve_element_from_path(@careplan, 'period.start')
+        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('CarePlan'), search_params)
+        validate_search_reply(versioned_resource_class('CarePlan'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('CarePlan'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('CarePlan'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from CarePlan search by patient+category+status+date' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@careplan.nil?, 'Expected valid CarePlan resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@careplan, 'category.coding.code')
+        status_val = resolve_element_from_path(@careplan, 'status')
+        date_val = resolve_element_from_path(@careplan, 'period.start')
+        search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('CarePlan'), search_params)
+        validate_search_reply(versioned_resource_class('CarePlan'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('CarePlan'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('CarePlan'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'CarePlan read resource supported' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:CarePlan, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@careplan, versioned_resource_class('CarePlan'))
+      end
+
+      test 'CarePlan vread resource supported' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:CarePlan, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@careplan, versioned_resource_class('CarePlan'))
+      end
+
+      test 'CarePlan history resource supported' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:CarePlan, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@careplan, versioned_resource_class('CarePlan'))
+      end
+
+      test 'CarePlan resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '09'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('CarePlan')
+      end
+
+      test 'At least one of every must support element is provided in any CarePlan for this patient.' do
+        metadata do
+          id '10'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @careplan_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'CarePlan.text',
+          'CarePlan.text.status',
+          'CarePlan.status',
+          'CarePlan.intent',
+          'CarePlan.category',
+          'CarePlan.category',
+          'CarePlan.subject'
+        ]
+        must_support_elements.each do |path|
+          @careplan_ary&.each do |resource|
+            truncated_path = path.gsub('CarePlan.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @careplan_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided CarePlan resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '11'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:CarePlan, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@careplan)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb
new file mode 100644
index 000000000..f327f9a72
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb
@@ -0,0 +1,188 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301CareteamSequence < SequenceBase
+      title 'CareTeam Tests'
+
+      description 'Verify that CareTeam resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'CareTeam' # change me
+
+      requires :token, :patient_id
+      conformance_supports :CareTeam
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects CareTeam search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        search_params = { patient: @instance.patient_id, status: 'active' }
+
+        reply = get_resource_by_params(versioned_resource_class('CareTeam'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from CareTeam search by patient+status' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        search_params = { patient: @instance.patient_id, status: 'active' }
+
+        reply = get_resource_by_params(versioned_resource_class('CareTeam'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @careteam = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @careteam_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('CareTeam'), reply)
+        save_delayed_sequence_references(@careteam)
+        validate_search_reply(versioned_resource_class('CareTeam'), reply, search_params)
+      end
+
+      test 'CareTeam read resource supported' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:CareTeam, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@careteam, versioned_resource_class('CareTeam'))
+      end
+
+      test 'CareTeam vread resource supported' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:CareTeam, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@careteam, versioned_resource_class('CareTeam'))
+      end
+
+      test 'CareTeam history resource supported' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:CareTeam, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@careteam, versioned_resource_class('CareTeam'))
+      end
+
+      test 'CareTeam resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '06'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('CareTeam')
+      end
+
+      test 'At least one of every must support element is provided in any CareTeam for this patient.' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @careteam_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'CareTeam.status',
+          'CareTeam.subject',
+          'CareTeam.participant',
+          'CareTeam.participant.role',
+          'CareTeam.participant.member'
+        ]
+        must_support_elements.each do |path|
+          @careteam_ary&.each do |resource|
+            truncated_path = path.gsub('CareTeam.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @careteam_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided CareTeam resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '08'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:CareTeam, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@careteam)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb
new file mode 100644
index 000000000..95c65a39f
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb
@@ -0,0 +1,306 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301ConditionSequence < SequenceBase
+      title 'Condition Tests'
+
+      description 'Verify that Condition resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Condition' # change me
+
+      requires :token, :patient_id
+      conformance_supports :Condition
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'category'
+          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'category on resource does not match category requested'
+
+        when 'clinical-status'
+          value_found = can_resolve_path(resource, 'clinicalStatus.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'clinical-status on resource does not match clinical-status requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'onset-date'
+          value_found = can_resolve_path(resource, 'onsetDateTime') do |date|
+            validate_date_search(value, date)
+          end
+          assert value_found, 'onset-date on resource does not match onset-date requested'
+
+        when 'code'
+          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'code on resource does not match code requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects Condition search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Condition'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Condition search by patient' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Condition'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @condition = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @condition_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Condition'), reply)
+        save_delayed_sequence_references(@condition)
+        validate_search_reply(versioned_resource_class('Condition'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Condition search by patient+clinical-status' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@condition.nil?, 'Expected valid Condition resource to be present'
+
+        patient_val = @instance.patient_id
+        clinical_status_val = resolve_element_from_path(@condition, 'clinicalStatus.coding.code')
+        search_params = { 'patient': patient_val, 'clinical-status': clinical_status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Condition'), search_params)
+        validate_search_reply(versioned_resource_class('Condition'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Condition search by patient+onset-date' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@condition.nil?, 'Expected valid Condition resource to be present'
+
+        patient_val = @instance.patient_id
+        onset_date_val = resolve_element_from_path(@condition, 'onsetDateTime')
+        search_params = { 'patient': patient_val, 'onset-date': onset_date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Condition'), search_params)
+        validate_search_reply(versioned_resource_class('Condition'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, onset_date_val)
+          comparator_search_params = { 'patient': patient_val, 'onset-date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('Condition'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('Condition'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from Condition search by patient+code' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@condition.nil?, 'Expected valid Condition resource to be present'
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@condition, 'code.coding.code')
+        search_params = { 'patient': patient_val, 'code': code_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Condition'), search_params)
+        validate_search_reply(versioned_resource_class('Condition'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Condition search by patient+category' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@condition.nil?, 'Expected valid Condition resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@condition, 'category.coding.code')
+        search_params = { 'patient': patient_val, 'category': category_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Condition'), search_params)
+        validate_search_reply(versioned_resource_class('Condition'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Condition read resource supported' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Condition, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@condition, versioned_resource_class('Condition'))
+      end
+
+      test 'Condition vread resource supported' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Condition, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@condition, versioned_resource_class('Condition'))
+      end
+
+      test 'Condition history resource supported' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Condition, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@condition, versioned_resource_class('Condition'))
+      end
+
+      test 'Condition resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '10'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Condition')
+      end
+
+      test 'At least one of every must support element is provided in any Condition for this patient.' do
+        metadata do
+          id '11'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @condition_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Condition.clinicalStatus',
+          'Condition.verificationStatus',
+          'Condition.category',
+          'Condition.code',
+          'Condition.subject'
+        ]
+        must_support_elements.each do |path|
+          @condition_ary&.each do |resource|
+            truncated_path = path.gsub('Condition.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @condition_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Condition resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '12'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Condition, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@condition)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb
new file mode 100644
index 000000000..9899a01af
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb
@@ -0,0 +1,405 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301DiagnosticreportLabSequence < SequenceBase
+      title 'DiagnosticReport for Laboratory Results Reporting Tests'
+
+      description 'Verify that DiagnosticReport resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'DiagnosticReport' # change me
+
+      requires :token, :patient_id
+      conformance_supports :DiagnosticReport
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'category'
+          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'category on resource does not match category requested'
+
+        when 'code'
+          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'code on resource does not match code requested'
+
+        when 'date'
+          value_found = can_resolve_path(resource, 'effectiveDateTime') do |date|
+            validate_date_search(value, date)
+          end
+          assert value_found, 'date on resource does not match date requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects DiagnosticReport search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        search_params = { patient: @instance.patient_id, category: 'LAB' }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+category' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        search_params = { patient: @instance.patient_id, category: 'LAB' }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @diagnosticreport = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @diagnosticreport_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('DiagnosticReport'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:diagnostic_report_lab])
+        save_delayed_sequence_references(@diagnosticreport)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+code' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@diagnosticreport, 'code.coding.code')
+        search_params = { 'patient': patient_val, 'code': code_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+category+date' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@diagnosticreport, 'category.coding.code')
+        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+code+date' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@diagnosticreport, 'code.coding.code')
+        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'code': code_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+status' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        patient_val = @instance.patient_id
+        status_val = resolve_element_from_path(@diagnosticreport, 'status')
+        search_params = { 'patient': patient_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+category' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        search_params = { patient: @instance.patient_id, category: 'LAB' }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+category+date' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@diagnosticreport, 'category.coding.code')
+        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'DiagnosticReport create resource supported' do
+        metadata do
+          id '10'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DiagnosticReport, [:create])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_create_reply(@diagnosticreport, versioned_resource_class('DiagnosticReport'))
+      end
+
+      test 'DiagnosticReport read resource supported' do
+        metadata do
+          id '11'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DiagnosticReport, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@diagnosticreport, versioned_resource_class('DiagnosticReport'))
+      end
+
+      test 'DiagnosticReport vread resource supported' do
+        metadata do
+          id '12'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DiagnosticReport, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@diagnosticreport, versioned_resource_class('DiagnosticReport'))
+      end
+
+      test 'DiagnosticReport history resource supported' do
+        metadata do
+          id '13'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DiagnosticReport, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@diagnosticreport, versioned_resource_class('DiagnosticReport'))
+      end
+
+      test 'DiagnosticReport resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '14'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('DiagnosticReport', Inferno::ValidationUtil::US_CORE_R4_URIS[:diagnostic_report_lab])
+      end
+
+      test 'At least one of every must support element is provided in any DiagnosticReport for this patient.' do
+        metadata do
+          id '15'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @diagnosticreport_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'DiagnosticReport.status',
+          'DiagnosticReport.category',
+          'DiagnosticReport.category',
+          'DiagnosticReport.code',
+          'DiagnosticReport.subject',
+          'DiagnosticReport.effectiveDateTime',
+          'DiagnosticReport.effectivePeriod',
+          'DiagnosticReport.issued',
+          'DiagnosticReport.performer',
+          'DiagnosticReport.result',
+          'DiagnosticReport.media',
+          'DiagnosticReport.presentedForm'
+        ]
+        must_support_elements.each do |path|
+          @diagnosticreport_ary&.each do |resource|
+            truncated_path = path.gsub('DiagnosticReport.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @diagnosticreport_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided DiagnosticReport resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '16'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DiagnosticReport, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@diagnosticreport)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb
new file mode 100644
index 000000000..26dc9b21e
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb
@@ -0,0 +1,404 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301DiagnosticreportNoteSequence < SequenceBase
+      title 'DiagnosticReport for Report and Note exchange Tests'
+
+      description 'Verify that DiagnosticReport resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'DiagnosticReport' # change me
+
+      requires :token, :patient_id
+      conformance_supports :DiagnosticReport
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'category'
+          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'category on resource does not match category requested'
+
+        when 'code'
+          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'code on resource does not match code requested'
+
+        when 'date'
+          value_found = can_resolve_path(resource, 'effectiveDateTime') do |date|
+            validate_date_search(value, date)
+          end
+          assert value_found, 'date on resource does not match date requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects DiagnosticReport search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        search_params = { patient: @instance.patient_id, code: 'LP29684-5' }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+category' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        search_params = { patient: @instance.patient_id, code: 'LP29684-5' }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @diagnosticreport = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @diagnosticreport_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('DiagnosticReport'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:diagnostic_report_note])
+        save_delayed_sequence_references(@diagnosticreport)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+code' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@diagnosticreport, 'code.coding.code')
+        search_params = { 'patient': patient_val, 'code': code_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+category+date' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@diagnosticreport, 'category.coding.code')
+        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+code+date' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@diagnosticreport, 'code.coding.code')
+        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'code': code_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+status' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        patient_val = @instance.patient_id
+        status_val = resolve_element_from_path(@diagnosticreport, 'status')
+        search_params = { 'patient': patient_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+category' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        search_params = { patient: @instance.patient_id, code: 'LP29684-5' }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from DiagnosticReport search by patient+category+date' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@diagnosticreport, 'category.coding.code')
+        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
+        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'DiagnosticReport create resource supported' do
+        metadata do
+          id '10'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DiagnosticReport, [:create])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_create_reply(@diagnosticreport, versioned_resource_class('DiagnosticReport'))
+      end
+
+      test 'DiagnosticReport read resource supported' do
+        metadata do
+          id '11'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DiagnosticReport, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@diagnosticreport, versioned_resource_class('DiagnosticReport'))
+      end
+
+      test 'DiagnosticReport vread resource supported' do
+        metadata do
+          id '12'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DiagnosticReport, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@diagnosticreport, versioned_resource_class('DiagnosticReport'))
+      end
+
+      test 'DiagnosticReport history resource supported' do
+        metadata do
+          id '13'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DiagnosticReport, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@diagnosticreport, versioned_resource_class('DiagnosticReport'))
+      end
+
+      test 'DiagnosticReport resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '14'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('DiagnosticReport', Inferno::ValidationUtil::US_CORE_R4_URIS[:diagnostic_report_note])
+      end
+
+      test 'At least one of every must support element is provided in any DiagnosticReport for this patient.' do
+        metadata do
+          id '15'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @diagnosticreport_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'DiagnosticReport.status',
+          'DiagnosticReport.category',
+          'DiagnosticReport.code',
+          'DiagnosticReport.subject',
+          'DiagnosticReport.encounter',
+          'DiagnosticReport.effectiveDateTime',
+          'DiagnosticReport.effectivePeriod',
+          'DiagnosticReport.issued',
+          'DiagnosticReport.performer',
+          'DiagnosticReport.media',
+          'DiagnosticReport.presentedForm'
+        ]
+        must_support_elements.each do |path|
+          @diagnosticreport_ary&.each do |resource|
+            truncated_path = path.gsub('DiagnosticReport.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @diagnosticreport_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided DiagnosticReport resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '16'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DiagnosticReport, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@diagnosticreport)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb
new file mode 100644
index 000000000..7969db507
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb
@@ -0,0 +1,376 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301DocumentreferenceSequence < SequenceBase
+      title 'DocumentReference Tests'
+
+      description 'Verify that DocumentReference resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'DocumentReference' # change me
+
+      requires :token, :patient_id
+      conformance_supports :DocumentReference
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when '_id'
+          value_found = can_resolve_path(resource, 'id') { |value_in_resource| value_in_resource == value }
+          assert value_found, '_id on resource does not match _id requested'
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'category'
+          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'category on resource does not match category requested'
+
+        when 'type'
+          value_found = can_resolve_path(resource, 'type.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'type on resource does not match type requested'
+
+        when 'date'
+          value_found = can_resolve_path(resource, 'date') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'date on resource does not match date requested'
+
+        when 'period'
+          value_found = can_resolve_path(resource, 'context.period') do |period|
+            validate_period_search(value, period)
+          end
+          assert value_found, 'period on resource does not match period requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects DocumentReference search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DocumentReference'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from DocumentReference search by patient' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DocumentReference'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @documentreference = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @documentreference_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('DocumentReference'), reply)
+        save_delayed_sequence_references(@documentreference)
+        validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
+      end
+
+      test 'Server returns expected results from DocumentReference search by _id' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
+
+        id_val = resolve_element_from_path(@documentreference, 'id')
+        search_params = { '_id': id_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DocumentReference'), search_params)
+        validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from DocumentReference search by patient+category+date' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@documentreference, 'category.coding.code')
+        date_val = resolve_element_from_path(@documentreference, 'date')
+        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DocumentReference'), search_params)
+        validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from DocumentReference search by patient+category' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@documentreference, 'category.coding.code')
+        search_params = { 'patient': patient_val, 'category': category_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DocumentReference'), search_params)
+        validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from DocumentReference search by patient+type' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
+
+        patient_val = @instance.patient_id
+        type_val = resolve_element_from_path(@documentreference, 'type.coding.code')
+        search_params = { 'patient': patient_val, 'type': type_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DocumentReference'), search_params)
+        validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from DocumentReference search by patient+status' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
+
+        patient_val = @instance.patient_id
+        status_val = resolve_element_from_path(@documentreference, 'status')
+        search_params = { 'patient': patient_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DocumentReference'), search_params)
+        validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from DocumentReference search by patient+type+period' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
+
+        patient_val = @instance.patient_id
+        type_val = resolve_element_from_path(@documentreference, 'type.coding.code')
+        period_val = resolve_element_from_path(@documentreference, 'context.period.start')
+        search_params = { 'patient': patient_val, 'type': type_val, 'period': period_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('DocumentReference'), search_params)
+        validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'DocumentReference create resource supported' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DocumentReference, [:create])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_create_reply(@documentreference, versioned_resource_class('DocumentReference'))
+      end
+
+      test 'DocumentReference read resource supported' do
+        metadata do
+          id '10'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DocumentReference, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@documentreference, versioned_resource_class('DocumentReference'))
+      end
+
+      test 'DocumentReference vread resource supported' do
+        metadata do
+          id '11'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DocumentReference, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@documentreference, versioned_resource_class('DocumentReference'))
+      end
+
+      test 'DocumentReference history resource supported' do
+        metadata do
+          id '12'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DocumentReference, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@documentreference, versioned_resource_class('DocumentReference'))
+      end
+
+      test 'DocumentReference resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '13'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('DocumentReference')
+      end
+
+      test 'At least one of every must support element is provided in any DocumentReference for this patient.' do
+        metadata do
+          id '14'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @documentreference_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'DocumentReference.identifier',
+          'DocumentReference.status',
+          'DocumentReference.type',
+          'DocumentReference.category',
+          'DocumentReference.subject',
+          'DocumentReference.date',
+          'DocumentReference.author',
+          'DocumentReference.custodian',
+          'DocumentReference.content',
+          'DocumentReference.content.attachment',
+          'DocumentReference.content.attachment.contentType',
+          'DocumentReference.content.attachment.data',
+          'DocumentReference.content.attachment.url',
+          'DocumentReference.content.format',
+          'DocumentReference.context',
+          'DocumentReference.context.encounter',
+          'DocumentReference.context.period'
+        ]
+        must_support_elements.each do |path|
+          @documentreference_ary&.each do |resource|
+            truncated_path = path.gsub('DocumentReference.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @documentreference_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided DocumentReference resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '15'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:DocumentReference, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@documentreference)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb
new file mode 100644
index 000000000..ee0ee1a4e
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb
@@ -0,0 +1,368 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301EncounterSequence < SequenceBase
+      title 'Encounter Tests'
+
+      description 'Verify that Encounter resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Encounter' # change me
+
+      requires :token, :patient_id
+      conformance_supports :Encounter
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when '_id'
+          value_found = can_resolve_path(resource, 'id') { |value_in_resource| value_in_resource == value }
+          assert value_found, '_id on resource does not match _id requested'
+
+        when 'class'
+          value_found = can_resolve_path(resource, 'local_class.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'class on resource does not match class requested'
+
+        when 'date'
+          value_found = can_resolve_path(resource, 'period') do |period|
+            validate_period_search(value, period)
+          end
+          assert value_found, 'date on resource does not match date requested'
+
+        when 'identifier'
+          value_found = can_resolve_path(resource, 'identifier.value') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'identifier on resource does not match identifier requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        when 'type'
+          value_found = can_resolve_path(resource, 'type.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'type on resource does not match type requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects Encounter search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Encounter'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Encounter search by patient' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Encounter'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @encounter = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @encounter_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Encounter'), reply)
+        save_delayed_sequence_references(@encounter)
+        validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Encounter search by _id' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
+
+        id_val = resolve_element_from_path(@encounter, 'id')
+        search_params = { '_id': id_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Encounter'), search_params)
+        validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Encounter search by date+patient' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
+
+        date_val = resolve_element_from_path(@encounter, 'period.start')
+        patient_val = @instance.patient_id
+        search_params = { 'date': date_val, 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Encounter'), search_params)
+        validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'date': comparator_val, 'patient': patient_val }
+          reply = get_resource_by_params(versioned_resource_class('Encounter'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('Encounter'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from Encounter search by identifier' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
+
+        identifier_val = resolve_element_from_path(@encounter, 'identifier.value')
+        search_params = { 'identifier': identifier_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Encounter'), search_params)
+        validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Encounter search by patient+status' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
+
+        patient_val = @instance.patient_id
+        status_val = resolve_element_from_path(@encounter, 'status')
+        search_params = { 'patient': patient_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Encounter'), search_params)
+        validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Encounter search by patient+type' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
+
+        patient_val = @instance.patient_id
+        type_val = resolve_element_from_path(@encounter, 'type.coding.code')
+        search_params = { 'patient': patient_val, 'type': type_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Encounter'), search_params)
+        validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Encounter search by class+patient' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
+
+        class_val = resolve_element_from_path(@encounter, 'class.code')
+        patient_val = @instance.patient_id
+        search_params = { 'class': class_val, 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Encounter'), search_params)
+        validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Encounter read resource supported' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Encounter, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@encounter, versioned_resource_class('Encounter'))
+      end
+
+      test 'Encounter vread resource supported' do
+        metadata do
+          id '10'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Encounter, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@encounter, versioned_resource_class('Encounter'))
+      end
+
+      test 'Encounter history resource supported' do
+        metadata do
+          id '11'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Encounter, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@encounter, versioned_resource_class('Encounter'))
+      end
+
+      test 'Encounter resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '12'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Encounter')
+      end
+
+      test 'At least one of every must support element is provided in any Encounter for this patient.' do
+        metadata do
+          id '13'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @encounter_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Encounter.identifier',
+          'Encounter.identifier.system',
+          'Encounter.identifier.value',
+          'Encounter.status',
+          'Encounter.local_class',
+          'Encounter.type',
+          'Encounter.subject',
+          'Encounter.participant',
+          'Encounter.participant.type',
+          'Encounter.participant.period',
+          'Encounter.participant.individual',
+          'Encounter.period',
+          'Encounter.reasonCode',
+          'Encounter.hospitalization',
+          'Encounter.hospitalization.dischargeDisposition',
+          'Encounter.location',
+          'Encounter.location.location'
+        ]
+        must_support_elements.each do |path|
+          @encounter_ary&.each do |resource|
+            truncated_path = path.gsub('Encounter.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @encounter_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Encounter resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '14'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Encounter, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@encounter)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb
new file mode 100644
index 000000000..5541f1c45
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb
@@ -0,0 +1,252 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301GoalSequence < SequenceBase
+      title 'Goal Tests'
+
+      description 'Verify that Goal resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Goal' # change me
+
+      requires :token, :patient_id
+      conformance_supports :Goal
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'lifecycle-status'
+          value_found = can_resolve_path(resource, 'lifecycleStatus') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'lifecycle-status on resource does not match lifecycle-status requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'target-date'
+          value_found = can_resolve_path(resource, 'target.dueDate') do |date|
+            validate_date_search(value, date)
+          end
+          assert value_found, 'target-date on resource does not match target-date requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects Goal search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Goal'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Goal search by patient' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Goal'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @goal = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @goal_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Goal'), reply)
+        save_delayed_sequence_references(@goal)
+        validate_search_reply(versioned_resource_class('Goal'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Goal search by patient+target-date' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@goal.nil?, 'Expected valid Goal resource to be present'
+
+        patient_val = @instance.patient_id
+        target_date_val = resolve_element_from_path(@goal, 'target.dueDate')
+        search_params = { 'patient': patient_val, 'target-date': target_date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Goal'), search_params)
+        validate_search_reply(versioned_resource_class('Goal'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, target_date_val)
+          comparator_search_params = { 'patient': patient_val, 'target-date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('Goal'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('Goal'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Server returns expected results from Goal search by patient+lifecycle-status' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@goal.nil?, 'Expected valid Goal resource to be present'
+
+        patient_val = @instance.patient_id
+        lifecycle_status_val = resolve_element_from_path(@goal, 'lifecycleStatus')
+        search_params = { 'patient': patient_val, 'lifecycle-status': lifecycle_status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Goal'), search_params)
+        validate_search_reply(versioned_resource_class('Goal'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Goal read resource supported' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Goal, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@goal, versioned_resource_class('Goal'))
+      end
+
+      test 'Goal vread resource supported' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Goal, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@goal, versioned_resource_class('Goal'))
+      end
+
+      test 'Goal history resource supported' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Goal, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@goal, versioned_resource_class('Goal'))
+      end
+
+      test 'Goal resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '08'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Goal')
+      end
+
+      test 'At least one of every must support element is provided in any Goal for this patient.' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @goal_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Goal.lifecycleStatus',
+          'Goal.description',
+          'Goal.subject',
+          'Goal.target',
+          'Goal.target.dueDate'
+        ]
+        must_support_elements.each do |path|
+          @goal_ary&.each do |resource|
+            truncated_path = path.gsub('Goal.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @goal_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Goal resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '10'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Goal, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@goal)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb
new file mode 100644
index 000000000..02e5d3dd4
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb
@@ -0,0 +1,254 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301ImmunizationSequence < SequenceBase
+      title 'Immunization Tests'
+
+      description 'Verify that Immunization resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Immunization' # change me
+
+      requires :token, :patient_id
+      conformance_supports :Immunization
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'patient.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        when 'date'
+          value_found = can_resolve_path(resource, 'occurrenceDateTime') do |date|
+            validate_date_search(value, date)
+          end
+          assert value_found, 'date on resource does not match date requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects Immunization search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Immunization'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Immunization search by patient' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Immunization'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @immunization = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @immunization_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Immunization'), reply)
+        save_delayed_sequence_references(@immunization)
+        validate_search_reply(versioned_resource_class('Immunization'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Immunization search by patient+status' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@immunization.nil?, 'Expected valid Immunization resource to be present'
+
+        patient_val = @instance.patient_id
+        status_val = resolve_element_from_path(@immunization, 'status')
+        search_params = { 'patient': patient_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Immunization'), search_params)
+        validate_search_reply(versioned_resource_class('Immunization'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Immunization search by patient+date' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@immunization.nil?, 'Expected valid Immunization resource to be present'
+
+        patient_val = @instance.patient_id
+        date_val = resolve_element_from_path(@immunization, 'occurrenceDateTime')
+        search_params = { 'patient': patient_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Immunization'), search_params)
+        validate_search_reply(versioned_resource_class('Immunization'), reply, search_params)
+        assert_response_ok(reply)
+
+        ['gt', 'lt', 'le'].each do |comparator|
+          comparator_val = date_comparator_value(comparator, date_val)
+          comparator_search_params = { 'patient': patient_val, 'date': comparator_val }
+          reply = get_resource_by_params(versioned_resource_class('Immunization'), comparator_search_params)
+          validate_search_reply(versioned_resource_class('Immunization'), reply, comparator_search_params)
+          assert_response_ok(reply)
+        end
+      end
+
+      test 'Immunization read resource supported' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Immunization, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@immunization, versioned_resource_class('Immunization'))
+      end
+
+      test 'Immunization vread resource supported' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Immunization, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@immunization, versioned_resource_class('Immunization'))
+      end
+
+      test 'Immunization history resource supported' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Immunization, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@immunization, versioned_resource_class('Immunization'))
+      end
+
+      test 'Immunization resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '08'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Immunization')
+      end
+
+      test 'At least one of every must support element is provided in any Immunization for this patient.' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @immunization_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Immunization.status',
+          'Immunization.statusReason',
+          'Immunization.vaccineCode',
+          'Immunization.patient',
+          'Immunization.occurrenceDateTime',
+          'Immunization.occurrenceString',
+          'Immunization.primarySource'
+        ]
+        must_support_elements.each do |path|
+          @immunization_ary&.each do |resource|
+            truncated_path = path.gsub('Immunization.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @immunization_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Immunization resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '10'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Immunization, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@immunization)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb
new file mode 100644
index 000000000..408920c26
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb
@@ -0,0 +1,221 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301ImplantableDeviceSequence < SequenceBase
+      title 'Implantable Device Tests'
+
+      description 'Verify that Device resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Device' # change me
+
+      requires :token, :patient_id
+      conformance_supports :Device
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'patient.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'type'
+          value_found = can_resolve_path(resource, 'type.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'type on resource does not match type requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects Device search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Device'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Device search by patient' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Device'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @device = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @device_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Device'), reply)
+        save_delayed_sequence_references(@device)
+        validate_search_reply(versioned_resource_class('Device'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Device search by patient+type' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@device.nil?, 'Expected valid Device resource to be present'
+
+        patient_val = @instance.patient_id
+        type_val = resolve_element_from_path(@device, 'type.coding.code')
+        search_params = { 'patient': patient_val, 'type': type_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Device'), search_params)
+        validate_search_reply(versioned_resource_class('Device'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Device read resource supported' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Device, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@device, versioned_resource_class('Device'))
+      end
+
+      test 'Device vread resource supported' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Device, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@device, versioned_resource_class('Device'))
+      end
+
+      test 'Device history resource supported' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Device, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@device, versioned_resource_class('Device'))
+      end
+
+      test 'Device resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '07'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Device')
+      end
+
+      test 'At least one of every must support element is provided in any Device for this patient.' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @device_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Device.udiCarrier',
+          'Device.udiCarrier.deviceIdentifier',
+          'Device.udiCarrier.carrierAIDC',
+          'Device.udiCarrier.carrierHRF',
+          'Device.distinctIdentifier',
+          'Device.manufactureDate',
+          'Device.expirationDate',
+          'Device.lotNumber',
+          'Device.serialNumber',
+          'Device.type',
+          'Device.patient'
+        ]
+        must_support_elements.each do |path|
+          @device_ary&.each do |resource|
+            truncated_path = path.gsub('Device.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @device_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Device resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '09'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Device, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@device)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
new file mode 100644
index 000000000..843301f5c
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
@@ -0,0 +1,296 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301LocationSequence < SequenceBase
+      title 'Location Tests'
+
+      description 'Verify that Location resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Location' # change me
+
+      requires :token
+      conformance_supports :Location
+      delayed_sequence
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'name'
+          value_found = can_resolve_path(resource, 'name') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'name on resource does not match name requested'
+
+        when 'address'
+          value_found = can_resolve_path(resource, 'address.city') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'address on resource does not match address requested'
+
+        when 'address-city'
+          value_found = can_resolve_path(resource, 'address.city') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'address-city on resource does not match address-city requested'
+
+        when 'address-state'
+          value_found = can_resolve_path(resource, 'address.state') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'address-state on resource does not match address-state requested'
+
+        when 'address-postalcode'
+          value_found = can_resolve_path(resource, 'address.postalCode') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'address-postalcode on resource does not match address-postalcode requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Can read Location from the server' do
+        metadata do
+          id '01'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        location_id = @instance.resource_references.find { |reference| reference.resource_type == 'Location' }&.resource_id
+        skip 'No Location references found from the prior searches' if location_id.nil?
+        @location = fetch_resource('Location', location_id)
+        @resources_found = !@location.nil?
+      end
+
+      test 'Server rejects Location search without authorization' do
+        metadata do
+          id '02'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        name_val = resolve_element_from_path(@location, 'name')
+        search_params = { 'name': name_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Location'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Location search by name' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        name_val = resolve_element_from_path(@location, 'name')
+        search_params = { 'name': name_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Location'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @location = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @location_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Location'), reply)
+        save_delayed_sequence_references(@location)
+        validate_search_reply(versioned_resource_class('Location'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Location search by address' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@location.nil?, 'Expected valid Location resource to be present'
+
+        address_val = resolve_element_from_path(@location, 'address.city')
+        search_params = { 'address': address_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Location'), search_params)
+        validate_search_reply(versioned_resource_class('Location'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Location search by address-city' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@location.nil?, 'Expected valid Location resource to be present'
+
+        address_city_val = resolve_element_from_path(@location, 'address.city')
+        search_params = { 'address-city': address_city_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Location'), search_params)
+        validate_search_reply(versioned_resource_class('Location'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Location search by address-state' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@location.nil?, 'Expected valid Location resource to be present'
+
+        address_state_val = resolve_element_from_path(@location, 'address.state')
+        search_params = { 'address-state': address_state_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Location'), search_params)
+        validate_search_reply(versioned_resource_class('Location'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Location search by address-postalcode' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@location.nil?, 'Expected valid Location resource to be present'
+
+        address_postalcode_val = resolve_element_from_path(@location, 'address.postalCode')
+        search_params = { 'address-postalcode': address_postalcode_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Location'), search_params)
+        validate_search_reply(versioned_resource_class('Location'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Location vread resource supported' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Location, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@location, versioned_resource_class('Location'))
+      end
+
+      test 'Location history resource supported' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Location, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@location, versioned_resource_class('Location'))
+      end
+
+      test 'Location resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '10'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-location'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Location')
+      end
+
+      test 'At least one of every must support element is provided in any Location for this patient.' do
+        metadata do
+          id '11'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @location_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Location.status',
+          'Location.name',
+          'Location.telecom',
+          'Location.address',
+          'Location.address.line',
+          'Location.address.city',
+          'Location.address.state',
+          'Location.address.postalCode',
+          'Location.managingOrganization'
+        ]
+        must_support_elements.each do |path|
+          @location_ary&.each do |resource|
+            truncated_path = path.gsub('Location.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @location_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Location resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '12'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Location, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@location)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_medication_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_medication_sequence.rb
new file mode 100644
index 000000000..2b6e89e9d
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/us_core_medication_sequence.rb
@@ -0,0 +1,125 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301MedicationSequence < SequenceBase
+      title 'Medication Tests'
+
+      description 'Verify that Medication resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Medication' # change me
+
+      requires :token
+      conformance_supports :Medication
+      delayed_sequence
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Can read Medication from the server' do
+        metadata do
+          id '01'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        medication_id = @instance.resource_references.find { |reference| reference.resource_type == 'Medication' }&.resource_id
+        skip 'No Medication references found from the prior searches' if medication_id.nil?
+        @medication = fetch_resource('Medication', medication_id)
+        @resources_found = !@medication.nil?
+      end
+
+      test 'Medication vread resource supported' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Medication, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@medication, versioned_resource_class('Medication'))
+      end
+
+      test 'Medication history resource supported' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Medication, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@medication, versioned_resource_class('Medication'))
+      end
+
+      test 'Medication resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '04'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Medication')
+      end
+
+      test 'At least one of every must support element is provided in any Medication for this patient.' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @medication_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Medication.code'
+        ]
+        must_support_elements.each do |path|
+          @medication_ary&.each do |resource|
+            truncated_path = path.gsub('Medication.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @medication_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Medication resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '06'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Medication, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@medication)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb
new file mode 100644
index 000000000..1b6de38c2
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb
@@ -0,0 +1,284 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301MedicationrequestSequence < SequenceBase
+      title 'MedicationRequest Tests'
+
+      description 'Verify that MedicationRequest resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'MedicationRequest' # change me
+
+      requires :token, :patient_id
+      conformance_supports :MedicationRequest
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        when 'intent'
+          value_found = can_resolve_path(resource, 'intent') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'intent on resource does not match intent requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'encounter'
+          value_found = can_resolve_path(resource, 'encounter.reference') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'encounter on resource does not match encounter requested'
+
+        when 'authoredon'
+          value_found = can_resolve_path(resource, 'authoredOn') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'authoredon on resource does not match authoredon requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects MedicationRequest search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        patient_val = @instance.patient_id
+        intent_val = resolve_element_from_path(@medicationrequest, 'intent')
+        search_params = { 'patient': patient_val, 'intent': intent_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('MedicationRequest'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from MedicationRequest search by patient+intent' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        patient_val = @instance.patient_id
+        intent_val = resolve_element_from_path(@medicationrequest, 'intent')
+        search_params = { 'patient': patient_val, 'intent': intent_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('MedicationRequest'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @medicationrequest = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @medicationrequest_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('MedicationRequest'), reply)
+        save_delayed_sequence_references(@medicationrequest)
+        validate_search_reply(versioned_resource_class('MedicationRequest'), reply, search_params)
+      end
+
+      test 'Server returns expected results from MedicationRequest search by patient+intent+status' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@medicationrequest.nil?, 'Expected valid MedicationRequest resource to be present'
+
+        patient_val = @instance.patient_id
+        intent_val = resolve_element_from_path(@medicationrequest, 'intent')
+        status_val = resolve_element_from_path(@medicationrequest, 'status')
+        search_params = { 'patient': patient_val, 'intent': intent_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('MedicationRequest'), search_params)
+        validate_search_reply(versioned_resource_class('MedicationRequest'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from MedicationRequest search by patient+intent+encounter' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@medicationrequest.nil?, 'Expected valid MedicationRequest resource to be present'
+
+        patient_val = @instance.patient_id
+        intent_val = resolve_element_from_path(@medicationrequest, 'intent')
+        encounter_val = resolve_element_from_path(@medicationrequest, 'encounter.reference')
+        search_params = { 'patient': patient_val, 'intent': intent_val, 'encounter': encounter_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('MedicationRequest'), search_params)
+        validate_search_reply(versioned_resource_class('MedicationRequest'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from MedicationRequest search by patient+intent+authoredon' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@medicationrequest.nil?, 'Expected valid MedicationRequest resource to be present'
+
+        patient_val = @instance.patient_id
+        intent_val = resolve_element_from_path(@medicationrequest, 'intent')
+        authoredon_val = resolve_element_from_path(@medicationrequest, 'authoredOn')
+        search_params = { 'patient': patient_val, 'intent': intent_val, 'authoredon': authoredon_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('MedicationRequest'), search_params)
+        validate_search_reply(versioned_resource_class('MedicationRequest'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'MedicationRequest read resource supported' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:MedicationRequest, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@medicationrequest, versioned_resource_class('MedicationRequest'))
+      end
+
+      test 'MedicationRequest vread resource supported' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:MedicationRequest, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@medicationrequest, versioned_resource_class('MedicationRequest'))
+      end
+
+      test 'MedicationRequest history resource supported' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:MedicationRequest, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@medicationrequest, versioned_resource_class('MedicationRequest'))
+      end
+
+      test 'MedicationRequest resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '09'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('MedicationRequest')
+      end
+
+      test 'At least one of every must support element is provided in any MedicationRequest for this patient.' do
+        metadata do
+          id '10'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @medicationrequest_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'MedicationRequest.status',
+          'MedicationRequest.intent',
+          'MedicationRequest.reportedBoolean',
+          'MedicationRequest.reportedReference',
+          'MedicationRequest.medicationCodeableConcept',
+          'MedicationRequest.medicationReference',
+          'MedicationRequest.subject',
+          'MedicationRequest.encounter',
+          'MedicationRequest.authoredOn',
+          'MedicationRequest.requester',
+          'MedicationRequest.dosageInstruction',
+          'MedicationRequest.dosageInstruction.text'
+        ]
+        must_support_elements.each do |path|
+          @medicationrequest_ary&.each do |resource|
+            truncated_path = path.gsub('MedicationRequest.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @medicationrequest_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided MedicationRequest resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '11'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:MedicationRequest, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@medicationrequest)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb
new file mode 100644
index 000000000..f03aa26a8
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb
@@ -0,0 +1,309 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301ObservationLabSequence < SequenceBase
+      title 'Laboratory Result Observation Tests'
+
+      description 'Verify that Observation resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Observation' # change me
+
+      requires :token, :patient_id
+      conformance_supports :Observation
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        when 'category'
+          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'category on resource does not match category requested'
+
+        when 'code'
+          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'code on resource does not match code requested'
+
+        when 'date'
+          value_found = can_resolve_path(resource, 'effectiveDateTime') do |date|
+            validate_date_search(value, date)
+          end
+          assert value_found, 'date on resource does not match date requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects Observation search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        search_params = { patient: @instance.patient_id, category: 'laboratory' }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Observation search by patient+category' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        search_params = { patient: @instance.patient_id, category: 'laboratory' }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @observation = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:lab_results])
+        save_delayed_sequence_references(@observation)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Observation search by patient+code' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@observation, 'code.coding.code')
+        search_params = { 'patient': patient_val, 'code': code_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Observation search by patient+category+date' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Observation search by patient+category+status' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        status_val = resolve_element_from_path(@observation, 'status')
+        search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Observation search by patient+code+date' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@observation, 'code.coding.code')
+        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Observation read resource supported' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation vread resource supported' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation history resource supported' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '10'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Observation', Inferno::ValidationUtil::US_CORE_R4_URIS[:lab_results])
+      end
+
+      test 'At least one of every must support element is provided in any Observation for this patient.' do
+        metadata do
+          id '11'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @observation_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Observation.status',
+          'Observation.category',
+          'Observation.category',
+          'Observation.code',
+          'Observation.subject',
+          'Observation.effectiveDateTime',
+          'Observation.effectivePeriod',
+          'Observation.valueQuantity',
+          'Observation.valueCodeableConcept',
+          'Observation.valueString',
+          'Observation.valueBoolean',
+          'Observation.valueInteger',
+          'Observation.valueRange',
+          'Observation.valueRatio',
+          'Observation.valueSampledData',
+          'Observation.valueTime',
+          'Observation.valueDateTime',
+          'Observation.valuePeriod',
+          'Observation.dataAbsentReason'
+        ]
+        must_support_elements.each do |path|
+          @observation_ary&.each do |resource|
+            truncated_path = path.gsub('Observation.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @observation_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Observation resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '12'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@observation)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
new file mode 100644
index 000000000..0bc656f9a
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
@@ -0,0 +1,224 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301OrganizationSequence < SequenceBase
+      title 'Organization Tests'
+
+      description 'Verify that Organization resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Organization' # change me
+
+      requires :token
+      conformance_supports :Organization
+      delayed_sequence
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'name'
+          value_found = can_resolve_path(resource, 'name') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'name on resource does not match name requested'
+
+        when 'address'
+          value_found = can_resolve_path(resource, 'address.city') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'address on resource does not match address requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Can read Organization from the server' do
+        metadata do
+          id '01'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        organization_id = @instance.resource_references.find { |reference| reference.resource_type == 'Organization' }&.resource_id
+        skip 'No Organization references found from the prior searches' if organization_id.nil?
+        @organization = fetch_resource('Organization', organization_id)
+        @resources_found = !@organization.nil?
+      end
+
+      test 'Server rejects Organization search without authorization' do
+        metadata do
+          id '02'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        name_val = resolve_element_from_path(@organization, 'name')
+        search_params = { 'name': name_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Organization'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Organization search by name' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        name_val = resolve_element_from_path(@organization, 'name')
+        search_params = { 'name': name_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Organization'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @organization = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @organization_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Organization'), reply)
+        save_delayed_sequence_references(@organization)
+        validate_search_reply(versioned_resource_class('Organization'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Organization search by address' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@organization.nil?, 'Expected valid Organization resource to be present'
+
+        address_val = resolve_element_from_path(@organization, 'address.city')
+        search_params = { 'address': address_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Organization'), search_params)
+        validate_search_reply(versioned_resource_class('Organization'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Organization vread resource supported' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Organization, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@organization, versioned_resource_class('Organization'))
+      end
+
+      test 'Organization history resource supported' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Organization, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@organization, versioned_resource_class('Organization'))
+      end
+
+      test 'Organization resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '07'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Organization')
+      end
+
+      test 'At least one of every must support element is provided in any Organization for this patient.' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @organization_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Organization.identifier',
+          'Organization.identifier.system',
+          'Organization.identifier.value',
+          'Organization.identifier',
+          'Organization.identifier',
+          'Organization.active',
+          'Organization.name',
+          'Organization.telecom',
+          'Organization.address',
+          'Organization.address.line',
+          'Organization.address.city',
+          'Organization.address.state',
+          'Organization.address.postalCode',
+          'Organization.address.country',
+          'Organization.endpoint'
+        ]
+        must_support_elements.each do |path|
+          @organization_ary&.each do |resource|
+            truncated_path = path.gsub('Organization.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @organization_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Organization resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '09'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Organization, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@organization)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb
new file mode 100644
index 000000000..ded1f1f32
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb
@@ -0,0 +1,378 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301PatientSequence < SequenceBase
+      title 'Patient Tests'
+
+      description 'Verify that Patient resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Patient' # change me
+
+      requires :token, :patient_id
+      conformance_supports :Patient
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when '_id'
+          value_found = can_resolve_path(resource, 'id') { |value_in_resource| value_in_resource == value }
+          assert value_found, '_id on resource does not match _id requested'
+
+        when 'birthdate'
+          value_found = can_resolve_path(resource, 'birthDate') do |date|
+            validate_date_search(value, date)
+          end
+          assert value_found, 'birthdate on resource does not match birthdate requested'
+
+        when 'family'
+          value_found = can_resolve_path(resource, 'name.family') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'family on resource does not match family requested'
+
+        when 'gender'
+          value_found = can_resolve_path(resource, 'gender') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'gender on resource does not match gender requested'
+
+        when 'given'
+          value_found = can_resolve_path(resource, 'name.given') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'given on resource does not match given requested'
+
+        when 'identifier'
+          value_found = can_resolve_path(resource, 'identifier.value') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'identifier on resource does not match identifier requested'
+
+        when 'name'
+          value = value.downcase
+          value_found = can_resolve_path(resource, 'name') do |name|
+            name&.text&.start_with?(value) ||
+              name&.family&.downcase&.include?(value) ||
+              name&.given&.any? { |given| given.downcase.start_with?(value) } ||
+              name&.prefix&.any? { |prefix| prefix.downcase.start_with?(value) } ||
+              name&.suffix&.any? { |suffix| suffix.downcase.start_with?(value) }
+          end
+          assert value_found, 'name on resource does not match name requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects Patient search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        search_params = { '_id': @instance.patient_id }
+
+        reply = get_resource_by_params(versioned_resource_class('Patient'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Patient search by _id' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        search_params = { '_id': @instance.patient_id }
+
+        reply = get_resource_by_params(versioned_resource_class('Patient'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @patient = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @patient_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Patient'), reply)
+        save_delayed_sequence_references(@patient)
+        validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Patient search by identifier' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@patient.nil?, 'Expected valid Patient resource to be present'
+
+        identifier_val = resolve_element_from_path(@patient, 'identifier.value')
+        search_params = { 'identifier': identifier_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Patient'), search_params)
+        validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Patient search by name' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@patient.nil?, 'Expected valid Patient resource to be present'
+
+        name_val = resolve_element_from_path(@patient, 'name.family')
+        search_params = { 'name': name_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Patient'), search_params)
+        validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Patient search by birthdate+name' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@patient.nil?, 'Expected valid Patient resource to be present'
+
+        birthdate_val = resolve_element_from_path(@patient, 'birthDate')
+        name_val = resolve_element_from_path(@patient, 'name.family')
+        search_params = { 'birthdate': birthdate_val, 'name': name_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Patient'), search_params)
+        validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Patient search by gender+name' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@patient.nil?, 'Expected valid Patient resource to be present'
+
+        gender_val = resolve_element_from_path(@patient, 'gender')
+        name_val = resolve_element_from_path(@patient, 'name.family')
+        search_params = { 'gender': gender_val, 'name': name_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Patient'), search_params)
+        validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Patient search by family+gender' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@patient.nil?, 'Expected valid Patient resource to be present'
+
+        family_val = resolve_element_from_path(@patient, 'name.family')
+        gender_val = resolve_element_from_path(@patient, 'gender')
+        search_params = { 'family': family_val, 'gender': gender_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Patient'), search_params)
+        validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Patient search by birthdate+family' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@patient.nil?, 'Expected valid Patient resource to be present'
+
+        birthdate_val = resolve_element_from_path(@patient, 'birthDate')
+        family_val = resolve_element_from_path(@patient, 'name.family')
+        search_params = { 'birthdate': birthdate_val, 'family': family_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Patient'), search_params)
+        validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Patient read resource supported' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Patient, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@patient, versioned_resource_class('Patient'))
+      end
+
+      test 'Patient vread resource supported' do
+        metadata do
+          id '10'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Patient, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@patient, versioned_resource_class('Patient'))
+      end
+
+      test 'Patient history resource supported' do
+        metadata do
+          id '11'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Patient, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@patient, versioned_resource_class('Patient'))
+      end
+
+      test 'Patient resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '12'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Patient')
+      end
+
+      test 'At least one of every must support element is provided in any Patient for this patient.' do
+        metadata do
+          id '13'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @patient_ary&.any?
+        must_support_confirmed = {}
+        extensions_list = {
+          'Patient.extension:race': 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race',
+          'Patient.extension:ethnicity': 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity',
+          'Patient.extension:birthsex': 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex'
+        }
+        extensions_list.each do |id, url|
+          @patient_ary&.each do |resource|
+            must_support_confirmed[id] = true if resource.extension.any? { |extension| extension.url == url }
+            break if must_support_confirmed[id]
+          end
+          skip_notification = "Could not find #{id} in any of the #{@patient_ary.length} provided Patient resource(s)"
+          skip skip_notification unless must_support_confirmed[id]
+        end
+
+        must_support_elements = [
+          'Patient.identifier',
+          'Patient.identifier.system',
+          'Patient.identifier.value',
+          'Patient.name',
+          'Patient.name.family',
+          'Patient.name.given',
+          'Patient.telecom',
+          'Patient.telecom.system',
+          'Patient.telecom.value',
+          'Patient.telecom.use',
+          'Patient.gender',
+          'Patient.birthDate',
+          'Patient.address',
+          'Patient.address.line',
+          'Patient.address.city',
+          'Patient.address.state',
+          'Patient.address.postalCode',
+          'Patient.address.period',
+          'Patient.communication',
+          'Patient.communication.language'
+        ]
+        must_support_elements.each do |path|
+          @patient_ary&.each do |resource|
+            truncated_path = path.gsub('Patient.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @patient_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Patient resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '14'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Patient, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@patient)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
new file mode 100644
index 000000000..cb7818423
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
@@ -0,0 +1,222 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301PractitionerSequence < SequenceBase
+      title 'Practitioner Tests'
+
+      description 'Verify that Practitioner resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Practitioner' # change me
+
+      requires :token
+      conformance_supports :Practitioner
+      delayed_sequence
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'name'
+          value = value.downcase
+          value_found = can_resolve_path(resource, 'name') do |name|
+            name&.text&.start_with?(value) ||
+              name&.family&.downcase&.include?(value) ||
+              name&.given&.any? { |given| given.downcase.start_with?(value) } ||
+              name&.prefix&.any? { |prefix| prefix.downcase.start_with?(value) } ||
+              name&.suffix&.any? { |suffix| suffix.downcase.start_with?(value) }
+          end
+          assert value_found, 'name on resource does not match name requested'
+
+        when 'identifier'
+          value_found = can_resolve_path(resource, 'identifier.value') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'identifier on resource does not match identifier requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Can read Practitioner from the server' do
+        metadata do
+          id '01'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        practitioner_id = @instance.resource_references.find { |reference| reference.resource_type == 'Practitioner' }&.resource_id
+        skip 'No Practitioner references found from the prior searches' if practitioner_id.nil?
+        @practitioner = fetch_resource('Practitioner', practitioner_id)
+        @resources_found = !@practitioner.nil?
+      end
+
+      test 'Server rejects Practitioner search without authorization' do
+        metadata do
+          id '02'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        name_val = resolve_element_from_path(@practitioner, 'name.family')
+        search_params = { 'name': name_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Practitioner'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Practitioner search by name' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        name_val = resolve_element_from_path(@practitioner, 'name.family')
+        search_params = { 'name': name_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Practitioner'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @practitioner = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @practitioner_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Practitioner'), reply)
+        save_delayed_sequence_references(@practitioner)
+        validate_search_reply(versioned_resource_class('Practitioner'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Practitioner search by identifier' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@practitioner.nil?, 'Expected valid Practitioner resource to be present'
+
+        identifier_val = resolve_element_from_path(@practitioner, 'identifier.value')
+        search_params = { 'identifier': identifier_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Practitioner'), search_params)
+        validate_search_reply(versioned_resource_class('Practitioner'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Practitioner vread resource supported' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Practitioner, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@practitioner, versioned_resource_class('Practitioner'))
+      end
+
+      test 'Practitioner history resource supported' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Practitioner, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@practitioner, versioned_resource_class('Practitioner'))
+      end
+
+      test 'Practitioner resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '07'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Practitioner')
+      end
+
+      test 'At least one of every must support element is provided in any Practitioner for this patient.' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @practitioner_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Practitioner.identifier',
+          'Practitioner.identifier.system',
+          'Practitioner.identifier.value',
+          'Practitioner.identifier',
+          'Practitioner.name',
+          'Practitioner.name.family'
+        ]
+        must_support_elements.each do |path|
+          @practitioner_ary&.each do |resource|
+            truncated_path = path.gsub('Practitioner.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @practitioner_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Practitioner resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '09'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Practitioner, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@practitioner)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
new file mode 100644
index 000000000..53ac64cb2
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
@@ -0,0 +1,218 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301PractitionerroleSequence < SequenceBase
+      title 'PractitionerRole Tests'
+
+      description 'Verify that PractitionerRole resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'PractitionerRole' # change me
+
+      requires :token
+      conformance_supports :PractitionerRole
+      delayed_sequence
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'specialty'
+          value_found = can_resolve_path(resource, 'specialty.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'specialty on resource does not match specialty requested'
+
+        when 'practitioner'
+          value_found = can_resolve_path(resource, 'practitioner.reference') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'practitioner on resource does not match practitioner requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Can read PractitionerRole from the server' do
+        metadata do
+          id '01'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        practitionerrole_id = @instance.resource_references.find { |reference| reference.resource_type == 'PractitionerRole' }&.resource_id
+        skip 'No PractitionerRole references found from the prior searches' if practitionerrole_id.nil?
+        @practitionerrole = fetch_resource('PractitionerRole', practitionerrole_id)
+        @resources_found = !@practitionerrole.nil?
+      end
+
+      test 'Server rejects PractitionerRole search without authorization' do
+        metadata do
+          id '02'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        specialty_val = resolve_element_from_path(@practitionerrole, 'specialty.coding.code')
+        search_params = { 'specialty': specialty_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('PractitionerRole'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from PractitionerRole search by specialty' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        specialty_val = resolve_element_from_path(@practitionerrole, 'specialty.coding.code')
+        search_params = { 'specialty': specialty_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('PractitionerRole'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @practitionerrole = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @practitionerrole_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('PractitionerRole'), reply)
+        save_delayed_sequence_references(@practitionerrole)
+        validate_search_reply(versioned_resource_class('PractitionerRole'), reply, search_params)
+      end
+
+      test 'Server returns expected results from PractitionerRole search by practitioner' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@practitionerrole.nil?, 'Expected valid PractitionerRole resource to be present'
+
+        practitioner_val = resolve_element_from_path(@practitionerrole, 'practitioner.reference')
+        search_params = { 'practitioner': practitioner_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('PractitionerRole'), search_params)
+        validate_search_reply(versioned_resource_class('PractitionerRole'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'PractitionerRole vread resource supported' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:PractitionerRole, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@practitionerrole, versioned_resource_class('PractitionerRole'))
+      end
+
+      test 'PractitionerRole history resource supported' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:PractitionerRole, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@practitionerrole, versioned_resource_class('PractitionerRole'))
+      end
+
+      test 'PractitionerRole resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '07'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('PractitionerRole')
+      end
+
+      test 'At least one of every must support element is provided in any PractitionerRole for this patient.' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @practitionerrole_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'PractitionerRole.practitioner',
+          'PractitionerRole.organization',
+          'PractitionerRole.code',
+          'PractitionerRole.specialty',
+          'PractitionerRole.location',
+          'PractitionerRole.telecom',
+          'PractitionerRole.telecom.system',
+          'PractitionerRole.telecom.value',
+          'PractitionerRole.endpoint'
+        ]
+        must_support_elements.each do |path|
+          @practitionerrole_ary&.each do |resource|
+            truncated_path = path.gsub('PractitionerRole.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @practitionerrole_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided PractitionerRole resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '09'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:PractitionerRole, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@practitionerrole)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
new file mode 100644
index 000000000..9f5acd718
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
@@ -0,0 +1,271 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301ProcedureSequence < SequenceBase
+      title 'Procedure Tests'
+
+      description 'Verify that Procedure resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Procedure' # change me
+
+      requires :token, :patient_id
+      conformance_supports :Procedure
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        when 'date'
+          value_found = can_resolve_path(resource, 'occurrenceDateTime') do |date|
+            validate_date_search(value, date)
+          end
+          assert value_found, 'date on resource does not match date requested'
+
+        when 'code'
+          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'code on resource does not match code requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects Procedure search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Procedure'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Procedure search by patient' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        patient_val = @instance.patient_id
+        search_params = { 'patient': patient_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Procedure'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @procedure = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @procedure_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Procedure'), reply)
+        save_delayed_sequence_references(@procedure)
+        validate_search_reply(versioned_resource_class('Procedure'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Procedure search by patient+date' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@procedure.nil?, 'Expected valid Procedure resource to be present'
+
+        patient_val = @instance.patient_id
+        date_val = resolve_element_from_path(@procedure, 'occurrenceDateTime')
+        search_params = { 'patient': patient_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Procedure'), search_params)
+        validate_search_reply(versioned_resource_class('Procedure'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Procedure search by patient+code+date' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@procedure.nil?, 'Expected valid Procedure resource to be present'
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@procedure, 'code.coding.code')
+        date_val = resolve_element_from_path(@procedure, 'occurrenceDateTime')
+        search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Procedure'), search_params)
+        validate_search_reply(versioned_resource_class('Procedure'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Procedure search by patient+status' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@procedure.nil?, 'Expected valid Procedure resource to be present'
+
+        patient_val = @instance.patient_id
+        status_val = resolve_element_from_path(@procedure, 'status')
+        search_params = { 'patient': patient_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Procedure'), search_params)
+        validate_search_reply(versioned_resource_class('Procedure'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Procedure read resource supported' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Procedure, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@procedure, versioned_resource_class('Procedure'))
+      end
+
+      test 'Procedure vread resource supported' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Procedure, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@procedure, versioned_resource_class('Procedure'))
+      end
+
+      test 'Procedure history resource supported' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Procedure, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@procedure, versioned_resource_class('Procedure'))
+      end
+
+      test 'Procedure resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '09'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Procedure')
+      end
+
+      test 'At least one of every must support element is provided in any Procedure for this patient.' do
+        metadata do
+          id '10'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @procedure_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Procedure.status',
+          'Procedure.code',
+          'Procedure.subject',
+          'Procedure.performedDateTime',
+          'Procedure.performedPeriod'
+        ]
+        must_support_elements.each do |path|
+          @procedure_ary&.each do |resource|
+            truncated_path = path.gsub('Procedure.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @procedure_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Procedure resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '11'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Procedure, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@procedure)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_provenance_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_provenance_sequence.rb
new file mode 100644
index 000000000..750c2032e
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/us_core_provenance_sequence.rb
@@ -0,0 +1,134 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301ProvenanceSequence < SequenceBase
+      title 'Provenance Tests'
+
+      description 'Verify that Provenance resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Provenance' # change me
+
+      requires :token
+      conformance_supports :Provenance
+      delayed_sequence
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Can read Provenance from the server' do
+        metadata do
+          id '01'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        provenance_id = @instance.resource_references.find { |reference| reference.resource_type == 'Provenance' }&.resource_id
+        skip 'No Provenance references found from the prior searches' if provenance_id.nil?
+        @provenance = fetch_resource('Provenance', provenance_id)
+        @resources_found = !@provenance.nil?
+      end
+
+      test 'Provenance vread resource supported' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Provenance, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@provenance, versioned_resource_class('Provenance'))
+      end
+
+      test 'Provenance history resource supported' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Provenance, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@provenance, versioned_resource_class('Provenance'))
+      end
+
+      test 'Provenance resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '04'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-provenance'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Provenance')
+      end
+
+      test 'At least one of every must support element is provided in any Provenance for this patient.' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @provenance_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Provenance.target',
+          'Provenance.recorded',
+          'Provenance.agent',
+          'Provenance.agent.type',
+          'Provenance.agent.who',
+          'Provenance.agent.onBehalfOf',
+          'Provenance.agent',
+          'Provenance.agent.type',
+          'Provenance.agent',
+          'Provenance.agent.type'
+        ]
+        must_support_elements.each do |path|
+          @provenance_ary&.each do |resource|
+            truncated_path = path.gsub('Provenance.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @provenance_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Provenance resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '06'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Provenance, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@provenance)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
new file mode 100644
index 000000000..d67a48838
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
@@ -0,0 +1,446 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301PulseOximetrySequence < SequenceBase
+      title 'Pulse Oximetry Tests'
+
+      description 'Verify that Observation resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Observation' # change me
+
+      requires :token, :patient_id
+      conformance_supports :Observation
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        when 'category'
+          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'category on resource does not match category requested'
+
+        when 'code'
+          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'code on resource does not match code requested'
+
+        when 'date'
+          value_found = can_resolve_path(resource, 'effectiveDateTime') do |date|
+            validate_date_search(value, date)
+          end
+          assert value_found, 'date on resource does not match date requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects Observation search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@observation, 'code.coding.code')
+        search_params = { 'patient': patient_val, 'code': code_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Observation search by patient+code' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@observation, 'code.coding.code')
+        search_params = { 'patient': patient_val, 'code': code_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @observation = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply)
+        save_delayed_sequence_references(@observation)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Observation search by patient+category+date' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Observation search by patient+category' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        search_params = { 'patient': patient_val, 'category': category_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Observation search by patient+category+status' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        status_val = resolve_element_from_path(@observation, 'status')
+        search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Observation search by patient+code+date' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@observation, 'code.coding.code')
+        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Observation read resource supported' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation vread resource supported' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation history resource supported' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '10'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Observation')
+      end
+
+      test 'At least one of every must support element is provided in any Observation for this patient.' do
+        metadata do
+          id '11'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @observation_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Observation.status',
+          'Observation.category',
+          'Observation.category',
+          'Observation.category.coding',
+          'Observation.category.coding.system',
+          'Observation.category.coding.code',
+          'Observation.code',
+          'Observation.code.coding',
+          'Observation.code.coding',
+          'Observation.code.coding.system',
+          'Observation.code.coding.code',
+          'Observation.subject',
+          'Observation.effectiveDateTime',
+          'Observation.effectivePeriod',
+          'Observation.valueQuantity',
+          'Observation.valueQuantity.value',
+          'Observation.valueQuantity.unit',
+          'Observation.valueQuantity.system',
+          'Observation.valueQuantity.code',
+          'Observation.dataAbsentReason',
+          'Observation.component',
+          'Observation.component.code',
+          'Observation.component.valueQuantity',
+          'Observation.component.valueCodeableConcept',
+          'Observation.component.valueString',
+          'Observation.component.valueBoolean',
+          'Observation.component.valueInteger',
+          'Observation.component.valueRange',
+          'Observation.component.valueRatio',
+          'Observation.component.valueSampledData',
+          'Observation.component.valueTime',
+          'Observation.component.valueDateTime',
+          'Observation.component.valuePeriod',
+          'Observation.component.dataAbsentReason',
+          'Observation.component',
+          'Observation.component.code',
+          'Observation.component.valueQuantity',
+          'Observation.component.valueCodeableConcept',
+          'Observation.component.valueString',
+          'Observation.component.valueBoolean',
+          'Observation.component.valueInteger',
+          'Observation.component.valueRange',
+          'Observation.component.valueRatio',
+          'Observation.component.valueSampledData',
+          'Observation.component.valueTime',
+          'Observation.component.valueDateTime',
+          'Observation.component.valuePeriod',
+          'Observation.component.valueQuantity.value',
+          'Observation.component.valueCodeableConcept.value',
+          'Observation.component.valueString.value',
+          'Observation.component.valueBoolean.value',
+          'Observation.component.valueInteger.value',
+          'Observation.component.valueRange.value',
+          'Observation.component.valueRatio.value',
+          'Observation.component.valueSampledData.value',
+          'Observation.component.valueTime.value',
+          'Observation.component.valueDateTime.value',
+          'Observation.component.valuePeriod.value',
+          'Observation.component.valueQuantity.unit',
+          'Observation.component.valueCodeableConcept.unit',
+          'Observation.component.valueString.unit',
+          'Observation.component.valueBoolean.unit',
+          'Observation.component.valueInteger.unit',
+          'Observation.component.valueRange.unit',
+          'Observation.component.valueRatio.unit',
+          'Observation.component.valueSampledData.unit',
+          'Observation.component.valueTime.unit',
+          'Observation.component.valueDateTime.unit',
+          'Observation.component.valuePeriod.unit',
+          'Observation.component.valueQuantity.system',
+          'Observation.component.valueCodeableConcept.system',
+          'Observation.component.valueString.system',
+          'Observation.component.valueBoolean.system',
+          'Observation.component.valueInteger.system',
+          'Observation.component.valueRange.system',
+          'Observation.component.valueRatio.system',
+          'Observation.component.valueSampledData.system',
+          'Observation.component.valueTime.system',
+          'Observation.component.valueDateTime.system',
+          'Observation.component.valuePeriod.system',
+          'Observation.component.valueQuantity.code',
+          'Observation.component.valueCodeableConcept.code',
+          'Observation.component.valueString.code',
+          'Observation.component.valueBoolean.code',
+          'Observation.component.valueInteger.code',
+          'Observation.component.valueRange.code',
+          'Observation.component.valueRatio.code',
+          'Observation.component.valueSampledData.code',
+          'Observation.component.valueTime.code',
+          'Observation.component.valueDateTime.code',
+          'Observation.component.valuePeriod.code',
+          'Observation.component.dataAbsentReason',
+          'Observation.component',
+          'Observation.component.code',
+          'Observation.component.valueQuantity',
+          'Observation.component.valueCodeableConcept',
+          'Observation.component.valueString',
+          'Observation.component.valueBoolean',
+          'Observation.component.valueInteger',
+          'Observation.component.valueRange',
+          'Observation.component.valueRatio',
+          'Observation.component.valueSampledData',
+          'Observation.component.valueTime',
+          'Observation.component.valueDateTime',
+          'Observation.component.valuePeriod',
+          'Observation.component.valueQuantity.value',
+          'Observation.component.valueCodeableConcept.value',
+          'Observation.component.valueString.value',
+          'Observation.component.valueBoolean.value',
+          'Observation.component.valueInteger.value',
+          'Observation.component.valueRange.value',
+          'Observation.component.valueRatio.value',
+          'Observation.component.valueSampledData.value',
+          'Observation.component.valueTime.value',
+          'Observation.component.valueDateTime.value',
+          'Observation.component.valuePeriod.value',
+          'Observation.component.valueQuantity.unit',
+          'Observation.component.valueCodeableConcept.unit',
+          'Observation.component.valueString.unit',
+          'Observation.component.valueBoolean.unit',
+          'Observation.component.valueInteger.unit',
+          'Observation.component.valueRange.unit',
+          'Observation.component.valueRatio.unit',
+          'Observation.component.valueSampledData.unit',
+          'Observation.component.valueTime.unit',
+          'Observation.component.valueDateTime.unit',
+          'Observation.component.valuePeriod.unit',
+          'Observation.component.valueQuantity.system',
+          'Observation.component.valueCodeableConcept.system',
+          'Observation.component.valueString.system',
+          'Observation.component.valueBoolean.system',
+          'Observation.component.valueInteger.system',
+          'Observation.component.valueRange.system',
+          'Observation.component.valueRatio.system',
+          'Observation.component.valueSampledData.system',
+          'Observation.component.valueTime.system',
+          'Observation.component.valueDateTime.system',
+          'Observation.component.valuePeriod.system',
+          'Observation.component.valueQuantity.code',
+          'Observation.component.valueCodeableConcept.code',
+          'Observation.component.valueString.code',
+          'Observation.component.valueBoolean.code',
+          'Observation.component.valueInteger.code',
+          'Observation.component.valueRange.code',
+          'Observation.component.valueRatio.code',
+          'Observation.component.valueSampledData.code',
+          'Observation.component.valueTime.code',
+          'Observation.component.valueDateTime.code',
+          'Observation.component.valuePeriod.code',
+          'Observation.component.dataAbsentReason'
+        ]
+        must_support_elements.each do |path|
+          @observation_ary&.each do |resource|
+            truncated_path = path.gsub('Observation.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @observation_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Observation resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '12'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@observation)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb
new file mode 100644
index 000000000..be10d54ed
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb
@@ -0,0 +1,295 @@
+# frozen_string_literal: true
+
+module Inferno
+  module Sequence
+    class USCore301SmokingstatusSequence < SequenceBase
+      title 'Smoking Status Observation Tests'
+
+      description 'Verify that Observation resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
+
+      test_id_prefix 'Observation' # change me
+
+      requires :token, :patient_id
+      conformance_supports :Observation
+
+      def validate_resource_item(resource, property, value)
+        case property
+
+        when 'status'
+          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'status on resource does not match status requested'
+
+        when 'category'
+          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'category on resource does not match category requested'
+
+        when 'code'
+          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
+          assert value_found, 'code on resource does not match code requested'
+
+        when 'date'
+          value_found = can_resolve_path(resource, 'effectiveDateTime') do |date|
+            validate_date_search(value, date)
+          end
+          assert value_found, 'date on resource does not match date requested'
+
+        when 'patient'
+          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
+          assert value_found, 'patient on resource does not match patient requested'
+
+        end
+      end
+
+      details %(
+
+        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.
+
+      )
+
+      @resources_found = false
+
+      test 'Server rejects Observation search without authorization' do
+        metadata do
+          id '01'
+          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        @client.set_no_auth
+        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+
+        search_params = { patient: @instance.patient_id, code: '72166-2' }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        @client.set_bearer_token(@instance.token)
+        assert_response_unauthorized reply
+      end
+
+      test 'Server returns expected results from Observation search by patient+code' do
+        metadata do
+          id '02'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        search_params = { patient: @instance.patient_id, code: '72166-2' }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        assert_response_ok(reply)
+        assert_bundle_response(reply)
+
+        resource_count = reply&.resource&.entry&.length || 0
+        @resources_found = true if resource_count.positive?
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        @observation = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:smoking_status])
+        save_delayed_sequence_references(@observation)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+      end
+
+      test 'Server returns expected results from Observation search by patient+category+date' do
+        metadata do
+          id '03'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Observation search by patient+category' do
+        metadata do
+          id '04'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        search_params = { 'patient': patient_val, 'category': category_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Observation search by patient+category+status' do
+        metadata do
+          id '05'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        status_val = resolve_element_from_path(@observation, 'status')
+        search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Server returns expected results from Observation search by patient+code+date' do
+        metadata do
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          optional
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        assert !@observation.nil?, 'Expected valid Observation resource to be present'
+
+        patient_val = @instance.patient_id
+        code_val = resolve_element_from_path(@observation, 'code.coding.code')
+        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
+        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+
+        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
+        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
+        assert_response_ok(reply)
+      end
+
+      test 'Observation read resource supported' do
+        metadata do
+          id '07'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_read_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation vread resource supported' do
+        metadata do
+          id '08'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:vread])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_vread_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation history resource supported' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:history])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_history_reply(@observation, versioned_resource_class('Observation'))
+      end
+
+      test 'Observation resources associated with Patient conform to US Core R4 profiles' do
+        metadata do
+          id '10'
+          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+        test_resources_against_profile('Observation', Inferno::ValidationUtil::US_CORE_R4_URIS[:smoking_status])
+      end
+
+      test 'At least one of every must support element is provided in any Observation for this patient.' do
+        metadata do
+          id '11'
+          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @observation_ary&.any?
+        must_support_confirmed = {}
+        must_support_elements = [
+          'Observation.status',
+          'Observation.code',
+          'Observation.subject',
+          'Observation.issued',
+          'Observation.valueCodeableConcept'
+        ]
+        must_support_elements.each do |path|
+          @observation_ary&.each do |resource|
+            truncated_path = path.gsub('Observation.', '')
+            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
+            break if must_support_confirmed[path]
+          end
+          resource_count = @observation_ary.length
+
+          skip "Could not find #{path} in any of the #{resource_count} provided Observation resource(s)" unless must_support_confirmed[path]
+        end
+        @instance.save!
+      end
+
+      test 'All references can be resolved' do
+        metadata do
+          id '12'
+          link 'https://www.hl7.org/fhir/DSTU2/references.html'
+          desc %(
+          )
+          versions :r4
+        end
+
+        skip_if_not_supported(:Observation, [:search, :read])
+        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
+
+        validate_reference_resolutions(@observation)
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/uscore_v3.0.1_module.yml b/lib/app/modules/uscore_v3.0.1_module.yml
new file mode 100644
index 000000000..12d2b3821
--- /dev/null
+++ b/lib/app/modules/uscore_v3.0.1_module.yml
@@ -0,0 +1,50 @@
+name: uscore_v3.0.1
+title: US Core v3.0.1
+description : US Core v3.0.1
+fhir_version: r4
+default_test_set: ad_hoc_testing
+test_sets:
+  ad_hoc_testing:
+    view: default
+    tests:
+      - name: Discovery
+        sequences:
+        - UsCoreR4CapabilityStatementSequence
+        - SMARTDiscoverySequence
+        run_all: true
+      - name: Authorization and Authentication
+        sequences:
+        - DynamicRegistrationSequence
+        - ManualRegistrationSequence
+        - StandaloneLaunchSequence
+        - EHRLaunchSequence
+      - name: US Core R4 Patient Based Profiles
+        run_all: true
+        sequences:
+        - USCore301AllergyintoleranceSequence
+        - USCore301CareplanSequence
+        - USCore301CareteamSequence
+        - USCore301ConditionSequence
+        - USCore301ImplantableDeviceSequence
+        - USCore301DiagnosticreportNoteSequence
+        - USCore301DiagnosticreportLabSequence
+        - USCore301DocumentreferenceSequence
+        - USCore301EncounterSequence
+        - USCore301GoalSequence
+        - USCore301ImmunizationSequence
+        - USCore301MedicationrequestSequence
+        - USCore301SmokingstatusSequence
+        - USCore301PediatricWeightForHeightSequence
+        - USCore301ObservationLabSequence
+        - USCore301PediatricBmiForAgeSequence
+        - USCore301PulseOximetrySequence
+        - USCore301PatientSequence
+        - USCore301ProcedureSequence
+        - R4ProvenanceSequence
+        - USCoreR4ClinicalNotesSequence
+        - USCore301LocationSequence
+        - USCore301MedicationSequence
+        - USCore301OrganizationSequence
+        - USCore301PractitionerSequence
+        - USCore301PractitionerroleSequence
+        - USCore301ProvenanceSequence
diff --git a/lib/tasks/tasks.rake b/lib/tasks/tasks.rake
index 5299eba62..6b2a869e3 100644
--- a/lib/tasks/tasks.rake
+++ b/lib/tasks/tasks.rake
@@ -7,6 +7,7 @@ require 'dm-core'
 require 'csv'
 require 'colorize'
 require 'optparse'
+require 'rubocop/rake_task'
 
 require_relative '../app'
 require_relative '../app/endpoint'
@@ -369,6 +370,17 @@ namespace :inferno do |_argv|
 
     exit execute(instance, sequences)
   end
+
+  desc 'Generate Tests'
+  task :generate, [:generator, :path] do |_t, args|
+    require_relative("../../generator/#{args.generator}/#{args.generator}_generator")
+    generator_class = Inferno::Generator::Base.subclasses.first do |c|
+      c.name.demodulize.downcase.start_with?(args.generator)
+    end
+
+    generator = generator_class.new(args.path, args.extras)
+    generator.run
+  end
 end
 
 namespace :terminology do |_argv|
@@ -789,10 +801,6 @@ namespace :terminology do |_argv|
   end
 end
 
-namespace :generator do |_argv|
-  desc 'Generate US Core R4 Tests'
-  task :us_core_r4 do
-    path = File.expand_path('../../generators/uscore-r4/generator.rb', __dir__)
-    system('ruby', path)
-  end
+RuboCop::RakeTask.new(:rubocop) do |t|
+  t.options = ['--display-cop-names']
 end
diff --git a/resources/us_core_r4/CapabilityStatement-us-core-server.json b/resources/uscore_v3.0.0/CapabilityStatement-us-core-server.json
similarity index 100%
rename from resources/us_core_r4/CapabilityStatement-us-core-server.json
rename to resources/uscore_v3.0.0/CapabilityStatement-us-core-server.json
diff --git a/resources/uscore_v3.0.0/ImplementationGuide-hl7.fhir.us.core-3.0.0.json b/resources/uscore_v3.0.0/ImplementationGuide-hl7.fhir.us.core-3.0.0.json
new file mode 100644
index 000000000..a82cd484a
--- /dev/null
+++ b/resources/uscore_v3.0.0/ImplementationGuide-hl7.fhir.us.core-3.0.0.json
@@ -0,0 +1 @@
+{"resourceType":"ImplementationGuide","id":"hl7.fhir.us.core-3.0.0","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>USCoreR4</h2><p>The official URL for this implementation guide is: </p><pre>http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core-3.0.0</pre></div>"},"url":"http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core-3.0.0","version":"3.0.0","name":"USCoreR4","title":"US Core R4","status":"active","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"copyright":"Used by permission of HL7 International - US Realm Steering Committee, all rights reserved Creative Commons 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Race","generation":"generated"},{"nameUrl":"SearchParameter-us-core-careplan-patient.html","title":"SearchParameter US Core CarePlan Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-patient-family.html","title":"SearchParameter US Core Patient Family","generation":"generated"},{"nameUrl":"SearchParameter-us-core-medicationrequest-status.html","title":"SearchParameter US Core MedicationRequest Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-medicationstatement-effective.html","title":"SearchParameter US Core MedicationStatement Effective","generation":"generated"},{"nameUrl":"SearchParameter-us-core-medicationstatement-patient.html","title":"SearchParameter US Core MedicationStatement Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-location-address-postalcode.html","title":"SearchParameter US Core Location Address Postalcode","generation":"generated"},{"nameUrl":"SearchParameter-us-core-encounter-id.html","title":"SearchParameter US Core Encounter Id","generation":"generated"},{"nameUrl":"SearchParameter-us-core-medicationrequest-authoredon.html","title":"SearchParameter US Core MedicationRequest Authoredon","generation":"generated"},{"nameUrl":"SearchParameter-us-core-documentreference-status.html","title":"SearchParameter US Core DocumentReference Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-procedure-patient.html","title":"SearchParameter US Core Procedure Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-goal-target-date.html","title":"SearchParameter US Core Goal Target Date","generation":"generated"},{"nameUrl":"SearchParameter-us-core-diagnosticreport-patient.html","title":"SearchParameter US Core DiagnosticReport Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-careplan-date.html","title":"SearchParameter US Core CarePlan Date","generation":"generated"},{"nameUrl":"SearchParameter-us-core-careteam-patient.html","title":"SearchParameter US Core CareTeam Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-immunization-date.html","title":"SearchParameter US Core Immunization Date","generation":"generated"},{"nameUrl":"SearchParameter-us-core-encounter-identifier.html","title":"SearchParameter US Core Encounter Identifier","generation":"generated"},{"nameUrl":"SearchParameter-us-core-practitionerrole-specialty.html","title":"SearchParameter US Core PractitionerRole Specialty","generation":"generated"},{"nameUrl":"SearchParameter-us-core-patient-name.html","title":"SearchParameter US Core Patient Name","generation":"generated"},{"nameUrl":"SearchParameter-us-core-device-type.html","title":"SearchParameter US Core Device Type","generation":"generated"},{"nameUrl":"SearchParameter-us-core-goal-patient.html","title":"SearchParameter US Core Goal Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-immunization-patient.html","title":"SearchParameter US Core Immunization Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-patient-id.html","title":"SearchParameter US Core Patient Id","generation":"generated"},{"nameUrl":"SearchParameter-us-core-location-address-city.html","title":"SearchParameter US Core Location Address City","generation":"generated"},{"nameUrl":"SearchParameter-us-core-careteam-status.html","title":"SearchParameter US Core CareTeam Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-documentreference-category.html","title":"SearchParameter US Core DocumentReference Category","generation":"generated"},{"nameUrl":"SearchParameter-us-core-practitioner-identifier.html","title":"SearchParameter US Core Practitioner Identifier","generation":"generated"},{"nameUrl":"SearchParameter-us-core-patient-identifier.html","title":"SearchParameter US Core Patient Identifier","generation":"generated"},{"nameUrl":"SearchParameter-us-core-condition-category.html","title":"SearchParameter US Core Condition Category","generation":"generated"},{"nameUrl":"SearchParameter-us-core-immunization-status.html","title":"SearchParameter US Core Immunization Status","generation":"generated"}]},{"nameUrl":"capstatements.html","title":"Capability Statements","generation":"markdown","page":[{"nameUrl":"CapabilityStatement-us-core-server.html","title":"CapabilityStatement US Core Server","generation":"generated"},{"nameUrl":"CapabilityStatement-us-core-client.html","title":"CapabilityStatement US Core Client","generation":"generated"}]},{"nameUrl":"security.html","title":"Security","generation":"markdown"},{"nameUrl":"downloads.html","title":"Downloads","generation":"markdown"},{"nameUrl":"all-examples.html","title":"All Examples","generation":"markdown"},{"nameUrl":"toc.html","title":"Table of Contents","generation":"html"}]}}}
\ No newline at end of file
diff --git a/resources/us_core_r4/SearchParameter-us-core-allergyintolerance-clinical-status.json b/resources/uscore_v3.0.0/SearchParameter-us-core-allergyintolerance-clinical-status.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-allergyintolerance-patient.json b/resources/uscore_v3.0.0/SearchParameter-us-core-allergyintolerance-patient.json
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rename to resources/uscore_v3.0.0/SearchParameter-us-core-allergyintolerance-patient.json
diff --git a/resources/us_core_r4/SearchParameter-us-core-careplan-category.json b/resources/uscore_v3.0.0/SearchParameter-us-core-careplan-category.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-careplan-date.json b/resources/uscore_v3.0.0/SearchParameter-us-core-careplan-date.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-careplan-patient.json b/resources/uscore_v3.0.0/SearchParameter-us-core-careplan-patient.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-careplan-status.json b/resources/uscore_v3.0.0/SearchParameter-us-core-careplan-status.json
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rename to resources/uscore_v3.0.0/SearchParameter-us-core-careplan-status.json
diff --git a/resources/us_core_r4/SearchParameter-us-core-careteam-patient.json b/resources/uscore_v3.0.0/SearchParameter-us-core-careteam-patient.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-careteam-status.json b/resources/uscore_v3.0.0/SearchParameter-us-core-careteam-status.json
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rename to resources/uscore_v3.0.0/SearchParameter-us-core-careteam-status.json
diff --git a/resources/us_core_r4/SearchParameter-us-core-condition-category.json b/resources/uscore_v3.0.0/SearchParameter-us-core-condition-category.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-condition-clinical-status.json b/resources/uscore_v3.0.0/SearchParameter-us-core-condition-clinical-status.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-condition-code.json b/resources/uscore_v3.0.0/SearchParameter-us-core-condition-code.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-condition-onset-date.json b/resources/uscore_v3.0.0/SearchParameter-us-core-condition-onset-date.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-condition-patient.json b/resources/uscore_v3.0.0/SearchParameter-us-core-condition-patient.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-device-patient.json b/resources/uscore_v3.0.0/SearchParameter-us-core-device-patient.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-device-type.json b/resources/uscore_v3.0.0/SearchParameter-us-core-device-type.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-diagnosticreport-category.json b/resources/uscore_v3.0.0/SearchParameter-us-core-diagnosticreport-category.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-diagnosticreport-code.json b/resources/uscore_v3.0.0/SearchParameter-us-core-diagnosticreport-code.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-diagnosticreport-date.json b/resources/uscore_v3.0.0/SearchParameter-us-core-diagnosticreport-date.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-diagnosticreport-patient.json b/resources/uscore_v3.0.0/SearchParameter-us-core-diagnosticreport-patient.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-diagnosticreport-status.json b/resources/uscore_v3.0.0/SearchParameter-us-core-diagnosticreport-status.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-documentreference-category.json b/resources/uscore_v3.0.0/SearchParameter-us-core-documentreference-category.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-documentreference-date.json b/resources/uscore_v3.0.0/SearchParameter-us-core-documentreference-date.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-documentreference-id.json b/resources/uscore_v3.0.0/SearchParameter-us-core-documentreference-id.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-documentreference-patient.json b/resources/uscore_v3.0.0/SearchParameter-us-core-documentreference-patient.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-documentreference-period.json b/resources/uscore_v3.0.0/SearchParameter-us-core-documentreference-period.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-documentreference-status.json b/resources/uscore_v3.0.0/SearchParameter-us-core-documentreference-status.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-documentreference-type.json b/resources/uscore_v3.0.0/SearchParameter-us-core-documentreference-type.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-encounter-class.json b/resources/uscore_v3.0.0/SearchParameter-us-core-encounter-class.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-encounter-date.json b/resources/uscore_v3.0.0/SearchParameter-us-core-encounter-date.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-encounter-id.json b/resources/uscore_v3.0.0/SearchParameter-us-core-encounter-id.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-encounter-identifier.json b/resources/uscore_v3.0.0/SearchParameter-us-core-encounter-identifier.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-encounter-patient.json b/resources/uscore_v3.0.0/SearchParameter-us-core-encounter-patient.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-encounter-status.json b/resources/uscore_v3.0.0/SearchParameter-us-core-encounter-status.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-encounter-type.json b/resources/uscore_v3.0.0/SearchParameter-us-core-encounter-type.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-goal-lifecycle-status.json b/resources/uscore_v3.0.0/SearchParameter-us-core-goal-lifecycle-status.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-goal-patient.json b/resources/uscore_v3.0.0/SearchParameter-us-core-goal-patient.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-goal-target-date.json b/resources/uscore_v3.0.0/SearchParameter-us-core-goal-target-date.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-immunization-date.json b/resources/uscore_v3.0.0/SearchParameter-us-core-immunization-date.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-immunization-patient.json b/resources/uscore_v3.0.0/SearchParameter-us-core-immunization-patient.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-immunization-status.json b/resources/uscore_v3.0.0/SearchParameter-us-core-immunization-status.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-location-address-city.json b/resources/uscore_v3.0.0/SearchParameter-us-core-location-address-city.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-location-address-postalcode.json b/resources/uscore_v3.0.0/SearchParameter-us-core-location-address-postalcode.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-location-address-state.json b/resources/uscore_v3.0.0/SearchParameter-us-core-location-address-state.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-location-address.json b/resources/uscore_v3.0.0/SearchParameter-us-core-location-address.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-location-name.json b/resources/uscore_v3.0.0/SearchParameter-us-core-location-name.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-medicationrequest-authoredon.json b/resources/uscore_v3.0.0/SearchParameter-us-core-medicationrequest-authoredon.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-medicationrequest-patient.json b/resources/uscore_v3.0.0/SearchParameter-us-core-medicationrequest-patient.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-medicationrequest-status.json b/resources/uscore_v3.0.0/SearchParameter-us-core-medicationrequest-status.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-medicationstatement-effective.json b/resources/uscore_v3.0.0/SearchParameter-us-core-medicationstatement-effective.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-medicationstatement-patient.json b/resources/uscore_v3.0.0/SearchParameter-us-core-medicationstatement-patient.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-medicationstatement-status.json b/resources/uscore_v3.0.0/SearchParameter-us-core-medicationstatement-status.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-observation-category.json b/resources/uscore_v3.0.0/SearchParameter-us-core-observation-category.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-observation-code.json b/resources/uscore_v3.0.0/SearchParameter-us-core-observation-code.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-observation-date.json b/resources/uscore_v3.0.0/SearchParameter-us-core-observation-date.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-observation-patient.json b/resources/uscore_v3.0.0/SearchParameter-us-core-observation-patient.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-observation-status.json b/resources/uscore_v3.0.0/SearchParameter-us-core-observation-status.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-organization-address.json b/resources/uscore_v3.0.0/SearchParameter-us-core-organization-address.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-organization-name.json b/resources/uscore_v3.0.0/SearchParameter-us-core-organization-name.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-patient-birthdate.json b/resources/uscore_v3.0.0/SearchParameter-us-core-patient-birthdate.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-patient-family.json b/resources/uscore_v3.0.0/SearchParameter-us-core-patient-family.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-patient-gender.json b/resources/uscore_v3.0.0/SearchParameter-us-core-patient-gender.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-patient-given.json b/resources/uscore_v3.0.0/SearchParameter-us-core-patient-given.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-patient-id.json b/resources/uscore_v3.0.0/SearchParameter-us-core-patient-id.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-patient-identifier.json b/resources/uscore_v3.0.0/SearchParameter-us-core-patient-identifier.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-patient-name.json b/resources/uscore_v3.0.0/SearchParameter-us-core-patient-name.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-practitioner-identifier.json b/resources/uscore_v3.0.0/SearchParameter-us-core-practitioner-identifier.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-practitioner-name.json b/resources/uscore_v3.0.0/SearchParameter-us-core-practitioner-name.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-practitionerrole-practitioner.json b/resources/uscore_v3.0.0/SearchParameter-us-core-practitionerrole-practitioner.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-practitionerrole-specialty.json b/resources/uscore_v3.0.0/SearchParameter-us-core-practitionerrole-specialty.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-procedure-code.json b/resources/uscore_v3.0.0/SearchParameter-us-core-procedure-code.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-procedure-date.json b/resources/uscore_v3.0.0/SearchParameter-us-core-procedure-date.json
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rename from resources/us_core_r4/SearchParameter-us-core-procedure-date.json
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diff --git a/resources/us_core_r4/SearchParameter-us-core-procedure-patient.json b/resources/uscore_v3.0.0/SearchParameter-us-core-procedure-patient.json
similarity index 100%
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diff --git a/resources/us_core_r4/SearchParameter-us-core-procedure-status.json b/resources/uscore_v3.0.0/SearchParameter-us-core-procedure-status.json
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diff --git a/resources/us_core_r4/StructureDefinition-pediatric-bmi-for-age.json b/resources/uscore_v3.0.0/StructureDefinition-pediatric-bmi-for-age.json
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diff --git a/resources/us_core_r4/StructureDefinition-pediatric-weight-for-height.json b/resources/uscore_v3.0.0/StructureDefinition-pediatric-weight-for-height.json
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diff --git a/resources/us_core_r4/StructureDefinition-us-core-allergyintolerance.json b/resources/uscore_v3.0.0/StructureDefinition-us-core-allergyintolerance.json
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diff --git a/resources/us_core_r4/StructureDefinition-us-core-careplan.json b/resources/uscore_v3.0.0/StructureDefinition-us-core-careplan.json
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diff --git a/resources/us_core_r4/StructureDefinition-us-core-careteam.json b/resources/uscore_v3.0.0/StructureDefinition-us-core-careteam.json
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diff --git a/resources/us_core_r4/StructureDefinition-us-core-condition.json b/resources/uscore_v3.0.0/StructureDefinition-us-core-condition.json
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diff --git a/resources/us_core_r4/StructureDefinition-us-core-device.json b/resources/uscore_v3.0.0/StructureDefinition-us-core-device.json
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diff --git a/resources/us_core_r4/StructureDefinition-us-core-diagnosticreport-lab.json b/resources/uscore_v3.0.0/StructureDefinition-us-core-diagnosticreport-lab.json
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diff --git a/resources/us_core_r4/StructureDefinition-us-core-diagnosticreport-note.json b/resources/uscore_v3.0.0/StructureDefinition-us-core-diagnosticreport-note.json
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diff --git a/resources/us_core_r4/StructureDefinition-us-core-documentreference.json b/resources/uscore_v3.0.0/StructureDefinition-us-core-documentreference.json
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diff --git a/resources/us_core_r4/StructureDefinition-us-core-encounter.json b/resources/uscore_v3.0.0/StructureDefinition-us-core-encounter.json
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diff --git a/resources/us_core_r4/StructureDefinition-us-core-goal.json b/resources/uscore_v3.0.0/StructureDefinition-us-core-goal.json
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diff --git a/resources/us_core_r4/StructureDefinition-us-core-immunization.json b/resources/uscore_v3.0.0/StructureDefinition-us-core-immunization.json
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diff --git a/resources/us_core_r4/StructureDefinition-us-core-location.json b/resources/uscore_v3.0.0/StructureDefinition-us-core-location.json
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diff --git a/resources/us_core_r4/StructureDefinition-us-core-medication.json b/resources/uscore_v3.0.0/StructureDefinition-us-core-medication.json
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diff --git a/resources/us_core_r4/StructureDefinition-us-core-medicationstatement.json b/resources/uscore_v3.0.0/StructureDefinition-us-core-medicationstatement.json
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diff --git a/resources/us_core_r4/StructureDefinition-us-core-observation-lab.json b/resources/uscore_v3.0.0/StructureDefinition-us-core-observation-lab.json
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diff --git a/resources/us_core_r4/StructureDefinition-us-core-organization.json b/resources/uscore_v3.0.0/StructureDefinition-us-core-organization.json
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diff --git a/resources/us_core_r4/StructureDefinition-us-core-patient.json b/resources/uscore_v3.0.0/StructureDefinition-us-core-patient.json
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diff --git a/resources/us_core_r4/StructureDefinition-us-core-practitioner.json b/resources/uscore_v3.0.0/StructureDefinition-us-core-practitioner.json
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diff --git a/resources/us_core_r4/StructureDefinition-us-core-practitionerrole.json b/resources/uscore_v3.0.0/StructureDefinition-us-core-practitionerrole.json
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diff --git a/resources/us_core_r4/StructureDefinition-us-core-procedure.json b/resources/uscore_v3.0.0/StructureDefinition-us-core-procedure.json
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diff --git a/resources/us_core_r4/StructureDefinition-us-core-smokingstatus.json b/resources/uscore_v3.0.0/StructureDefinition-us-core-smokingstatus.json
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diff --git a/resources/uscore_v3.0.1/CapabilityStatement-us-core-client.json b/resources/uscore_v3.0.1/CapabilityStatement-us-core-client.json
new file mode 100644
index 000000000..c7c60ab87
--- /dev/null
+++ b/resources/uscore_v3.0.1/CapabilityStatement-us-core-client.json
@@ -0,0 +1 @@
+{"resourceType":"CapabilityStatement","id":"us-core-client","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2 id=\"title\">US Core Client CapabilityStatement</h2><ul><li>FHIR Version: 4.0.0</li><li>Supported formats: xml, json</li><li>Published: 2019-09-12</li><li>Published by: HL7 International - US Realm Steering Committee</li></ul><p><p>​The Section describes the expected capabilities of the US Core Client which is responsible for creating and initiating the queries for information about an individual patient. The complete list of FHIR profiles, RESTful operations, and search parameters supported by US Core Servers are defined in the <a href=\"CapabilityStatement-us-core-server.html\">Conformance Requirements for Server</a>. US Core Clients have the option of choosing from this list to access necessary data based on their local use cases and other contextual requirements.</p></p><h3 id=\"behavior\">FHIR RESTful Capabilities</h3><p>The US Core Client <strong>SHALL</strong>:</p><ol><li>Support fetching and querying of one or more US Core profile(s), using the supported RESTful interactions and search parameters declared in the US Core Server CapabilityStatement.</li></ol><p id=\"security\"><strong>Security:</strong></p><ol><li>See the [General Security Considerations] section for requirements and recommendations.</li></ol><p><strong>Summary of System Wide Interactions</strong></p><li><strong>MAY</strong> support the\t<code>transaction</code> interaction.</li><li><strong>MAY</strong> support the\t<code>batch</code> interaction.</li><li><strong>MAY</strong> support the\t<code>search-system</code> interaction.</li><li><strong>MAY</strong> support the\t<code>history-system</code> interaction.</li><h3 id=\"resource--details\" class=\"no_toc\">RESTful Capabilities by Resource/Profile:</h3><p><strong>Summary of Search Criteria</strong></p><table class=\"grid\"><thead><tr><th>Resource Type</th><th>Supported Profiles</th><th>Supported Searches</th><th>Supported <code>_includes</code></th><th>Supported <code>_revincludes</code></th><th>Supported Operations</th></tr></thead><tbody><tr><td><a href=\"#allergyintolerance\">AllergyIntolerance</a></td><td><a href=\"StructureDefinition-us-core-allergyintolerance.html\">US Core AllergyIntolerance Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tclinical-status, \n\t\t\t\t\t\t\tpatient, patient+clinical-status\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#careplan\">CarePlan</a></td><td><a href=\"StructureDefinition-us-core-careplan.html\">US Core CarePlan Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tcategory, \n\t\t\t\t\t\t\tdate, \n\t\t\t\t\t\t\tpatient, \n\t\t\t\t\t\t\tstatus, patient+category+status, patient+category+date, patient+category+status+date, patient+category\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#careteam\">CareTeam</a></td><td><a href=\"StructureDefinition-us-core-careteam.html\">US Core CareTeam Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tpatient, \n\t\t\t\t\t\t\tstatus, patient+status\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#condition\">Condition</a></td><td><a href=\"StructureDefinition-us-core-condition.html\">US Core Condition Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tcategory, \n\t\t\t\t\t\t\tclinical-status, \n\t\t\t\t\t\t\tpatient, \n\t\t\t\t\t\t\tonset-date, \n\t\t\t\t\t\t\tcode, patient+clinical-status, patient+onset-date, patient+code, patient+category\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#device\">Device</a></td><td><a href=\"StructureDefinition-us-core-implantable-device.html\">US Core Implantable Device Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tpatient, \n\t\t\t\t\t\t\ttype, patient+type\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#diagnosticreport\">DiagnosticReport</a></td><td><a href=\"StructureDefinition-us-core-diagnosticreport-note.html\">US Core DiagnosticReport Profile for Report and Note exchange</a>, \n\n\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-diagnosticreport-lab.html\">US Core DiagnosticReport Profile for Laboratory Results Reporting</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tstatus, \n\t\t\t\t\t\t\tpatient, \n\t\t\t\t\t\t\tcategory, \n\t\t\t\t\t\t\tcode, \n\t\t\t\t\t\t\tdate, patient+code, patient+code+date, patient+status, patient+category, patient+category+date\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#documentreference\">DocumentReference</a></td><td><a href=\"StructureDefinition-us-core-documentreference.html\">US Core DocumentReference Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t_id, \n\t\t\t\t\t\t\tstatus, \n\t\t\t\t\t\t\tpatient, \n\t\t\t\t\t\t\tcategory, \n\t\t\t\t\t\t\ttype, \n\t\t\t\t\t\t\tdate, \n\t\t\t\t\t\t\tperiod, patient+type, patient+status, patient+category, patient+type+period, patient+category+date\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t$docref\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#encounter\">Encounter</a></td><td><a href=\"StructureDefinition-us-core-encounter.html\">US Core Encounter Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t_id, \n\t\t\t\t\t\t\tclass, \n\t\t\t\t\t\t\tdate, \n\t\t\t\t\t\t\tidentifier, \n\t\t\t\t\t\t\tpatient, \n\t\t\t\t\t\t\tstatus, \n\t\t\t\t\t\t\ttype, date+patient, patient+type, class+patient, patient+status\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#goal\">Goal</a></td><td><a href=\"StructureDefinition-us-core-goal.html\">US Core Goal Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tlifecycle-status, \n\t\t\t\t\t\t\tpatient, \n\t\t\t\t\t\t\ttarget-date, patient+target-date, patient+lifecycle-status\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#immunization\">Immunization</a></td><td><a href=\"StructureDefinition-us-core-immunization.html\">US Core Immunization Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tpatient, \n\t\t\t\t\t\t\tstatus, \n\t\t\t\t\t\t\tdate, patient+status, patient+date\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#location\">Location</a></td><td><a href=\"StructureDefinition-us-core-location.html\">US Core Location Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tname, \n\t\t\t\t\t\t\taddress, \n\t\t\t\t\t\t\taddress-city, \n\t\t\t\t\t\t\taddress-state, \n\t\t\t\t\t\t\taddress-postalcode\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#medication\">Medication</a></td><td><a href=\"StructureDefinition-us-core-medication.html\">US Core Medication Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#medicationrequest\">MedicationRequest</a></td><td><a href=\"StructureDefinition-us-core-medicationrequest.html\">US Core MedicationRequest Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tstatus, \n\t\t\t\t\t\t\tintent, \n\t\t\t\t\t\t\tpatient, \n\t\t\t\t\t\t\tencounter, \n\t\t\t\t\t\t\tauthoredon, patient+intent+status, patient+intent, patient+intent+encounter, patient+intent+authoredon\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\tMedicationRequest:medication\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#observation\">Observation</a></td><td><a href=\"StructureDefinition-us-core-smokingstatus.html\">US Core Smoking Status Observation Profile</a>, \n\n\t\t\t\t\t\t<a href=\"StructureDefinition-pediatric-weight-for-height.html\">US Core Pediatric Weight  for Height Observation Profile</a>, \n\n\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-observation-lab.html\">US Core Laboratory Result Observation Profile</a>, \n\n\t\t\t\t\t\t<a href=\"StructureDefinition-pediatric-bmi-for-age.html\">US Core Pediatric BMI for Age Observation Profile</a>, \n\n\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-pulse-oximetry.html\">US Core Pulse Oximetry Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tstatus, \n\t\t\t\t\t\t\tcategory, \n\t\t\t\t\t\t\tcode, \n\t\t\t\t\t\t\tdate, \n\t\t\t\t\t\t\tpatient, patient+category+status, patient+code, patient+code+date, patient+category, patient+category+date\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#organization\">Organization</a></td><td><a href=\"StructureDefinition-us-core-organization.html\">US Core Organization Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tname, \n\t\t\t\t\t\t\taddress\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#patient\">Patient</a></td><td><a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t_id, \n\t\t\t\t\t\t\tbirthdate, \n\t\t\t\t\t\t\tfamily, \n\t\t\t\t\t\t\tgender, \n\t\t\t\t\t\t\tgiven, \n\t\t\t\t\t\t\tidentifier, \n\t\t\t\t\t\t\tname, gender+name, family+gender, birthdate+name, birthdate+family\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#practitioner\">Practitioner</a></td><td><a href=\"StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tname, \n\t\t\t\t\t\t\tidentifier\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#practitionerrole\">PractitionerRole</a></td><td><a href=\"StructureDefinition-us-core-practitionerrole.html\">US Core PractitionerRole Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tspecialty, \n\t\t\t\t\t\t\tpractitioner\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\tPractitionerRole:endpoint, PractitionerRole:practitioner\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#procedure\">Procedure</a></td><td><a href=\"StructureDefinition-us-core-procedure.html\">US Core Procedure Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tstatus, \n\t\t\t\t\t\t\tpatient, \n\t\t\t\t\t\t\tdate, \n\t\t\t\t\t\t\tcode, patient+code+date, patient+status, patient+date\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#provenance\">Provenance</a></td><td><a href=\"StructureDefinition-us-core-provenance.html\">US Core Provenance Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              \n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#valueset\">ValueSet</a></td><td>\n\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              \n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t$expand\n\t\t\t\t\t\t</td></tr></tbody></table><br/><h4 id=\"allergyintolerance\" class=\"no_toc\">AllergyIntolerance</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-allergyintolerance.html\">US Core AllergyIntolerance Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Client <strong>SHALL</strong> be capable of fetching a AllergyIntolerance resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/AllergyIntolerance/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Client <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/AllergyIntolerance?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-allergyintolerance-clinical-status.html\">clinical-status</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/AllergyIntolerance?clinical-status=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-allergyintolerance-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/AllergyIntolerance?patient=[patient]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>patient+clinical-status\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/AllergyIntolerance?patient=[patient]&amp;clinical-status=[system]|[code]</code></td></tr></tbody></table><hr/><h4 id=\"careplan\" class=\"no_toc\">CarePlan</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-careplan.html\">US Core CarePlan Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Client <strong>SHALL</strong> be capable of fetching a CarePlan resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/CarePlan/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Client <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/CarePlan?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-careplan-category.html\">category</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/CarePlan?category=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-careplan-date.html\">date</a></td><td>\n\t\t\t\t\t\t\tdate\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/CarePlan?date=[date]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-careplan-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/CarePlan?patient=[patient]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-careplan-status.html\">status</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/CarePlan?status=[status]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>patient+category+status\n\t\t\t\t\t\t</td><td>reference+token+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/CarePlan?patient=[patient]&amp;category=[system]|[code]&amp;status=[status]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+category+date\n\t\t\t\t\t\t</td><td>reference+token+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/CarePlan?patient=[patient]&amp;category=[system]|[code]&amp;date=[date]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+category+status+date\n\t\t\t\t\t\t</td><td>reference+token+token+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/CarePlan?patient=[patient]&amp;category=[system]|[code]&amp;status=[status]&amp;date=[date]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+category\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/CarePlan?patient=[patient]&amp;category=[system]|[code]</code></td></tr></tbody></table><hr/><h4 id=\"careteam\" class=\"no_toc\">CareTeam</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-careteam.html\">US Core CareTeam Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Client <strong>SHALL</strong> be capable of fetching a CareTeam resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/CareTeam/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Client <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/CareTeam?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-careteam-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/CareTeam?patient=[patient]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-careteam-status.html\">status</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/CareTeam?status=[status]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>patient+status\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/CareTeam?patient=[patient]&amp;status=[status]</code></td></tr></tbody></table><hr/><h4 id=\"condition\" class=\"no_toc\">Condition</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-condition.html\">US Core Condition Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Client <strong>SHALL</strong> be capable of fetching a Condition resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Condition/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Client <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/Condition?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-condition-category.html\">category</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Condition?category=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-condition-clinical-status.html\">clinical-status</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Condition?clinical-status=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-condition-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Condition?patient=[patient]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-condition-onset-date.html\">onset-date</a></td><td>\n\t\t\t\t\t\t\tdate\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Condition?onset-date=[onset-date]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-condition-code.html\">code</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Condition?code=[system]|[code]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>patient+clinical-status\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Condition?patient=[patient]&amp;clinical-status=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+onset-date\n\t\t\t\t\t\t</td><td>reference+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Condition?patient=[patient]&amp;onset-date=[onset-date]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+code\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Condition?patient=[patient]&amp;code=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+category\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Condition?patient=[patient]&amp;category=[system]|[code]</code></td></tr></tbody></table><hr/><h4 id=\"device\" class=\"no_toc\">Device</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-implantable-device.html\">US Core Implantable Device Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Client <strong>SHALL</strong> be capable of fetching a Device resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Device/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Client <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/Device?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-device-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Device?patient=[patient]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-device-type.html\">type</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Device?type=[system]|[code]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>patient+type\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Device?patient=[patient]&amp;type=[system]|[code]</code></td></tr></tbody></table><hr/><h4 id=\"diagnosticreport\" class=\"no_toc\">DiagnosticReport</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-diagnosticreport-note.html\">US Core DiagnosticReport Profile for Report and Note exchange</a>, \n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-diagnosticreport-lab.html\">US Core DiagnosticReport Profile for Laboratory Results Reporting</a>\n\t\t\t\t\n\t\t\t\t</p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code><sup>†</sup>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code><sup>†</sup>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><blockquote>create<sup>†</sup><p>This conformance expectation applies <strong>only</strong>  to the <em>US Core DiagnosticReport Profile for Report and Note exchange</em> profile.  The conformance expectation for the <em>US Core DiagnosticReport Profile for Laboratory Results Reporting</em> is  <strong>MAY</strong>.</p>\n</blockquote><blockquote>search-type<sup>†</sup><p>The conformance expectations for Composite Searches differ by profile.  See the Quick Start section for profile specific expectations.</p>\n</blockquote><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Client <strong>SHALL</strong> be capable of fetching a DiagnosticReport resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/DiagnosticReport/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Client <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/DiagnosticReport?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-diagnosticreport-status.html\">status</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DiagnosticReport?status=[status]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-diagnosticreport-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DiagnosticReport?patient=[patient]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-diagnosticreport-category.html\">category</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DiagnosticReport?category=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-diagnosticreport-code.html\">code</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DiagnosticReport?code=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-diagnosticreport-date.html\">date</a></td><td>\n\t\t\t\t\t\t\tdate\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DiagnosticReport?date=[date]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>patient+code\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DiagnosticReport?patient=[patient]&amp;code=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+code+date\n\t\t\t\t\t\t</td><td>reference+token+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DiagnosticReport?patient=[patient]&amp;code=[system]|[code]&amp;date=[date]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+status\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DiagnosticReport?patient=[patient]&amp;status=[status]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+category\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DiagnosticReport?patient=[patient]&amp;category=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+category+date\n\t\t\t\t\t\t</td><td>reference+token+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DiagnosticReport?patient=[patient]&amp;category=[system]|[code]&amp;date=[date]</code></td></tr></tbody></table><hr/><h4 id=\"documentreference\" class=\"no_toc\">DocumentReference</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-documentreference.html\">US Core DocumentReference Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Resource Specific Documentation:</p><blockquote><p>The DocumentReference.type binding SHALL support at a minimum the <a href=\"ValueSet-us-core-clinical-note-type.html\">5 Common Clinical Notes</a> and may extend to the full US Core DocumentReference Type Value Set</p></blockquote><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Operation  Summary:</p><ul><li><strong>SHOULD</strong> support the \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"OperationDefinition-docref.html\">$docref</a> operation\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<p><p>A client <strong>SHOULD</strong> be capable of transacting a $docref operation and capable of receiving at least a reference to a generated CCD document, and  <strong>MAY</strong> be able to receive other document types, if available.   <strong>SHOULD</strong>  be capable of receiving documents as included resources in response to the operation.</p><p><code>GET [base]/DocumentReference/$docref?patient=[id]</code></p></p></li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Client <strong>SHALL</strong> be capable of fetching a DocumentReference resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/DocumentReference/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Client <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/DocumentReference?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-documentreference-id.html\">_id</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DocumentReference?_id=[id]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-documentreference-status.html\">status</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DocumentReference?status=[status]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-documentreference-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DocumentReference?patient=[patient]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-documentreference-category.html\">category</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DocumentReference?category=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-documentreference-type.html\">type</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DocumentReference?type=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-documentreference-date.html\">date</a></td><td>\n\t\t\t\t\t\t\tdate\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DocumentReference?date=[date]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-documentreference-period.html\">period</a></td><td>\n\t\t\t\t\t\t\tdate\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DocumentReference?period=[period]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>patient+type\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DocumentReference?patient=[patient]&amp;type=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+status\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DocumentReference?patient=[patient]&amp;status=[status]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+category\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DocumentReference?patient=[patient]&amp;category=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+type+period\n\t\t\t\t\t\t</td><td>reference+token+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DocumentReference?patient=[patient]&amp;type=[system]|[code]&amp;period=[period]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+category+date\n\t\t\t\t\t\t</td><td>reference+token+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DocumentReference?patient=[patient]&amp;category=[system]|[code]&amp;date=[date]</code></td></tr></tbody></table><hr/><h4 id=\"encounter\" class=\"no_toc\">Encounter</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-encounter.html\">US Core Encounter Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Client <strong>SHALL</strong> be capable of fetching a Encounter resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Encounter/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Client <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/Encounter?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-encounter-id.html\">_id</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Encounter?_id=[id]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-encounter-class.html\">class</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Encounter?class=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-encounter-date.html\">date</a></td><td>\n\t\t\t\t\t\t\tdate\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Encounter?date=[date]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-encounter-identifier.html\">identifier</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Encounter?identifier=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-encounter-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Encounter?patient=[patient]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-encounter-status.html\">status</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Encounter?status=[status]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-encounter-type.html\">type</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Encounter?type=[system]|[code]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>date+patient\n\t\t\t\t\t\t</td><td>date+reference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Encounter?date=[date]&amp;patient=[patient]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+type\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Encounter?patient=[patient]&amp;type=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>class+patient\n\t\t\t\t\t\t</td><td>token+reference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Encounter?class=[system]|[code]&amp;patient=[patient]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+status\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Encounter?patient=[patient]&amp;status=[status]</code></td></tr></tbody></table><hr/><h4 id=\"goal\" class=\"no_toc\">Goal</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-goal.html\">US Core Goal Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Client <strong>SHALL</strong> be capable of fetching a Goal resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Goal/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Client <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/Goal?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-goal-lifecycle-status.html\">lifecycle-status</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Goal?lifecycle-status=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-goal-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Goal?patient=[patient]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-goal-target-date.html\">target-date</a></td><td>\n\t\t\t\t\t\t\tdate\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Goal?target-date=[target-date]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>patient+target-date\n\t\t\t\t\t\t</td><td>reference+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Goal?patient=[patient]&amp;target-date=[target-date]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+lifecycle-status\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Goal?patient=[patient]&amp;lifecycle-status=[system]|[code]</code></td></tr></tbody></table><hr/><h4 id=\"immunization\" class=\"no_toc\">Immunization</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-immunization.html\">US Core Immunization Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Client <strong>SHALL</strong> be capable of fetching a Immunization resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Immunization/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Client <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/Immunization?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-immunization-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Immunization?patient=[patient]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-immunization-status.html\">status</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Immunization?status=[status]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-immunization-date.html\">date</a></td><td>\n\t\t\t\t\t\t\tdate\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Immunization?date=[date]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>patient+status\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Immunization?patient=[patient]&amp;status=[status]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+date\n\t\t\t\t\t\t</td><td>reference+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Immunization?patient=[patient]&amp;date=[date]</code></td></tr></tbody></table><hr/><h4 id=\"location\" class=\"no_toc\">Location</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-location.html\">US Core Location Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Client <strong>SHALL</strong> be capable of fetching a Location resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Location/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Client <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/Location?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-location-name.html\">name</a></td><td>\n\t\t\t\t\t\t\tstring\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Location?name=[name]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-location-address.html\">address</a></td><td>\n\t\t\t\t\t\t\tstring\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Location?address=[address]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-location-address-city.html\">address-city</a></td><td>\n\t\t\t\t\t\t\tstring\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Location?address-city=[address-city]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-location-address-state.html\">address-state</a></td><td>\n\t\t\t\t\t\t\tstring\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Location?address-state=[address-state]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-location-address-postalcode.html\">address-postalcode</a></td><td>\n\t\t\t\t\t\t\tstring\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Location?address-postalcode=[address-postalcode]</code></td></tr></tbody></table><hr/><h4 id=\"medication\" class=\"no_toc\">Medication</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-medication.html\">US Core Medication Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Resource Specific Documentation:</p><blockquote><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></blockquote><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Client <strong>SHALL</strong> be capable of fetching a Medication resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Medication/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Client <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/Medication?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><hr/><h4 id=\"medicationrequest\" class=\"no_toc\">MedicationRequest</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-medicationrequest.html\">US Core MedicationRequest Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Resource Specific Documentation:</p><blockquote><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 _include` parameter for searching this element. The client application must support all methods.</p><p>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 /MedicationRequest?patient=[id]</code></p><p><code>GET /MedicationRequest?patient=[id]&amp;_include=MedicationRequest:medication</code></p></blockquote><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Client <strong>SHALL</strong> be capable of fetching a MedicationRequest resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/MedicationRequest/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Client <strong>SHOULD</strong> be capable of supporting the following _includes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tMedicationRequest:medication - <code class=\"highlighter-rouge\">GET [base]/MedicationRequest?[parameter=value]&amp;_include=MedicationRequest:medication</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Client <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/MedicationRequest?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-medicationrequest-status.html\">status</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/MedicationRequest?status=[status]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-medicationrequest-intent.html\">intent</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/MedicationRequest?intent=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-medicationrequest-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/MedicationRequest?patient=[patient]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-medicationrequest-encounter.html\">encounter</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/MedicationRequest?encounter=[encounter]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-medicationrequest-authoredon.html\">authoredon</a></td><td>\n\t\t\t\t\t\t\tdate\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/MedicationRequest?authoredon=[authoredon]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>patient+intent+status\n\t\t\t\t\t\t</td><td>reference+token+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/MedicationRequest?patient=[patient]&amp;intent=[system]|[code]&amp;status=[status]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+intent\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/MedicationRequest?patient=[patient]&amp;intent=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+intent+encounter\n\t\t\t\t\t\t</td><td>reference+token+reference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/MedicationRequest?patient=[patient]&amp;intent=[system]|[code]&amp;encounter=[encounter]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+intent+authoredon\n\t\t\t\t\t\t</td><td>reference+token+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/MedicationRequest?patient=[patient]&amp;intent=[system]|[code]&amp;authoredon=[authoredon]</code></td></tr></tbody></table><hr/><h4 id=\"observation\" class=\"no_toc\">Observation</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-smokingstatus.html\">US Core Smoking Status Observation Profile</a>, \n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-pediatric-weight-for-height.html\">US Core Pediatric Weight  for Height Observation Profile</a>, \n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-observation-lab.html\">US Core Laboratory Result Observation Profile</a>, \n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-pediatric-bmi-for-age.html\">US Core Pediatric BMI for Age Observation Profile</a>, \n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-pulse-oximetry.html\">US Core Pulse Oximetry Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code><sup>†</sup>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><blockquote>search-type<sup>†</sup><p>The conformance expectations for Composite Searches differ by profile.  See the Quick Start section for profile specific expectations.</p>\n</blockquote><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Client <strong>SHALL</strong> be capable of fetching a Observation resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Observation/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Client <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/Observation?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-observation-status.html\">status</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Observation?status=[status]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-observation-category.html\">category</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Observation?category=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-observation-code.html\">code</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Observation?code=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-observation-date.html\">date</a></td><td>\n\t\t\t\t\t\t\tdate\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Observation?date=[date]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-observation-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Observation?patient=[patient]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>patient+category+status\n\t\t\t\t\t\t</td><td>reference+token+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Observation?patient=[patient]&amp;category=[system]|[code]&amp;status=[status]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+code\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Observation?patient=[patient]&amp;code=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+code+date\n\t\t\t\t\t\t</td><td>reference+token+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Observation?patient=[patient]&amp;code=[system]|[code]&amp;date=[date]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+category\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Observation?patient=[patient]&amp;category=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+category+date\n\t\t\t\t\t\t</td><td>reference+token+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Observation?patient=[patient]&amp;category=[system]|[code]&amp;date=[date]</code></td></tr></tbody></table><hr/><h4 id=\"organization\" class=\"no_toc\">Organization</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-organization.html\">US Core Organization Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Client <strong>SHALL</strong> be capable of fetching a Organization resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Organization/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Client <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/Organization?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-organization-name.html\">name</a></td><td>\n\t\t\t\t\t\t\tstring\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Organization?name=[name]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-organization-address.html\">address</a></td><td>\n\t\t\t\t\t\t\tstring\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Organization?address=[address]</code></td></tr></tbody></table><hr/><h4 id=\"patient\" class=\"no_toc\">Patient</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Client <strong>SHALL</strong> be capable of fetching a Patient resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Patient/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Client <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/Patient?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-patient-id.html\">_id</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Patient?_id=[id]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-patient-birthdate.html\">birthdate</a></td><td>\n\t\t\t\t\t\t\tdate\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Patient?birthdate=[birthdate]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-patient-family.html\">family</a></td><td>\n\t\t\t\t\t\t\tstring\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Patient?family=[family]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-patient-gender.html\">gender</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Patient?gender=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-patient-given.html\">given</a></td><td>\n\t\t\t\t\t\t\tstring\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Patient?given=[given]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-patient-identifier.html\">identifier</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Patient?identifier=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-patient-name.html\">name</a></td><td>\n\t\t\t\t\t\t\tstring\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Patient?name=[name]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>gender+name\n\t\t\t\t\t\t</td><td>token+string\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Patient?gender=[system]|[code]&amp;name=[name]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>family+gender\n\t\t\t\t\t\t</td><td>string+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Patient?family=[family]&amp;gender=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>birthdate+name\n\t\t\t\t\t\t</td><td>date+string\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Patient?birthdate=[birthdate]&amp;name=[name]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>birthdate+family\n\t\t\t\t\t\t</td><td>date+string\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Patient?birthdate=[birthdate]&amp;family=[family]</code></td></tr></tbody></table><hr/><h4 id=\"practitioner\" class=\"no_toc\">Practitioner</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Client <strong>SHALL</strong> be capable of fetching a Practitioner resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Practitioner/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Client <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/Practitioner?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-practitioner-name.html\">name</a></td><td>\n\t\t\t\t\t\t\tstring\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Practitioner?name=[name]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-practitioner-identifier.html\">identifier</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Practitioner?identifier=[system]|[code]</code></td></tr></tbody></table><hr/><h4 id=\"practitionerrole\" class=\"no_toc\">PractitionerRole</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-practitionerrole.html\">US Core PractitionerRole Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Client <strong>SHALL</strong> be capable of fetching a PractitionerRole resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/PractitionerRole/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Client <strong>SHOULD</strong> be capable of supporting the following _includes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tPractitionerRole:endpoint - <code class=\"highlighter-rouge\">GET [base]/PractitionerRole?[parameter=value]&amp;_include=PractitionerRole:endpoint</code>\n\t\t\t\t\t\n\t\t\t\t\t\tPractitionerRole:practitioner - <code class=\"highlighter-rouge\">GET [base]/PractitionerRole?[parameter=value]&amp;_include=PractitionerRole:practitioner</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Client <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/PractitionerRole?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-practitionerrole-specialty.html\">specialty</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/PractitionerRole?specialty=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-practitionerrole-practitioner.html\">practitioner</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/PractitionerRole?practitioner=[practitioner]</code></td></tr></tbody></table><hr/><h4 id=\"procedure\" class=\"no_toc\">Procedure</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-procedure.html\">US Core Procedure Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Client <strong>SHALL</strong> be capable of fetching a Procedure resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Procedure/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Client <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/Procedure?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-procedure-status.html\">status</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Procedure?status=[status]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-procedure-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Procedure?patient=[patient]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-procedure-date.html\">date</a></td><td>\n\t\t\t\t\t\t\tdate\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Procedure?date=[date]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-procedure-code.html\">code</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Procedure?code=[system]|[code]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>patient+code+date\n\t\t\t\t\t\t</td><td>reference+token+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Procedure?patient=[patient]&amp;code=[system]|[code]&amp;date=[date]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+status\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Procedure?patient=[patient]&amp;status=[status]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+date\n\t\t\t\t\t\t</td><td>reference+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Procedure?patient=[patient]&amp;date=[date]</code></td></tr></tbody></table><hr/><h4 id=\"provenance\" class=\"no_toc\">Provenance</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-provenance.html\">US Core Provenance Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Client <strong>SHALL</strong> be capable of fetching a Provenance resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Provenance/[id]</code>\n\t\t\t\t</li><br/></ul><hr/><h4 id=\"valueset\" class=\"no_toc\">ValueSet</h4><p>Operation  Summary:</p><ul><li><strong>SHOULD</strong> support the \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http://hl7.org/fhir/R4/valueset-operation-expand.html\">$expand</a> operation\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<p><p>A  client can determine the note and report types support by a server by invoking the standard FHIR Value Set Expansion ($expand) operation defined in the FHIR R4 specification. Because servers may support different read and write formats, it also is used to determine the formats (for example, text, pdf) the server supports read and write transactions.</p></p></li></ul><hr/><br/></div>"},"url":"http://hl7.org/fhir/us/core/CapabilityStatement/us-core-client","version":"3.0.1","name":"UsCoreClientCapabilityStatement","title":"US Core Client CapabilityStatement","status":"active","experimental":false,"date":"2019-09-12T00:00:00+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"​The Section describes the expected capabilities of the US Core Client which is responsible for creating and initiating the queries for information about an individual patient. The complete list of FHIR profiles, RESTful operations, and search parameters supported by US Core Servers are defined in the [Conformance Requirements for Server](CapabilityStatement-us-core-server.html). US Core Clients have the option of choosing from this list to access necessary data based on their local use cases and other contextual requirements.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"kind":"requirements","fhirVersion":"4.0.0","format":["xml","json"],"patchFormat":["application/json-patch+json"],"implementationGuide":["http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core-3.0.1"],"rest":[{"mode":"client","documentation":"The US Core Client **SHALL**:\n\n1. Support fetching and querying of one or more US Core profile(s), using the supported RESTful interactions and search parameters declared in the US Core Server CapabilityStatement.\n","security":{"description":"1. See the [General Security Considerations] section for requirements and 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The client application must support all methods.\n\n For example, A server **SHALL** be capable of returning all medications for a patient using one of or both:\n\n `GET /MedicationRequest?patient=[id]`\n\n `GET 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conformance expectations for Composite Searches differ by profile.  See the Quick Start section for profile specific expectations."},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"read"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"vread"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"update"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"patch"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"delete"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"history-instance"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"history-type"}],"searchRevInclude":["Provenance:target"],"searchParam":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"name":"status","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-status","type":"token"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"name":"category","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-category","type":"token"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"name":"code","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-code","type":"token"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"name":"date","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-date","type":"date"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"name":"patient","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-patient","type":"reference"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"type":"Organization","supportedProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"],"interaction":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"create"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"search-type"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"read"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"vread"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"update"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"patch"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"delete"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"history-instance"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"history-type"}],"searchRevInclude":["Provenance:target"],"searchParam":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"name":"name","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-organization-name","type":"string"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"name":"address","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-organization-address","type":"string"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"},{"url":"required","valueString":"gender"},{"url":"required","valueString":"name"}],"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"},{"url":"required","valueString":"family"},{"url":"required","valueString":"gender"}],"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectat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earchRevInclude":["Provenance:target"],"searchParam":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"name":"name","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-practitioner-name","type":"string"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"name":"identifier","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-practitioner-identifier","type":"token"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"type":"PractitionerRole","supportedProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"],"interaction":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"create"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"search-type"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"read"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"vread"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"update"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"patch"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"delete"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"history-instance"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"history-type"}],"searchInclude":["PractitionerRole:endpoint","PractitionerRole:practitioner"],"searchRevInclude":["Provenance:target"],"searchParam":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"name":"specialty","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-practitionerrole-specialty","type":"token"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"name":"practitioner","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-practitionerrole-practitioner","type":"reference"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"},{"url":"required","valueString":"patient"},{"url":"required","valueString":"code"},{"url":"required","valueString":"date"}],"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"},{"url":"required","valueString":"patient"},{"url":"required","valueString":"status"}],"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"},{"url":"required","valueString":"patient"},{"url":"required","valueString":"date"}],"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"}],"type":"Procedure","supportedProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"],"interaction":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"create"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"search-type"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"read"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"vread"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"update"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"patch"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"delete"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"history-instance"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"history-type"}],"searchRevInclude":["Provenance:target"],"searchParam":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"name":"status","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-status","type":"token"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"name":"patient","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-patient","type":"reference"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"name":"date","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-date","type":"date"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"name":"code","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-code","type":"token"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"type":"Provenance","supportedProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-provenance"],"interaction":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"create"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"search-type"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"read"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"vread"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"update"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"patch"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"delete"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"history-instance"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"history-type"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"type":"ValueSet","operation":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"name":"expand","definition":"http://hl7.org/fhir/OperationDefinition/ValueSet-expand","documentation":"A  client can determine the note and report types support by a server by invoking the standard FHIR Value Set Expansion ($expand) operation defined in the FHIR R4 specification. Because servers may support different read and write formats, it also is used to determine the formats (for example, text, pdf) the server supports read and write transactions."}]}],"interaction":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"transaction"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"batch"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"search-system"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"history-system"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/CapabilityStatement-us-core-server.json b/resources/uscore_v3.0.1/CapabilityStatement-us-core-server.json
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@@ -0,0 +1 @@
+{"resourceType":"CapabilityStatement","id":"us-core-server","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2 id=\"title\">US Core Server CapabilityStatement</h2><ul><li>FHIR Version: 4.0.0</li><li>Supported formats: xml, json</li><li>Published: 2019-09-12</li><li>Published by: HL7 International - US Realm Steering Committee</li></ul><p><p>This Section describes the expected capabilities of the US Core Server actor which is responsible for providing responses to the queries submitted by the US Core Requestors. The complete list of FHIR profiles, RESTful operations, and search parameters supported by US Core Servers are defined. Systems implementing this capability statement should meet the ONC 2015 Common Clinical Data Set (CCDS) access requirement for Patient Selection 170.315(g)(7) and Application Access - Data Category Request 170.315(g)(8) and and the latest proposed ONC [U.S. Core Data for Interoperability (USCDI)].  US Core Clients have the option of choosing from this list to access necessary data based on their local use cases and other contextual requirements.</p></p><h3 id=\"behavior\">FHIR RESTful Capabilities</h3><p>The US Core Server <strong>SHALL</strong>:</p><ol><li>Support the US Core Patient resource profile.</li><li>Support at least one additional resource profile from the list of US Core Profiles.</li><li>Implement the RESTful behavior according to the FHIR specification.</li><li>Return the following response classes:\n<ul><li>(Status 400): invalid parameter</li><li>(Status 401/4xx): unauthorized request</li><li>(Status 403): insufficient scope</li><li>(Status 404): unknown resource</li><li>(Status 410): deleted resource.</li></ul>\n</li><li>Support json source formats for all US Core interactions.</li></ol><p>The US Core Server <strong>SHOULD</strong>:</p><ol><li>Support xml source formats for all US Core interactions.</li><li>Identify the US Core profiles supported as part of the FHIR <code>meta.profile</code> attribute for each instance.</li><li>Support xml resource formats for all Argonaut questionnaire interactions.</li></ol><p id=\"security\"><strong>Security:</strong></p><ol><li>See the <a href=\"security.html\">General Security Considerations</a> section for requirements and recommendations.</li><li>A server <strong>SHALL</strong> reject any unauthorized requests by returning an <code>HTTP 401</code> unauthorized response code.</li></ol><p><strong>Summary of System Wide Interactions</strong></p><li><strong>MAY</strong> support the\t<code>transaction</code> interaction.</li><li><strong>MAY</strong> support the\t<code>batch</code> interaction.</li><li><strong>MAY</strong> support the\t<code>search-system</code> interaction.</li><li><strong>MAY</strong> support the\t<code>history-system</code> interaction.</li><h3 id=\"resource--details\" class=\"no_toc\">RESTful Capabilities by Resource/Profile:</h3><p><strong>Summary of Search Criteria</strong></p><table class=\"grid\"><thead><tr><th>Resource Type</th><th>Supported Profiles</th><th>Supported Searches</th><th>Supported <code>_includes</code></th><th>Supported <code>_revincludes</code></th><th>Supported Operations</th></tr></thead><tbody><tr><td><a href=\"#allergyintolerance\">AllergyIntolerance</a></td><td><a href=\"StructureDefinition-us-core-allergyintolerance.html\">US Core AllergyIntolerance Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tpatient, patient+clinical-status\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              \n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#careplan\">CarePlan</a></td><td><a href=\"StructureDefinition-us-core-careplan.html\">US Core CarePlan Profile</a></td><td>\n\t\t\t\t\t\t\t, patient+category+status, patient+category+date, patient+category, patient+category+status+date\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#careteam\">CareTeam</a></td><td><a href=\"StructureDefinition-us-core-careteam.html\">US Core CareTeam Profile</a></td><td>\n\t\t\t\t\t\t\t, patient+status\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#condition\">Condition</a></td><td><a href=\"StructureDefinition-us-core-condition.html\">US Core Condition Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tpatient, patient+clinical-status, patient+onset-date, patient+code, patient+category\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#device\">Device</a></td><td><a href=\"StructureDefinition-us-core-implantable-device.html\">US Core Implantable Device Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tpatient, patient+type\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#diagnosticreport\">DiagnosticReport</a></td><td><a href=\"StructureDefinition-us-core-diagnosticreport-note.html\">US Core DiagnosticReport Profile for Report and Note exchange</a>, \n\n\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-diagnosticreport-lab.html\">US Core DiagnosticReport Profile for Laboratory Results Reporting</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tpatient, patient+code+date, patient+code, patient+status, patient+category+date, patient+category, patient+category, patient+category+date\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#documentreference\">DocumentReference</a></td><td><a href=\"StructureDefinition-us-core-documentreference.html\">US Core DocumentReference Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t_id, \n\t\t\t\t\t\t\tpatient, patient+status, patient+category+date, patient+category, patient+type+period, patient+type\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t$docref\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#encounter\">Encounter</a></td><td><a href=\"StructureDefinition-us-core-encounter.html\">US Core Encounter Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t_id, \n\t\t\t\t\t\t\tidentifier, \n\t\t\t\t\t\t\tpatient, patient+status, patient+type, class+patient, date+patient\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#goal\">Goal</a></td><td><a href=\"StructureDefinition-us-core-goal.html\">US Core Goal Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tpatient, patient+target-date, patient+lifecycle-status\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#immunization\">Immunization</a></td><td><a href=\"StructureDefinition-us-core-immunization.html\">US Core Immunization Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tpatient, patient+status, patient+date\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#location\">Location</a></td><td><a href=\"StructureDefinition-us-core-location.html\">US Core Location Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tname, \n\t\t\t\t\t\t\taddress, \n\t\t\t\t\t\t\taddress-city, \n\t\t\t\t\t\t\taddress-state, \n\t\t\t\t\t\t\taddress-postalcode\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#medication\">Medication</a></td><td><a href=\"StructureDefinition-us-core-medication.html\">US Core Medication Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#medicationrequest\">MedicationRequest</a></td><td><a href=\"StructureDefinition-us-core-medicationrequest.html\">US Core MedicationRequest Profile</a></td><td>\n\t\t\t\t\t\t\t, patient+intent, patient+intent+encounter, patient+intent+status, patient+intent+authoredon\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\tMedicationRequest:medication\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#observation\">Observation</a></td><td><a href=\"StructureDefinition-us-core-smokingstatus.html\">US Core Smoking Status Observation Profile</a>, \n\n\t\t\t\t\t\t<a href=\"StructureDefinition-pediatric-weight-for-height.html\">US Core Pediatric Weight  for Height Observation Profile</a>, \n\n\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-observation-lab.html\">US Core Laboratory Result Observation Profile</a>, \n\n\t\t\t\t\t\t<a href=\"StructureDefinition-pediatric-bmi-for-age.html\">US Core Pediatric BMI for Age Observation Profile</a>, \n\n\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-pulse-oximetry.html\">US Core Pulse Oximetry Profile</a></td><td>\n\t\t\t\t\t\t\t, patient+category+status, patient+code+date, patient+code, patient+category+date, patient+category\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#organization\">Organization</a></td><td><a href=\"StructureDefinition-us-core-organization.html\">US Core Organization Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tname, \n\t\t\t\t\t\t\taddress\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#patient\">Patient</a></td><td><a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t_id, \n\t\t\t\t\t\t\tidentifier, \n\t\t\t\t\t\t\tname, birthdate+name, gender+name, family+gender, birthdate+family\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#practitioner\">Practitioner</a></td><td><a href=\"StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tname, \n\t\t\t\t\t\t\tidentifier\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#practitionerrole\">PractitionerRole</a></td><td><a href=\"StructureDefinition-us-core-practitionerrole.html\">US Core PractitionerRole Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tspecialty, \n\t\t\t\t\t\t\tpractitioner\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\tPractitionerRole:endpoint, PractitionerRole:practitioner\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#procedure\">Procedure</a></td><td><a href=\"StructureDefinition-us-core-procedure.html\">US Core Procedure Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\tpatient, patient+code+date, patient+status, patient+date\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              Provenance:target\n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#provenance\">Provenance</a></td><td><a href=\"StructureDefinition-us-core-provenance.html\">US Core Provenance Profile</a></td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              \n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td></tr><tr><td><a href=\"#valueset\">ValueSet</a></td><td>\n\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t</td><td>\n              \n            </td><td>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t$expand\n\t\t\t\t\t\t</td></tr></tbody></table><br/><h4 id=\"allergyintolerance\" class=\"no_toc\">AllergyIntolerance</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-allergyintolerance.html\">US Core AllergyIntolerance Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Reference Policy: <code>resolves</code></p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Server <strong>SHALL</strong> be capable of returning a AllergyIntolerance resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/AllergyIntolerance/[id]</code>\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-allergyintolerance-clinical-status.html\">clinical-status</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/AllergyIntolerance?clinical-status=[system]|[code]</code></td></tr><tr><td><strong>SHALL</strong></td><td><a href=\"SearchParameter-us-core-allergyintolerance-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/AllergyIntolerance?patient=[patient]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>patient+clinical-status\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/AllergyIntolerance?patient=[patient]&amp;clinical-status=[system]|[code]</code></td></tr></tbody></table><hr/><h4 id=\"careplan\" class=\"no_toc\">CarePlan</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-careplan.html\">US Core CarePlan Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Reference Policy: <code>resolves</code></p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Server <strong>SHALL</strong> be capable of returning a CarePlan resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/CarePlan/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Server <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/CarePlan?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-careplan-category.html\">category</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/CarePlan?category=[system]|[code]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-careplan-date.html\">date</a></td><td>\n\t\t\t\t\t\t\tdate\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/CarePlan?date=[date]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-careplan-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/CarePlan?patient=[patient]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-careplan-status.html\">status</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/CarePlan?status=[status]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>patient+category+status\n\t\t\t\t\t\t</td><td>reference+token+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/CarePlan?patient=[patient]&amp;category=[system]|[code]&amp;status=[status]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+category+date\n\t\t\t\t\t\t</td><td>reference+token+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/CarePlan?patient=[patient]&amp;category=[system]|[code]&amp;date=[date]</code></td></tr><tr><td><strong>SHALL</strong></td><td>patient+category\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/CarePlan?patient=[patient]&amp;category=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+category+status+date\n\t\t\t\t\t\t</td><td>reference+token+token+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/CarePlan?patient=[patient]&amp;category=[system]|[code]&amp;status=[status]&amp;date=[date]</code></td></tr></tbody></table><hr/><h4 id=\"careteam\" class=\"no_toc\">CareTeam</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-careteam.html\">US Core CareTeam Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Reference Policy: <code>resolves</code></p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Server <strong>SHALL</strong> be capable of returning a CareTeam resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/CareTeam/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Server <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/CareTeam?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-careteam-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/CareTeam?patient=[patient]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-careteam-status.html\">status</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/CareTeam?status=[status]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHALL</strong></td><td>patient+status\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/CareTeam?patient=[patient]&amp;status=[status]</code></td></tr></tbody></table><hr/><h4 id=\"condition\" class=\"no_toc\">Condition</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-condition.html\">US Core Condition Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Reference Policy: <code>resolves</code></p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Server <strong>SHALL</strong> be capable of returning a Condition resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Condition/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Server <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/Condition?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-condition-category.html\">category</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Condition?category=[system]|[code]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-condition-clinical-status.html\">clinical-status</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Condition?clinical-status=[system]|[code]</code></td></tr><tr><td><strong>SHALL</strong></td><td><a href=\"SearchParameter-us-core-condition-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Condition?patient=[patient]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-condition-onset-date.html\">onset-date</a></td><td>\n\t\t\t\t\t\t\tdate\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Condition?onset-date=[onset-date]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-condition-code.html\">code</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Condition?code=[system]|[code]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>patient+clinical-status\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Condition?patient=[patient]&amp;clinical-status=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+onset-date\n\t\t\t\t\t\t</td><td>reference+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Condition?patient=[patient]&amp;onset-date=[onset-date]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+code\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Condition?patient=[patient]&amp;code=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+category\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Condition?patient=[patient]&amp;category=[system]|[code]</code></td></tr></tbody></table><hr/><h4 id=\"device\" class=\"no_toc\">Device</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-implantable-device.html\">US Core Implantable Device Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Reference Policy: <code>resolves</code></p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Server <strong>SHALL</strong> be capable of returning a Device resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Device/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Server <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/Device?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHALL</strong></td><td><a href=\"SearchParameter-us-core-device-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Device?patient=[patient]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-device-type.html\">type</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Device?type=[system]|[code]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>patient+type\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Device?patient=[patient]&amp;type=[system]|[code]</code></td></tr></tbody></table><hr/><h4 id=\"diagnosticreport\" class=\"no_toc\">DiagnosticReport</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-diagnosticreport-note.html\">US Core DiagnosticReport Profile for Report and Note exchange</a>, \n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-diagnosticreport-lab.html\">US Core DiagnosticReport Profile for Laboratory Results Reporting</a>\n\t\t\t\t\n\t\t\t\t</p><p>Reference Policy: <code>resolves</code></p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code><sup>†</sup>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code><sup>†</sup>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><blockquote>create<sup>†</sup><p>This conformance expectation applies <strong>only</strong>  to the <em>US Core DiagnosticReport Profile for Report and Note exchange</em> profile.  The conformance expectation for the <em>US Core DiagnosticReport Profile for Laboratory Results Reporting</em> is  <strong>MAY</strong>.</p>\n</blockquote><blockquote>search-type<sup>†</sup><p>The conformance expectations for Composite Searches differ by profile.  See the Quick Start section for profile specific expectations.</p>\n</blockquote><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Server <strong>SHALL</strong> be capable of returning a DiagnosticReport resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/DiagnosticReport/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Server <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/DiagnosticReport?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-diagnosticreport-status.html\">status</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DiagnosticReport?status=[status]</code></td></tr><tr><td><strong>SHALL</strong></td><td><a href=\"SearchParameter-us-core-diagnosticreport-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DiagnosticReport?patient=[patient]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-diagnosticreport-category.html\">category</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DiagnosticReport?category=[system]|[code]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-diagnosticreport-code.html\">code</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DiagnosticReport?code=[system]|[code]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-diagnosticreport-date.html\">date</a></td><td>\n\t\t\t\t\t\t\tdate\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DiagnosticReport?date=[date]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>patient+code+date\n\t\t\t\t\t\t</td><td>reference+token+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DiagnosticReport?patient=[patient]&amp;code=[system]|[code]&amp;date=[date]</code></td></tr><tr><td><strong>SHALL</strong></td><td>patient+code\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DiagnosticReport?patient=[patient]&amp;code=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+status\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DiagnosticReport?patient=[patient]&amp;status=[status]</code></td></tr><tr><td><strong>SHALL</strong></td><td>patient+category+date\n\t\t\t\t\t\t</td><td>reference+token+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DiagnosticReport?patient=[patient]&amp;category=[system]|[code]&amp;date=[date]</code></td></tr><tr><td><strong>SHALL</strong></td><td>patient+category\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DiagnosticReport?patient=[patient]&amp;category=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+category\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DiagnosticReport?patient=[patient]&amp;category=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+category+date\n\t\t\t\t\t\t</td><td>reference+token+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DiagnosticReport?patient=[patient]&amp;category=[system]|[code]&amp;date=[date]</code></td></tr></tbody></table><hr/><h4 id=\"documentreference\" class=\"no_toc\">DocumentReference</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-documentreference.html\">US Core DocumentReference Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Resource Specific Documentation:</p><blockquote><p>The DocumentReference.type binding SHALL support at a minimum the <a href=\"ValueSet-us-core-clinical-note-type.html\">5 Common Clinical Notes</a> and may extend to the full US Core DocumentReference Type Value Set</p></blockquote><p>Reference Policy: <code>resolves</code></p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Operation  Summary:</p><ul><li><strong>SHALL</strong> support the \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"OperationDefinition-docref.html\">$docref</a> operation\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<p><p>A server <strong>SHALL</strong> be capable of responding to a $docref operation and  capable of returning at least a reference to a generated CCD document, if available. <strong>MAY</strong> provide references to other 'on-demand' and 'stable' documents (or 'delayed/deferred assembly') that meet the query parameters as well. If a context date range is supplied the server ** SHOULD**  provide references to any document that falls within the date range If no date range is supplied, then the server <strong>SHALL</strong> provide references to last or current encounter.  <strong>SHOULD</strong> document what resources, if any, are returned as included resources</p><p><code>GET [base]/DocumentReference/$docref?patient=[id]</code></p></p></li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Server <strong>SHALL</strong> be capable of returning a DocumentReference resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/DocumentReference/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Server <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/DocumentReference?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHALL</strong></td><td><a href=\"SearchParameter-us-core-documentreference-id.html\">_id</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DocumentReference?_id=[id]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-documentreference-status.html\">status</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DocumentReference?status=[status]</code></td></tr><tr><td><strong>SHALL</strong></td><td><a href=\"SearchParameter-us-core-documentreference-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DocumentReference?patient=[patient]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-documentreference-category.html\">category</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DocumentReference?category=[system]|[code]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-documentreference-type.html\">type</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DocumentReference?type=[system]|[code]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-documentreference-date.html\">date</a></td><td>\n\t\t\t\t\t\t\tdate\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DocumentReference?date=[date]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-documentreference-period.html\">period</a></td><td>\n\t\t\t\t\t\t\tdate\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DocumentReference?period=[period]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>patient+status\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DocumentReference?patient=[patient]&amp;status=[status]</code></td></tr><tr><td><strong>SHALL</strong></td><td>patient+category+date\n\t\t\t\t\t\t</td><td>reference+token+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DocumentReference?patient=[patient]&amp;category=[system]|[code]&amp;date=[date]</code></td></tr><tr><td><strong>SHALL</strong></td><td>patient+category\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DocumentReference?patient=[patient]&amp;category=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+type+period\n\t\t\t\t\t\t</td><td>reference+token+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DocumentReference?patient=[patient]&amp;type=[system]|[code]&amp;period=[period]</code></td></tr><tr><td><strong>SHALL</strong></td><td>patient+type\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/DocumentReference?patient=[patient]&amp;type=[system]|[code]</code></td></tr></tbody></table><hr/><h4 id=\"encounter\" class=\"no_toc\">Encounter</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-encounter.html\">US Core Encounter Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Reference Policy: <code>resolves</code></p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Server <strong>SHALL</strong> be capable of returning a Encounter resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Encounter/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Server <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/Encounter?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHALL</strong></td><td><a href=\"SearchParameter-us-core-encounter-id.html\">_id</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Encounter?_id=[id]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-encounter-class.html\">class</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Encounter?class=[system]|[code]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-encounter-date.html\">date</a></td><td>\n\t\t\t\t\t\t\tdate\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Encounter?date=[date]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-encounter-identifier.html\">identifier</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Encounter?identifier=[system]|[code]</code></td></tr><tr><td><strong>SHALL</strong></td><td><a href=\"SearchParameter-us-core-encounter-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Encounter?patient=[patient]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-encounter-status.html\">status</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Encounter?status=[status]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-encounter-type.html\">type</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Encounter?type=[system]|[code]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>patient+status\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Encounter?patient=[patient]&amp;status=[status]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+type\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Encounter?patient=[patient]&amp;type=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>class+patient\n\t\t\t\t\t\t</td><td>token+reference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Encounter?class=[system]|[code]&amp;patient=[patient]</code></td></tr><tr><td><strong>SHALL</strong></td><td>date+patient\n\t\t\t\t\t\t</td><td>date+reference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Encounter?date=[date]&amp;patient=[patient]</code></td></tr></tbody></table><hr/><h4 id=\"goal\" class=\"no_toc\">Goal</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-goal.html\">US Core Goal Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Reference Policy: <code>resolves</code></p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Server <strong>SHALL</strong> be capable of returning a Goal resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Goal/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Server <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/Goal?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-goal-lifecycle-status.html\">lifecycle-status</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Goal?lifecycle-status=[system]|[code]</code></td></tr><tr><td><strong>SHALL</strong></td><td><a href=\"SearchParameter-us-core-goal-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Goal?patient=[patient]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-goal-target-date.html\">target-date</a></td><td>\n\t\t\t\t\t\t\tdate\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Goal?target-date=[target-date]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>patient+target-date\n\t\t\t\t\t\t</td><td>reference+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Goal?patient=[patient]&amp;target-date=[target-date]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+lifecycle-status\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Goal?patient=[patient]&amp;lifecycle-status=[system]|[code]</code></td></tr></tbody></table><hr/><h4 id=\"immunization\" class=\"no_toc\">Immunization</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-immunization.html\">US Core Immunization Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Reference Policy: <code>resolves</code></p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Server <strong>SHALL</strong> be capable of returning a Immunization resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Immunization/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Server <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/Immunization?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHALL</strong></td><td><a href=\"SearchParameter-us-core-immunization-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Immunization?patient=[patient]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-immunization-status.html\">status</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Immunization?status=[status]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-immunization-date.html\">date</a></td><td>\n\t\t\t\t\t\t\tdate\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Immunization?date=[date]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>patient+status\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Immunization?patient=[patient]&amp;status=[status]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+date\n\t\t\t\t\t\t</td><td>reference+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Immunization?patient=[patient]&amp;date=[date]</code></td></tr></tbody></table><hr/><h4 id=\"location\" class=\"no_toc\">Location</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-location.html\">US Core Location Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Reference Policy: <code>resolves</code></p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Server <strong>SHALL</strong> be capable of returning a Location resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Location/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Server <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/Location?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHALL</strong></td><td><a href=\"SearchParameter-us-core-location-name.html\">name</a></td><td>\n\t\t\t\t\t\t\tstring\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Location?name=[name]</code></td></tr><tr><td><strong>SHALL</strong></td><td><a href=\"SearchParameter-us-core-location-address.html\">address</a></td><td>\n\t\t\t\t\t\t\tstring\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Location?address=[address]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-location-address-city.html\">address-city</a></td><td>\n\t\t\t\t\t\t\tstring\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Location?address-city=[address-city]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-location-address-state.html\">address-state</a></td><td>\n\t\t\t\t\t\t\tstring\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Location?address-state=[address-state]</code></td></tr><tr><td><strong>SHOULD</strong></td><td><a href=\"SearchParameter-us-core-location-address-postalcode.html\">address-postalcode</a></td><td>\n\t\t\t\t\t\t\tstring\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Location?address-postalcode=[address-postalcode]</code></td></tr></tbody></table><hr/><h4 id=\"medication\" class=\"no_toc\">Medication</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-medication.html\">US Core Medication Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Resource Specific Documentation:</p><blockquote><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></blockquote><p>Reference Policy: <code>resolves</code></p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Server <strong>SHALL</strong> be capable of returning a Medication resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Medication/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Server <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/Medication?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><hr/><h4 id=\"medicationrequest\" class=\"no_toc\">MedicationRequest</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-medicationrequest.html\">US Core MedicationRequest Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Resource Specific Documentation:</p><blockquote><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 _include` parameter for searching this element. The client application must support all methods.</p><p>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 /MedicationRequest?patient=[id]</code></p><p><code>GET /MedicationRequest?patient=[id]&amp;_include=MedicationRequest:medication</code></p></blockquote><p>Reference Policy: <code>resolves</code></p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Server <strong>SHALL</strong> be capable of returning a MedicationRequest resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/MedicationRequest/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Server <strong>SHOULD</strong> be capable of supporting the following _includes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tMedicationRequest:medication - <code class=\"highlighter-rouge\">GET [base]/MedicationRequest?[parameter=value]&amp;_include=MedicationRequest:medication</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Server <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/MedicationRequest?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-medicationrequest-status.html\">status</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/MedicationRequest?status=[status]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-medicationrequest-intent.html\">intent</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/MedicationRequest?intent=[system]|[code]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-medicationrequest-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/MedicationRequest?patient=[patient]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-medicationrequest-encounter.html\">encounter</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/MedicationRequest?encounter=[encounter]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-medicationrequest-authoredon.html\">authoredon</a></td><td>\n\t\t\t\t\t\t\tdate\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/MedicationRequest?authoredon=[authoredon]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHALL</strong></td><td>patient+intent\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/MedicationRequest?patient=[patient]&amp;intent=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+intent+encounter\n\t\t\t\t\t\t</td><td>reference+token+reference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/MedicationRequest?patient=[patient]&amp;intent=[system]|[code]&amp;encounter=[encounter]</code></td></tr><tr><td><strong>SHALL</strong></td><td>patient+intent+status\n\t\t\t\t\t\t</td><td>reference+token+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/MedicationRequest?patient=[patient]&amp;intent=[system]|[code]&amp;status=[status]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+intent+authoredon\n\t\t\t\t\t\t</td><td>reference+token+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/MedicationRequest?patient=[patient]&amp;intent=[system]|[code]&amp;authoredon=[authoredon]</code></td></tr></tbody></table><hr/><h4 id=\"observation\" class=\"no_toc\">Observation</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-smokingstatus.html\">US Core Smoking Status Observation Profile</a>, \n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-pediatric-weight-for-height.html\">US Core Pediatric Weight  for Height Observation Profile</a>, \n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-observation-lab.html\">US Core Laboratory Result Observation Profile</a>, \n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-pediatric-bmi-for-age.html\">US Core Pediatric BMI for Age Observation Profile</a>, \n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-pulse-oximetry.html\">US Core Pulse Oximetry Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Reference Policy: <code>resolves</code></p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code><sup>†</sup>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><blockquote>search-type<sup>†</sup><p>The conformance expectations for Composite Searches differ by profile.  See the Quick Start section for profile specific expectations.</p>\n</blockquote><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Server <strong>SHALL</strong> be capable of returning a Observation resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Observation/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Server <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/Observation?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-observation-status.html\">status</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Observation?status=[status]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-observation-category.html\">category</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Observation?category=[system]|[code]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-observation-code.html\">code</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Observation?code=[system]|[code]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-observation-date.html\">date</a></td><td>\n\t\t\t\t\t\t\tdate\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Observation?date=[date]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-observation-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Observation?patient=[patient]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>patient+category+status\n\t\t\t\t\t\t</td><td>reference+token+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Observation?patient=[patient]&amp;category=[system]|[code]&amp;status=[status]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+code+date\n\t\t\t\t\t\t</td><td>reference+token+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Observation?patient=[patient]&amp;code=[system]|[code]&amp;date=[date]</code></td></tr><tr><td><strong>SHALL</strong></td><td>patient+code\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Observation?patient=[patient]&amp;code=[system]|[code]</code></td></tr><tr><td><strong>SHALL</strong></td><td>patient+category+date\n\t\t\t\t\t\t</td><td>reference+token+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Observation?patient=[patient]&amp;category=[system]|[code]&amp;date=[date]</code></td></tr><tr><td><strong>SHALL</strong></td><td>patient+category\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Observation?patient=[patient]&amp;category=[system]|[code]</code></td></tr></tbody></table><hr/><h4 id=\"organization\" class=\"no_toc\">Organization</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-organization.html\">US Core Organization Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Reference Policy: <code>resolves</code></p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Server <strong>SHALL</strong> be capable of returning a Organization resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Organization/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Server <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/Organization?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHALL</strong></td><td><a href=\"SearchParameter-us-core-organization-name.html\">name</a></td><td>\n\t\t\t\t\t\t\tstring\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Organization?name=[name]</code></td></tr><tr><td><strong>SHALL</strong></td><td><a href=\"SearchParameter-us-core-organization-address.html\">address</a></td><td>\n\t\t\t\t\t\t\tstring\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Organization?address=[address]</code></td></tr></tbody></table><hr/><h4 id=\"patient\" class=\"no_toc\">Patient</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Reference Policy: <code>resolves</code></p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Server <strong>SHALL</strong> be capable of returning a Patient resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Patient/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Server <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/Patient?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHALL</strong></td><td><a href=\"SearchParameter-us-core-patient-id.html\">_id</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Patient?_id=[id]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-patient-birthdate.html\">birthdate</a></td><td>\n\t\t\t\t\t\t\tdate\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Patient?birthdate=[birthdate]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-patient-family.html\">family</a></td><td>\n\t\t\t\t\t\t\tstring\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Patient?family=[family]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-patient-gender.html\">gender</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Patient?gender=[system]|[code]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-patient-given.html\">given</a></td><td>\n\t\t\t\t\t\t\tstring\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Patient?given=[given]</code></td></tr><tr><td><strong>SHALL</strong></td><td><a href=\"SearchParameter-us-core-patient-identifier.html\">identifier</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Patient?identifier=[system]|[code]</code></td></tr><tr><td><strong>SHALL</strong></td><td><a href=\"SearchParameter-us-core-patient-name.html\">name</a></td><td>\n\t\t\t\t\t\t\tstring\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Patient?name=[name]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHALL</strong></td><td>birthdate+name\n\t\t\t\t\t\t</td><td>date+string\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Patient?birthdate=[birthdate]&amp;name=[name]</code></td></tr><tr><td><strong>SHALL</strong></td><td>gender+name\n\t\t\t\t\t\t</td><td>token+string\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Patient?gender=[system]|[code]&amp;name=[name]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>family+gender\n\t\t\t\t\t\t</td><td>string+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Patient?family=[family]&amp;gender=[system]|[code]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>birthdate+family\n\t\t\t\t\t\t</td><td>date+string\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Patient?birthdate=[birthdate]&amp;family=[family]</code></td></tr></tbody></table><hr/><h4 id=\"practitioner\" class=\"no_toc\">Practitioner</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Reference Policy: <code>resolves</code></p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Server <strong>SHALL</strong> be capable of returning a Practitioner resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Practitioner/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Server <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/Practitioner?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHALL</strong></td><td><a href=\"SearchParameter-us-core-practitioner-name.html\">name</a></td><td>\n\t\t\t\t\t\t\tstring\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Practitioner?name=[name]</code></td></tr><tr><td><strong>SHALL</strong></td><td><a href=\"SearchParameter-us-core-practitioner-identifier.html\">identifier</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Practitioner?identifier=[system]|[code]</code></td></tr></tbody></table><hr/><h4 id=\"practitionerrole\" class=\"no_toc\">PractitionerRole</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-practitionerrole.html\">US Core PractitionerRole Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Reference Policy: <code>resolves</code></p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Server <strong>SHALL</strong> be capable of returning a PractitionerRole resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/PractitionerRole/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Server <strong>SHOULD</strong> be capable of supporting the following _includes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tPractitionerRole:endpoint - <code class=\"highlighter-rouge\">GET [base]/PractitionerRole?[parameter=value]&amp;_include=PractitionerRole:endpoint</code>\n\t\t\t\t\t\n\t\t\t\t\t\tPractitionerRole:practitioner - <code class=\"highlighter-rouge\">GET [base]/PractitionerRole?[parameter=value]&amp;_include=PractitionerRole:practitioner</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Server <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/PractitionerRole?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHALL</strong></td><td><a href=\"SearchParameter-us-core-practitionerrole-specialty.html\">specialty</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/PractitionerRole?specialty=[system]|[code]</code></td></tr><tr><td><strong>SHALL</strong></td><td><a href=\"SearchParameter-us-core-practitionerrole-practitioner.html\">practitioner</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/PractitionerRole?practitioner=[practitioner]</code></td></tr></tbody></table><hr/><h4 id=\"procedure\" class=\"no_toc\">Procedure</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-procedure.html\">US Core Procedure Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Reference Policy: <code>resolves</code></p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Server <strong>SHALL</strong> be capable of returning a Procedure resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Procedure/[id]</code>\n\t\t\t\t</li><br/><li>\n\t\t\t\t\tA Server <strong>SHOULD</strong> be capable of supporting the following _revincludes:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\n\t\t\t\t\t\tProvenance:target - <code class=\"highlighter-rouge\">GET [base]/Procedure?[parameter=value]&amp;_revinclude=Provenance:target</code>\n\t\t\t\t\t\n\t\t\t\t</li><br/></ul><p>Search Parameter Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Example</th></tr></thead><tbody><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-procedure-status.html\">status</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Procedure?status=[status]</code></td></tr><tr><td><strong>SHALL</strong></td><td><a href=\"SearchParameter-us-core-procedure-patient.html\">patient</a></td><td>\n\t\t\t\t\t\t\treference\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Procedure?patient=[patient]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-procedure-date.html\">date</a></td><td>\n\t\t\t\t\t\t\tdate\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Procedure?date=[date]</code></td></tr><tr><td><strong>MAY</strong></td><td><a href=\"SearchParameter-us-core-procedure-code.html\">code</a></td><td>\n\t\t\t\t\t\t\ttoken\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Procedure?code=[system]|[code]</code></td></tr></tbody></table><p>Search Parameter Combination Summary:</p><table class=\"grid\"><thead><tr><th>Conformance</th><th>Parameter Combination</th><th>Types</th><th>Example</th></tr></thead><tbody><tr><td><strong>SHOULD</strong></td><td>patient+code+date\n\t\t\t\t\t\t</td><td>reference+token+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Procedure?patient=[patient]&amp;code=[system]|[code]&amp;date=[date]</code></td></tr><tr><td><strong>SHOULD</strong></td><td>patient+status\n\t\t\t\t\t\t</td><td>reference+token\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Procedure?patient=[patient]&amp;status=[status]</code></td></tr><tr><td><strong>SHALL</strong></td><td>patient+date\n\t\t\t\t\t\t</td><td>reference+date\n\t\t\t\t\t\t</td><td><code class=\"highlighter-rouge\">GET [base]/Procedure?patient=[patient]&amp;date=[date]</code></td></tr></tbody></table><hr/><h4 id=\"provenance\" class=\"no_toc\">Provenance</h4><p>Supported Profiles:\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"StructureDefinition-us-core-provenance.html\">US Core Provenance Profile</a>\n\t\t\t\t\n\t\t\t\t</p><p>Resource Specific Documentation:</p><blockquote><p>If a system receives a provider in <code>Provenance.agent.who</code> as free text they must capture who sent them the information as the organization. On request they <strong>SHALL</strong> provide this organization as the source and <strong>MAY</strong> include the free text provider.</p></blockquote><p>Reference Policy: <code>resolves</code></p><p>Profile Interaction Summary:</p><ul><li><strong>SHALL</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>search-type</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>read</code>.</li><li><strong>SHOULD</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>vread</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-instance</code>.</li><li><strong>MAY</strong> support \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>create</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>update</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>patch</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>delete</code>, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<code>history-type</code>.</li></ul><p>Fetch and Search Criteria:</p><ul><li>\n\t\t\t\t\tA Server <strong>SHALL</strong> be capable of returning a Provenance resource using:\n\t\t\t\t\t<br/>\n\t\t\t\t\t\t<code class=\"highlighter-rouge\">GET [base]/Provenance/[id]</code>\n\t\t\t\t</li><br/></ul><hr/><h4 id=\"valueset\" class=\"no_toc\">ValueSet</h4><p>Operation  Summary:</p><ul><li><strong>SHOULD</strong> support the \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http://hl7.org/fhir/R4/valueset-operation-expand.html\">$expand</a> operation\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<p><p>A  client can determine the note and report types support by a server by invoking the standard FHIR Value Set Expansion ($expand) operation defined in the FHIR R4 specification. Because servers may support different read and write formats, it also is used to determine the formats (for example, text, pdf) the server supports read and write transactions.</p></p></li></ul><hr/><br/></div>"},"url":"http://hl7.org/fhir/us/core/CapabilityStatement/us-core-server","version":"3.0.1","name":"UsCoreServerCapabilityStatement","title":"US Core Server CapabilityStatement","status":"active","experimental":false,"date":"2019-09-12T00:00:00+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"This Section describes the expected capabilities of the US Core Server actor which is responsible for providing responses to the queries submitted by the US Core Requestors. The complete list of FHIR profiles, RESTful operations, and search parameters supported by US Core Servers are defined. Systems implementing this capability statement should meet the ONC 2015 Common Clinical Data Set (CCDS) access requirement for Patient Selection 170.315(g)(7) and Application Access - Data Category Request 170.315(g)(8) and and the latest proposed ONC [U.S. Core Data for Interoperability (USCDI)].  US Core Clients have the option of choosing from this list to access necessary data based on their local use cases and other contextual requirements.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"kind":"requirements","fhirVersion":"4.0.0","format":["xml","json"],"patchFormat":["application/json-patch+json"],"implementationGuide":["http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core-3.0.1"],"rest":[{"mode":"server","documentation":"The US Core Server **SHALL**:\n\n1. Support the US Core Patient resource profile.\n1. Support at least one additional resource profile from the list of US Core Profiles.\n1. Implement the RESTful behavior according to the FHIR specification.\n1. Return the following response classes:\n   - (Status 400): invalid parameter\n   - (Status 401/4xx): unauthorized request\n   - (Status 403): insufficient scope\n   - (Status 404): unknown resource\n   - (Status 410): deleted resource.\n1. Support json source formats for all US Core interactions.\n\nThe US Core Server **SHOULD**:\n\n1. Support xml source formats for all US Core interactions.\n1. Identify the US Core profiles supported as part of the FHIR `meta.profile` attribute for each instance.\n1. Support xml resource formats for all Argonaut questionnaire interactions.","security":{"description":"1. See the [General Security Considerations](security.html) section for requirements and recommendations.\n1. A server **SHALL** reject any unauthorized requests by returning an `HTTP 401` unauthorized response code."},"resource":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"},{"url":"required","valueString":"patient"},{"url":"required","valueString":"clinical-status"}],"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"}],"type":"AllergyIntolerance","supportedProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance"],"interaction":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"create"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"search-type"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"read"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"vread"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"update"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"patch"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"delete"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"history-instance"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"history-type"}],"referencePolicy":["resolves"],"searchParam":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"name":"clinical-status","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-allergyintolerance-clinical-status","type":"token"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"name":"patient","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-allergyintolerance-patient","type":"reference"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"},{"url":"required","valueString":"patient"},{"url":"required","valueString":"category"},{"url":"required","valueString":"status"}],"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"},{"url":"required","valueString":"patient"},{"url":"required","valueString":"category"},{"url":"required","valueString":"date"}],"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"},{"url":"required","valueString":"patient"},{"url":"required","valueString":"category"}],"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"},{"url":"required","valueString":"patient"},{"url":"required","valueString":"category"},{"url":"required","valueString":"status"},{"url":"required","valueString":"date"}],"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"}],"type":"CarePlan","supportedProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan"],"interaction":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"create"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"search-type"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"read"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"vread"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"update"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"patch"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"delete"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","v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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":"MAY"}],"code":"create"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"search-type"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"read"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"vread"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"update"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"patch"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"delete"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"history-instance"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"history-type"}],"referencePolicy":["resolves"],"searchRevInclude":["Provenance:target"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"},{"url":"required","valueString":"patient"},{"url":"required","valueString":"intent"}],"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"},{"url":"required","valueString":"patient"},{"url":"required","valueString":"intent"},{"url":"required","valueString":"encounter"}],"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"},{"url":"required","valueString":"patient"},{"url":"required","valueString":"intent"},{"url":"required","valueString":"status"}],"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"},{"url":"required","valueString":"patient"},{"url":"required","valueString":"intent"},{"url":"required","valueString":"authoredon"}],"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"}],"type":"MedicationRequest","supportedProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"],"documentation":"The MedicationRequest resources can represent a medication using either a code or refer to the Medication resource. 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The client application must support all methods.\n\n For example, A server **SHALL** be capable of returning all medications for a patient using one of or both:\n\n `GET /MedicationRequest?patient=[id]`\n\n `GET 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See the Quick Start section for profile specific 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ureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"},{"url":"required","valueString":"family"},{"url":"required","valueString":"gender"}],"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"},{"url":"required","valueString":"birthdate"},{"url":"required","valueString":"family"}],"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"}],"type":"Patient","supportedProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"],"interaction":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"create"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"search-type"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"read"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"vread"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"update"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"patch"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"delete"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"history-instance"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"history-type"}],"referencePolicy":["resolves"],"searchRevInclude":["Provenance:target"],"searchParam":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"name":"_id","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-id","type":"token"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"name":"birthdate","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-birthdate","type":"date"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"name":"family","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-family","type":"string"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"name":"gender","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-gender","type":"token"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"name":"given","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-given","type":"string"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"name":"identifier","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-identifier","type":"token"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"name":"name","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-name","type":"string"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"type":"Practitioner","supportedProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"],"interaction":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"create"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"search-type"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"read"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"vread"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"update"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"patch"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"delete"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"history-instance"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"history-type"}],"referencePolicy":["resolves"],"searchRevInclude":["Provenance:target"],"searchParam":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"name":"name","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-practitioner-name","type":"string"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"name":"identifier","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-practitioner-identifier","type":"token"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"type":"PractitionerRole","supportedProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"],"interaction":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"create"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"search-type"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"read"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"vread"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"update"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"patch"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"delete"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"history-instance"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"history-type"}],"referencePolicy":["resolves"],"searchInclude":["PractitionerRole:endpoint","PractitionerRole:practitioner"],"searchRevInclude":["Provenance:target"],"searchParam":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"name":"specialty","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-practitionerrole-specialty","type":"token"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"name":"practitioner","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-practitionerrole-practitioner","type":"reference"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"},{"url":"required","valueString":"patient"},{"url":"required","valueString":"code"},{"url":"required","valueString":"date"}],"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"},{"url":"required","valueString":"patient"},{"url":"required","valueString":"status"}],"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"},{"url":"required","valueString":"patient"},{"url":"required","valueString":"date"}],"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"}],"type":"Procedure","supportedProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"],"interaction":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"create"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"search-type"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"read"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"vread"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"update"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"patch"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"delete"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"history-instance"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"history-type"}],"referencePolicy":["resolves"],"searchRevInclude":["Provenance:target"],"searchParam":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"name":"status","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-status","type":"token"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"name":"patient","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-patient","type":"reference"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"name":"date","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-date","type":"date"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"name":"code","definition":"http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-code","type":"token"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"type":"Provenance","supportedProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-provenance"],"documentation":"If a system receives a provider in `Provenance.agent.who` as free text they must capture who sent them the information as the organization. On request they **SHALL** provide this organization as the source and **MAY** include the free text provider.","interaction":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"create"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"search-type"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"code":"read"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"vread"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"update"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"patch"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"delete"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"code":"history-instance"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"history-type"}],"referencePolicy":["resolves"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"type":"ValueSet","operation":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"name":"expand","definition":"http://hl7.org/fhir/OperationDefinition/ValueSet-expand","documentation":"A  client can determine the note and report types support by a server by invoking the standard FHIR Value Set Expansion ($expand) operation defined in the FHIR R4 specification. Because servers may support different read and write formats, it also is used to determine the formats (for example, text, pdf) the server supports read and write transactions."}]}],"interaction":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"transaction"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"batch"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"search-system"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"code":"history-system"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/CodeSystem-careplan-category.json b/resources/uscore_v3.0.1/CodeSystem-careplan-category.json
new file mode 100644
index 000000000..498ee1cf0
--- /dev/null
+++ b/resources/uscore_v3.0.1/CodeSystem-careplan-category.json
@@ -0,0 +1 @@
+{"resourceType":"CodeSystem","id":"careplan-category","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core CarePlan Category Extension Codes</h2><div><p>Set of codes that are needed for implementation of the US-Core profiles. These codes are used as extensions to the FHIR and US Core value sets.</p>\n</div><p>This code system http://hl7.org/fhir/us/core/CodeSystem/careplan-category defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">assess-plan<a name=\"careplan-category-assess-plan\"> </a></td><td>Assessment and Plan of Treatment</td><td>The clinical conclusions and assumptions that guide the patient's treatment and the clinical activities formulated for a patient.</td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/CodeSystem/careplan-category","version":"3.0.1","name":"USCoreCarePlanCategoryExtensionCodes","title":"US Core CarePlan Category Extension Codes","status":"active","date":"2019-09-12T23:50:40+00:00","publisher":"HL7 US Realm Steering Committee","description":"Set of codes that are needed for implementation of the US-Core profiles. These codes are used as extensions to the FHIR and US Core value sets.\n","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"caseSensitive":true,"content":"complete","concept":[{"code":"assess-plan","display":"Assessment and Plan of Treatment","definition":"The clinical conclusions and assumptions that guide the patient's treatment and the clinical activities formulated for a patient."}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/CodeSystem-cdcrec.json b/resources/uscore_v3.0.1/CodeSystem-cdcrec.json
new file mode 100644
index 000000000..e79ac37a5
--- /dev/null
+++ b/resources/uscore_v3.0.1/CodeSystem-cdcrec.json
@@ -0,0 +1 @@
+{"resourceType":"CodeSystem","id":"cdcrec","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Race &amp; Ethnicity - CDC</h2><div><p>The U.S. Centers for Disease Control and Prevention (CDC) has prepared a code set for use in codingrace and ethnicity data. This code set is based on current federal standards for classifying data onrace and ethnicity, specifically the minimum race and ethnicity categories defined by the U.S. Office ofManagement and Budget (OMB) and a more detailed set of race and ethnicity categories maintainedby the U.S. Bureau of the Census (BC). The main purpose of the code set is to facilitate use of federalstandards for classifying data on race and ethnicity when these data are exchanged, stored, retrieved,or analyzed in electronic form. At the same time, the code set can be applied to paper-based recordsystems to the extent that these systems are used to collect, maintain, and report data on race andethnicity in accordance with current federal standards. Source: <a href=\"https://www.cdc.gov/phin/resources/vocabulary/documents/cdc-race--ethnicity-background-and-purpose.pdf\">Race and Ethnicity Code Set Version 1.0</a>.</p>\n</div><p><b>Properties</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>URL</b></td><td><b>Description</b></td><td><b>Type</b></td></tr><tr><td>abstract</td><td/><td>True if an element is considered 'abstract' - in other words, the code is not for use as a real concept</td><td>boolean</td></tr></table><p>This code system urn:oid:2.16.840.1.113883.6.238 defines the following codes:</p><table class=\"codes\"><tr><td><b>Lvl</b></td><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td>1</td><td style=\"white-space:nowrap\">1000-9<a name=\"cdcrec-1000-9\"> </a></td><td>Race</td><td>Race, Note that this is an abstract 'grouping' concept and not for use as a real concept</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  1002-5<a name=\"cdcrec-1002-5\"> </a></td><td>American Indian or Alaska Native</td><td>American Indian or Alaska Native</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1004-1<a name=\"cdcrec-1004-1\"> </a></td><td>American Indian</td><td>American Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1735-0<a name=\"cdcrec-1735-0\"> </a></td><td>Alaska Native</td><td>Alaska Native</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1006-6<a name=\"cdcrec-1006-6\"> </a></td><td>Abenaki</td><td>Abenaki</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1008-2<a name=\"cdcrec-1008-2\"> </a></td><td>Algonquian</td><td>Algonquian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1010-8<a name=\"cdcrec-1010-8\"> </a></td><td>Apache</td><td>Apache</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1021-5<a name=\"cdcrec-1021-5\"> </a></td><td>Arapaho</td><td>Arapaho</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1026-4<a name=\"cdcrec-1026-4\"> </a></td><td>Arikara</td><td>Arikara</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1028-0<a name=\"cdcrec-1028-0\"> </a></td><td>Assiniboine</td><td>Assiniboine</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1030-6<a name=\"cdcrec-1030-6\"> </a></td><td>Assiniboine Sioux</td><td>Assiniboine Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1033-0<a name=\"cdcrec-1033-0\"> </a></td><td>Bannock</td><td>Bannock</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1035-5<a name=\"cdcrec-1035-5\"> </a></td><td>Blackfeet</td><td>Blackfeet</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1037-1<a name=\"cdcrec-1037-1\"> </a></td><td>Brotherton</td><td>Brotherton</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1039-7<a name=\"cdcrec-1039-7\"> </a></td><td>Burt Lake Band</td><td>Burt Lake Band</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1041-3<a name=\"cdcrec-1041-3\"> </a></td><td>Caddo</td><td>Caddo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1044-7<a name=\"cdcrec-1044-7\"> </a></td><td>Cahuilla</td><td>Cahuilla</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1053-8<a name=\"cdcrec-1053-8\"> </a></td><td>California Tribes</td><td>California Tribes</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1068-6<a name=\"cdcrec-1068-6\"> </a></td><td>Canadian and Latin American Indian</td><td>Canadian and Latin American Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1076-9<a name=\"cdcrec-1076-9\"> </a></td><td>Catawba</td><td>Catawba</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1078-5<a name=\"cdcrec-1078-5\"> </a></td><td>Cayuse</td><td>Cayuse</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1080-1<a name=\"cdcrec-1080-1\"> </a></td><td>Chehalis</td><td>Chehalis</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1082-7<a name=\"cdcrec-1082-7\"> </a></td><td>Chemakuan</td><td>Chemakuan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1086-8<a name=\"cdcrec-1086-8\"> </a></td><td>Chemehuevi</td><td>Chemehuevi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1088-4<a name=\"cdcrec-1088-4\"> </a></td><td>Cherokee</td><td>Cherokee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1100-7<a name=\"cdcrec-1100-7\"> </a></td><td>Cherokee Shawnee</td><td>Cherokee Shawnee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1102-3<a name=\"cdcrec-1102-3\"> </a></td><td>Cheyenne</td><td>Cheyenne</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1106-4<a name=\"cdcrec-1106-4\"> </a></td><td>Cheyenne-Arapaho</td><td>Cheyenne-Arapaho</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1108-0<a name=\"cdcrec-1108-0\"> </a></td><td>Chickahominy</td><td>Chickahominy</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1112-2<a name=\"cdcrec-1112-2\"> </a></td><td>Chickasaw</td><td>Chickasaw</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1114-8<a name=\"cdcrec-1114-8\"> </a></td><td>Chinook</td><td>Chinook</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1123-9<a name=\"cdcrec-1123-9\"> </a></td><td>Chippewa</td><td>Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1150-2<a name=\"cdcrec-1150-2\"> </a></td><td>Chippewa Cree</td><td>Chippewa Cree</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1153-6<a name=\"cdcrec-1153-6\"> </a></td><td>Chitimacha</td><td>Chitimacha</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1155-1<a name=\"cdcrec-1155-1\"> </a></td><td>Choctaw</td><td>Choctaw</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1162-7<a name=\"cdcrec-1162-7\"> </a></td><td>Chumash</td><td>Chumash</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1165-0<a name=\"cdcrec-1165-0\"> </a></td><td>Clear Lake</td><td>Clear Lake</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1167-6<a name=\"cdcrec-1167-6\"> </a></td><td>Coeur D'Alene</td><td>Coeur D'Alene</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1169-2<a name=\"cdcrec-1169-2\"> </a></td><td>Coharie</td><td>Coharie</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1171-8<a name=\"cdcrec-1171-8\"> </a></td><td>Colorado River</td><td>Colorado River</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1173-4<a name=\"cdcrec-1173-4\"> </a></td><td>Colville</td><td>Colville</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1175-9<a name=\"cdcrec-1175-9\"> </a></td><td>Comanche</td><td>Comanche</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1178-3<a name=\"cdcrec-1178-3\"> </a></td><td>Coos, Lower Umpqua, Siuslaw</td><td>Coos, Lower Umpqua, Siuslaw</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1180-9<a name=\"cdcrec-1180-9\"> </a></td><td>Coos</td><td>Coos</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1182-5<a name=\"cdcrec-1182-5\"> </a></td><td>Coquilles</td><td>Coquilles</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1184-1<a name=\"cdcrec-1184-1\"> </a></td><td>Costanoan</td><td>Costanoan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1186-6<a name=\"cdcrec-1186-6\"> </a></td><td>Coushatta</td><td>Coushatta</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1189-0<a name=\"cdcrec-1189-0\"> </a></td><td>Cowlitz</td><td>Cowlitz</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1191-6<a name=\"cdcrec-1191-6\"> </a></td><td>Cree</td><td>Cree</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1193-2<a name=\"cdcrec-1193-2\"> </a></td><td>Creek</td><td>Creek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1207-0<a name=\"cdcrec-1207-0\"> </a></td><td>Croatan</td><td>Croatan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1209-6<a name=\"cdcrec-1209-6\"> </a></td><td>Crow</td><td>Crow</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1211-2<a name=\"cdcrec-1211-2\"> </a></td><td>Cupeno</td><td>Cupeno</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1214-6<a name=\"cdcrec-1214-6\"> </a></td><td>Delaware</td><td>Delaware</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1222-9<a name=\"cdcrec-1222-9\"> </a></td><td>Diegueno</td><td>Diegueno</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1233-6<a name=\"cdcrec-1233-6\"> </a></td><td>Eastern Tribes</td><td>Eastern Tribes</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1250-0<a name=\"cdcrec-1250-0\"> </a></td><td>Esselen</td><td>Esselen</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1252-6<a name=\"cdcrec-1252-6\"> </a></td><td>Fort Belknap</td><td>Fort Belknap</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1254-2<a name=\"cdcrec-1254-2\"> </a></td><td>Fort Berthold</td><td>Fort Berthold</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1256-7<a name=\"cdcrec-1256-7\"> </a></td><td>Fort Mcdowell</td><td>Fort Mcdowell</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1258-3<a name=\"cdcrec-1258-3\"> </a></td><td>Fort Hall</td><td>Fort Hall</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1260-9<a name=\"cdcrec-1260-9\"> </a></td><td>Gabrieleno</td><td>Gabrieleno</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1262-5<a name=\"cdcrec-1262-5\"> </a></td><td>Grand Ronde</td><td>Grand Ronde</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1264-1<a name=\"cdcrec-1264-1\"> </a></td><td>Gros Ventres</td><td>Gros Ventres</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1267-4<a name=\"cdcrec-1267-4\"> </a></td><td>Haliwa</td><td>Haliwa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1269-0<a name=\"cdcrec-1269-0\"> </a></td><td>Hidatsa</td><td>Hidatsa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1271-6<a name=\"cdcrec-1271-6\"> </a></td><td>Hoopa</td><td>Hoopa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1275-7<a name=\"cdcrec-1275-7\"> </a></td><td>Hoopa Extension</td><td>Hoopa Extension</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1277-3<a name=\"cdcrec-1277-3\"> </a></td><td>Houma</td><td>Houma</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1279-9<a name=\"cdcrec-1279-9\"> </a></td><td>Inaja-Cosmit</td><td>Inaja-Cosmit</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1281-5<a name=\"cdcrec-1281-5\"> </a></td><td>Iowa</td><td>Iowa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1285-6<a name=\"cdcrec-1285-6\"> </a></td><td>Iroquois</td><td>Iroquois</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1297-1<a name=\"cdcrec-1297-1\"> </a></td><td>Juaneno</td><td>Juaneno</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1299-7<a name=\"cdcrec-1299-7\"> </a></td><td>Kalispel</td><td>Kalispel</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1301-1<a name=\"cdcrec-1301-1\"> </a></td><td>Karuk</td><td>Karuk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1303-7<a name=\"cdcrec-1303-7\"> </a></td><td>Kaw</td><td>Kaw</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1305-2<a name=\"cdcrec-1305-2\"> </a></td><td>Kickapoo</td><td>Kickapoo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1309-4<a name=\"cdcrec-1309-4\"> </a></td><td>Kiowa</td><td>Kiowa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1312-8<a name=\"cdcrec-1312-8\"> </a></td><td>Klallam</td><td>Klallam</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1317-7<a name=\"cdcrec-1317-7\"> </a></td><td>Klamath</td><td>Klamath</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1319-3<a name=\"cdcrec-1319-3\"> </a></td><td>Konkow</td><td>Konkow</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1321-9<a name=\"cdcrec-1321-9\"> </a></td><td>Kootenai</td><td>Kootenai</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1323-5<a name=\"cdcrec-1323-5\"> </a></td><td>Lassik</td><td>Lassik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1325-0<a name=\"cdcrec-1325-0\"> </a></td><td>Long Island</td><td>Long Island</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1331-8<a name=\"cdcrec-1331-8\"> </a></td><td>Luiseno</td><td>Luiseno</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1340-9<a name=\"cdcrec-1340-9\"> </a></td><td>Lumbee</td><td>Lumbee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1342-5<a name=\"cdcrec-1342-5\"> </a></td><td>Lummi</td><td>Lummi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1344-1<a name=\"cdcrec-1344-1\"> </a></td><td>Maidu</td><td>Maidu</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1348-2<a name=\"cdcrec-1348-2\"> </a></td><td>Makah</td><td>Makah</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1350-8<a name=\"cdcrec-1350-8\"> </a></td><td>Maliseet</td><td>Maliseet</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1352-4<a name=\"cdcrec-1352-4\"> </a></td><td>Mandan</td><td>Mandan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1354-0<a name=\"cdcrec-1354-0\"> </a></td><td>Mattaponi</td><td>Mattaponi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1356-5<a name=\"cdcrec-1356-5\"> </a></td><td>Menominee</td><td>Menominee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1358-1<a name=\"cdcrec-1358-1\"> </a></td><td>Miami</td><td>Miami</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1363-1<a name=\"cdcrec-1363-1\"> </a></td><td>Miccosukee</td><td>Miccosukee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1365-6<a name=\"cdcrec-1365-6\"> </a></td><td>Micmac</td><td>Micmac</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1368-0<a name=\"cdcrec-1368-0\"> </a></td><td>Mission Indians</td><td>Mission Indians</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1370-6<a name=\"cdcrec-1370-6\"> </a></td><td>Miwok</td><td>Miwok</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1372-2<a name=\"cdcrec-1372-2\"> </a></td><td>Modoc</td><td>Modoc</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1374-8<a name=\"cdcrec-1374-8\"> </a></td><td>Mohegan</td><td>Mohegan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1376-3<a name=\"cdcrec-1376-3\"> </a></td><td>Mono</td><td>Mono</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1378-9<a name=\"cdcrec-1378-9\"> </a></td><td>Nanticoke</td><td>Nanticoke</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1380-5<a name=\"cdcrec-1380-5\"> </a></td><td>Narragansett</td><td>Narragansett</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1382-1<a name=\"cdcrec-1382-1\"> </a></td><td>Navajo</td><td>Navajo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1387-0<a name=\"cdcrec-1387-0\"> </a></td><td>Nez Perce</td><td>Nez Perce</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1389-6<a name=\"cdcrec-1389-6\"> </a></td><td>Nomalaki</td><td>Nomalaki</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1391-2<a name=\"cdcrec-1391-2\"> </a></td><td>Northwest Tribes</td><td>Northwest Tribes</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1403-5<a name=\"cdcrec-1403-5\"> </a></td><td>Omaha</td><td>Omaha</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1405-0<a name=\"cdcrec-1405-0\"> </a></td><td>Oregon Athabaskan</td><td>Oregon Athabaskan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1407-6<a name=\"cdcrec-1407-6\"> </a></td><td>Osage</td><td>Osage</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1409-2<a name=\"cdcrec-1409-2\"> </a></td><td>Otoe-Missouria</td><td>Otoe-Missouria</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1411-8<a name=\"cdcrec-1411-8\"> </a></td><td>Ottawa</td><td>Ottawa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1416-7<a name=\"cdcrec-1416-7\"> </a></td><td>Paiute</td><td>Paiute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1439-9<a name=\"cdcrec-1439-9\"> </a></td><td>Pamunkey</td><td>Pamunkey</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1441-5<a name=\"cdcrec-1441-5\"> </a></td><td>Passamaquoddy</td><td>Passamaquoddy</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1445-6<a name=\"cdcrec-1445-6\"> </a></td><td>Pawnee</td><td>Pawnee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1448-0<a name=\"cdcrec-1448-0\"> </a></td><td>Penobscot</td><td>Penobscot</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1450-6<a name=\"cdcrec-1450-6\"> </a></td><td>Peoria</td><td>Peoria</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1453-0<a name=\"cdcrec-1453-0\"> </a></td><td>Pequot</td><td>Pequot</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1456-3<a name=\"cdcrec-1456-3\"> </a></td><td>Pima</td><td>Pima</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1460-5<a name=\"cdcrec-1460-5\"> </a></td><td>Piscataway</td><td>Piscataway</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1462-1<a name=\"cdcrec-1462-1\"> </a></td><td>Pit River</td><td>Pit River</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1464-7<a name=\"cdcrec-1464-7\"> </a></td><td>Pomo</td><td>Pomo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1474-6<a name=\"cdcrec-1474-6\"> </a></td><td>Ponca</td><td>Ponca</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1478-7<a name=\"cdcrec-1478-7\"> </a></td><td>Potawatomi</td><td>Potawatomi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1487-8<a name=\"cdcrec-1487-8\"> </a></td><td>Powhatan</td><td>Powhatan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1489-4<a name=\"cdcrec-1489-4\"> </a></td><td>Pueblo</td><td>Pueblo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1518-0<a name=\"cdcrec-1518-0\"> </a></td><td>Puget Sound Salish</td><td>Puget Sound Salish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1541-2<a name=\"cdcrec-1541-2\"> </a></td><td>Quapaw</td><td>Quapaw</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1543-8<a name=\"cdcrec-1543-8\"> </a></td><td>Quinault</td><td>Quinault</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1545-3<a name=\"cdcrec-1545-3\"> </a></td><td>Rappahannock</td><td>Rappahannock</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1547-9<a name=\"cdcrec-1547-9\"> </a></td><td>Reno-Sparks</td><td>Reno-Sparks</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1549-5<a name=\"cdcrec-1549-5\"> </a></td><td>Round Valley</td><td>Round Valley</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1551-1<a name=\"cdcrec-1551-1\"> </a></td><td>Sac and Fox</td><td>Sac and Fox</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1556-0<a name=\"cdcrec-1556-0\"> </a></td><td>Salinan</td><td>Salinan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1558-6<a name=\"cdcrec-1558-6\"> </a></td><td>Salish</td><td>Salish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1560-2<a name=\"cdcrec-1560-2\"> </a></td><td>Salish and Kootenai</td><td>Salish and Kootenai</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1562-8<a name=\"cdcrec-1562-8\"> </a></td><td>Schaghticoke</td><td>Schaghticoke</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1564-4<a name=\"cdcrec-1564-4\"> </a></td><td>Scott Valley</td><td>Scott Valley</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1566-9<a name=\"cdcrec-1566-9\"> </a></td><td>Seminole</td><td>Seminole</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1573-5<a name=\"cdcrec-1573-5\"> </a></td><td>Serrano</td><td>Serrano</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1576-8<a name=\"cdcrec-1576-8\"> </a></td><td>Shasta</td><td>Shasta</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1578-4<a name=\"cdcrec-1578-4\"> </a></td><td>Shawnee</td><td>Shawnee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1582-6<a name=\"cdcrec-1582-6\"> </a></td><td>Shinnecock</td><td>Shinnecock</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1584-2<a name=\"cdcrec-1584-2\"> </a></td><td>Shoalwater Bay</td><td>Shoalwater Bay</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1586-7<a name=\"cdcrec-1586-7\"> </a></td><td>Shoshone</td><td>Shoshone</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1602-2<a name=\"cdcrec-1602-2\"> </a></td><td>Shoshone Paiute</td><td>Shoshone Paiute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1607-1<a name=\"cdcrec-1607-1\"> </a></td><td>Siletz</td><td>Siletz</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1609-7<a name=\"cdcrec-1609-7\"> </a></td><td>Sioux</td><td>Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1643-6<a name=\"cdcrec-1643-6\"> </a></td><td>Siuslaw</td><td>Siuslaw</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1645-1<a name=\"cdcrec-1645-1\"> </a></td><td>Spokane</td><td>Spokane</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1647-7<a name=\"cdcrec-1647-7\"> </a></td><td>Stewart</td><td>Stewart</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1649-3<a name=\"cdcrec-1649-3\"> </a></td><td>Stockbridge</td><td>Stockbridge</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1651-9<a name=\"cdcrec-1651-9\"> </a></td><td>Susanville</td><td>Susanville</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1653-5<a name=\"cdcrec-1653-5\"> </a></td><td>Tohono O'Odham</td><td>Tohono O'Odham</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1659-2<a name=\"cdcrec-1659-2\"> </a></td><td>Tolowa</td><td>Tolowa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1661-8<a name=\"cdcrec-1661-8\"> </a></td><td>Tonkawa</td><td>Tonkawa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1663-4<a name=\"cdcrec-1663-4\"> </a></td><td>Tygh</td><td>Tygh</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1665-9<a name=\"cdcrec-1665-9\"> </a></td><td>Umatilla</td><td>Umatilla</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1667-5<a name=\"cdcrec-1667-5\"> </a></td><td>Umpqua</td><td>Umpqua</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1670-9<a name=\"cdcrec-1670-9\"> </a></td><td>Ute</td><td>Ute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1675-8<a name=\"cdcrec-1675-8\"> </a></td><td>Wailaki</td><td>Wailaki</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1677-4<a name=\"cdcrec-1677-4\"> </a></td><td>Walla-Walla</td><td>Walla-Walla</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1679-0<a name=\"cdcrec-1679-0\"> </a></td><td>Wampanoag</td><td>Wampanoag</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1683-2<a name=\"cdcrec-1683-2\"> </a></td><td>Warm Springs</td><td>Warm Springs</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1685-7<a name=\"cdcrec-1685-7\"> </a></td><td>Wascopum</td><td>Wascopum</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1687-3<a name=\"cdcrec-1687-3\"> </a></td><td>Washoe</td><td>Washoe</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1692-3<a name=\"cdcrec-1692-3\"> </a></td><td>Wichita</td><td>Wichita</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1694-9<a name=\"cdcrec-1694-9\"> </a></td><td>Wind River</td><td>Wind River</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1696-4<a name=\"cdcrec-1696-4\"> </a></td><td>Winnebago</td><td>Winnebago</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1700-4<a name=\"cdcrec-1700-4\"> </a></td><td>Winnemucca</td><td>Winnemucca</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1702-0<a name=\"cdcrec-1702-0\"> </a></td><td>Wintun</td><td>Wintun</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1704-6<a name=\"cdcrec-1704-6\"> </a></td><td>Wiyot</td><td>Wiyot</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1707-9<a name=\"cdcrec-1707-9\"> </a></td><td>Yakama</td><td>Yakama</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1709-5<a name=\"cdcrec-1709-5\"> </a></td><td>Yakama Cowlitz</td><td>Yakama Cowlitz</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1711-1<a name=\"cdcrec-1711-1\"> </a></td><td>Yaqui</td><td>Yaqui</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1715-2<a name=\"cdcrec-1715-2\"> </a></td><td>Yavapai Apache</td><td>Yavapai Apache</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1717-8<a name=\"cdcrec-1717-8\"> </a></td><td>Yokuts</td><td>Yokuts</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1722-8<a name=\"cdcrec-1722-8\"> </a></td><td>Yuchi</td><td>Yuchi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1724-4<a name=\"cdcrec-1724-4\"> </a></td><td>Yuman</td><td>Yuman</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1732-7<a name=\"cdcrec-1732-7\"> </a></td><td>Yurok</td><td>Yurok</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1011-6<a name=\"cdcrec-1011-6\"> </a></td><td>Chiricahua</td><td>Chiricahua</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1012-4<a name=\"cdcrec-1012-4\"> </a></td><td>Fort Sill Apache</td><td>Fort Sill Apache</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1013-2<a name=\"cdcrec-1013-2\"> </a></td><td>Jicarilla Apache</td><td>Jicarilla Apache</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1014-0<a name=\"cdcrec-1014-0\"> </a></td><td>Lipan Apache</td><td>Lipan Apache</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1015-7<a name=\"cdcrec-1015-7\"> </a></td><td>Mescalero Apache</td><td>Mescalero Apache</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1016-5<a name=\"cdcrec-1016-5\"> </a></td><td>Oklahoma Apache</td><td>Oklahoma Apache</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1017-3<a name=\"cdcrec-1017-3\"> </a></td><td>Payson Apache</td><td>Payson Apache</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1018-1<a name=\"cdcrec-1018-1\"> </a></td><td>San Carlos Apache</td><td>San Carlos Apache</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1019-9<a name=\"cdcrec-1019-9\"> </a></td><td>White Mountain Apache</td><td>White Mountain Apache</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1022-3<a name=\"cdcrec-1022-3\"> </a></td><td>Northern Arapaho</td><td>Northern Arapaho</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1023-1<a name=\"cdcrec-1023-1\"> </a></td><td>Southern Arapaho</td><td>Southern Arapaho</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1024-9<a name=\"cdcrec-1024-9\"> </a></td><td>Wind River Arapaho</td><td>Wind River Arapaho</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1031-4<a name=\"cdcrec-1031-4\"> </a></td><td>Fort Peck Assiniboine Sioux</td><td>Fort Peck Assiniboine Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1042-1<a name=\"cdcrec-1042-1\"> </a></td><td>Oklahoma Cado</td><td>Oklahoma Cado</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1045-4<a name=\"cdcrec-1045-4\"> </a></td><td>Agua Caliente Cahuilla</td><td>Agua Caliente Cahuilla</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1046-2<a name=\"cdcrec-1046-2\"> </a></td><td>Augustine</td><td>Augustine</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1047-0<a name=\"cdcrec-1047-0\"> </a></td><td>Cabazon</td><td>Cabazon</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1048-8<a name=\"cdcrec-1048-8\"> </a></td><td>Los Coyotes</td><td>Los Coyotes</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1049-6<a name=\"cdcrec-1049-6\"> </a></td><td>Morongo</td><td>Morongo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1050-4<a name=\"cdcrec-1050-4\"> </a></td><td>Santa Rosa Cahuilla</td><td>Santa Rosa Cahuilla</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1051-2<a name=\"cdcrec-1051-2\"> </a></td><td>Torres-Martinez</td><td>Torres-Martinez</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1054-6<a name=\"cdcrec-1054-6\"> </a></td><td>Cahto</td><td>Cahto</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1055-3<a name=\"cdcrec-1055-3\"> </a></td><td>Chimariko</td><td>Chimariko</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1056-1<a name=\"cdcrec-1056-1\"> </a></td><td>Coast Miwok</td><td>Coast Miwok</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1057-9<a name=\"cdcrec-1057-9\"> </a></td><td>Digger</td><td>Digger</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1058-7<a name=\"cdcrec-1058-7\"> </a></td><td>Kawaiisu</td><td>Kawaiisu</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1059-5<a name=\"cdcrec-1059-5\"> </a></td><td>Kern River</td><td>Kern River</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1060-3<a name=\"cdcrec-1060-3\"> </a></td><td>Mattole</td><td>Mattole</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1061-1<a name=\"cdcrec-1061-1\"> </a></td><td>Red Wood</td><td>Red Wood</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1062-9<a name=\"cdcrec-1062-9\"> </a></td><td>Santa Rosa</td><td>Santa Rosa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1063-7<a name=\"cdcrec-1063-7\"> </a></td><td>Takelma</td><td>Takelma</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1064-5<a name=\"cdcrec-1064-5\"> </a></td><td>Wappo</td><td>Wappo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1065-2<a name=\"cdcrec-1065-2\"> </a></td><td>Yana</td><td>Yana</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1066-0<a name=\"cdcrec-1066-0\"> </a></td><td>Yuki</td><td>Yuki</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1069-4<a name=\"cdcrec-1069-4\"> </a></td><td>Canadian Indian</td><td>Canadian Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1070-2<a name=\"cdcrec-1070-2\"> </a></td><td>Central American Indian</td><td>Central American Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1071-0<a name=\"cdcrec-1071-0\"> </a></td><td>French American Indian</td><td>French American Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1072-8<a name=\"cdcrec-1072-8\"> </a></td><td>Mexican American Indian</td><td>Mexican American Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1073-6<a name=\"cdcrec-1073-6\"> </a></td><td>South American Indian</td><td>South American Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1074-4<a name=\"cdcrec-1074-4\"> </a></td><td>Spanish American Indian</td><td>Spanish American Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1083-5<a name=\"cdcrec-1083-5\"> </a></td><td>Hoh</td><td>Hoh</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1084-3<a name=\"cdcrec-1084-3\"> </a></td><td>Quileute</td><td>Quileute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1089-2<a name=\"cdcrec-1089-2\"> </a></td><td>Cherokee Alabama</td><td>Cherokee Alabama</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1090-0<a name=\"cdcrec-1090-0\"> </a></td><td>Cherokees of Northeast Alabama</td><td>Cherokees of Northeast Alabama</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1091-8<a name=\"cdcrec-1091-8\"> </a></td><td>Cherokees of Southeast Alabama</td><td>Cherokees of Southeast Alabama</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1092-6<a name=\"cdcrec-1092-6\"> </a></td><td>Eastern Cherokee</td><td>Eastern Cherokee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1093-4<a name=\"cdcrec-1093-4\"> </a></td><td>Echota Cherokee</td><td>Echota Cherokee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1094-2<a name=\"cdcrec-1094-2\"> </a></td><td>Etowah Cherokee</td><td>Etowah Cherokee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1095-9<a name=\"cdcrec-1095-9\"> </a></td><td>Northern Cherokee</td><td>Northern Cherokee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1096-7<a name=\"cdcrec-1096-7\"> </a></td><td>Tuscola</td><td>Tuscola</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1097-5<a name=\"cdcrec-1097-5\"> </a></td><td>United Keetowah Band of Cherokee</td><td>United Keetowah Band of Cherokee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1098-3<a name=\"cdcrec-1098-3\"> </a></td><td>Western Cherokee</td><td>Western Cherokee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1103-1<a name=\"cdcrec-1103-1\"> </a></td><td>Northern Cheyenne</td><td>Northern Cheyenne</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1104-9<a name=\"cdcrec-1104-9\"> </a></td><td>Southern Cheyenne</td><td>Southern Cheyenne</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1109-8<a name=\"cdcrec-1109-8\"> </a></td><td>Eastern Chickahominy</td><td>Eastern Chickahominy</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1110-6<a name=\"cdcrec-1110-6\"> </a></td><td>Western Chickahominy</td><td>Western Chickahominy</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1115-5<a name=\"cdcrec-1115-5\"> </a></td><td>Clatsop</td><td>Clatsop</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1116-3<a name=\"cdcrec-1116-3\"> </a></td><td>Columbia River Chinook</td><td>Columbia River Chinook</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1117-1<a name=\"cdcrec-1117-1\"> </a></td><td>Kathlamet</td><td>Kathlamet</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1118-9<a name=\"cdcrec-1118-9\"> </a></td><td>Upper Chinook</td><td>Upper Chinook</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1119-7<a name=\"cdcrec-1119-7\"> </a></td><td>Wakiakum Chinook</td><td>Wakiakum Chinook</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1120-5<a name=\"cdcrec-1120-5\"> </a></td><td>Willapa Chinook</td><td>Willapa Chinook</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1121-3<a name=\"cdcrec-1121-3\"> </a></td><td>Wishram</td><td>Wishram</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1124-7<a name=\"cdcrec-1124-7\"> </a></td><td>Bad River</td><td>Bad River</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1125-4<a name=\"cdcrec-1125-4\"> </a></td><td>Bay Mills Chippewa</td><td>Bay Mills Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1126-2<a name=\"cdcrec-1126-2\"> </a></td><td>Bois Forte</td><td>Bois Forte</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1127-0<a name=\"cdcrec-1127-0\"> </a></td><td>Burt Lake Chippewa</td><td>Burt Lake Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1128-8<a name=\"cdcrec-1128-8\"> </a></td><td>Fond du Lac</td><td>Fond du Lac</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1129-6<a name=\"cdcrec-1129-6\"> </a></td><td>Grand Portage</td><td>Grand Portage</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1130-4<a name=\"cdcrec-1130-4\"> </a></td><td>Grand Traverse Band of Ottawa/Chippewa</td><td>Grand Traverse Band of Ottawa/Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1131-2<a name=\"cdcrec-1131-2\"> </a></td><td>Keweenaw</td><td>Keweenaw</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1132-0<a name=\"cdcrec-1132-0\"> </a></td><td>Lac Courte Oreilles</td><td>Lac Courte Oreilles</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1133-8<a name=\"cdcrec-1133-8\"> </a></td><td>Lac du Flambeau</td><td>Lac du Flambeau</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1134-6<a name=\"cdcrec-1134-6\"> </a></td><td>Lac Vieux Desert Chippewa</td><td>Lac Vieux Desert Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1135-3<a name=\"cdcrec-1135-3\"> </a></td><td>Lake Superior</td><td>Lake Superior</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1136-1<a name=\"cdcrec-1136-1\"> </a></td><td>Leech Lake</td><td>Leech Lake</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1137-9<a name=\"cdcrec-1137-9\"> </a></td><td>Little Shell Chippewa</td><td>Little Shell Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1138-7<a name=\"cdcrec-1138-7\"> </a></td><td>Mille Lacs</td><td>Mille Lacs</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1139-5<a name=\"cdcrec-1139-5\"> </a></td><td>Minnesota Chippewa</td><td>Minnesota Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1140-3<a name=\"cdcrec-1140-3\"> </a></td><td>Ontonagon</td><td>Ontonagon</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1141-1<a name=\"cdcrec-1141-1\"> </a></td><td>Red Cliff Chippewa</td><td>Red Cliff Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1142-9<a name=\"cdcrec-1142-9\"> </a></td><td>Red Lake Chippewa</td><td>Red Lake Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1143-7<a name=\"cdcrec-1143-7\"> </a></td><td>Saginaw Chippewa</td><td>Saginaw Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1144-5<a name=\"cdcrec-1144-5\"> </a></td><td>St. Croix Chippewa</td><td>St. Croix Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1145-2<a name=\"cdcrec-1145-2\"> </a></td><td>Sault Ste. Marie Chippewa</td><td>Sault Ste. Marie Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1146-0<a name=\"cdcrec-1146-0\"> </a></td><td>Sokoagon Chippewa</td><td>Sokoagon Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1147-8<a name=\"cdcrec-1147-8\"> </a></td><td>Turtle Mountain</td><td>Turtle Mountain</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1148-6<a name=\"cdcrec-1148-6\"> </a></td><td>White Earth</td><td>White Earth</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1151-0<a name=\"cdcrec-1151-0\"> </a></td><td>Rocky Boy's Chippewa Cree</td><td>Rocky Boy's Chippewa Cree</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1156-9<a name=\"cdcrec-1156-9\"> </a></td><td>Clifton Choctaw</td><td>Clifton Choctaw</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1157-7<a name=\"cdcrec-1157-7\"> </a></td><td>Jena Choctaw</td><td>Jena Choctaw</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1158-5<a name=\"cdcrec-1158-5\"> </a></td><td>Mississippi Choctaw</td><td>Mississippi Choctaw</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1159-3<a name=\"cdcrec-1159-3\"> </a></td><td>Mowa Band of Choctaw</td><td>Mowa Band of Choctaw</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1160-1<a name=\"cdcrec-1160-1\"> </a></td><td>Oklahoma Choctaw</td><td>Oklahoma Choctaw</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1163-5<a name=\"cdcrec-1163-5\"> </a></td><td>Santa Ynez</td><td>Santa Ynez</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1176-7<a name=\"cdcrec-1176-7\"> </a></td><td>Oklahoma Comanche</td><td>Oklahoma Comanche</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1187-4<a name=\"cdcrec-1187-4\"> </a></td><td>Alabama Coushatta</td><td>Alabama Coushatta</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1194-0<a name=\"cdcrec-1194-0\"> </a></td><td>Alabama Creek</td><td>Alabama Creek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1195-7<a name=\"cdcrec-1195-7\"> </a></td><td>Alabama Quassarte</td><td>Alabama Quassarte</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1196-5<a name=\"cdcrec-1196-5\"> </a></td><td>Eastern Creek</td><td>Eastern Creek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1197-3<a name=\"cdcrec-1197-3\"> </a></td><td>Eastern Muscogee</td><td>Eastern Muscogee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1198-1<a name=\"cdcrec-1198-1\"> </a></td><td>Kialegee</td><td>Kialegee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1199-9<a name=\"cdcrec-1199-9\"> </a></td><td>Lower Muscogee</td><td>Lower Muscogee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1200-5<a name=\"cdcrec-1200-5\"> </a></td><td>Machis Lower Creek Indian</td><td>Machis Lower Creek Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1201-3<a name=\"cdcrec-1201-3\"> </a></td><td>Poarch Band</td><td>Poarch Band</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1202-1<a name=\"cdcrec-1202-1\"> </a></td><td>Principal Creek Indian Nation</td><td>Principal Creek Indian Nation</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1203-9<a name=\"cdcrec-1203-9\"> </a></td><td>Star Clan of Muscogee Creeks</td><td>Star Clan of Muscogee Creeks</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1204-7<a name=\"cdcrec-1204-7\"> </a></td><td>Thlopthlocco</td><td>Thlopthlocco</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1205-4<a name=\"cdcrec-1205-4\"> </a></td><td>Tuckabachee</td><td>Tuckabachee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1212-0<a name=\"cdcrec-1212-0\"> </a></td><td>Agua Caliente</td><td>Agua Caliente</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1215-3<a name=\"cdcrec-1215-3\"> </a></td><td>Eastern Delaware</td><td>Eastern Delaware</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1216-1<a name=\"cdcrec-1216-1\"> </a></td><td>Lenni-Lenape</td><td>Lenni-Lenape</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1217-9<a name=\"cdcrec-1217-9\"> </a></td><td>Munsee</td><td>Munsee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1218-7<a name=\"cdcrec-1218-7\"> </a></td><td>Oklahoma Delaware</td><td>Oklahoma Delaware</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1219-5<a name=\"cdcrec-1219-5\"> </a></td><td>Rampough Mountain</td><td>Rampough Mountain</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1220-3<a name=\"cdcrec-1220-3\"> </a></td><td>Sand Hill</td><td>Sand Hill</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1223-7<a name=\"cdcrec-1223-7\"> </a></td><td>Campo</td><td>Campo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1224-5<a name=\"cdcrec-1224-5\"> </a></td><td>Capitan Grande</td><td>Capitan Grande</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1225-2<a name=\"cdcrec-1225-2\"> </a></td><td>Cuyapaipe</td><td>Cuyapaipe</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1226-0<a name=\"cdcrec-1226-0\"> </a></td><td>La Posta</td><td>La Posta</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1227-8<a name=\"cdcrec-1227-8\"> </a></td><td>Manzanita</td><td>Manzanita</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1228-6<a name=\"cdcrec-1228-6\"> </a></td><td>Mesa Grande</td><td>Mesa Grande</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1229-4<a name=\"cdcrec-1229-4\"> </a></td><td>San Pasqual</td><td>San Pasqual</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1230-2<a name=\"cdcrec-1230-2\"> </a></td><td>Santa Ysabel</td><td>Santa Ysabel</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1231-0<a name=\"cdcrec-1231-0\"> </a></td><td>Sycuan</td><td>Sycuan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1234-4<a name=\"cdcrec-1234-4\"> </a></td><td>Attacapa</td><td>Attacapa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1235-1<a name=\"cdcrec-1235-1\"> </a></td><td>Biloxi</td><td>Biloxi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1236-9<a name=\"cdcrec-1236-9\"> </a></td><td>Georgetown (Eastern Tribes)</td><td>Georgetown (Eastern Tribes)</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1237-7<a name=\"cdcrec-1237-7\"> </a></td><td>Moor</td><td>Moor</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1238-5<a name=\"cdcrec-1238-5\"> </a></td><td>Nansemond</td><td>Nansemond</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1239-3<a name=\"cdcrec-1239-3\"> </a></td><td>Natchez</td><td>Natchez</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1240-1<a name=\"cdcrec-1240-1\"> </a></td><td>Nausu Waiwash</td><td>Nausu Waiwash</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1241-9<a name=\"cdcrec-1241-9\"> </a></td><td>Nipmuc</td><td>Nipmuc</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1242-7<a name=\"cdcrec-1242-7\"> </a></td><td>Paugussett</td><td>Paugussett</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1243-5<a name=\"cdcrec-1243-5\"> </a></td><td>Pocomoke Acohonock</td><td>Pocomoke Acohonock</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1244-3<a name=\"cdcrec-1244-3\"> </a></td><td>Southeastern Indians</td><td>Southeastern Indians</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1245-0<a name=\"cdcrec-1245-0\"> </a></td><td>Susquehanock</td><td>Susquehanock</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1246-8<a name=\"cdcrec-1246-8\"> </a></td><td>Tunica Biloxi</td><td>Tunica Biloxi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1247-6<a name=\"cdcrec-1247-6\"> </a></td><td>Waccamaw-Siousan</td><td>Waccamaw-Siousan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1248-4<a name=\"cdcrec-1248-4\"> </a></td><td>Wicomico</td><td>Wicomico</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1265-8<a name=\"cdcrec-1265-8\"> </a></td><td>Atsina</td><td>Atsina</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1272-4<a name=\"cdcrec-1272-4\"> </a></td><td>Trinity</td><td>Trinity</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1273-2<a name=\"cdcrec-1273-2\"> </a></td><td>Whilkut</td><td>Whilkut</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1282-3<a name=\"cdcrec-1282-3\"> </a></td><td>Iowa of Kansas-Nebraska</td><td>Iowa of Kansas-Nebraska</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1283-1<a name=\"cdcrec-1283-1\"> </a></td><td>Iowa of Oklahoma</td><td>Iowa of Oklahoma</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1286-4<a name=\"cdcrec-1286-4\"> </a></td><td>Cayuga</td><td>Cayuga</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1287-2<a name=\"cdcrec-1287-2\"> </a></td><td>Mohawk</td><td>Mohawk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1288-0<a name=\"cdcrec-1288-0\"> </a></td><td>Oneida</td><td>Oneida</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1289-8<a name=\"cdcrec-1289-8\"> </a></td><td>Onondaga</td><td>Onondaga</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1290-6<a name=\"cdcrec-1290-6\"> </a></td><td>Seneca</td><td>Seneca</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1291-4<a name=\"cdcrec-1291-4\"> </a></td><td>Seneca Nation</td><td>Seneca Nation</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1292-2<a name=\"cdcrec-1292-2\"> </a></td><td>Seneca-Cayuga</td><td>Seneca-Cayuga</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1293-0<a name=\"cdcrec-1293-0\"> </a></td><td>Tonawanda Seneca</td><td>Tonawanda Seneca</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1294-8<a name=\"cdcrec-1294-8\"> </a></td><td>Tuscarora</td><td>Tuscarora</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1295-5<a name=\"cdcrec-1295-5\"> </a></td><td>Wyandotte</td><td>Wyandotte</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1306-0<a name=\"cdcrec-1306-0\"> </a></td><td>Oklahoma Kickapoo</td><td>Oklahoma Kickapoo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1307-8<a name=\"cdcrec-1307-8\"> </a></td><td>Texas Kickapoo</td><td>Texas Kickapoo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1310-2<a name=\"cdcrec-1310-2\"> </a></td><td>Oklahoma Kiowa</td><td>Oklahoma Kiowa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1313-6<a name=\"cdcrec-1313-6\"> </a></td><td>Jamestown</td><td>Jamestown</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1314-4<a name=\"cdcrec-1314-4\"> </a></td><td>Lower Elwha</td><td>Lower Elwha</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1315-1<a name=\"cdcrec-1315-1\"> </a></td><td>Port Gamble Klallam</td><td>Port Gamble Klallam</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1326-8<a name=\"cdcrec-1326-8\"> </a></td><td>Matinecock</td><td>Matinecock</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1327-6<a name=\"cdcrec-1327-6\"> </a></td><td>Montauk</td><td>Montauk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1328-4<a name=\"cdcrec-1328-4\"> </a></td><td>Poospatuck</td><td>Poospatuck</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1329-2<a name=\"cdcrec-1329-2\"> </a></td><td>Setauket</td><td>Setauket</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1332-6<a name=\"cdcrec-1332-6\"> </a></td><td>La Jolla</td><td>La Jolla</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1333-4<a name=\"cdcrec-1333-4\"> </a></td><td>Pala</td><td>Pala</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1334-2<a name=\"cdcrec-1334-2\"> </a></td><td>Pauma</td><td>Pauma</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1335-9<a name=\"cdcrec-1335-9\"> </a></td><td>Pechanga</td><td>Pechanga</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1336-7<a name=\"cdcrec-1336-7\"> </a></td><td>Soboba</td><td>Soboba</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1337-5<a name=\"cdcrec-1337-5\"> </a></td><td>Twenty-Nine Palms</td><td>Twenty-Nine Palms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1338-3<a name=\"cdcrec-1338-3\"> </a></td><td>Temecula</td><td>Temecula</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1345-8<a name=\"cdcrec-1345-8\"> </a></td><td>Mountain Maidu</td><td>Mountain Maidu</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1346-6<a name=\"cdcrec-1346-6\"> </a></td><td>Nishinam</td><td>Nishinam</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1359-9<a name=\"cdcrec-1359-9\"> </a></td><td>Illinois Miami</td><td>Illinois Miami</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1360-7<a name=\"cdcrec-1360-7\"> </a></td><td>Indiana Miami</td><td>Indiana Miami</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1361-5<a name=\"cdcrec-1361-5\"> </a></td><td>Oklahoma Miami</td><td>Oklahoma Miami</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1366-4<a name=\"cdcrec-1366-4\"> </a></td><td>Aroostook</td><td>Aroostook</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1383-9<a name=\"cdcrec-1383-9\"> </a></td><td>Alamo Navajo</td><td>Alamo Navajo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1384-7<a name=\"cdcrec-1384-7\"> </a></td><td>Canoncito Navajo</td><td>Canoncito Navajo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1385-4<a name=\"cdcrec-1385-4\"> </a></td><td>Ramah Navajo</td><td>Ramah Navajo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1392-0<a name=\"cdcrec-1392-0\"> </a></td><td>Alsea</td><td>Alsea</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1393-8<a name=\"cdcrec-1393-8\"> </a></td><td>Celilo</td><td>Celilo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1394-6<a name=\"cdcrec-1394-6\"> </a></td><td>Columbia</td><td>Columbia</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1395-3<a name=\"cdcrec-1395-3\"> </a></td><td>Kalapuya</td><td>Kalapuya</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1396-1<a name=\"cdcrec-1396-1\"> </a></td><td>Molala</td><td>Molala</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1397-9<a name=\"cdcrec-1397-9\"> </a></td><td>Talakamish</td><td>Talakamish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1398-7<a name=\"cdcrec-1398-7\"> </a></td><td>Tenino</td><td>Tenino</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1399-5<a name=\"cdcrec-1399-5\"> </a></td><td>Tillamook</td><td>Tillamook</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1400-1<a name=\"cdcrec-1400-1\"> </a></td><td>Wenatchee</td><td>Wenatchee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1401-9<a name=\"cdcrec-1401-9\"> </a></td><td>Yahooskin</td><td>Yahooskin</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1412-6<a name=\"cdcrec-1412-6\"> </a></td><td>Burt Lake Ottawa</td><td>Burt Lake Ottawa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1413-4<a name=\"cdcrec-1413-4\"> </a></td><td>Michigan Ottawa</td><td>Michigan Ottawa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1414-2<a name=\"cdcrec-1414-2\"> </a></td><td>Oklahoma Ottawa</td><td>Oklahoma Ottawa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1417-5<a name=\"cdcrec-1417-5\"> </a></td><td>Bishop</td><td>Bishop</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1418-3<a name=\"cdcrec-1418-3\"> </a></td><td>Bridgeport</td><td>Bridgeport</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1419-1<a name=\"cdcrec-1419-1\"> </a></td><td>Burns Paiute</td><td>Burns Paiute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1420-9<a name=\"cdcrec-1420-9\"> </a></td><td>Cedarville</td><td>Cedarville</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1421-7<a name=\"cdcrec-1421-7\"> </a></td><td>Fort Bidwell</td><td>Fort Bidwell</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1422-5<a name=\"cdcrec-1422-5\"> </a></td><td>Fort Independence</td><td>Fort Independence</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1423-3<a name=\"cdcrec-1423-3\"> </a></td><td>Kaibab</td><td>Kaibab</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1424-1<a name=\"cdcrec-1424-1\"> </a></td><td>Las Vegas</td><td>Las Vegas</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1425-8<a name=\"cdcrec-1425-8\"> </a></td><td>Lone Pine</td><td>Lone Pine</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1426-6<a name=\"cdcrec-1426-6\"> </a></td><td>Lovelock</td><td>Lovelock</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1427-4<a name=\"cdcrec-1427-4\"> </a></td><td>Malheur Paiute</td><td>Malheur Paiute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1428-2<a name=\"cdcrec-1428-2\"> </a></td><td>Moapa</td><td>Moapa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1429-0<a name=\"cdcrec-1429-0\"> </a></td><td>Northern Paiute</td><td>Northern Paiute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1430-8<a name=\"cdcrec-1430-8\"> </a></td><td>Owens Valley</td><td>Owens Valley</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1431-6<a name=\"cdcrec-1431-6\"> </a></td><td>Pyramid Lake</td><td>Pyramid Lake</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1432-4<a name=\"cdcrec-1432-4\"> </a></td><td>San Juan Southern Paiute</td><td>San Juan Southern Paiute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1433-2<a name=\"cdcrec-1433-2\"> </a></td><td>Southern Paiute</td><td>Southern Paiute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1434-0<a name=\"cdcrec-1434-0\"> </a></td><td>Summit Lake</td><td>Summit Lake</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1435-7<a name=\"cdcrec-1435-7\"> </a></td><td>Utu Utu Gwaitu Paiute</td><td>Utu Utu Gwaitu Paiute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1436-5<a name=\"cdcrec-1436-5\"> </a></td><td>Walker River</td><td>Walker River</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1437-3<a name=\"cdcrec-1437-3\"> </a></td><td>Yerington Paiute</td><td>Yerington Paiute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1442-3<a name=\"cdcrec-1442-3\"> </a></td><td>Indian Township</td><td>Indian Township</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1443-1<a name=\"cdcrec-1443-1\"> </a></td><td>Pleasant Point Passamaquoddy</td><td>Pleasant Point Passamaquoddy</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1446-4<a name=\"cdcrec-1446-4\"> </a></td><td>Oklahoma Pawnee</td><td>Oklahoma Pawnee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1451-4<a name=\"cdcrec-1451-4\"> </a></td><td>Oklahoma Peoria</td><td>Oklahoma Peoria</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1454-8<a name=\"cdcrec-1454-8\"> </a></td><td>Marshantucket Pequot</td><td>Marshantucket Pequot</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1457-1<a name=\"cdcrec-1457-1\"> </a></td><td>Gila River Pima-Maricopa</td><td>Gila River Pima-Maricopa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1458-9<a name=\"cdcrec-1458-9\"> </a></td><td>Salt River Pima-Maricopa</td><td>Salt River Pima-Maricopa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1465-4<a name=\"cdcrec-1465-4\"> </a></td><td>Central Pomo</td><td>Central Pomo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1466-2<a name=\"cdcrec-1466-2\"> </a></td><td>Dry Creek</td><td>Dry Creek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1467-0<a name=\"cdcrec-1467-0\"> </a></td><td>Eastern Pomo</td><td>Eastern Pomo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1468-8<a name=\"cdcrec-1468-8\"> </a></td><td>Kashia</td><td>Kashia</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1469-6<a name=\"cdcrec-1469-6\"> </a></td><td>Northern Pomo</td><td>Northern Pomo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1470-4<a name=\"cdcrec-1470-4\"> </a></td><td>Scotts Valley</td><td>Scotts Valley</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1471-2<a name=\"cdcrec-1471-2\"> </a></td><td>Stonyford</td><td>Stonyford</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1472-0<a name=\"cdcrec-1472-0\"> </a></td><td>Sulphur Bank</td><td>Sulphur Bank</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1475-3<a name=\"cdcrec-1475-3\"> </a></td><td>Nebraska Ponca</td><td>Nebraska Ponca</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1476-1<a name=\"cdcrec-1476-1\"> </a></td><td>Oklahoma Ponca</td><td>Oklahoma Ponca</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1479-5<a name=\"cdcrec-1479-5\"> </a></td><td>Citizen Band Potawatomi</td><td>Citizen Band Potawatomi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1480-3<a name=\"cdcrec-1480-3\"> </a></td><td>Forest County</td><td>Forest County</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1481-1<a name=\"cdcrec-1481-1\"> </a></td><td>Hannahville</td><td>Hannahville</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1482-9<a name=\"cdcrec-1482-9\"> </a></td><td>Huron Potawatomi</td><td>Huron Potawatomi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1483-7<a name=\"cdcrec-1483-7\"> </a></td><td>Pokagon Potawatomi</td><td>Pokagon Potawatomi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1484-5<a name=\"cdcrec-1484-5\"> </a></td><td>Prairie Band</td><td>Prairie Band</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1485-2<a name=\"cdcrec-1485-2\"> </a></td><td>Wisconsin Potawatomi</td><td>Wisconsin Potawatomi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1490-2<a name=\"cdcrec-1490-2\"> </a></td><td>Acoma</td><td>Acoma</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1491-0<a name=\"cdcrec-1491-0\"> </a></td><td>Arizona Tewa</td><td>Arizona Tewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1492-8<a name=\"cdcrec-1492-8\"> </a></td><td>Cochiti</td><td>Cochiti</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1493-6<a name=\"cdcrec-1493-6\"> </a></td><td>Hopi</td><td>Hopi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1494-4<a name=\"cdcrec-1494-4\"> </a></td><td>Isleta</td><td>Isleta</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1495-1<a name=\"cdcrec-1495-1\"> </a></td><td>Jemez</td><td>Jemez</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1496-9<a name=\"cdcrec-1496-9\"> </a></td><td>Keres</td><td>Keres</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1497-7<a name=\"cdcrec-1497-7\"> </a></td><td>Laguna</td><td>Laguna</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1498-5<a name=\"cdcrec-1498-5\"> </a></td><td>Nambe</td><td>Nambe</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1499-3<a name=\"cdcrec-1499-3\"> </a></td><td>Picuris</td><td>Picuris</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1500-8<a name=\"cdcrec-1500-8\"> </a></td><td>Piro</td><td>Piro</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1501-6<a name=\"cdcrec-1501-6\"> </a></td><td>Pojoaque</td><td>Pojoaque</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1502-4<a name=\"cdcrec-1502-4\"> </a></td><td>San Felipe</td><td>San Felipe</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1503-2<a name=\"cdcrec-1503-2\"> </a></td><td>San Ildefonso</td><td>San Ildefonso</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1504-0<a name=\"cdcrec-1504-0\"> </a></td><td>San Juan Pueblo</td><td>San Juan Pueblo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1505-7<a name=\"cdcrec-1505-7\"> </a></td><td>San Juan De</td><td>San Juan De</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1506-5<a name=\"cdcrec-1506-5\"> </a></td><td>San Juan</td><td>San Juan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1507-3<a name=\"cdcrec-1507-3\"> </a></td><td>Sandia</td><td>Sandia</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1508-1<a name=\"cdcrec-1508-1\"> </a></td><td>Santa Ana</td><td>Santa Ana</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1509-9<a name=\"cdcrec-1509-9\"> </a></td><td>Santa Clara</td><td>Santa Clara</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1510-7<a name=\"cdcrec-1510-7\"> </a></td><td>Santo Domingo</td><td>Santo Domingo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1511-5<a name=\"cdcrec-1511-5\"> </a></td><td>Taos</td><td>Taos</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1512-3<a name=\"cdcrec-1512-3\"> </a></td><td>Tesuque</td><td>Tesuque</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1513-1<a name=\"cdcrec-1513-1\"> </a></td><td>Tewa</td><td>Tewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1514-9<a name=\"cdcrec-1514-9\"> </a></td><td>Tigua</td><td>Tigua</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1515-6<a name=\"cdcrec-1515-6\"> </a></td><td>Zia</td><td>Zia</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1516-4<a name=\"cdcrec-1516-4\"> </a></td><td>Zuni</td><td>Zuni</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1519-8<a name=\"cdcrec-1519-8\"> </a></td><td>Duwamish</td><td>Duwamish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1520-6<a name=\"cdcrec-1520-6\"> </a></td><td>Kikiallus</td><td>Kikiallus</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1521-4<a name=\"cdcrec-1521-4\"> </a></td><td>Lower Skagit</td><td>Lower Skagit</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1522-2<a name=\"cdcrec-1522-2\"> </a></td><td>Muckleshoot</td><td>Muckleshoot</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1523-0<a name=\"cdcrec-1523-0\"> </a></td><td>Nisqually</td><td>Nisqually</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1524-8<a name=\"cdcrec-1524-8\"> </a></td><td>Nooksack</td><td>Nooksack</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1525-5<a name=\"cdcrec-1525-5\"> </a></td><td>Port Madison</td><td>Port Madison</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1526-3<a name=\"cdcrec-1526-3\"> </a></td><td>Puyallup</td><td>Puyallup</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1527-1<a name=\"cdcrec-1527-1\"> </a></td><td>Samish</td><td>Samish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1528-9<a name=\"cdcrec-1528-9\"> </a></td><td>Sauk-Suiattle</td><td>Sauk-Suiattle</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1529-7<a name=\"cdcrec-1529-7\"> </a></td><td>Skokomish</td><td>Skokomish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1530-5<a name=\"cdcrec-1530-5\"> </a></td><td>Skykomish</td><td>Skykomish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1531-3<a name=\"cdcrec-1531-3\"> </a></td><td>Snohomish</td><td>Snohomish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1532-1<a name=\"cdcrec-1532-1\"> </a></td><td>Snoqualmie</td><td>Snoqualmie</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1533-9<a name=\"cdcrec-1533-9\"> </a></td><td>Squaxin Island</td><td>Squaxin Island</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1534-7<a name=\"cdcrec-1534-7\"> </a></td><td>Steilacoom</td><td>Steilacoom</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1535-4<a name=\"cdcrec-1535-4\"> </a></td><td>Stillaguamish</td><td>Stillaguamish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1536-2<a name=\"cdcrec-1536-2\"> </a></td><td>Suquamish</td><td>Suquamish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1537-0<a name=\"cdcrec-1537-0\"> </a></td><td>Swinomish</td><td>Swinomish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1538-8<a name=\"cdcrec-1538-8\"> </a></td><td>Tulalip</td><td>Tulalip</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1539-6<a name=\"cdcrec-1539-6\"> </a></td><td>Upper Skagit</td><td>Upper Skagit</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1552-9<a name=\"cdcrec-1552-9\"> </a></td><td>Iowa Sac and Fox</td><td>Iowa Sac and Fox</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1553-7<a name=\"cdcrec-1553-7\"> </a></td><td>Missouri Sac and Fox</td><td>Missouri Sac and Fox</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1554-5<a name=\"cdcrec-1554-5\"> </a></td><td>Oklahoma Sac and Fox</td><td>Oklahoma Sac and Fox</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1567-7<a name=\"cdcrec-1567-7\"> </a></td><td>Big Cypress</td><td>Big Cypress</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1568-5<a name=\"cdcrec-1568-5\"> </a></td><td>Brighton</td><td>Brighton</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1569-3<a name=\"cdcrec-1569-3\"> </a></td><td>Florida Seminole</td><td>Florida Seminole</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1570-1<a name=\"cdcrec-1570-1\"> </a></td><td>Hollywood Seminole</td><td>Hollywood Seminole</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1571-9<a name=\"cdcrec-1571-9\"> </a></td><td>Oklahoma Seminole</td><td>Oklahoma Seminole</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1574-3<a name=\"cdcrec-1574-3\"> </a></td><td>San Manual</td><td>San Manual</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1579-2<a name=\"cdcrec-1579-2\"> </a></td><td>Absentee Shawnee</td><td>Absentee Shawnee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1580-0<a name=\"cdcrec-1580-0\"> </a></td><td>Eastern Shawnee</td><td>Eastern Shawnee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1587-5<a name=\"cdcrec-1587-5\"> </a></td><td>Battle Mountain</td><td>Battle Mountain</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1588-3<a name=\"cdcrec-1588-3\"> </a></td><td>Duckwater</td><td>Duckwater</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1589-1<a name=\"cdcrec-1589-1\"> </a></td><td>Elko</td><td>Elko</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1590-9<a name=\"cdcrec-1590-9\"> </a></td><td>Ely</td><td>Ely</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1591-7<a name=\"cdcrec-1591-7\"> </a></td><td>Goshute</td><td>Goshute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1592-5<a name=\"cdcrec-1592-5\"> </a></td><td>Panamint</td><td>Panamint</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1593-3<a name=\"cdcrec-1593-3\"> </a></td><td>Ruby Valley</td><td>Ruby Valley</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1594-1<a name=\"cdcrec-1594-1\"> </a></td><td>Skull Valley</td><td>Skull Valley</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1595-8<a name=\"cdcrec-1595-8\"> </a></td><td>South Fork Shoshone</td><td>South Fork Shoshone</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1596-6<a name=\"cdcrec-1596-6\"> </a></td><td>Te-Moak Western Shoshone</td><td>Te-Moak Western Shoshone</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1597-4<a name=\"cdcrec-1597-4\"> </a></td><td>Timbi-Sha Shoshone</td><td>Timbi-Sha Shoshone</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1598-2<a name=\"cdcrec-1598-2\"> </a></td><td>Washakie</td><td>Washakie</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1599-0<a name=\"cdcrec-1599-0\"> </a></td><td>Wind River Shoshone</td><td>Wind River Shoshone</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1600-6<a name=\"cdcrec-1600-6\"> </a></td><td>Yomba</td><td>Yomba</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1603-0<a name=\"cdcrec-1603-0\"> </a></td><td>Duck Valley</td><td>Duck Valley</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1604-8<a name=\"cdcrec-1604-8\"> </a></td><td>Fallon</td><td>Fallon</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1605-5<a name=\"cdcrec-1605-5\"> </a></td><td>Fort McDermitt</td><td>Fort McDermitt</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1610-5<a name=\"cdcrec-1610-5\"> </a></td><td>Blackfoot Sioux</td><td>Blackfoot Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1611-3<a name=\"cdcrec-1611-3\"> </a></td><td>Brule Sioux</td><td>Brule Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1612-1<a name=\"cdcrec-1612-1\"> </a></td><td>Cheyenne River Sioux</td><td>Cheyenne River Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1613-9<a name=\"cdcrec-1613-9\"> </a></td><td>Crow Creek Sioux</td><td>Crow Creek Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1614-7<a name=\"cdcrec-1614-7\"> </a></td><td>Dakota Sioux</td><td>Dakota Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1615-4<a name=\"cdcrec-1615-4\"> </a></td><td>Flandreau Santee</td><td>Flandreau Santee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1616-2<a name=\"cdcrec-1616-2\"> </a></td><td>Fort Peck</td><td>Fort Peck</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1617-0<a name=\"cdcrec-1617-0\"> </a></td><td>Lake Traverse Sioux</td><td>Lake Traverse Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1618-8<a name=\"cdcrec-1618-8\"> </a></td><td>Lower Brule Sioux</td><td>Lower Brule Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1619-6<a name=\"cdcrec-1619-6\"> </a></td><td>Lower Sioux</td><td>Lower Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1620-4<a name=\"cdcrec-1620-4\"> </a></td><td>Mdewakanton Sioux</td><td>Mdewakanton Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1621-2<a name=\"cdcrec-1621-2\"> </a></td><td>Miniconjou</td><td>Miniconjou</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1622-0<a name=\"cdcrec-1622-0\"> </a></td><td>Oglala Sioux</td><td>Oglala Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1623-8<a name=\"cdcrec-1623-8\"> </a></td><td>Pine Ridge Sioux</td><td>Pine Ridge Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1624-6<a name=\"cdcrec-1624-6\"> </a></td><td>Pipestone Sioux</td><td>Pipestone Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1625-3<a name=\"cdcrec-1625-3\"> </a></td><td>Prairie Island Sioux</td><td>Prairie Island Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1626-1<a name=\"cdcrec-1626-1\"> </a></td><td>Prior Lake Sioux</td><td>Prior Lake Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1627-9<a name=\"cdcrec-1627-9\"> </a></td><td>Rosebud Sioux</td><td>Rosebud Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1628-7<a name=\"cdcrec-1628-7\"> </a></td><td>Sans Arc Sioux</td><td>Sans Arc Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1629-5<a name=\"cdcrec-1629-5\"> </a></td><td>Santee Sioux</td><td>Santee Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1630-3<a name=\"cdcrec-1630-3\"> </a></td><td>Sisseton-Wahpeton</td><td>Sisseton-Wahpeton</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1631-1<a name=\"cdcrec-1631-1\"> </a></td><td>Sisseton Sioux</td><td>Sisseton Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1632-9<a name=\"cdcrec-1632-9\"> </a></td><td>Spirit Lake Sioux</td><td>Spirit Lake Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1633-7<a name=\"cdcrec-1633-7\"> </a></td><td>Standing Rock Sioux</td><td>Standing Rock Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1634-5<a name=\"cdcrec-1634-5\"> </a></td><td>Teton Sioux</td><td>Teton Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1635-2<a name=\"cdcrec-1635-2\"> </a></td><td>Two Kettle Sioux</td><td>Two Kettle Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1636-0<a name=\"cdcrec-1636-0\"> </a></td><td>Upper Sioux</td><td>Upper Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1637-8<a name=\"cdcrec-1637-8\"> </a></td><td>Wahpekute Sioux</td><td>Wahpekute Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1638-6<a name=\"cdcrec-1638-6\"> </a></td><td>Wahpeton Sioux</td><td>Wahpeton Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1639-4<a name=\"cdcrec-1639-4\"> </a></td><td>Wazhaza Sioux</td><td>Wazhaza Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1640-2<a name=\"cdcrec-1640-2\"> </a></td><td>Yankton Sioux</td><td>Yankton Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1641-0<a name=\"cdcrec-1641-0\"> </a></td><td>Yanktonai Sioux</td><td>Yanktonai Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1654-3<a name=\"cdcrec-1654-3\"> </a></td><td>Ak-Chin</td><td>Ak-Chin</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1655-0<a name=\"cdcrec-1655-0\"> </a></td><td>Gila Bend</td><td>Gila Bend</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1656-8<a name=\"cdcrec-1656-8\"> </a></td><td>San Xavier</td><td>San Xavier</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1657-6<a name=\"cdcrec-1657-6\"> </a></td><td>Sells</td><td>Sells</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1668-3<a name=\"cdcrec-1668-3\"> </a></td><td>Cow Creek Umpqua</td><td>Cow Creek Umpqua</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1671-7<a name=\"cdcrec-1671-7\"> </a></td><td>Allen Canyon</td><td>Allen Canyon</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1672-5<a name=\"cdcrec-1672-5\"> </a></td><td>Uintah Ute</td><td>Uintah Ute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1673-3<a name=\"cdcrec-1673-3\"> </a></td><td>Ute Mountain Ute</td><td>Ute Mountain Ute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1680-8<a name=\"cdcrec-1680-8\"> </a></td><td>Gay Head Wampanoag</td><td>Gay Head Wampanoag</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1681-6<a name=\"cdcrec-1681-6\"> </a></td><td>Mashpee Wampanoag</td><td>Mashpee Wampanoag</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1688-1<a name=\"cdcrec-1688-1\"> </a></td><td>Alpine</td><td>Alpine</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1689-9<a name=\"cdcrec-1689-9\"> </a></td><td>Carson</td><td>Carson</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1690-7<a name=\"cdcrec-1690-7\"> </a></td><td>Dresslerville</td><td>Dresslerville</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1697-2<a name=\"cdcrec-1697-2\"> </a></td><td>Ho-chunk</td><td>Ho-chunk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1698-0<a name=\"cdcrec-1698-0\"> </a></td><td>Nebraska Winnebago</td><td>Nebraska Winnebago</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1705-3<a name=\"cdcrec-1705-3\"> </a></td><td>Table Bluff</td><td>Table Bluff</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1712-9<a name=\"cdcrec-1712-9\"> </a></td><td>Barrio Libre</td><td>Barrio Libre</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1713-7<a name=\"cdcrec-1713-7\"> </a></td><td>Pascua Yaqui</td><td>Pascua Yaqui</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1718-6<a name=\"cdcrec-1718-6\"> </a></td><td>Chukchansi</td><td>Chukchansi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1719-4<a name=\"cdcrec-1719-4\"> </a></td><td>Tachi</td><td>Tachi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1720-2<a name=\"cdcrec-1720-2\"> </a></td><td>Tule River</td><td>Tule River</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1725-1<a name=\"cdcrec-1725-1\"> </a></td><td>Cocopah</td><td>Cocopah</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1726-9<a name=\"cdcrec-1726-9\"> </a></td><td>Havasupai</td><td>Havasupai</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1727-7<a name=\"cdcrec-1727-7\"> </a></td><td>Hualapai</td><td>Hualapai</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1728-5<a name=\"cdcrec-1728-5\"> </a></td><td>Maricopa</td><td>Maricopa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1729-3<a name=\"cdcrec-1729-3\"> </a></td><td>Mohave</td><td>Mohave</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1730-1<a name=\"cdcrec-1730-1\"> </a></td><td>Quechan</td><td>Quechan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1731-9<a name=\"cdcrec-1731-9\"> </a></td><td>Yavapai</td><td>Yavapai</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1733-5<a name=\"cdcrec-1733-5\"> </a></td><td>Coast Yurok</td><td>Coast Yurok</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1737-6<a name=\"cdcrec-1737-6\"> </a></td><td>Alaska Indian</td><td>Alaska Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1840-8<a name=\"cdcrec-1840-8\"> </a></td><td>Eskimo</td><td>Eskimo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1966-1<a name=\"cdcrec-1966-1\"> </a></td><td>Aleut</td><td>Aleut</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1739-2<a name=\"cdcrec-1739-2\"> </a></td><td>Alaskan Athabascan</td><td>Alaskan Athabascan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1811-9<a name=\"cdcrec-1811-9\"> </a></td><td>Southeast Alaska</td><td>Southeast Alaska</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1740-0<a name=\"cdcrec-1740-0\"> </a></td><td>Ahtna</td><td>Ahtna</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1741-8<a name=\"cdcrec-1741-8\"> </a></td><td>Alatna</td><td>Alatna</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1742-6<a name=\"cdcrec-1742-6\"> </a></td><td>Alexander</td><td>Alexander</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1743-4<a name=\"cdcrec-1743-4\"> </a></td><td>Allakaket</td><td>Allakaket</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1744-2<a name=\"cdcrec-1744-2\"> </a></td><td>Alanvik</td><td>Alanvik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1745-9<a name=\"cdcrec-1745-9\"> </a></td><td>Anvik</td><td>Anvik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1746-7<a name=\"cdcrec-1746-7\"> </a></td><td>Arctic</td><td>Arctic</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1747-5<a name=\"cdcrec-1747-5\"> </a></td><td>Beaver</td><td>Beaver</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1748-3<a name=\"cdcrec-1748-3\"> </a></td><td>Birch Creek</td><td>Birch Creek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1749-1<a name=\"cdcrec-1749-1\"> </a></td><td>Cantwell</td><td>Cantwell</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1750-9<a name=\"cdcrec-1750-9\"> </a></td><td>Chalkyitsik</td><td>Chalkyitsik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1751-7<a name=\"cdcrec-1751-7\"> </a></td><td>Chickaloon</td><td>Chickaloon</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1752-5<a name=\"cdcrec-1752-5\"> </a></td><td>Chistochina</td><td>Chistochina</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1753-3<a name=\"cdcrec-1753-3\"> </a></td><td>Chitina</td><td>Chitina</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1754-1<a name=\"cdcrec-1754-1\"> </a></td><td>Circle</td><td>Circle</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1755-8<a name=\"cdcrec-1755-8\"> </a></td><td>Cook Inlet</td><td>Cook Inlet</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1756-6<a name=\"cdcrec-1756-6\"> </a></td><td>Copper Center</td><td>Copper Center</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1757-4<a name=\"cdcrec-1757-4\"> </a></td><td>Copper River</td><td>Copper River</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1758-2<a name=\"cdcrec-1758-2\"> </a></td><td>Dot Lake</td><td>Dot Lake</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1759-0<a name=\"cdcrec-1759-0\"> </a></td><td>Doyon</td><td>Doyon</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1760-8<a name=\"cdcrec-1760-8\"> </a></td><td>Eagle</td><td>Eagle</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1761-6<a name=\"cdcrec-1761-6\"> </a></td><td>Eklutna</td><td>Eklutna</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1762-4<a name=\"cdcrec-1762-4\"> </a></td><td>Evansville</td><td>Evansville</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1763-2<a name=\"cdcrec-1763-2\"> </a></td><td>Fort Yukon</td><td>Fort Yukon</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1764-0<a name=\"cdcrec-1764-0\"> </a></td><td>Gakona</td><td>Gakona</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1765-7<a name=\"cdcrec-1765-7\"> </a></td><td>Galena</td><td>Galena</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1766-5<a name=\"cdcrec-1766-5\"> </a></td><td>Grayling</td><td>Grayling</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1767-3<a name=\"cdcrec-1767-3\"> </a></td><td>Gulkana</td><td>Gulkana</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1768-1<a name=\"cdcrec-1768-1\"> </a></td><td>Healy Lake</td><td>Healy Lake</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1769-9<a name=\"cdcrec-1769-9\"> </a></td><td>Holy Cross</td><td>Holy Cross</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1770-7<a name=\"cdcrec-1770-7\"> </a></td><td>Hughes</td><td>Hughes</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1771-5<a name=\"cdcrec-1771-5\"> </a></td><td>Huslia</td><td>Huslia</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1772-3<a name=\"cdcrec-1772-3\"> </a></td><td>Iliamna</td><td>Iliamna</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1773-1<a name=\"cdcrec-1773-1\"> </a></td><td>Kaltag</td><td>Kaltag</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1774-9<a name=\"cdcrec-1774-9\"> </a></td><td>Kluti Kaah</td><td>Kluti Kaah</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1775-6<a name=\"cdcrec-1775-6\"> </a></td><td>Knik</td><td>Knik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1776-4<a name=\"cdcrec-1776-4\"> </a></td><td>Koyukuk</td><td>Koyukuk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1777-2<a name=\"cdcrec-1777-2\"> </a></td><td>Lake Minchumina</td><td>Lake Minchumina</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1778-0<a name=\"cdcrec-1778-0\"> </a></td><td>Lime</td><td>Lime</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1779-8<a name=\"cdcrec-1779-8\"> </a></td><td>Mcgrath</td><td>Mcgrath</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1780-6<a name=\"cdcrec-1780-6\"> </a></td><td>Manley Hot Springs</td><td>Manley Hot Springs</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1781-4<a name=\"cdcrec-1781-4\"> </a></td><td>Mentasta Lake</td><td>Mentasta Lake</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1782-2<a name=\"cdcrec-1782-2\"> </a></td><td>Minto</td><td>Minto</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1783-0<a name=\"cdcrec-1783-0\"> </a></td><td>Nenana</td><td>Nenana</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1784-8<a name=\"cdcrec-1784-8\"> </a></td><td>Nikolai</td><td>Nikolai</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1785-5<a name=\"cdcrec-1785-5\"> </a></td><td>Ninilchik</td><td>Ninilchik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1786-3<a name=\"cdcrec-1786-3\"> </a></td><td>Nondalton</td><td>Nondalton</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1787-1<a name=\"cdcrec-1787-1\"> </a></td><td>Northway</td><td>Northway</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1788-9<a name=\"cdcrec-1788-9\"> </a></td><td>Nulato</td><td>Nulato</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1789-7<a name=\"cdcrec-1789-7\"> </a></td><td>Pedro Bay</td><td>Pedro Bay</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1790-5<a name=\"cdcrec-1790-5\"> </a></td><td>Rampart</td><td>Rampart</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1791-3<a name=\"cdcrec-1791-3\"> </a></td><td>Ruby</td><td>Ruby</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1792-1<a name=\"cdcrec-1792-1\"> </a></td><td>Salamatof</td><td>Salamatof</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1793-9<a name=\"cdcrec-1793-9\"> </a></td><td>Seldovia</td><td>Seldovia</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1794-7<a name=\"cdcrec-1794-7\"> </a></td><td>Slana</td><td>Slana</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1795-4<a name=\"cdcrec-1795-4\"> </a></td><td>Shageluk</td><td>Shageluk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1796-2<a name=\"cdcrec-1796-2\"> </a></td><td>Stevens</td><td>Stevens</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1797-0<a name=\"cdcrec-1797-0\"> </a></td><td>Stony River</td><td>Stony River</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1798-8<a name=\"cdcrec-1798-8\"> </a></td><td>Takotna</td><td>Takotna</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1799-6<a name=\"cdcrec-1799-6\"> </a></td><td>Tanacross</td><td>Tanacross</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1800-2<a name=\"cdcrec-1800-2\"> </a></td><td>Tanaina</td><td>Tanaina</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1801-0<a name=\"cdcrec-1801-0\"> </a></td><td>Tanana</td><td>Tanana</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1802-8<a name=\"cdcrec-1802-8\"> </a></td><td>Tanana Chiefs</td><td>Tanana Chiefs</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1803-6<a name=\"cdcrec-1803-6\"> </a></td><td>Tazlina</td><td>Tazlina</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1804-4<a name=\"cdcrec-1804-4\"> </a></td><td>Telida</td><td>Telida</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1805-1<a name=\"cdcrec-1805-1\"> </a></td><td>Tetlin</td><td>Tetlin</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1806-9<a name=\"cdcrec-1806-9\"> </a></td><td>Tok</td><td>Tok</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1807-7<a name=\"cdcrec-1807-7\"> </a></td><td>Tyonek</td><td>Tyonek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1808-5<a name=\"cdcrec-1808-5\"> </a></td><td>Venetie</td><td>Venetie</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1809-3<a name=\"cdcrec-1809-3\"> </a></td><td>Wiseman</td><td>Wiseman</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1813-5<a name=\"cdcrec-1813-5\"> </a></td><td>Tlingit-Haida</td><td>Tlingit-Haida</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1837-4<a name=\"cdcrec-1837-4\"> </a></td><td>Tsimshian</td><td>Tsimshian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1814-3<a name=\"cdcrec-1814-3\"> </a></td><td>Angoon</td><td>Angoon</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1815-0<a name=\"cdcrec-1815-0\"> </a></td><td>Central Council of Tlingit and Haida Tribes</td><td>Central Council of Tlingit and Haida Tribes</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1816-8<a name=\"cdcrec-1816-8\"> </a></td><td>Chilkat</td><td>Chilkat</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1817-6<a name=\"cdcrec-1817-6\"> </a></td><td>Chilkoot</td><td>Chilkoot</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1818-4<a name=\"cdcrec-1818-4\"> </a></td><td>Craig</td><td>Craig</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1819-2<a name=\"cdcrec-1819-2\"> </a></td><td>Douglas</td><td>Douglas</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1820-0<a name=\"cdcrec-1820-0\"> </a></td><td>Haida</td><td>Haida</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1821-8<a name=\"cdcrec-1821-8\"> </a></td><td>Hoonah</td><td>Hoonah</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1822-6<a name=\"cdcrec-1822-6\"> </a></td><td>Hydaburg</td><td>Hydaburg</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1823-4<a name=\"cdcrec-1823-4\"> </a></td><td>Kake</td><td>Kake</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1824-2<a name=\"cdcrec-1824-2\"> </a></td><td>Kasaan</td><td>Kasaan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1825-9<a name=\"cdcrec-1825-9\"> </a></td><td>Kenaitze</td><td>Kenaitze</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1826-7<a name=\"cdcrec-1826-7\"> </a></td><td>Ketchikan</td><td>Ketchikan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1827-5<a name=\"cdcrec-1827-5\"> </a></td><td>Klawock</td><td>Klawock</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1828-3<a name=\"cdcrec-1828-3\"> </a></td><td>Pelican</td><td>Pelican</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1829-1<a name=\"cdcrec-1829-1\"> </a></td><td>Petersburg</td><td>Petersburg</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1830-9<a name=\"cdcrec-1830-9\"> </a></td><td>Saxman</td><td>Saxman</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1831-7<a name=\"cdcrec-1831-7\"> </a></td><td>Sitka</td><td>Sitka</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1832-5<a name=\"cdcrec-1832-5\"> </a></td><td>Tenakee Springs</td><td>Tenakee Springs</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1833-3<a name=\"cdcrec-1833-3\"> </a></td><td>Tlingit</td><td>Tlingit</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1834-1<a name=\"cdcrec-1834-1\"> </a></td><td>Wrangell</td><td>Wrangell</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1835-8<a name=\"cdcrec-1835-8\"> </a></td><td>Yakutat</td><td>Yakutat</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1838-2<a name=\"cdcrec-1838-2\"> </a></td><td>Metlakatla</td><td>Metlakatla</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1842-4<a name=\"cdcrec-1842-4\"> </a></td><td>Greenland Eskimo</td><td>Greenland Eskimo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1844-0<a name=\"cdcrec-1844-0\"> </a></td><td>Inupiat Eskimo</td><td>Inupiat Eskimo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1891-1<a name=\"cdcrec-1891-1\"> </a></td><td>Siberian Eskimo</td><td>Siberian Eskimo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1896-0<a name=\"cdcrec-1896-0\"> </a></td><td>Yupik Eskimo</td><td>Yupik Eskimo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1845-7<a name=\"cdcrec-1845-7\"> </a></td><td>Ambler</td><td>Ambler</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1846-5<a name=\"cdcrec-1846-5\"> </a></td><td>Anaktuvuk</td><td>Anaktuvuk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1847-3<a name=\"cdcrec-1847-3\"> </a></td><td>Anaktuvuk Pass</td><td>Anaktuvuk Pass</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1848-1<a name=\"cdcrec-1848-1\"> </a></td><td>Arctic Slope Inupiat</td><td>Arctic Slope Inupiat</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1849-9<a name=\"cdcrec-1849-9\"> </a></td><td>Arctic Slope Corporation</td><td>Arctic Slope Corporation</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1850-7<a name=\"cdcrec-1850-7\"> </a></td><td>Atqasuk</td><td>Atqasuk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1851-5<a name=\"cdcrec-1851-5\"> </a></td><td>Barrow</td><td>Barrow</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1852-3<a name=\"cdcrec-1852-3\"> </a></td><td>Bering Straits Inupiat</td><td>Bering Straits Inupiat</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1853-1<a name=\"cdcrec-1853-1\"> </a></td><td>Brevig Mission</td><td>Brevig Mission</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1854-9<a name=\"cdcrec-1854-9\"> </a></td><td>Buckland</td><td>Buckland</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1855-6<a name=\"cdcrec-1855-6\"> </a></td><td>Chinik</td><td>Chinik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1856-4<a name=\"cdcrec-1856-4\"> </a></td><td>Council</td><td>Council</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1857-2<a name=\"cdcrec-1857-2\"> </a></td><td>Deering</td><td>Deering</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1858-0<a name=\"cdcrec-1858-0\"> </a></td><td>Elim</td><td>Elim</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1859-8<a name=\"cdcrec-1859-8\"> </a></td><td>Golovin</td><td>Golovin</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1860-6<a name=\"cdcrec-1860-6\"> </a></td><td>Inalik Diomede</td><td>Inalik Diomede</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1861-4<a name=\"cdcrec-1861-4\"> </a></td><td>Inupiaq</td><td>Inupiaq</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1862-2<a name=\"cdcrec-1862-2\"> </a></td><td>Kaktovik</td><td>Kaktovik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1863-0<a name=\"cdcrec-1863-0\"> </a></td><td>Kawerak</td><td>Kawerak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1864-8<a name=\"cdcrec-1864-8\"> </a></td><td>Kiana</td><td>Kiana</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1865-5<a name=\"cdcrec-1865-5\"> </a></td><td>Kivalina</td><td>Kivalina</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1866-3<a name=\"cdcrec-1866-3\"> </a></td><td>Kobuk</td><td>Kobuk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1867-1<a name=\"cdcrec-1867-1\"> </a></td><td>Kotzebue</td><td>Kotzebue</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1868-9<a name=\"cdcrec-1868-9\"> </a></td><td>Koyuk</td><td>Koyuk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1869-7<a name=\"cdcrec-1869-7\"> </a></td><td>Kwiguk</td><td>Kwiguk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1870-5<a name=\"cdcrec-1870-5\"> </a></td><td>Mauneluk Inupiat</td><td>Mauneluk Inupiat</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1871-3<a name=\"cdcrec-1871-3\"> </a></td><td>Nana Inupiat</td><td>Nana Inupiat</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1872-1<a name=\"cdcrec-1872-1\"> </a></td><td>Noatak</td><td>Noatak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1873-9<a name=\"cdcrec-1873-9\"> </a></td><td>Nome</td><td>Nome</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1874-7<a name=\"cdcrec-1874-7\"> </a></td><td>Noorvik</td><td>Noorvik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1875-4<a name=\"cdcrec-1875-4\"> </a></td><td>Nuiqsut</td><td>Nuiqsut</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1876-2<a name=\"cdcrec-1876-2\"> </a></td><td>Point Hope</td><td>Point Hope</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1877-0<a name=\"cdcrec-1877-0\"> </a></td><td>Point Lay</td><td>Point Lay</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1878-8<a name=\"cdcrec-1878-8\"> </a></td><td>Selawik</td><td>Selawik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1879-6<a name=\"cdcrec-1879-6\"> </a></td><td>Shaktoolik</td><td>Shaktoolik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1880-4<a name=\"cdcrec-1880-4\"> </a></td><td>Shishmaref</td><td>Shishmaref</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1881-2<a name=\"cdcrec-1881-2\"> </a></td><td>Shungnak</td><td>Shungnak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1882-0<a name=\"cdcrec-1882-0\"> </a></td><td>Solomon</td><td>Solomon</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1883-8<a name=\"cdcrec-1883-8\"> </a></td><td>Teller</td><td>Teller</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1884-6<a name=\"cdcrec-1884-6\"> </a></td><td>Unalakleet</td><td>Unalakleet</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1885-3<a name=\"cdcrec-1885-3\"> </a></td><td>Wainwright</td><td>Wainwright</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1886-1<a name=\"cdcrec-1886-1\"> </a></td><td>Wales</td><td>Wales</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1887-9<a name=\"cdcrec-1887-9\"> </a></td><td>White Mountain</td><td>White Mountain</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1888-7<a name=\"cdcrec-1888-7\"> </a></td><td>White Mountain Inupiat</td><td>White Mountain Inupiat</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1889-5<a name=\"cdcrec-1889-5\"> </a></td><td>Mary's Igloo</td><td>Mary's Igloo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1892-9<a name=\"cdcrec-1892-9\"> </a></td><td>Gambell</td><td>Gambell</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1893-7<a name=\"cdcrec-1893-7\"> </a></td><td>Savoonga</td><td>Savoonga</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1894-5<a name=\"cdcrec-1894-5\"> </a></td><td>Siberian Yupik</td><td>Siberian Yupik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1897-8<a name=\"cdcrec-1897-8\"> </a></td><td>Akiachak</td><td>Akiachak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1898-6<a name=\"cdcrec-1898-6\"> </a></td><td>Akiak</td><td>Akiak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1899-4<a name=\"cdcrec-1899-4\"> </a></td><td>Alakanuk</td><td>Alakanuk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1900-0<a name=\"cdcrec-1900-0\"> </a></td><td>Aleknagik</td><td>Aleknagik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1901-8<a name=\"cdcrec-1901-8\"> </a></td><td>Andreafsky</td><td>Andreafsky</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1902-6<a name=\"cdcrec-1902-6\"> </a></td><td>Aniak</td><td>Aniak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1903-4<a name=\"cdcrec-1903-4\"> </a></td><td>Atmautluak</td><td>Atmautluak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1904-2<a name=\"cdcrec-1904-2\"> </a></td><td>Bethel</td><td>Bethel</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1905-9<a name=\"cdcrec-1905-9\"> </a></td><td>Bill Moore's Slough</td><td>Bill Moore's Slough</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1906-7<a name=\"cdcrec-1906-7\"> </a></td><td>Bristol Bay Yupik</td><td>Bristol Bay Yupik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1907-5<a name=\"cdcrec-1907-5\"> </a></td><td>Calista Yupik</td><td>Calista Yupik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1908-3<a name=\"cdcrec-1908-3\"> </a></td><td>Chefornak</td><td>Chefornak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1909-1<a name=\"cdcrec-1909-1\"> </a></td><td>Chevak</td><td>Chevak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1910-9<a name=\"cdcrec-1910-9\"> </a></td><td>Chuathbaluk</td><td>Chuathbaluk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1911-7<a name=\"cdcrec-1911-7\"> </a></td><td>Clark's Point</td><td>Clark's Point</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1912-5<a name=\"cdcrec-1912-5\"> </a></td><td>Crooked Creek</td><td>Crooked Creek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1913-3<a name=\"cdcrec-1913-3\"> </a></td><td>Dillingham</td><td>Dillingham</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1914-1<a name=\"cdcrec-1914-1\"> </a></td><td>Eek</td><td>Eek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1915-8<a name=\"cdcrec-1915-8\"> </a></td><td>Ekuk</td><td>Ekuk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1916-6<a name=\"cdcrec-1916-6\"> </a></td><td>Ekwok</td><td>Ekwok</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1917-4<a name=\"cdcrec-1917-4\"> </a></td><td>Emmonak</td><td>Emmonak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1918-2<a name=\"cdcrec-1918-2\"> </a></td><td>Goodnews Bay</td><td>Goodnews Bay</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1919-0<a name=\"cdcrec-1919-0\"> </a></td><td>Hooper Bay</td><td>Hooper Bay</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1920-8<a name=\"cdcrec-1920-8\"> </a></td><td>Iqurmuit (Russian Mission)</td><td>Iqurmuit (Russian Mission)</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1921-6<a name=\"cdcrec-1921-6\"> </a></td><td>Kalskag</td><td>Kalskag</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1922-4<a name=\"cdcrec-1922-4\"> </a></td><td>Kasigluk</td><td>Kasigluk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1923-2<a name=\"cdcrec-1923-2\"> </a></td><td>Kipnuk</td><td>Kipnuk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1924-0<a name=\"cdcrec-1924-0\"> </a></td><td>Koliganek</td><td>Koliganek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1925-7<a name=\"cdcrec-1925-7\"> </a></td><td>Kongiganak</td><td>Kongiganak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1926-5<a name=\"cdcrec-1926-5\"> </a></td><td>Kotlik</td><td>Kotlik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1927-3<a name=\"cdcrec-1927-3\"> </a></td><td>Kwethluk</td><td>Kwethluk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1928-1<a name=\"cdcrec-1928-1\"> </a></td><td>Kwigillingok</td><td>Kwigillingok</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1929-9<a name=\"cdcrec-1929-9\"> </a></td><td>Levelock</td><td>Levelock</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1930-7<a name=\"cdcrec-1930-7\"> </a></td><td>Lower Kalskag</td><td>Lower Kalskag</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1931-5<a name=\"cdcrec-1931-5\"> </a></td><td>Manokotak</td><td>Manokotak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1932-3<a name=\"cdcrec-1932-3\"> </a></td><td>Marshall</td><td>Marshall</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1933-1<a name=\"cdcrec-1933-1\"> </a></td><td>Mekoryuk</td><td>Mekoryuk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1934-9<a name=\"cdcrec-1934-9\"> </a></td><td>Mountain Village</td><td>Mountain Village</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1935-6<a name=\"cdcrec-1935-6\"> </a></td><td>Naknek</td><td>Naknek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1936-4<a name=\"cdcrec-1936-4\"> </a></td><td>Napaumute</td><td>Napaumute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1937-2<a name=\"cdcrec-1937-2\"> </a></td><td>Napakiak</td><td>Napakiak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1938-0<a name=\"cdcrec-1938-0\"> </a></td><td>Napaskiak</td><td>Napaskiak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1939-8<a name=\"cdcrec-1939-8\"> </a></td><td>Newhalen</td><td>Newhalen</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1940-6<a name=\"cdcrec-1940-6\"> </a></td><td>New Stuyahok</td><td>New Stuyahok</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1941-4<a name=\"cdcrec-1941-4\"> </a></td><td>Newtok</td><td>Newtok</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1942-2<a name=\"cdcrec-1942-2\"> </a></td><td>Nightmute</td><td>Nightmute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1943-0<a name=\"cdcrec-1943-0\"> </a></td><td>Nunapitchukv</td><td>Nunapitchukv</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1944-8<a name=\"cdcrec-1944-8\"> </a></td><td>Oscarville</td><td>Oscarville</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1945-5<a name=\"cdcrec-1945-5\"> </a></td><td>Pilot Station</td><td>Pilot Station</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1946-3<a name=\"cdcrec-1946-3\"> </a></td><td>Pitkas Point</td><td>Pitkas Point</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1947-1<a name=\"cdcrec-1947-1\"> </a></td><td>Platinum</td><td>Platinum</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1948-9<a name=\"cdcrec-1948-9\"> </a></td><td>Portage Creek</td><td>Portage Creek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1949-7<a name=\"cdcrec-1949-7\"> </a></td><td>Quinhagak</td><td>Quinhagak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1950-5<a name=\"cdcrec-1950-5\"> </a></td><td>Red Devil</td><td>Red Devil</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1951-3<a name=\"cdcrec-1951-3\"> </a></td><td>St. Michael</td><td>St. Michael</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1952-1<a name=\"cdcrec-1952-1\"> </a></td><td>Scammon Bay</td><td>Scammon Bay</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1953-9<a name=\"cdcrec-1953-9\"> </a></td><td>Sheldon's Point</td><td>Sheldon's Point</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1954-7<a name=\"cdcrec-1954-7\"> </a></td><td>Sleetmute</td><td>Sleetmute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1955-4<a name=\"cdcrec-1955-4\"> </a></td><td>Stebbins</td><td>Stebbins</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1956-2<a name=\"cdcrec-1956-2\"> </a></td><td>Togiak</td><td>Togiak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1957-0<a name=\"cdcrec-1957-0\"> </a></td><td>Toksook</td><td>Toksook</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1958-8<a name=\"cdcrec-1958-8\"> </a></td><td>Tulukskak</td><td>Tulukskak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1959-6<a name=\"cdcrec-1959-6\"> </a></td><td>Tuntutuliak</td><td>Tuntutuliak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1960-4<a name=\"cdcrec-1960-4\"> </a></td><td>Tununak</td><td>Tununak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1961-2<a name=\"cdcrec-1961-2\"> </a></td><td>Twin Hills</td><td>Twin Hills</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1962-0<a name=\"cdcrec-1962-0\"> </a></td><td>Georgetown (Yupik-Eskimo)</td><td>Georgetown (Yupik-Eskimo)</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1963-8<a name=\"cdcrec-1963-8\"> </a></td><td>St. Mary's</td><td>St. Mary's</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1964-6<a name=\"cdcrec-1964-6\"> </a></td><td>Umkumiate</td><td>Umkumiate</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1968-7<a name=\"cdcrec-1968-7\"> </a></td><td>Alutiiq Aleut</td><td>Alutiiq Aleut</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1972-9<a name=\"cdcrec-1972-9\"> </a></td><td>Bristol Bay Aleut</td><td>Bristol Bay Aleut</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1984-4<a name=\"cdcrec-1984-4\"> </a></td><td>Chugach Aleut</td><td>Chugach Aleut</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1990-1<a name=\"cdcrec-1990-1\"> </a></td><td>Eyak</td><td>Eyak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1992-7<a name=\"cdcrec-1992-7\"> </a></td><td>Koniag Aleut</td><td>Koniag Aleut</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2002-4<a name=\"cdcrec-2002-4\"> </a></td><td>Sugpiaq</td><td>Sugpiaq</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2004-0<a name=\"cdcrec-2004-0\"> </a></td><td>Suqpigaq</td><td>Suqpigaq</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2006-5<a name=\"cdcrec-2006-5\"> </a></td><td>Unangan Aleut</td><td>Unangan Aleut</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1969-5<a name=\"cdcrec-1969-5\"> </a></td><td>Tatitlek</td><td>Tatitlek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1970-3<a name=\"cdcrec-1970-3\"> </a></td><td>Ugashik</td><td>Ugashik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1973-7<a name=\"cdcrec-1973-7\"> </a></td><td>Chignik</td><td>Chignik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1974-5<a name=\"cdcrec-1974-5\"> </a></td><td>Chignik Lake</td><td>Chignik Lake</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1975-2<a name=\"cdcrec-1975-2\"> </a></td><td>Egegik</td><td>Egegik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1976-0<a name=\"cdcrec-1976-0\"> </a></td><td>Igiugig</td><td>Igiugig</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1977-8<a name=\"cdcrec-1977-8\"> </a></td><td>Ivanof Bay</td><td>Ivanof Bay</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1978-6<a name=\"cdcrec-1978-6\"> </a></td><td>King Salmon</td><td>King Salmon</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1979-4<a name=\"cdcrec-1979-4\"> </a></td><td>Kokhanok</td><td>Kokhanok</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1980-2<a name=\"cdcrec-1980-2\"> </a></td><td>Perryville</td><td>Perryville</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1981-0<a name=\"cdcrec-1981-0\"> </a></td><td>Pilot Point</td><td>Pilot Point</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1982-8<a name=\"cdcrec-1982-8\"> </a></td><td>Port Heiden</td><td>Port Heiden</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1985-1<a name=\"cdcrec-1985-1\"> </a></td><td>Chenega</td><td>Chenega</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1986-9<a name=\"cdcrec-1986-9\"> </a></td><td>Chugach Corporation</td><td>Chugach Corporation</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1987-7<a name=\"cdcrec-1987-7\"> </a></td><td>English Bay</td><td>English Bay</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1988-5<a name=\"cdcrec-1988-5\"> </a></td><td>Port Graham</td><td>Port Graham</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1993-5<a name=\"cdcrec-1993-5\"> </a></td><td>Akhiok</td><td>Akhiok</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1994-3<a name=\"cdcrec-1994-3\"> </a></td><td>Agdaagux</td><td>Agdaagux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1995-0<a name=\"cdcrec-1995-0\"> </a></td><td>Karluk</td><td>Karluk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1996-8<a name=\"cdcrec-1996-8\"> </a></td><td>Kodiak</td><td>Kodiak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1997-6<a name=\"cdcrec-1997-6\"> </a></td><td>Larsen Bay</td><td>Larsen Bay</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1998-4<a name=\"cdcrec-1998-4\"> </a></td><td>Old Harbor</td><td>Old Harbor</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1999-2<a name=\"cdcrec-1999-2\"> </a></td><td>Ouzinkie</td><td>Ouzinkie</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2000-8<a name=\"cdcrec-2000-8\"> </a></td><td>Port Lions</td><td>Port Lions</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2007-3<a name=\"cdcrec-2007-3\"> </a></td><td>Akutan</td><td>Akutan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2008-1<a name=\"cdcrec-2008-1\"> </a></td><td>Aleut Corporation</td><td>Aleut Corporation</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2009-9<a name=\"cdcrec-2009-9\"> </a></td><td>Aleutian</td><td>Aleutian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2010-7<a name=\"cdcrec-2010-7\"> </a></td><td>Aleutian Islander</td><td>Aleutian Islander</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2011-5<a name=\"cdcrec-2011-5\"> </a></td><td>Atka</td><td>Atka</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2012-3<a name=\"cdcrec-2012-3\"> </a></td><td>Belkofski</td><td>Belkofski</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2013-1<a name=\"cdcrec-2013-1\"> </a></td><td>Chignik Lagoon</td><td>Chignik Lagoon</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2014-9<a name=\"cdcrec-2014-9\"> </a></td><td>King Cove</td><td>King Cove</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2015-6<a name=\"cdcrec-2015-6\"> </a></td><td>False Pass</td><td>False Pass</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2016-4<a name=\"cdcrec-2016-4\"> </a></td><td>Nelson Lagoon</td><td>Nelson Lagoon</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2017-2<a name=\"cdcrec-2017-2\"> </a></td><td>Nikolski</td><td>Nikolski</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2018-0<a name=\"cdcrec-2018-0\"> </a></td><td>Pauloff Harbor</td><td>Pauloff Harbor</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2019-8<a name=\"cdcrec-2019-8\"> </a></td><td>Qagan Toyagungin</td><td>Qagan Toyagungin</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2020-6<a name=\"cdcrec-2020-6\"> </a></td><td>Qawalangin</td><td>Qawalangin</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2021-4<a name=\"cdcrec-2021-4\"> </a></td><td>St. George</td><td>St. George</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2022-2<a name=\"cdcrec-2022-2\"> </a></td><td>St. Paul</td><td>St. Paul</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2023-0<a name=\"cdcrec-2023-0\"> </a></td><td>Sand Point</td><td>Sand Point</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2024-8<a name=\"cdcrec-2024-8\"> </a></td><td>South Naknek</td><td>South Naknek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2025-5<a name=\"cdcrec-2025-5\"> </a></td><td>Unalaska</td><td>Unalaska</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2026-3<a name=\"cdcrec-2026-3\"> </a></td><td>Unga</td><td>Unga</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  2028-9<a name=\"cdcrec-2028-9\"> </a></td><td>Asian</td><td>Asian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2029-7<a name=\"cdcrec-2029-7\"> </a></td><td>Asian Indian</td><td>Asian Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2030-5<a name=\"cdcrec-2030-5\"> </a></td><td>Bangladeshi</td><td>Bangladeshi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2031-3<a name=\"cdcrec-2031-3\"> </a></td><td>Bhutanese</td><td>Bhutanese</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2032-1<a name=\"cdcrec-2032-1\"> </a></td><td>Burmese</td><td>Burmese</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2033-9<a name=\"cdcrec-2033-9\"> </a></td><td>Cambodian</td><td>Cambodian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2034-7<a name=\"cdcrec-2034-7\"> </a></td><td>Chinese</td><td>Chinese</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2035-4<a name=\"cdcrec-2035-4\"> </a></td><td>Taiwanese</td><td>Taiwanese</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2036-2<a name=\"cdcrec-2036-2\"> </a></td><td>Filipino</td><td>Filipino</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2037-0<a name=\"cdcrec-2037-0\"> </a></td><td>Hmong</td><td>Hmong</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2038-8<a name=\"cdcrec-2038-8\"> </a></td><td>Indonesian</td><td>Indonesian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2039-6<a name=\"cdcrec-2039-6\"> </a></td><td>Japanese</td><td>Japanese</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2040-4<a name=\"cdcrec-2040-4\"> </a></td><td>Korean</td><td>Korean</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2041-2<a name=\"cdcrec-2041-2\"> </a></td><td>Laotian</td><td>Laotian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2042-0<a name=\"cdcrec-2042-0\"> </a></td><td>Malaysian</td><td>Malaysian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2043-8<a name=\"cdcrec-2043-8\"> </a></td><td>Okinawan</td><td>Okinawan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2044-6<a name=\"cdcrec-2044-6\"> </a></td><td>Pakistani</td><td>Pakistani</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2045-3<a name=\"cdcrec-2045-3\"> </a></td><td>Sri Lankan</td><td>Sri Lankan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2046-1<a name=\"cdcrec-2046-1\"> </a></td><td>Thai</td><td>Thai</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2047-9<a name=\"cdcrec-2047-9\"> </a></td><td>Vietnamese</td><td>Vietnamese</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2048-7<a name=\"cdcrec-2048-7\"> </a></td><td>Iwo Jiman</td><td>Iwo Jiman</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2049-5<a name=\"cdcrec-2049-5\"> </a></td><td>Maldivian</td><td>Maldivian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2050-3<a name=\"cdcrec-2050-3\"> </a></td><td>Nepalese</td><td>Nepalese</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2051-1<a name=\"cdcrec-2051-1\"> </a></td><td>Singaporean</td><td>Singaporean</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2052-9<a name=\"cdcrec-2052-9\"> </a></td><td>Madagascar</td><td>Madagascar</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  2054-5<a name=\"cdcrec-2054-5\"> </a></td><td>Black or African American</td><td>Black or African American</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2056-0<a name=\"cdcrec-2056-0\"> </a></td><td>Black</td><td>Black</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2058-6<a name=\"cdcrec-2058-6\"> </a></td><td>African American</td><td>African American</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2060-2<a name=\"cdcrec-2060-2\"> </a></td><td>African</td><td>African</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2067-7<a name=\"cdcrec-2067-7\"> </a></td><td>Bahamian</td><td>Bahamian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2068-5<a name=\"cdcrec-2068-5\"> </a></td><td>Barbadian</td><td>Barbadian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2069-3<a name=\"cdcrec-2069-3\"> </a></td><td>Dominican</td><td>Dominican</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2070-1<a name=\"cdcrec-2070-1\"> </a></td><td>Dominica Islander</td><td>Dominica Islander</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2071-9<a name=\"cdcrec-2071-9\"> </a></td><td>Haitian</td><td>Haitian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2072-7<a name=\"cdcrec-2072-7\"> </a></td><td>Jamaican</td><td>Jamaican</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2073-5<a name=\"cdcrec-2073-5\"> </a></td><td>Tobagoan</td><td>Tobagoan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2074-3<a name=\"cdcrec-2074-3\"> </a></td><td>Trinidadian</td><td>Trinidadian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2075-0<a name=\"cdcrec-2075-0\"> </a></td><td>West Indian</td><td>West Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2061-0<a name=\"cdcrec-2061-0\"> </a></td><td>Botswanan</td><td>Botswanan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2062-8<a name=\"cdcrec-2062-8\"> </a></td><td>Ethiopian</td><td>Ethiopian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2063-6<a name=\"cdcrec-2063-6\"> </a></td><td>Liberian</td><td>Liberian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2064-4<a name=\"cdcrec-2064-4\"> </a></td><td>Namibian</td><td>Namibian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2065-1<a name=\"cdcrec-2065-1\"> </a></td><td>Nigerian</td><td>Nigerian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2066-9<a name=\"cdcrec-2066-9\"> </a></td><td>Zairean</td><td>Zairean</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  2076-8<a name=\"cdcrec-2076-8\"> </a></td><td>Native Hawaiian or Other Pacific Islander</td><td>Native Hawaiian or Other Pacific Islander</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2078-4<a name=\"cdcrec-2078-4\"> </a></td><td>Polynesian</td><td>Polynesian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2085-9<a name=\"cdcrec-2085-9\"> </a></td><td>Micronesian</td><td>Micronesian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2100-6<a name=\"cdcrec-2100-6\"> </a></td><td>Melanesian</td><td>Melanesian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2500-7<a name=\"cdcrec-2500-7\"> </a></td><td>Other Pacific Islander</td><td>Other Pacific Islander</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2079-2<a name=\"cdcrec-2079-2\"> </a></td><td>Native Hawaiian</td><td>Native Hawaiian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2080-0<a name=\"cdcrec-2080-0\"> </a></td><td>Samoan</td><td>Samoan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2081-8<a name=\"cdcrec-2081-8\"> </a></td><td>Tahitian</td><td>Tahitian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2082-6<a name=\"cdcrec-2082-6\"> </a></td><td>Tongan</td><td>Tongan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2083-4<a name=\"cdcrec-2083-4\"> </a></td><td>Tokelauan</td><td>Tokelauan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2086-7<a name=\"cdcrec-2086-7\"> </a></td><td>Guamanian or Chamorro</td><td>Guamanian or Chamorro</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2087-5<a name=\"cdcrec-2087-5\"> </a></td><td>Guamanian</td><td>Guamanian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2088-3<a name=\"cdcrec-2088-3\"> </a></td><td>Chamorro</td><td>Chamorro</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2089-1<a name=\"cdcrec-2089-1\"> </a></td><td>Mariana Islander</td><td>Mariana Islander</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2090-9<a name=\"cdcrec-2090-9\"> </a></td><td>Marshallese</td><td>Marshallese</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2091-7<a name=\"cdcrec-2091-7\"> </a></td><td>Palauan</td><td>Palauan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2092-5<a name=\"cdcrec-2092-5\"> </a></td><td>Carolinian</td><td>Carolinian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2093-3<a name=\"cdcrec-2093-3\"> </a></td><td>Kosraean</td><td>Kosraean</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2094-1<a name=\"cdcrec-2094-1\"> </a></td><td>Pohnpeian</td><td>Pohnpeian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2095-8<a name=\"cdcrec-2095-8\"> </a></td><td>Saipanese</td><td>Saipanese</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2096-6<a name=\"cdcrec-2096-6\"> </a></td><td>Kiribati</td><td>Kiribati</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2097-4<a name=\"cdcrec-2097-4\"> </a></td><td>Chuukese</td><td>Chuukese</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2098-2<a name=\"cdcrec-2098-2\"> </a></td><td>Yapese</td><td>Yapese</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2101-4<a name=\"cdcrec-2101-4\"> </a></td><td>Fijian</td><td>Fijian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2102-2<a name=\"cdcrec-2102-2\"> </a></td><td>Papua New Guinean</td><td>Papua New Guinean</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2103-0<a name=\"cdcrec-2103-0\"> </a></td><td>Solomon Islander</td><td>Solomon Islander</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2104-8<a name=\"cdcrec-2104-8\"> </a></td><td>New Hebrides</td><td>New Hebrides</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  2106-3<a name=\"cdcrec-2106-3\"> </a></td><td>White</td><td>White</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2108-9<a name=\"cdcrec-2108-9\"> </a></td><td>European</td><td>European</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2118-8<a name=\"cdcrec-2118-8\"> </a></td><td>Middle Eastern or North African</td><td>Middle Eastern or North African</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2129-5<a name=\"cdcrec-2129-5\"> </a></td><td>Arab</td><td>Arab</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2109-7<a name=\"cdcrec-2109-7\"> </a></td><td>Armenian</td><td>Armenian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2110-5<a name=\"cdcrec-2110-5\"> </a></td><td>English</td><td>English</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2111-3<a name=\"cdcrec-2111-3\"> </a></td><td>French</td><td>French</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2112-1<a name=\"cdcrec-2112-1\"> </a></td><td>German</td><td>German</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2113-9<a name=\"cdcrec-2113-9\"> </a></td><td>Irish</td><td>Irish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2114-7<a name=\"cdcrec-2114-7\"> </a></td><td>Italian</td><td>Italian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2115-4<a name=\"cdcrec-2115-4\"> </a></td><td>Polish</td><td>Polish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2116-2<a name=\"cdcrec-2116-2\"> </a></td><td>Scottish</td><td>Scottish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2119-6<a name=\"cdcrec-2119-6\"> </a></td><td>Assyrian</td><td>Assyrian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2120-4<a name=\"cdcrec-2120-4\"> </a></td><td>Egyptian</td><td>Egyptian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2121-2<a name=\"cdcrec-2121-2\"> </a></td><td>Iranian</td><td>Iranian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2122-0<a name=\"cdcrec-2122-0\"> </a></td><td>Iraqi</td><td>Iraqi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2123-8<a name=\"cdcrec-2123-8\"> </a></td><td>Lebanese</td><td>Lebanese</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2124-6<a name=\"cdcrec-2124-6\"> </a></td><td>Palestinian</td><td>Palestinian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2125-3<a name=\"cdcrec-2125-3\"> </a></td><td>Syrian</td><td>Syrian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2126-1<a name=\"cdcrec-2126-1\"> </a></td><td>Afghanistani</td><td>Afghanistani</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2127-9<a name=\"cdcrec-2127-9\"> </a></td><td>Israeili</td><td>Israeili</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  2131-1<a name=\"cdcrec-2131-1\"> </a></td><td>Other Race</td><td>Note that this term remains in the table for completeness, even though within HL7, the notion of Other code is deprecated.</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">2133-7<a name=\"cdcrec-2133-7\"> </a></td><td>Ethnicity</td><td>Ethnicity Note that this is an abstract 'grouping' concept and not for use as a real concept</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  2135-2<a name=\"cdcrec-2135-2\"> </a></td><td>Hispanic or Latino</td><td>Hispanic or Latino</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2137-8<a name=\"cdcrec-2137-8\"> </a></td><td>Spaniard</td><td>Spaniard</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2148-5<a name=\"cdcrec-2148-5\"> </a></td><td>Mexican</td><td>Mexican</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2155-0<a name=\"cdcrec-2155-0\"> </a></td><td>Central American</td><td>Central American</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2165-9<a name=\"cdcrec-2165-9\"> </a></td><td>South American</td><td>South American</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2178-2<a name=\"cdcrec-2178-2\"> </a></td><td>Latin American</td><td>Latin American</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2180-8<a name=\"cdcrec-2180-8\"> </a></td><td>Puerto Rican</td><td>Puerto Rican</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2182-4<a name=\"cdcrec-2182-4\"> </a></td><td>Cuban</td><td>Cuban</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2184-0<a name=\"cdcrec-2184-0\"> </a></td><td>Dominican</td><td>Dominican</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2138-6<a name=\"cdcrec-2138-6\"> </a></td><td>Andalusian</td><td>Andalusian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2139-4<a name=\"cdcrec-2139-4\"> </a></td><td>Asturian</td><td>Asturian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2140-2<a name=\"cdcrec-2140-2\"> </a></td><td>Castillian</td><td>Castillian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2141-0<a name=\"cdcrec-2141-0\"> </a></td><td>Catalonian</td><td>Catalonian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2142-8<a name=\"cdcrec-2142-8\"> </a></td><td>Belearic Islander</td><td>Belearic Islander</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2143-6<a name=\"cdcrec-2143-6\"> </a></td><td>Gallego</td><td>Gallego</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2144-4<a name=\"cdcrec-2144-4\"> </a></td><td>Valencian</td><td>Valencian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2145-1<a name=\"cdcrec-2145-1\"> </a></td><td>Canarian</td><td>Canarian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2146-9<a name=\"cdcrec-2146-9\"> </a></td><td>Spanish Basque</td><td>Spanish Basque</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2149-3<a name=\"cdcrec-2149-3\"> </a></td><td>Mexican American</td><td>Mexican American</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2150-1<a name=\"cdcrec-2150-1\"> </a></td><td>Mexicano</td><td>Mexicano</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2151-9<a name=\"cdcrec-2151-9\"> </a></td><td>Chicano</td><td>Chicano</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2152-7<a name=\"cdcrec-2152-7\"> </a></td><td>La Raza</td><td>La Raza</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2153-5<a name=\"cdcrec-2153-5\"> </a></td><td>Mexican American Indian</td><td>Mexican American Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2156-8<a name=\"cdcrec-2156-8\"> </a></td><td>Costa Rican</td><td>Costa Rican</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2157-6<a name=\"cdcrec-2157-6\"> </a></td><td>Guatemalan</td><td>Guatemalan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2158-4<a name=\"cdcrec-2158-4\"> </a></td><td>Honduran</td><td>Honduran</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2159-2<a name=\"cdcrec-2159-2\"> </a></td><td>Nicaraguan</td><td>Nicaraguan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2160-0<a name=\"cdcrec-2160-0\"> </a></td><td>Panamanian</td><td>Panamanian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2161-8<a name=\"cdcrec-2161-8\"> </a></td><td>Salvadoran</td><td>Salvadoran</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2162-6<a name=\"cdcrec-2162-6\"> </a></td><td>Central American Indian</td><td>Central American Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2163-4<a name=\"cdcrec-2163-4\"> </a></td><td>Canal Zone</td><td>Canal Zone</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2166-7<a name=\"cdcrec-2166-7\"> </a></td><td>Argentinean</td><td>Argentinean</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2167-5<a name=\"cdcrec-2167-5\"> </a></td><td>Bolivian</td><td>Bolivian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2168-3<a name=\"cdcrec-2168-3\"> </a></td><td>Chilean</td><td>Chilean</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2169-1<a name=\"cdcrec-2169-1\"> </a></td><td>Colombian</td><td>Colombian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2170-9<a name=\"cdcrec-2170-9\"> </a></td><td>Ecuadorian</td><td>Ecuadorian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2171-7<a name=\"cdcrec-2171-7\"> </a></td><td>Paraguayan</td><td>Paraguayan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2172-5<a name=\"cdcrec-2172-5\"> </a></td><td>Peruvian</td><td>Peruvian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2173-3<a name=\"cdcrec-2173-3\"> </a></td><td>Uruguayan</td><td>Uruguayan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2174-1<a name=\"cdcrec-2174-1\"> </a></td><td>Venezuelan</td><td>Venezuelan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2175-8<a name=\"cdcrec-2175-8\"> </a></td><td>South American Indian</td><td>South American Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2176-6<a name=\"cdcrec-2176-6\"> </a></td><td>Criollo</td><td>Criollo</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  2186-5<a name=\"cdcrec-2186-5\"> </a></td><td>Not Hispanic or Latino</td><td>Note that this term remains in the table for completeness, even though within HL7, the notion of &quot;not otherwise coded&quot; term is deprecated.</td></tr></table></div>"},"url":"urn:oid:2.16.840.1.113883.6.238","identifier":[{"value":"2.16.840.1.113883.6.238"}],"version":"3.0.1","name":"RaceAndEthnicityCDC","title":"Race & Ethnicity - CDC","status":"active","experimental":false,"date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"}]}],"description":" The U.S. Centers for Disease Control and Prevention (CDC) has prepared a code set for use in codingrace and ethnicity data. This code set is based on current federal standards for classifying data onrace and ethnicity, specifically the minimum race and ethnicity categories defined by the U.S. Office ofManagement and Budget (OMB) and a more detailed set of race and ethnicity categories maintainedby the U.S. Bureau of the Census (BC). The main purpose of the code set is to facilitate use of federalstandards for classifying data on race and ethnicity when these data are exchanged, stored, retrieved,or analyzed in electronic form. At the same time, the code set can be applied to paper-based recordsystems to the extent that these systems are used to collect, maintain, and report data on race andethnicity in accordance with current federal standards. Source: [Race and Ethnicity Code Set Version 1.0](https://www.cdc.gov/phin/resources/vocabulary/documents/cdc-race--ethnicity-background-and-purpose.pdf).","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"caseSensitive":true,"hierarchyMeaning":"is-a","content":"complete","count":966,"property":[{"code":"abstract","description":"True if an element is considered 'abstract' - in other words, the code is not for use as a real concept","type":"boolean"}],"concept":[{"code":"1000-9","display":"Race","definition":"Race, Note that this is an abstract 'grouping' concept and not for use as a real concept","property":[{"code":"abstract","valueBoolean":true}],"concept":[{"code":"1002-5","display":"American Indian or Alaska Native","definition":"American Indian or Alaska Native","concept":[{"code":"1004-1","display":"American Indian","definition":"American Indian"},{"code":"1735-0","display":"Alaska Native","definition":"Alaska Native"},{"code":"1006-6","display":"Abenaki","definition":"Abenaki"},{"code":"1008-2","display":"Algonquian","definition":"Algonquian"},{"code":"1010-8","display":"Apache","definition":"Apache"},{"code":"1021-5","display":"Arapaho","definition":"Arapaho"},{"code":"1026-4","display":"Arikara","definition":"Arikara"},{"code":"1028-0","display":"Assiniboine","definition":"Assiniboine"},{"code":"1030-6","display":"Assiniboine Sioux","definition":"Assiniboine Sioux"},{"code":"1033-0","display":"Bannock","definition":"Bannock"},{"code":"1035-5","display":"Blackfeet","definition":"Blackfeet"},{"code":"1037-1","display":"Brotherton","definition":"Brotherton"},{"code":"1039-7","display":"Burt Lake Band","definition":"Burt Lake Band"},{"code":"1041-3","display":"Caddo","definition":"Caddo"},{"code":"1044-7","display":"Cahuilla","definition":"Cahuilla"},{"code":"1053-8","display":"California Tribes","definition":"California Tribes"},{"code":"1068-6","display":"Canadian and Latin American Indian","definition":"Canadian and Latin American Indian"},{"code":"1076-9","display":"Catawba","definition":"Catawba"},{"code":"1078-5","display":"Cayuse","definition":"Cayuse"},{"code":"1080-1","display":"Chehalis","definition":"Chehalis"},{"code":"1082-7","display":"Chemakuan","definition":"Chemakuan"},{"code":"1086-8","display":"Chemehuevi","definition":"Chemehuevi"},{"code":"1088-4","display":"Cherokee","definition":"Cherokee"},{"code":"1100-7","display":"Cherokee Shawnee","definition":"Cherokee Shawnee"},{"code":"1102-3","display":"Cheyenne","definition":"Cheyenne"},{"code":"1106-4","display":"Cheyenne-Arapaho","definition":"Cheyenne-Arapaho"},{"code":"1108-0","display":"Chickahominy","definition":"Chickahominy"},{"code":"1112-2","display":"Chickasaw","definition":"Chickasaw"},{"code":"1114-8","display":"Chinook","definition":"Chinook"},{"code":"1123-9","display":"Chippewa","definition":"Chippewa"},{"code":"1150-2","display":"Chippewa Cree","definition":"Chippewa Cree"},{"code":"1153-6","display":"Chitimacha","definition":"Chitimacha"},{"code":"1155-1","display":"Choctaw","definition":"Choctaw"},{"code":"1162-7","display":"Chumash","definition":"Chumash"},{"code":"1165-0","display":"Clear Lake","definition":"Clear Lake"},{"code":"1167-6","display":"Coeur D'Alene","definition":"Coeur D'Alene"},{"code":"1169-2","display":"Coharie","definition":"Coharie"},{"code":"1171-8","display":"Colorado River","definition":"Colorado River"},{"code":"1173-4","display":"Colville","definition":"Colville"},{"code":"1175-9","display":"Comanche","definition":"Comanche"},{"code":"1178-3","display":"Coos, Lower Umpqua, Siuslaw","definition":"Coos, Lower Umpqua, Siuslaw"},{"code":"1180-9","display":"Coos","definition":"Coos"},{"code":"1182-5","display":"Coquilles","definition":"Coquilles"},{"code":"1184-1","display":"Costanoan","definition":"Costanoan"},{"code":"1186-6","display":"Coushatta","definition":"Coushatta"},{"code":"1189-0","display":"Cowlitz","definition":"Cowlitz"},{"code":"1191-6","display":"Cree","definition":"Cree"},{"code":"1193-2","display":"Creek","definition":"Creek"},{"code":"1207-0","display":"Croatan","definition":"Croatan"},{"code":"1209-6","display":"Crow","definition":"Crow"},{"code":"1211-2","display":"Cupeno","definition":"Cupeno"},{"code":"1214-6","display":"Delaware","definition":"Delaware"},{"code":"1222-9","display":"Diegueno","definition":"Diegueno"},{"code":"1233-6","display":"Eastern Tribes","definition":"Eastern Tribes"},{"code":"1250-0","display":"Esselen","definition":"Esselen"},{"code":"1252-6","display":"Fort Belknap","definition":"Fort Belknap"},{"code":"1254-2","display":"Fort Berthold","definition":"Fort Berthold"},{"code":"1256-7","display":"Fort Mcdowell","definition":"Fort Mcdowell"},{"code":"1258-3","display":"Fort Hall","definition":"Fort Hall"},{"code":"1260-9","display":"Gabrieleno","definition":"Gabrieleno"},{"code":"1262-5","display":"Grand Ronde","definition":"Grand Ronde"},{"code":"1264-1","display":"Gros Ventres","definition":"Gros Ventres"},{"code":"1267-4","display":"Haliwa","definition":"Haliwa"},{"code":"1269-0","display":"Hidatsa","definition":"Hidatsa"},{"code":"1271-6","display":"Hoopa","definition":"Hoopa"},{"code":"1275-7","display":"Hoopa Extension","definition":"Hoopa Extension"},{"code":"1277-3","display":"Houma","definition":"Houma"},{"code":"1279-9","display":"Inaja-Cosmit","definition":"Inaja-Cosmit"},{"code":"1281-5","display":"Iowa","definition":"Iowa"},{"code":"1285-6","display":"Iroquois","definition":"Iroquois"},{"code":"1297-1","display":"Juaneno","definition":"Juaneno"},{"code":"1299-7","display":"Kalispel","definition":"Kalispel"},{"code":"1301-1","display":"Karuk","definition":"Karuk"},{"code":"1303-7","display":"Kaw","definition":"Kaw"},{"code":"1305-2","display":"Kickapoo","definition":"Kickapoo"},{"code":"1309-4","display":"Kiowa","definition":"Kiowa"},{"code":"1312-8","display":"Klallam","definition":"Klallam"},{"code":"1317-7","display":"Klamath","definition":"Klamath"},{"code":"1319-3","display":"Konkow","definition":"Konkow"},{"code":"1321-9","display":"Kootenai","definition":"Kootenai"},{"code":"1323-5","display":"Lassik","definition":"Lassik"},{"code":"1325-0","display":"Long Island","definition":"Long Island"},{"code":"1331-8","display":"Luiseno","definition":"Luiseno"},{"code":"1340-9","display":"Lumbee","definition":"Lumbee"},{"code":"1342-5","display":"Lummi","definition":"Lummi"},{"code":"1344-1","display":"Maidu","definition":"Maidu"},{"code":"1348-2","display":"Makah","definition":"Makah"},{"code":"1350-8","display":"Maliseet","definition":"Maliseet"},{"code":"1352-4","display":"Mandan","definition":"Mandan"},{"code":"1354-0","display":"Mattaponi","definition":"Mattaponi"},{"code":"1356-5","display":"Menominee","definition":"Menominee"},{"code":"1358-1","display":"Miami","definition":"Miami"},{"code":"1363-1","display":"Miccosukee","definition":"Miccosukee"},{"code":"1365-6","display":"Micmac","definition":"Micmac"},{"code":"1368-0","display":"Mission Indians","definition":"Mission Indians"},{"code":"1370-6","display":"Miwok","definition":"Miwok"},{"code":"1372-2","display":"Modoc","definition":"Modoc"},{"code":"1374-8","display":"Mohegan","definition":"Mohegan"},{"code":"1376-3","display":"Mono","definition":"Mono"},{"code":"1378-9","display":"Nanticoke","definition":"Nanticoke"},{"code":"1380-5","display":"Narragansett","definition":"Narragansett"},{"code":"1382-1","display":"Navajo","definition":"Navajo"},{"code":"1387-0","display":"Nez Perce","definition":"Nez Perce"},{"code":"1389-6","display":"Nomalaki","definition":"Nomalaki"},{"code":"1391-2","display":"Northwest Tribes","definition":"Northwest Tribes"},{"code":"1403-5","display":"Omaha","definition":"Omaha"},{"code":"1405-0","display":"Oregon Athabaskan","definition":"Oregon Athabaskan"},{"code":"1407-6","display":"Osage","definition":"Osage"},{"code":"1409-2","display":"Otoe-Missouria","definition":"Otoe-Missouria"},{"code":"1411-8","display":"Ottawa","definition":"Ottawa"},{"code":"1416-7","display":"Paiute","definition":"Paiute"},{"code":"1439-9","display":"Pamunkey","definition":"Pamunkey"},{"code":"1441-5","display":"Passamaquoddy","definition":"Passamaquoddy"},{"code":"1445-6","display":"Pawnee","definition":"Pawnee"},{"code":"1448-0","display":"Penobscot","definition":"Penobscot"},{"code":"1450-6","display":"Peoria","definition":"Peoria"},{"code":"1453-0","display":"Pequot","definition":"Pequot"},{"code":"1456-3","display":"Pima","definition":"Pima"},{"code":"1460-5","display":"Piscataway","definition":"Piscataway"},{"code":"1462-1","display":"Pit River","definition":"Pit River"},{"code":"1464-7","display":"Pomo","definition":"Pomo"},{"code":"1474-6","display":"Ponca","definition":"Ponca"},{"code":"1478-7","display":"Potawatomi","definition":"Potawatomi"},{"code":"1487-8","display":"Powhatan","definition":"Powhatan"},{"code":"1489-4","display":"Pueblo","definition":"Pueblo"},{"code":"1518-0","display":"Puget Sound Salish","definition":"Puget Sound Salish"},{"code":"1541-2","display":"Quapaw","definition":"Quapaw"},{"code":"1543-8","display":"Quinault","definition":"Quinault"},{"code":"1545-3","display":"Rappahannock","definition":"Rappahannock"},{"code":"1547-9","display":"Reno-Sparks","definition":"Reno-Sparks"},{"code":"1549-5","display":"Round Valley","definition":"Round Valley"},{"code":"1551-1","display":"Sac and Fox","definition":"Sac and Fox"},{"code":"1556-0","display":"Salinan","definition":"Salinan"},{"code":"1558-6","display":"Salish","definition":"Salish"},{"code":"1560-2","display":"Salish and Kootenai","definition":"Salish and Kootenai"},{"code":"1562-8","display":"Schaghticoke","definition":"Schaghticoke"},{"code":"1564-4","display":"Scott Valley","definition":"Scott Valley"},{"code":"1566-9","display":"Seminole","definition":"Seminole"},{"code":"1573-5","display":"Serrano","definition":"Serrano"},{"code":"1576-8","display":"Shasta","definition":"Shasta"},{"code":"1578-4","display":"Shawnee","definition":"Shawnee"},{"code":"1582-6","display":"Shinnecock","definition":"Shinnecock"},{"code":"1584-2","display":"Shoalwater Bay","definition":"Shoalwater Bay"},{"code":"1586-7","display":"Shoshone","definition":"Shoshone"},{"code":"1602-2","display":"Shoshone Paiute","definition":"Shoshone Paiute"},{"code":"1607-1","display":"Siletz","definition":"Siletz"},{"code":"1609-7","display":"Sioux","definition":"Sioux"},{"code":"1643-6","display":"Siuslaw","definition":"Siuslaw"},{"code":"1645-1","display":"Spokane","definition":"Spokane"},{"code":"1647-7","display":"Stewart","definition":"Stewart"},{"code":"1649-3","display":"Stockbridge","definition":"Stockbridge"},{"code":"1651-9","display":"Susanville","definition":"Susanville"},{"code":"1653-5","display":"Tohono O'Odham","definition":"Tohono 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Indian"},{"code":"2061-0","display":"Botswanan","definition":"Botswanan"},{"code":"2062-8","display":"Ethiopian","definition":"Ethiopian"},{"code":"2063-6","display":"Liberian","definition":"Liberian"},{"code":"2064-4","display":"Namibian","definition":"Namibian"},{"code":"2065-1","display":"Nigerian","definition":"Nigerian"},{"code":"2066-9","display":"Zairean","definition":"Zairean"}]},{"code":"2076-8","display":"Native Hawaiian or Other Pacific Islander","definition":"Native Hawaiian or Other Pacific Islander","concept":[{"code":"2078-4","display":"Polynesian","definition":"Polynesian"},{"code":"2085-9","display":"Micronesian","definition":"Micronesian"},{"code":"2100-6","display":"Melanesian","definition":"Melanesian"},{"code":"2500-7","display":"Other Pacific Islander","definition":"Other Pacific Islander"},{"code":"2079-2","display":"Native Hawaiian","definition":"Native Hawaiian"},{"code":"2080-0","display":"Samoan","definition":"Samoan"},{"code":"2081-8","display":"Tahitian","definition":"Tahitian"},{"code":"2082-6","display":"Tongan","definition":"Tongan"},{"code":"2083-4","display":"Tokelauan","definition":"Tokelauan"},{"code":"2086-7","display":"Guamanian or Chamorro","definition":"Guamanian or Chamorro"},{"code":"2087-5","display":"Guamanian","definition":"Guamanian"},{"code":"2088-3","display":"Chamorro","definition":"Chamorro"},{"code":"2089-1","display":"Mariana Islander","definition":"Mariana Islander"},{"code":"2090-9","display":"Marshallese","definition":"Marshallese"},{"code":"2091-7","display":"Palauan","definition":"Palauan"},{"code":"2092-5","display":"Carolinian","definition":"Carolinian"},{"code":"2093-3","display":"Kosraean","definition":"Kosraean"},{"code":"2094-1","display":"Pohnpeian","definition":"Pohnpeian"},{"code":"2095-8","display":"Saipanese","definition":"Saipanese"},{"code":"2096-6","display":"Kiribati","definition":"Kiribati"},{"code":"2097-4","display":"Chuukese","definition":"Chuukese"},{"code":"2098-2","display":"Yapese","definition":"Yapese"},{"code":"2101-4","display":"Fijian","definition":"Fijian"},{"code":"2102-2","display":"Papua New Guinean","definition":"Papua New Guinean"},{"code":"2103-0","display":"Solomon Islander","definition":"Solomon Islander"},{"code":"2104-8","display":"New Hebrides","definition":"New Hebrides"}]},{"code":"2106-3","display":"White","definition":"White","concept":[{"code":"2108-9","display":"European","definition":"European"},{"code":"2118-8","display":"Middle Eastern or North African","definition":"Middle Eastern or North African"},{"code":"2129-5","display":"Arab","definition":"Arab"},{"code":"2109-7","display":"Armenian","definition":"Armenian"},{"code":"2110-5","display":"English","definition":"English"},{"code":"2111-3","display":"French","definition":"French"},{"code":"2112-1","display":"German","definition":"German"},{"code":"2113-9","display":"Irish","definition":"Irish"},{"code":"2114-7","display":"Italian","definition":"Italian"},{"code":"2115-4","display":"Polish","definition":"Polish"},{"code":"2116-2","display":"Scottish","definition":"Scottish"},{"code":"2119-6","display":"Assyrian","definition":"Assyrian"},{"code":"2120-4","display":"Egyptian","definition":"Egyptian"},{"code":"2121-2","display":"Iranian","definition":"Iranian"},{"code":"2122-0","display":"Iraqi","definition":"Iraqi"},{"code":"2123-8","display":"Lebanese","definition":"Lebanese"},{"code":"2124-6","display":"Palestinian","definition":"Palestinian"},{"code":"2125-3","display":"Syrian","definition":"Syrian"},{"code":"2126-1","display":"Afghanistani","definition":"Afghanistani"},{"code":"2127-9","display":"Israeili","definition":"Israeili"}]},{"code":"2131-1","display":"Other Race","definition":"Note that this term remains in the table for completeness, even though within HL7, the notion of Other code is deprecated."}]},{"code":"2133-7","display":"Ethnicity","definition":"Ethnicity Note that this is an abstract 'grouping' concept and not for use as a real concept","property":[{"code":"abstract","valueBoolean":true}],"concept":[{"code":"2135-2","display":"Hispanic or Latino","definition":"Hispanic or Latino","concept":[{"code":"2137-8","display":"Spaniard","definition":"Spaniard"},{"code":"2148-5","display":"Mexican","definition":"Mexican"},{"code":"2155-0","display":"Central American","definition":"Central American"},{"code":"2165-9","display":"South American","definition":"South American"},{"code":"2178-2","display":"Latin American","definition":"Latin American"},{"code":"2180-8","display":"Puerto Rican","definition":"Puerto Rican"},{"code":"2182-4","display":"Cuban","definition":"Cuban"},{"code":"2184-0","display":"Dominican","definition":"Dominican"},{"code":"2138-6","display":"Andalusian","definition":"Andalusian"},{"code":"2139-4","display":"Asturian","definition":"Asturian"},{"code":"2140-2","display":"Castillian","definition":"Castillian"},{"code":"2141-0","display":"Catalonian","definition":"Catalonian"},{"code":"2142-8","display":"Belearic Islander","definition":"Belearic Islander"},{"code":"2143-6","display":"Gallego","definition":"Gallego"},{"code":"2144-4","display":"Valencian","definition":"Valencian"},{"code":"2145-1","display":"Canarian","definition":"Canarian"},{"code":"2146-9","display":"Spanish Basque","definition":"Spanish Basque"},{"code":"2149-3","display":"Mexican American","definition":"Mexican American"},{"code":"2150-1","display":"Mexicano","definition":"Mexicano"},{"code":"2151-9","display":"Chicano","definition":"Chicano"},{"code":"2152-7","display":"La Raza","definition":"La Raza"},{"code":"2153-5","display":"Mexican American Indian","definition":"Mexican American Indian"},{"code":"2156-8","display":"Costa Rican","definition":"Costa Rican"},{"code":"2157-6","display":"Guatemalan","definition":"Guatemalan"},{"code":"2158-4","display":"Honduran","definition":"Honduran"},{"code":"2159-2","display":"Nicaraguan","definition":"Nicaraguan"},{"code":"2160-0","display":"Panamanian","definition":"Panamanian"},{"code":"2161-8","display":"Salvadoran","definition":"Salvadoran"},{"code":"2162-6","display":"Central American Indian","definition":"Central American Indian"},{"code":"2163-4","display":"Canal Zone","definition":"Canal Zone"},{"code":"2166-7","display":"Argentinean","definition":"Argentinean"},{"code":"2167-5","display":"Bolivian","definition":"Bolivian"},{"code":"2168-3","display":"Chilean","definition":"Chilean"},{"code":"2169-1","display":"Colombian","definition":"Colombian"},{"code":"2170-9","display":"Ecuadorian","definition":"Ecuadorian"},{"code":"2171-7","display":"Paraguayan","definition":"Paraguayan"},{"code":"2172-5","display":"Peruvian","definition":"Peruvian"},{"code":"2173-3","display":"Uruguayan","definition":"Uruguayan"},{"code":"2174-1","display":"Venezuelan","definition":"Venezuelan"},{"code":"2175-8","display":"South American Indian","definition":"South American Indian"},{"code":"2176-6","display":"Criollo","definition":"Criollo"}]},{"code":"2186-5","display":"Not Hispanic or Latino","definition":"Note that this term remains in the table for completeness, even though within HL7, the notion of \"not otherwise coded\" term is deprecated."}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/CodeSystem-condition-category.json b/resources/uscore_v3.0.1/CodeSystem-condition-category.json
new file mode 100644
index 000000000..8dd05c212
--- /dev/null
+++ b/resources/uscore_v3.0.1/CodeSystem-condition-category.json
@@ -0,0 +1 @@
+{"resourceType":"CodeSystem","id":"condition-category","text":{"status":"extensions","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Condition Category Extension Codes</h2><div><p>Set of codes that are needed for implementation of the US-Core profiles. These codes are used as extensions to the FHIR and US Core value sets.</p>\n</div><p><b>Properties</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>URL</b></td><td><b>Description</b></td><td><b>Type</b></td></tr><tr><td>status</td><td>http://hl7.org/fhir/concept-properties#status</td><td>A property that indicates the status of the concept. One of active, experimental, deprecated,        retired</td><td>code</td></tr></table><p>This code system http://hl7.org/fhir/us/core/CodeSystem/condition-category defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td><td><b>Deprecated</b></td></tr><tr><td style=\"white-space:nowrap\">problem<a name=\"condition-category-problem\"> </a></td><td>Problem</td><td>The patients problems as identified by the provider(s). Items on the provider’s problem list</td><td>Deprecated</td></tr><tr><td style=\"white-space:nowrap\">health-concern<a name=\"condition-category-health-concern\"> </a></td><td>Health Concern</td><td>Additional health concerns from other stakeholders which are outside the provider’s problem list.</td><td/></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/CodeSystem/condition-category","version":"3.0.1","name":"USCoreConditionCategoryExtensionCodes","title":"US Core Condition Category Extension Codes","status":"active","date":"2019-09-12T23:50:40+00:00","publisher":"HL7 US Realm Steering Committee","description":"Set of codes that are needed for implementation of the US-Core profiles. These codes are used as extensions to the FHIR and US Core value sets.\n","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"caseSensitive":true,"content":"complete","property":[{"code":"status","uri":"http://hl7.org/fhir/concept-properties#status","description":"A property that indicates the status of the concept. One of active, experimental, deprecated,        retired","type":"code"}],"concept":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/codesystem-replacedby","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/condition-category","code":"problem-list-item","display":"Problem List Item"}}],"code":"problem","display":"Problem","definition":"The patients problems as identified by the provider(s). Items on the provider’s problem list","property":[{"code":"status","valueCode":"deprecated"}]},{"code":"health-concern","display":"Health Concern","definition":"Additional health concerns from other stakeholders which are outside the provider’s problem list."}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/CodeSystem-us-core-documentreference-category.json b/resources/uscore_v3.0.1/CodeSystem-us-core-documentreference-category.json
new file mode 100644
index 000000000..019eb1183
--- /dev/null
+++ b/resources/uscore_v3.0.1/CodeSystem-us-core-documentreference-category.json
@@ -0,0 +1 @@
+{"resourceType":"CodeSystem","id":"us-core-documentreference-category","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core DocumentReferences Category Codes</h2><div><p>The US Core DocumentReferences Type Code System is a 'starter set' of categories supported for fetching and storing DocumentReference Resources.</p>\n</div><p>This code system http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">clinical-note<a name=\"us-core-documentreference-category-clinical-note\"> </a></td><td>Clinical Note</td><td>Part of health record where healthcare professionals record details to document a patient's clinical status or achievements during the course of a hospitalization or over the course of outpatient care ([Wikipedia](https://en.wikipedia.org/wiki/Progress_note))</td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category","version":"3.0.1","name":"USCoreDocumentReferencesCategoryCodes","title":"US Core DocumentReferences Category Codes","status":"active","date":"2019-05-21T00:00:00+00:00","description":"The US Core DocumentReferences Type Code System is a 'starter set' of categories supported for fetching and storing DocumentReference Resources.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"caseSensitive":true,"valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-category","content":"complete","count":2,"concept":[{"code":"clinical-note","display":"Clinical Note","definition":"Part of health record where healthcare professionals record details to document a patient's clinical status or achievements during the course of a hospitalization or over the course of outpatient care ([Wikipedia](https://en.wikipedia.org/wiki/Progress_note))"}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/CodeSystem-us-core-provenance-participant-type.json b/resources/uscore_v3.0.1/CodeSystem-us-core-provenance-participant-type.json
new file mode 100644
index 000000000..388d43aa6
--- /dev/null
+++ b/resources/uscore_v3.0.1/CodeSystem-us-core-provenance-participant-type.json
@@ -0,0 +1 @@
+{"resourceType":"CodeSystem","id":"us-core-provenance-participant-type","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Provenance Participant Type Extension Codes</h2><div><p>Set of codes that are needed for implementation of the US-Core profiles. These codes are used as extensions to the FHIR and US Core value sets.</p>\n</div><p>This code system http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">transmitter<a name=\"us-core-provenance-participant-type-transmitter\"> </a></td><td>Transmitter</td><td>The entity that provided the copy to your system.</td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type","version":"3.0.1","name":"USCoreProvenancePaticipantTypeExtensionCodes","title":"US Core Provenance Participant Type Extension Codes","status":"active","date":"2019-09-12T23:50:40+00:00","publisher":"HL7 US Realm Steering Committee","description":"Set of codes that are needed for implementation of the US-Core profiles. These codes are used as extensions to the FHIR and US Core value sets.\n","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"caseSensitive":true,"content":"complete","concept":[{"code":"transmitter","display":"Transmitter","definition":"The entity that provided the copy to your system."}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ConceptMap-ndc-cvx.json b/resources/uscore_v3.0.1/ConceptMap-ndc-cvx.json
new file mode 100644
index 000000000..ddd3e2d70
--- /dev/null
+++ b/resources/uscore_v3.0.1/ConceptMap-ndc-cvx.json
@@ -0,0 +1 @@
+{"resourceType":"ConceptMap","id":"ndc-cvx","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>USCoreNDCtoCVXCodeMapping (http://hl7.org/fhir/us/core/ConceptMap/ndc-cvx)</h2><p>Mapping from <a href=\"ValueSet-us-core-ndc-vaccine-codes.html\">http://hl7.org/fhir/us/core/ValueSet/us-core-ndc-vaccine-codes</a> to <a href=\"ValueSet-us-core-vaccines-cvx.html\">http://hl7.org/fhir/us/core/ValueSet/us-core-vaccines-cvx</a></p><p>ACTIVE. Published on May 21, 2019, 12:00:00 AM by HL7 US Realm Steering Committee. </p><div><p>Unit of Use [NDC code] (https://www2a.cdc.gov/vaccines/iis/iisstandards/ndc_crosswalk.asp) mapping  to the <a href=\"https://www2a.cdc.gov/vaccines/iis/iisstandards/vaccines.asp?rpt=cvx\">CVX Vaccine codes</a>.  Note: source = NDC and target = CVX</p>\n</div><br/><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Equivalence</b></td><td><b>Destination Code</b></td></tr><tr><td>00005-0100-02</td><td>wider</td><td>162</td></tr><tr><td>00005-0100-05</td><td>wider</td><td>162</td></tr><tr><td>00005-0100-10</td><td>wider</td><td>162</td></tr><tr><td>00005-1970-50</td><td>wider</td><td>100</td></tr><tr><td>00005-1971-02</td><td>wider</td><td>133</td></tr><tr><td>00005-1971-04</td><td>wider</td><td>133</td></tr><tr><td>00005-1971-05</td><td>wider</td><td>133</td></tr><tr><td>00006-4045-00</td><td>wider</td><td>62</td></tr><tr><td>00006-4045-41</td><td>wider</td><td>62</td></tr><tr><td>00006-4047-20</td><td>wider</td><td>116</td></tr><tr><td>00006-4047-41</td><td>wider</td><td>116</td></tr><tr><td>00006-4093-02</td><td>wider</td><td>08</td></tr><tr><td>00006-4093-09</td><td>wider</td><td>08</td></tr><tr><td>00006-4094-02</td><td>wider</td><td>43</td></tr><tr><td>00006-4094-09</td><td>wider</td><td>43</td></tr><tr><td>00006-4095-02</td><td>wider</td><td>83</td></tr><tr><td>00006-4095-09</td><td>wider</td><td>83</td></tr><tr><td>00006-4096-02</td><td>wider</td><td>52</td></tr><tr><td>00006-4096-09</td><td>wider</td><td>52</td></tr><tr><td>00006-4109-02</td><td>wider</td><td>62</td></tr><tr><td>00006-4109-09</td><td>wider</td><td>62</td></tr><tr><td>00006-4119-02</td><td>wider</td><td>165</td></tr><tr><td>00006-4119-03</td><td>wider</td><td>165</td></tr><tr><td>00006-4121-02</td><td>wider</td><td>165</td></tr><tr><td>00006-4133-41</td><td>wider</td><td>09</td></tr><tr><td>00006-4171-00</td><td>wider</td><td>94</td></tr><tr><td>00006-4681-00</td><td>wider</td><td>03</td></tr><tr><td>00006-4739-00</td><td>wider</td><td>33</td></tr><tr><td>00006-4826-00</td><td>wider</td><td>21</td></tr><tr><td>00006-4827-00</td><td>wider</td><td>21</td></tr><tr><td>00006-4831-41</td><td>wider</td><td>83</td></tr><tr><td>00006-4837-02</td><td>wider</td><td>33</td></tr><tr><td>00006-4837-03</td><td>wider</td><td>33</td></tr><tr><td>00006-4841-00</td><td>wider</td><td>52</td></tr><tr><td>00006-4841-41</td><td>wider</td><td>52</td></tr><tr><td>00006-4897-00</td><td>wider</td><td>49</td></tr><tr><td>00006-4898-00</td><td>wider</td><td>51</td></tr><tr><td>00006-4943-00</td><td>wider</td><td>33</td></tr><tr><td>00006-4963-00</td><td>wider</td><td>121</td></tr><tr><td>00006-4963-41</td><td>wider</td><td>121</td></tr><tr><td>00006-4980-00</td><td>wider</td><td>08</td></tr><tr><td>00006-4981-00</td><td>wider</td><td>08</td></tr><tr><td>00006-4992-00</td><td>wider</td><td>44</td></tr><tr><td>00006-4995-00</td><td>wider</td><td>43</td></tr><tr><td>00006-4995-41</td><td>wider</td><td>43</td></tr><tr><td>00006-4999-00</td><td>wider</td><td>94</td></tr><tr><td>00052-0603-02</td><td>wider</td><td>19</td></tr><tr><td>13533-0131-01</td><td>wider</td><td>09</td></tr><tr><td>14362-0111-04</td><td>wider</td><td>09</td></tr><tr><td>17478-0131-01</td><td>wider</td><td>09</td></tr><tr><td>19515-0845-11</td><td>wider</td><td>141</td></tr><tr><td>19515-0850-52</td><td>wider</td><td>140</td></tr><tr><td>19515-0889-07</td><td>wider</td><td>141</td></tr><tr><td>19515-0890-07</td><td>wider</td><td>141</td></tr><tr><td>19515-0891-11</td><td>wider</td><td>158</td></tr><tr><td>19515-0893-07</td><td>wider</td><td>141</td></tr><tr><td>19515-0894-52</td><td>wider</td><td>150</td></tr><tr><td>19515-0895-11</td><td>wider</td><td>158</td></tr><tr><td>19515-0896-11</td><td>wider</td><td>158</td></tr><tr><td>19515-0898-11</td><td>wider</td><td>158</td></tr><tr><td>19515-0900-11</td><td>wider</td><td>158</td></tr><tr><td>19515-0901-52</td><td>wider</td><td>150</td></tr><tr><td>19515-0903-11</td><td>wider</td><td>158</td></tr><tr><td>19515-0908-52</td><td>wider</td><td>150</td></tr><tr><td>19515-0909-52</td><td>wider</td><td>150</td></tr><tr><td>19515-0912-52</td><td>wider</td><td>150</td></tr><tr><td>21695-0413-01</td><td>wider</td><td>09</td></tr><tr><td>33332-0010-01</td><td>wider</td><td>140</td></tr><tr><td>33332-0013-01</td><td>wider</td><td>140</td></tr><tr><td>33332-0014-01</td><td>wider</td><td>140</td></tr><tr><td>33332-0015-01</td><td>wider</td><td>140</td></tr><tr><td>33332-0016-01</td><td>wider</td><td>140</td></tr><tr><td>33332-0017-01</td><td>wider</td><td>140</td></tr><tr><td>33332-0018-01</td><td>wider</td><td>140</td></tr><tr><td>33332-0110-10</td><td>wider</td><td>141</td></tr><tr><td>33332-0113-10</td><td>wider</td><td>141</td></tr><tr><td>33332-0114-10</td><td>wider</td><td>141</td></tr><tr><td>33332-0115-10</td><td>wider</td><td>141</td></tr><tr><td>33332-0116-10</td><td>wider</td><td>141</td></tr><tr><td>33332-0117-10</td><td>wider</td><td>141</td></tr><tr><td>33332-0118-10</td><td>wider</td><td>141</td></tr><tr><td>33332-0316-01</td><td>wider</td><td>150</td></tr><tr><td>33332-0317-01</td><td>wider</td><td>150</td></tr><tr><td>33332-0318-01</td><td>wider</td><td>150</td></tr><tr><td>33332-0416-10</td><td>wider</td><td>158</td></tr><tr><td>33332-0417-10</td><td>wider</td><td>158</td></tr><tr><td>33332-0418-10</td><td>wider</td><td>158</td></tr><tr><td>33332-0519-01</td><td>wider</td><td>126</td></tr><tr><td>33332-0519-25</td><td>wider</td><td>126</td></tr><tr><td>33332-0629-10</td><td>wider</td><td>127</td></tr><tr><td>42515-0001-01</td><td>wider</td><td>134</td></tr><tr><td>42515-0001-01</td><td>wider</td><td>134</td></tr><tr><td>42515-0001-01</td><td>wider</td><td>134</td></tr><tr><td>42515-0001-01</td><td>wider</td><td>134</td></tr><tr><td>42515-0002-01</td><td>wider</td><td>134</td></tr><tr><td>42874-0012-10</td><td>wider</td><td>155</td></tr><tr><td>42874-0013-10</td><td>wider</td><td>155</td></tr><tr><td>42874-0014-10</td><td>wider</td><td>155</td></tr><tr><td>42874-0015-10</td><td>wider</td><td>155</td></tr><tr><td>42874-0016-10</td><td>wider</td><td>155</td></tr><tr><td>42874-0017-10</td><td>wider</td><td>155</td></tr><tr><td>42874-0117-10</td><td>wider</td><td>185</td></tr><tr><td>43528-0002-05</td><td>wider</td><td>189</td></tr><tr><td>43528-0003-05</td><td>wider</td><td>189</td></tr><tr><td>46028-0114-01</td><td>wider</td><td>163</td></tr><tr><td>46028-0114-02</td><td>wider</td><td>163</td></tr><tr><td>46028-0208-01</td><td>wider</td><td>136</td></tr><tr><td>46028-0208-01</td><td>wider</td><td>136</td></tr><tr><td>49281-0010-10</td><td>wider</td><td>140</td></tr><tr><td>49281-0010-25</td><td>wider</td><td>140</td></tr><tr><td>49281-0010-50</td><td>wider</td><td>140</td></tr><tr><td>49281-0011-10</td><td>wider</td><td>140</td></tr><tr><td>49281-0011-50</td><td>wider</td><td>140</td></tr><tr><td>49281-0012-10</td><td>wider</td><td>140</td></tr><tr><td>49281-0012-50</td><td>wider</td><td>140</td></tr><tr><td>49281-0013-10</td><td>wider</td><td>140</td></tr><tr><td>49281-0013-50</td><td>wider</td><td>140</td></tr><tr><td>49281-0014-50</td><td>wider</td><td>140</td></tr><tr><td>49281-0111-25</td><td>wider</td><td>140</td></tr><tr><td>49281-0112-25</td><td>wider</td><td>140</td></tr><tr><td>49281-0113-25</td><td>wider</td><td>140</td></tr><tr><td>49281-0215-10</td><td>wider</td><td>113</td></tr><tr><td>49281-0215-15</td><td>wider</td><td>113</td></tr><tr><td>49281-0225-10</td><td>wider</td><td>28</td></tr><tr><td>49281-0250-51</td><td>wider</td><td>175</td></tr><tr><td>49281-0278-10</td><td>wider</td><td>28</td></tr><tr><td>49281-0286-01</td><td>wider</td><td>106</td></tr><tr><td>49281-0286-05</td><td>wider</td><td>106</td></tr><tr><td>49281-0286-10</td><td>wider</td><td>106</td></tr><tr><td>49281-0291-10</td><td>wider</td><td>113</td></tr><tr><td>49281-0291-83</td><td>wider</td><td>113</td></tr><tr><td>49281-0298-10</td><td>wider</td><td>20</td></tr><tr><td>49281-0386-15</td><td>wider</td><td>141</td></tr><tr><td>49281-0387-65</td><td>wider</td><td>135</td></tr><tr><td>49281-0388-15</td><td>wider</td><td>141</td></tr><tr><td>49281-0389-65</td><td>wider</td><td>135</td></tr><tr><td>49281-0390-15</td><td>wider</td><td>141</td></tr><tr><td>49281-0391-65</td><td>wider</td><td>135</td></tr><tr><td>49281-0392-15</td><td>wider</td><td>141</td></tr><tr><td>49281-0393-65</td><td>wider</td><td>135</td></tr><tr><td>49281-0394-15</td><td>wider</td><td>141</td></tr><tr><td>49281-0395-65</td><td>wider</td><td>135</td></tr><tr><td>49281-0396-15</td><td>wider</td><td>141</td></tr><tr><td>49281-0397-65</td><td>wider</td><td>135</td></tr><tr><td>49281-0399-65</td><td>wider</td><td>135</td></tr><tr><td>49281-0400-05</td><td>wider</td><td>115</td></tr><tr><td>49281-0400-10</td><td>wider</td><td>115</td></tr><tr><td>49281-0400-15</td><td>wider</td><td>115</td></tr><tr><td>49281-0400-20</td><td>wider</td><td>115</td></tr><tr><td>49281-0401-65</td><td>wider</td><td>135</td></tr><tr><td>49281-0403-65</td><td>wider</td><td>135</td></tr><tr><td>49281-0413-10</td><td>wider</td><td>150</td></tr><tr><td>49281-0413-50</td><td>wider</td><td>150</td></tr><tr><td>49281-0414-10</td><td>wider</td><td>150</td></tr><tr><td>49281-0414-50</td><td>wider</td><td>150</td></tr><tr><td>49281-0415-10</td><td>wider</td><td>150</td></tr><tr><td>49281-0416-10</td><td>wider</td><td>150</td></tr><tr><td>49281-0416-50</td><td>wider</td><td>150</td></tr><tr><td>49281-0417-10</td><td>wider</td><td>150</td></tr><tr><td>49281-0417-50</td><td>wider</td><td>150</td></tr><tr><td>49281-0418-10</td><td>wider</td><td>150</td></tr><tr><td>49281-0418-50</td><td>wider</td><td>150</td></tr><tr><td>49281-0489-01</td><td>wider</td><td>32</td></tr><tr><td>49281-0489-91</td><td>wider</td><td>32</td></tr><tr><td>49281-0510-05</td><td>wider</td><td>120</td></tr><tr><td>49281-0510-05</td><td>wider</td><td>120</td></tr><tr><td>49281-0513-25</td><td>wider</td><td>161</td></tr><tr><td>49281-0514-25</td><td>wider</td><td>161</td></tr><tr><td>49281-0516-25</td><td>wider</td><td>161</td></tr><tr><td>49281-0517-25</td><td>wider</td><td>161</td></tr><tr><td>49281-0518-25</td><td>wider</td><td>161</td></tr><tr><td>49281-0545-03</td><td>wider</td><td>48</td></tr><tr><td>49281-0545-05</td><td>wider</td><td>48</td></tr><tr><td>49281-0562-10</td><td>wider</td><td>130</td></tr><tr><td>49281-0589-05</td><td>wider</td><td>114</td></tr><tr><td>49281-0621-15</td><td>wider</td><td>158</td></tr><tr><td>49281-0625-15</td><td>wider</td><td>158</td></tr><tr><td>49281-0627-15</td><td>wider</td><td>158</td></tr><tr><td>49281-0629-15</td><td>wider</td><td>158</td></tr><tr><td>49281-0640-15</td><td>wider</td><td>127</td></tr><tr><td>49281-0650-10</td><td>wider</td><td>126</td></tr><tr><td>49281-0650-25</td><td>wider</td><td>126</td></tr><tr><td>49281-0650-50</td><td>wider</td><td>126</td></tr><tr><td>49281-0650-70</td><td>wider</td><td>126</td></tr><tr><td>49281-0650-90</td><td>wider</td><td>126</td></tr><tr><td>49281-0703-55</td><td>wider</td><td>144</td></tr><tr><td>49281-0705-55</td><td>wider</td><td>144</td></tr><tr><td>49281-0707-55</td><td>wider</td><td>144</td></tr><tr><td>49281-0708-40</td><td>wider</td><td>166</td></tr><tr><td>49281-0709-55</td><td>wider</td><td>144</td></tr><tr><td>49281-0710-40</td><td>wider</td><td>166</td></tr><tr><td>49281-0712-40</td><td>wider</td><td>166</td></tr><tr><td>49281-0718-10</td><td>wider</td><td>185</td></tr><tr><td>49281-0790-20</td><td>wider</td><td>101</td></tr><tr><td>49281-0790-51</td><td>wider</td><td>101</td></tr><tr><td>49281-0800-83</td><td>wider</td><td>35</td></tr><tr><td>49281-0820-10</td><td>wider</td><td>35</td></tr><tr><td>49281-0860-10</td><td>wider</td><td>10</td></tr><tr><td>49281-0860-10</td><td>wider</td><td>10</td></tr><tr><td>49281-0860-55</td><td>wider</td><td>10</td></tr><tr><td>49281-0913-01</td><td>wider</td><td>183</td></tr><tr><td>49281-0915-01</td><td>wider</td><td>37</td></tr><tr><td>49281-0915-05</td><td>wider</td><td>37</td></tr><tr><td>50090-1693-09</td><td>wider</td><td>10</td></tr><tr><td>50090-2883-00</td><td>wider</td><td>20</td></tr><tr><td>50090-3096-00</td><td>wider</td><td>176</td></tr><tr><td>50090-3469-00</td><td>wider</td><td>189</td></tr><tr><td>51285-0138-50</td><td>wider</td><td>143</td></tr><tr><td>51285-0138-50</td><td>wider</td><td>143</td></tr><tr><td>54868-0734-00</td><td>wider</td><td>43</td></tr><tr><td>54868-0980-00</td><td>wider</td><td>03</td></tr><tr><td>54868-2219-00</td><td>wider</td><td>43</td></tr><tr><td>54868-2219-01</td><td>wider</td><td>43</td></tr><tr><td>54868-3339-01</td><td>wider</td><td>33</td></tr><tr><td>54868-4320-00</td><td>wider</td><td>33</td></tr><tr><td>54868-6177-00</td><td>wider</td><td>141</td></tr><tr><td>54868-6180-00</td><td>wider</td><td>140</td></tr><tr><td>55045-3841-01</td><td>wider</td><td>52</td></tr><tr><td>58160-0801-11</td><td>wider</td><td>148</td></tr><tr><td>58160-0806-05</td><td>wider</td><td>48</td></tr><tr><td>58160-0808-15</td><td>wider</td><td>160</td></tr><tr><td>58160-0808-15</td><td>wider</td><td>160</td></tr><tr><td>58160-0809-05</td><td>wider</td><td>148</td></tr><tr><td>58160-0810-11</td><td>wider</td><td>20</td></tr><tr><td>58160-0810-52</td><td>wider</td><td>20</td></tr><tr><td>58160-0811-51</td><td>wider</td><td>110</td></tr><tr><td>58160-0811-52</td><td>wider</td><td>110</td></tr><tr><td>58160-0812-11</td><td>wider</td><td>130</td></tr><tr><td>58160-0812-52</td><td>wider</td><td>130</td></tr><tr><td>58160-0815-11</td><td>wider</td><td>104</td></tr><tr><td>58160-0815-34</td><td>wider</td><td>104</td></tr><tr><td>58160-0815-46</td><td>wider</td><td>104</td></tr><tr><td>58160-0815-48</td><td>wider</td><td>104</td></tr><tr><td>58160-0815-52</td><td>wider</td><td>104</td></tr><tr><td>58160-0816-05</td><td>wider</td><td>48</td></tr><tr><td>58160-0818-11</td><td>wider</td><td>48</td></tr><tr><td>58160-0819-12</td><td>wider</td><td>187</td></tr><tr><td>58160-0820-11</td><td>wider</td><td>08</td></tr><tr><td>58160-0820-52</td><td>wider</td><td>08</td></tr><tr><td>58160-0821-11</td><td>wider</td><td>43</td></tr><tr><td>58160-0821-34</td><td>wider</td><td>43</td></tr><tr><td>58160-0821-52</td><td>wider</td><td>43</td></tr><tr><td>58160-0823-11</td><td>wider</td><td>187</td></tr><tr><td>58160-0825-11</td><td>wider</td><td>83</td></tr><tr><td>58160-0825-52</td><td>wider</td><td>83</td></tr><tr><td>58160-0826-11</td><td>wider</td><td>52</td></tr><tr><td>58160-0826-34</td><td>wider</td><td>52</td></tr><tr><td>58160-0826-52</td><td>wider</td><td>52</td></tr><tr><td>58160-0830-34</td><td>wider</td><td>118</td></tr><tr><td>58160-0830-52</td><td>wider</td><td>118</td></tr><tr><td>58160-0842-11</td><td>wider</td><td>115</td></tr><tr><td>58160-0842-34</td><td>wider</td><td>115</td></tr><tr><td>58160-0842-51</td><td>wider</td><td>115</td></tr><tr><td>58160-0842-52</td><td>wider</td><td>115</td></tr><tr><td>58160-0854-52</td><td>wider</td><td>119</td></tr><tr><td>58160-0879-52</td><td>wider</td><td>140</td></tr><tr><td>58160-0880-52</td><td>wider</td><td>140</td></tr><tr><td>58160-0881-52</td><td>wider</td><td>140</td></tr><tr><td>58160-0883-52</td><td>wider</td><td>140</td></tr><tr><td>58160-0898-52</td><td>wider</td><td>150</td></tr><tr><td>58160-0900-52</td><td>wider</td><td>150</td></tr><tr><td>58160-0901-52</td><td>wider</td><td>150</td></tr><tr><td>58160-0903-52</td><td>wider</td><td>150</td></tr><tr><td>58160-0905-52</td><td>wider</td><td>150</td></tr><tr><td>58160-0907-52</td><td>wider</td><td>150</td></tr><tr><td>58160-0955-09</td><td>wider</td><td>136</td></tr><tr><td>58160-0955-09</td><td>wider</td><td>136</td></tr><tr><td>58160-0964-12</td><td>wider</td><td>176</td></tr><tr><td>58160-0964-12</td><td>wider</td><td>176</td></tr><tr><td>58160-0976-06</td><td>wider</td><td>163</td></tr><tr><td>58160-0976-20</td><td>wider</td><td>163</td></tr><tr><td>62195-0051-10</td><td>wider</td><td>134</td></tr><tr><td>62577-0613-01</td><td>wider</td><td>153</td></tr><tr><td>62577-0614-01</td><td>wider</td><td>153</td></tr><tr><td>63851-0501-01</td><td>wider</td><td>176</td></tr><tr><td>63851-0501-02</td><td>wider</td><td>176</td></tr><tr><td>63851-0612-01</td><td>wider</td><td>153</td></tr><tr><td>63851-0613-01</td><td>wider</td><td>153</td></tr><tr><td>64678-0211-01</td><td>wider</td><td>24</td></tr><tr><td>66019-0107-01</td><td>wider</td><td>111</td></tr><tr><td>66019-0108-10</td><td>wider</td><td>111</td></tr><tr><td>66019-0109-10</td><td>wider</td><td>111</td></tr><tr><td>66019-0110-10</td><td>wider</td><td>111</td></tr><tr><td>66019-0200-10</td><td>wider</td><td>125</td></tr><tr><td>66019-0300-10</td><td>wider</td><td>149</td></tr><tr><td>66019-0301-10</td><td>wider</td><td>149</td></tr><tr><td>66019-0302-10</td><td>wider</td><td>149</td></tr><tr><td>66019-0303-10</td><td>wider</td><td>149</td></tr><tr><td>66019-0304-10</td><td>wider</td><td>149</td></tr><tr><td>66019-0305-10</td><td>wider</td><td>149</td></tr><tr><td>66521-0000-01</td><td>wider</td><td>168</td></tr><tr><td>66521-0112-02</td><td>wider</td><td>140</td></tr><tr><td>66521-0112-10</td><td>wider</td><td>141</td></tr><tr><td>66521-0113-02</td><td>wider</td><td>140</td></tr><tr><td>66521-0113-10</td><td>wider</td><td>141</td></tr><tr><td>66521-0114-02</td><td>wider</td><td>140</td></tr><tr><td>66521-0114-10</td><td>wider</td><td>141</td></tr><tr><td>66521-0115-02</td><td>wider</td><td>140</td></tr><tr><td>66521-0115-10</td><td>wider</td><td>141</td></tr><tr><td>66521-0116-02</td><td>wider</td><td>140</td></tr><tr><td>66521-0116-10</td><td>wider</td><td>141</td></tr><tr><td>66521-0117-02</td><td>wider</td><td>140</td></tr><tr><td>66521-0117-10</td><td>wider</td><td>141</td></tr><tr><td>66521-0118-02</td><td>wider</td><td>140</td></tr><tr><td>66521-0118-10</td><td>wider</td><td>141</td></tr><tr><td>66521-0200-02</td><td>wider</td><td>127</td></tr><tr><td>66521-0200-10</td><td>wider</td><td>126</td></tr><tr><td>69401-0000-01</td><td>wider</td><td>25</td></tr><tr><td>69401-0000-02</td><td>wider</td><td>25</td></tr><tr><td>70460-0001-01</td><td>wider</td><td>174</td></tr><tr><td>70461-0001-01</td><td>wider</td><td>168</td></tr><tr><td>70461-0002-01</td><td>wider</td><td>168</td></tr><tr><td>70461-0018-03</td><td>wider</td><td>168</td></tr><tr><td>70461-0119-02</td><td>wider</td><td>140</td></tr><tr><td>70461-0119-10</td><td>wider</td><td>141</td></tr><tr><td>70461-0120-02</td><td>wider</td><td>140</td></tr><tr><td>70461-0120-10</td><td>wider</td><td>141</td></tr><tr><td>70461-0200-01</td><td>wider</td><td>171</td></tr><tr><td>70461-0201-01</td><td>wider</td><td>171</td></tr><tr><td>70461-0301-10</td><td>wider</td><td>186</td></tr><tr><td>70461-0318-03</td><td>wider</td><td>171</td></tr><tr><td>70461-0418-10</td><td>wider</td><td>186</td></tr><tr><td>76420-0482-01</td><td>wider</td><td>150</td></tr><tr><td>76420-0483-01</td><td>wider</td><td>150</td></tr><tr><td>63361-0245-10</td><td>wider</td><td>146</td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/ConceptMap/ndc-cvx","version":"3.0.1","name":"USCoreNDCtoCVXCodeMapping","title":"US Core NDC to CVX Code Mapping","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","description":"Unit of Use [NDC code] (https://www2a.cdc.gov/vaccines/iis/iisstandards/ndc_crosswalk.asp) mapping  to the [CVX Vaccine codes](https://www2a.cdc.gov/vaccines/iis/iisstandards/vaccines.asp?rpt=cvx).  Note: source = NDC and target = CVX","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"purpose":"Based upon the 2015 Edition Certification Requirements, the NDC vaccine codes SHOULD be supported as translations to the CVX vaccine 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diff --git a/resources/uscore_v3.0.1/ImplementationGuide-hl7.fhir.us.core.json b/resources/uscore_v3.0.1/ImplementationGuide-hl7.fhir.us.core.json
new file mode 100644
index 000000000..c13a059c7
--- /dev/null
+++ b/resources/uscore_v3.0.1/ImplementationGuide-hl7.fhir.us.core.json
@@ -0,0 +1 @@
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Organization Name","generation":"generated"},{"nameUrl":"SearchParameter-us-core-diagnosticreport-code.html","title":"SearchParameter US Core DiagnosticReport Code","generation":"generated"},{"nameUrl":"SearchParameter-us-core-goal-lifecycle-status.html","title":"SearchParameter US Core Goal Lifecycle Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-procedure-code.html","title":"SearchParameter US Core Procedure Code","generation":"generated"},{"nameUrl":"SearchParameter-us-core-patient-gender.html","title":"SearchParameter US Core Patient Gender","generation":"generated"},{"nameUrl":"SearchParameter-us-core-condition-clinical-status.html","title":"SearchParameter US Core Condition Clinical Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-documentreference-id.html","title":"SearchParameter US Core DocumentReference Id","generation":"generated"},{"nameUrl":"SearchParameter-us-core-careplan-category.html","title":"SearchParameter US Core CarePlan Category","generation":"generated"},{"nameUrl":"SearchParameter-us-core-encounter-class.html","title":"SearchParameter US Core Encounter Class","generation":"generated"},{"nameUrl":"SearchParameter-us-core-medicationrequest-patient.html","title":"SearchParameter US Core MedicationRequest Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-documentreference-patient.html","title":"SearchParameter US Core DocumentReference Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-diagnosticreport-date.html","title":"SearchParameter US Core DiagnosticReport Date","generation":"generated"},{"nameUrl":"SearchParameter-us-core-procedure-date.html","title":"SearchParameter US Core Procedure Date","generation":"generated"},{"nameUrl":"SearchParameter-us-core-allergyintolerance-clinical-status.html","title":"SearchParameter US Core AllergyIntolerance Clinical Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-documentreference-date.html","title":"SearchParameter US Core DocumentReference Date","generation":"generated"},{"nameUrl":"SearchParameter-us-core-medicationrequest-intent.html","title":"SearchParameter US Core MedicationRequest Intent","generation":"generated"},{"nameUrl":"SearchParameter-us-core-location-address.html","title":"SearchParameter US Core Location Address","generation":"generated"},{"nameUrl":"SearchParameter-us-core-practitioner-name.html","title":"SearchParameter US Core Practitioner Name","generation":"generated"},{"nameUrl":"SearchParameter-us-core-documentreference-period.html","title":"SearchParameter US Core DocumentReference Period","generation":"generated"},{"nameUrl":"SearchParameter-us-core-observation-code.html","title":"SearchParameter US Core Observation Code","generation":"generated"},{"nameUrl":"SearchParameter-us-core-location-name.html","title":"SearchParameter US Core Location Name","generation":"generated"},{"nameUrl":"SearchParameter-us-core-condition-onset-date.html","title":"SearchParameter US Core Condition Onset Date","generation":"generated"},{"nameUrl":"SearchParameter-us-core-patient-given.html","title":"SearchParameter US Core Patient Given","generation":"generated"},{"nameUrl":"SearchParameter-us-core-encounter-type.html","title":"SearchParameter US Core Encounter Type","generation":"generated"},{"nameUrl":"SearchParameter-us-core-medicationrequest-encounter.html","title":"SearchParameter US Core MedicationRequest Encounter","generation":"generated"},{"nameUrl":"SearchParameter-us-core-encounter-patient.html","title":"SearchParameter US Core Encounter Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-organization-address.html","title":"SearchParameter US Core Organization Address","generation":"generated"},{"nameUrl":"SearchParameter-us-core-observation-category.html","title":"SearchParameter US Core Observation Category","generation":"generated"},{"nameUrl":"SearchParameter-us-core-diagnosticreport-status.html","title":"SearchParameter US Core DiagnosticReport Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-observation-date.html","title":"SearchParameter US Core Observation Date","generation":"generated"},{"nameUrl":"SearchParameter-us-core-diagnosticreport-category.html","title":"SearchParameter US Core DiagnosticReport Category","generation":"generated"},{"nameUrl":"SearchParameter-us-core-observation-status.html","title":"SearchParameter US Core Observation Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-ethnicity.html","title":"SearchParameter US Core Ethnicity","generation":"generated"},{"nameUrl":"SearchParameter-us-core-documentreference-type.html","title":"SearchParameter US Core DocumentReference Type","generation":"generated"},{"nameUrl":"SearchParameter-us-core-encounter-date.html","title":"SearchParameter US Core Encounter Date","generation":"generated"},{"nameUrl":"SearchParameter-us-core-patient-birthdate.html","title":"SearchParameter US Core Patient Birthdate","generation":"generated"},{"nameUrl":"SearchParameter-us-core-procedure-status.html","title":"SearchParameter US Core Procedure Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-encounter-status.html","title":"SearchParameter US Core Encounter Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-careplan-status.html","title":"SearchParameter US Core CarePlan Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-condition-patient.html","title":"SearchParameter US Core Condition Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-allergyintolerance-patient.html","title":"SearchParameter US Core AllergyIntolerance Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-device-patient.html","title":"SearchParameter US Core Device Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-condition-code.html","title":"SearchParameter US Core Condition Code","generation":"generated"},{"nameUrl":"SearchParameter-us-core-observation-patient.html","title":"SearchParameter US Core Observation Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-race.html","title":"SearchParameter US Core Race","generation":"generated"},{"nameUrl":"SearchParameter-us-core-careplan-patient.html","title":"SearchParameter US Core CarePlan Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-patient-family.html","title":"SearchParameter US Core Patient Family","generation":"generated"},{"nameUrl":"SearchParameter-us-core-medicationrequest-status.html","title":"SearchParameter US Core MedicationRequest Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-location-address-postalcode.html","title":"SearchParameter US Core Location Address Postalcode","generation":"generated"},{"nameUrl":"SearchParameter-us-core-encounter-id.html","title":"SearchParameter US Core Encounter Id","generation":"generated"},{"nameUrl":"SearchParameter-us-core-medicationrequest-authoredon.html","title":"SearchParameter US Core MedicationRequest Authoredon","generation":"generated"},{"nameUrl":"SearchParameter-us-core-documentreference-status.html","title":"SearchParameter US Core DocumentReference Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-procedure-patient.html","title":"SearchParameter US Core Procedure Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-goal-target-date.html","title":"SearchParameter US Core Goal Target Date","generation":"generated"},{"nameUrl":"SearchParameter-us-core-diagnosticreport-patient.html","title":"SearchParameter US Core DiagnosticReport Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-careplan-date.html","title":"SearchParameter US Core CarePlan Date","generation":"generated"},{"nameUrl":"SearchParameter-us-core-careteam-patient.html","title":"SearchParameter US Core CareTeam Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-immunization-date.html","title":"SearchParameter US Core Immunization Date","generation":"generated"},{"nameUrl":"SearchParameter-us-core-encounter-identifier.html","title":"SearchParameter US Core Encounter Identifier","generation":"generated"},{"nameUrl":"SearchParameter-us-core-practitionerrole-specialty.html","title":"SearchParameter US Core PractitionerRole Specialty","generation":"generated"},{"nameUrl":"SearchParameter-us-core-patient-name.html","title":"SearchParameter US Core Patient Name","generation":"generated"},{"nameUrl":"SearchParameter-us-core-device-type.html","title":"SearchParameter US Core Device Type","generation":"generated"},{"nameUrl":"SearchParameter-us-core-goal-patient.html","title":"SearchParameter US Core Goal Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-immunization-patient.html","title":"SearchParameter US Core Immunization Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-patient-id.html","title":"SearchParameter US Core Patient Id","generation":"generated"},{"nameUrl":"SearchParameter-us-core-location-address-city.html","title":"SearchParameter US Core Location Address City","generation":"generated"},{"nameUrl":"SearchParameter-us-core-careteam-status.html","title":"SearchParameter US Core CareTeam Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-documentreference-category.html","title":"SearchParameter US Core DocumentReference Category","generation":"generated"},{"nameUrl":"SearchParameter-us-core-practitioner-identifier.html","title":"SearchParameter US Core Practitioner Identifier","generation":"generated"},{"nameUrl":"SearchParameter-us-core-patient-identifier.html","title":"SearchParameter US Core Patient Identifier","generation":"generated"},{"nameUrl":"SearchParameter-us-core-condition-category.html","title":"SearchParameter US Core Condition Category","generation":"generated"},{"nameUrl":"SearchParameter-us-core-immunization-status.html","title":"SearchParameter US Core Immunization Status","generation":"generated"}]},{"nameUrl":"capstatements.html","title":"Capability Statements","generation":"markdown","page":[{"nameUrl":"CapabilityStatement-us-core-server.html","title":"CapabilityStatement US Core Server","generation":"generated"},{"nameUrl":"CapabilityStatement-us-core-client.html","title":"CapabilityStatement US Core Client","generation":"generated"}]},{"nameUrl":"security.html","title":"Security","generation":"markdown"},{"nameUrl":"downloads.html","title":"Downloads","generation":"markdown"},{"nameUrl":"all-examples.html","title":"All Examples","generation":"markdown"},{"nameUrl":"toc.html","title":"Table of Contents","generation":"html"}]}}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/OperationDefinition-docref.json b/resources/uscore_v3.0.1/OperationDefinition-docref.json
new file mode 100644
index 000000000..3b2141d31
--- /dev/null
+++ b/resources/uscore_v3.0.1/OperationDefinition-docref.json
@@ -0,0 +1 @@
+{"resourceType":"OperationDefinition","id":"docref","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>USCoreFetchDocumentReferences</h2><p>OPERATION: USCoreFetchDocumentReferences</p><p>The official URL for this operation definition is: </p><pre>http://hl7.org/fhir/us/core/OperationDefinition/docref</pre><div><p>This operation is used to return all the references to documents related to a patient.</p>\n<p>The operation takes the optional input parameters:</p>\n<ul>\n<li>patient id</li>\n<li>start date</li>\n<li>end date</li>\n<li>document type</li>\n</ul>\n<p>and returns a <a href=\"http://hl7.org/fhir/bundle.html\">Bundle</a> of type &quot;searchset&quot; containing <a href=\"http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference\">US Core DocumentReference Profiles</a> for the patient. If the server has or can create documents that are related to the patient, and that are available for the given user, the server returns the DocumentReference profiles needed to support the records.  The principle intended use for this operation is to provide a provider or patient with access to their available document information.</p>\n<p>This operation is <em>different</em> from a search by patient and type and date range because:</p>\n<ol>\n<li>\n<p>It is used to request a server <em>generate</em> a document based on the specified parameters.</p>\n</li>\n<li>\n<p>If no parameters are specified, the server SHALL return a DocumentReference to the patient's most current CCD</p>\n</li>\n<li>\n<p>If the server cannot <em>generate</em> a document based on the specified parameters, the operation will return an empty search bundle.</p>\n</li>\n</ol>\n<p>This operation is the <em>same</em> as a FHIR RESTful search by patient,type and date range because:</p>\n<ol>\n<li>References for <em>existing</em> documents that meet the requirements of the request SHOULD also be returned unless the client indicates they are only interested in 'on-demand' documents using the <em>on-demand</em> parameter.</li>\n</ol>\n</div><p>Parameters</p><table class=\"grid\"><tr><td><b>Use</b></td><td><b>Name</b></td><td><b>Cardinality</b></td><td><b>Type</b></td><td><b>Binding</b></td><td><b>Documentation</b></td></tr><tr><td>IN</td><td>patient</td><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/datatypes.html#id\">id</a></td><td/><td><div><p>The id of the patient resource located on the server on which this operation is executed.  If there is no match, an empty Bundle is returned</p>\n</div></td></tr><tr><td>IN</td><td>start</td><td>0..1</td><td><a href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td/><td><div><p>The date range relates to care dates, not record currency dates - e.g. all records relating to care provided in a certain date range. If no start date is provided, all documents prior to the end date are in scope.  If neither a start date nor an end date is provided, the most recent or current document is in scope.</p>\n</div></td></tr><tr><td>IN</td><td>end</td><td>0..1</td><td><a href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td/><td><div><p>The date range relates to care dates, not record currency dates - e.g. all records relating to care provided in a certain date range. If no end date is provided, all documents subsequent to the start date are in scope. If neither a start date nor an end date is provided, the most recent or current document is in scope</p>\n</div></td></tr><tr><td>IN</td><td>type</td><td>0..1</td><td><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td><a href=\"http://hl7.org/fhir/R4/valueset-c80-doc-typecodes.html\">http://hl7.org/fhir/ValueSet/c80-doc-typecodes</a> (Required)</td><td><div><p>The type relates to document type e.g. for the LOINC code for a C-CDA Clinical Summary of Care (CCD) is 34133-9 (Summary of episode note). If no type is provided, the CCD document, if available, SHALL be in scope and all other document types MAY be in scope</p>\n</div></td></tr><tr><td>IN</td><td>on-demand</td><td>0..1</td><td><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td/><td><div><p>This on-demand parameter allows client to dictate whether they are requesting only ‘on-demand’ or both ‘on-demand’ and 'stable' documents (or delayed/deferred assembly) that meet the query parameters</p>\n</div></td></tr><tr><td>OUT</td><td>return</td><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/bundle.html\">Bundle</a></td><td/><td><div><p>The bundle type is &quot;searchset&quot;containing <a href=\"http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference\">US Core DocumentReference Profiles</a></p>\n</div></td></tr></table><div><ul>\n<li>\n<p>The server is responsible for determining what resources, if any, to return as <a href=\"http://hl7.org/fhir/R4/search.html#revinclude\">included</a> resources rather than the client specifying which ones. This frees the client from needing to determine what it could or should ask for. For example, the server may return the referenced document as an included FHIR Binary resource within the return bundle. The server's CapabilityStatement should document this behavior.</p>\n</li>\n<li>\n<p>The document itself can be subsequently retrieved using the link provided  in the <code>DocumentReference.content.attachment.url element</code>. The link could be a FHIR endpoint to a <a href=\"http://hl7.org/fhir/R4/binary.html\">Binary</a> Resource or some other document repository.</p>\n</li>\n<li>\n<p>It is assumed that the server has identified and secured the context appropriately, and can either associate the authorization context with a single patient, or determine whether the context has the rights to the nominated patient, if there is one. If there is no nominated patient (e.g. the operation is invoked at the system level) and the context is not associated with a single patient record, then the server should return an error. Specifying the relationship between the context, a user and patient records is outside the scope of this specification</p>\n</li>\n</ul>\n</div></div>"},"url":"http://hl7.org/fhir/us/core/OperationDefinition/docref","name":"USCoreFetchDocumentReferences","title":"US Core Fetch DocumentReferences","status":"active","kind":"operation","date":"2019-05-21T00:00:00+00:00","publisher":"US Core Project","description":"This operation is used to return all the references to documents related to a patient. \n\n The operation takes the optional input parameters: \n  - patient id\n  - start date\n  - end date\n  - document type \n\n and returns a [Bundle](http://hl7.org/fhir/bundle.html) of type \"searchset\" containing [US Core DocumentReference Profiles](http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference) for the patient. If the server has or can create documents that are related to the patient, and that are available for the given user, the server returns the DocumentReference profiles needed to support the records.  The principle intended use for this operation is to provide a provider or patient with access to their available document information. \n\n This operation is *different* from a search by patient and type and date range because: \n\n 1. It is used to request a server *generate* a document based on the specified parameters. \n\n 1. If no parameters are specified, the server SHALL return a DocumentReference to the patient's most current CCD \n\n 1. If the server cannot *generate* a document based on the specified parameters, the operation will return an empty search bundle. \n\n This operation is the *same* as a FHIR RESTful search by patient,type and date range because: \n\n 1. References for *existing* documents that meet the requirements of the request SHOULD also be returned unless the client indicates they are only interested in 'on-demand' documents using the *on-demand* parameter.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"docref","comment":" - The server is responsible for determining what resources, if any, to return as [included](http://hl7.org/fhir/R4/search.html#revinclude) resources rather than the client specifying which ones. This frees the client from needing to determine what it could or should ask for. For example, the server may return the referenced document as an included FHIR Binary resource within the return bundle. The server's CapabilityStatement should document this behavior. \n\n - The document itself can be subsequently retrieved using the link provided  in the `DocumentReference.content.attachment.url element`. The link could be a FHIR endpoint to a [Binary](http://hl7.org/fhir/R4/binary.html) Resource or some other document repository. \n\n - It is assumed that the server has identified and secured the context appropriately, and can either associate the authorization context with a single patient, or determine whether the context has the rights to the nominated patient, if there is one. If there is no nominated patient (e.g. the operation is invoked at the system level) and the context is not associated with a single patient record, then the server should return an error. Specifying the relationship between the context, a user and patient records is outside the scope of this specification","system":false,"type":true,"instance":false,"parameter":[{"name":"patient","use":"in","min":1,"max":"1","documentation":"The id of the patient resource located on the server on which this operation is executed.  If there is no match, an empty Bundle is returned","type":"id"},{"name":"start","use":"in","min":0,"max":"1","documentation":"The date range relates to care dates, not record currency dates - e.g. all records relating to care provided in a certain date range. If no start date is provided, all documents prior to the end date are in scope.  If neither a start date nor an end date is provided, the most recent or current document is in scope.","type":"date"},{"name":"end","use":"in","min":0,"max":"1","documentation":"The date range relates to care dates, not record currency dates - e.g. all records relating to care provided in a certain date range. If no end date is provided, all documents subsequent to the start date are in scope. If neither a start date nor an end date is provided, the most recent or current document is in scope","type":"date"},{"name":"type","use":"in","min":0,"max":"1","documentation":"The type relates to document type e.g. for the LOINC code for a C-CDA Clinical Summary of Care (CCD) is 34133-9 (Summary of episode note). If no type is provided, the CCD document, if available, SHALL be in scope and all other document types MAY be in scope","type":"CodeableConcept","binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/c80-doc-typecodes"}},{"name":"on-demand","use":"in","min":0,"max":"1","documentation":"This on-demand parameter allows client to dictate whether they are requesting only ‘on-demand’ or both ‘on-demand’ and 'stable' documents (or delayed/deferred assembly) that meet the query parameters","type":"boolean"},{"name":"return","use":"out","min":1,"max":"1","documentation":"The bundle type is \"searchset\"containing [US Core DocumentReference Profiles](http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference)","type":"Bundle"}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-allergyintolerance-clinical-status.json b/resources/uscore_v3.0.1/SearchParameter-us-core-allergyintolerance-clinical-status.json
new file mode 100644
index 000000000..e2be5ea46
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-allergyintolerance-clinical-status.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-allergyintolerance-clinical-status","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreAllergyintoleranceClinicalStatus</h2><p><b> description</b> : active | inactive | resolved<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-allergyintolerance-clinical-status</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-allergyintolerance-clinical-status</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreAllergyintoleranceClinicalStatus</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/AllergyIntolerance-clinical-status\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>clinical-status</code>\n\t\t\t</p><p><b> base</b> :AllergyIntolerance</p><p><b> type</b> : token</p><p><b> expression</b> : <code>AllergyIntolerance.clinicalStatus</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:AllergyIntolerance/f:clinicalStatus</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-allergyintolerance-clinical-status","version":"3.0.1","name":"USCoreAllergyintoleranceClinicalStatus","derivedFrom":"http://hl7.org/fhir/SearchParameter/AllergyIntolerance-clinical-status","status":"active","experimental":false,"date":"2019-08-26T20:15:50+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"active | inactive | resolved<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"clinical-status","base":["AllergyIntolerance"],"type":"token","expression":"AllergyIntolerance.clinicalStatus","xpath":"f:AllergyIntolerance/f:clinicalStatus","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-allergyintolerance-patient.json b/resources/uscore_v3.0.1/SearchParameter-us-core-allergyintolerance-patient.json
new file mode 100644
index 000000000..88d98998c
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-allergyintolerance-patient.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-allergyintolerance-patient","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreAllergyintolerancePatient</h2><p><b> description</b> : Who the sensitivity is for<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-allergyintolerance-patient</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-allergyintolerance-patient</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreAllergyintolerancePatient</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-patient\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>patient</code>\n\t\t\t</p><p><b> base</b> :AllergyIntolerance</p><p><b> type</b> : reference</p><p><b> expression</b> : <code>AllergyIntolerance.patient</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:AllergyIntolerance/f:patient</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>type</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>identifier</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-allergyintolerance-patient","version":"3.0.1","name":"USCoreAllergyintolerancePatient","derivedFrom":"http://hl7.org/fhir/SearchParameter/clinical-patient","status":"active","experimental":false,"date":"2019-08-26T20:15:51+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Who the sensitivity is for<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"patient","base":["AllergyIntolerance"],"type":"reference","expression":"AllergyIntolerance.patient","xpath":"f:AllergyIntolerance/f:patient","xpathUsage":"normal","target":["Patient","Group"],"multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","type","identifier"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-careplan-category.json b/resources/uscore_v3.0.1/SearchParameter-us-core-careplan-category.json
new file mode 100644
index 000000000..c2eccf00f
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-careplan-category.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-careplan-category","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreCareplanCategory</h2><p><b> description</b> : Type of plan<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-careplan-category</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-category</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreCareplanCategory</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/CarePlan-category\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>category</code>\n\t\t\t</p><p><b> base</b> :CarePlan</p><p><b> type</b> : token</p><p><b> expression</b> : <code>CarePlan.category</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:CarePlan/f:category</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-category","version":"3.0.1","name":"USCoreCareplanCategory","derivedFrom":"http://hl7.org/fhir/SearchParameter/CarePlan-category","status":"active","experimental":false,"date":"2019-08-26T20:15:53+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Type of plan<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"category","base":["CarePlan"],"type":"token","expression":"CarePlan.category","xpath":"f:CarePlan/f:category","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-careplan-date.json b/resources/uscore_v3.0.1/SearchParameter-us-core-careplan-date.json
new file mode 100644
index 000000000..a725322e8
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-careplan-date.json
@@ -0,0 +1,142 @@
+{
+  "id": "us-core-careplan-date",
+  "base": [
+      "CarePlan"
+  ],
+  "code": "date",
+  "comparator": [
+      "eq",
+      "ne",
+      "gt",
+      "lt",
+      "le",
+      "sa",
+      "eb",
+      "ap"
+  ],
+  "contact": [
+      {
+          "telecom": [
+              {
+                  "system": "url",
+                  "value": "http://www.hl7.org/Special/committees/usrealm/index.cfm"
+              }
+          ]
+      }
+  ],
+  "date": "2019-08-26T20:15:53.722361Z",
+  "derivedFrom": "http://hl7.org/fhir/SearchParameter/clinical-date",
+  "description": "Time period plan covers<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ",
+  "experimental": false,
+  "expression": "CarePlan.period",
+  "modifier": [
+      "missing"
+  ],
+  "multipleAnd": true,
+  "multipleOr": true,
+  "name": "USCoreCareplanDate",
+  "publisher": "HL7 International - US Realm Steering Committee",
+  "status": "active",
+  "type": "date",
+  "url": "http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-date",
+  "version": "4.1.0",
+  "xpath": "f:CarePlan/f:period",
+  "xpathUsage": "normal",
+  "resourceType": "SearchParameter",
+  "_multipleOr": {
+      "extension": [
+          {
+              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+              "valueCode": "MAY"
+          }
+      ]
+  },
+  "_multipleAnd": {
+      "extension": [
+          {
+              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+              "valueCode": "SHOULD"
+          }
+      ]
+  },
+  "_modifier": [
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      }
+  ],
+  "_comparator": [
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "SHALL"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "SHALL"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "SHALL"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      }
+  ],
+  "text": {
+      "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreCareplanDate</h2><p><b> description</b> : Time period plan covers<br></br>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br></br>\n - multipleAnd<br></br>\n - multipleOr<br></br>\n - modifier<br></br>\n - comparator<br></br>\n - chain<br></br>\n </p><br></br><p><b> id</b> us-core-careplan-date</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-date</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreCareplanDate</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-date\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p><!--\n\t<p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p>\n  --><p><b> code</b> : <code>date</code>\n\t\t\t</p><p><b> base</b> :CarePlan</p><p><b> type</b> : date</p><p><b> expression</b> : <code>CarePlan.period</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:CarePlan/f:period</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = SHOULD)</p><p><b> comparator</b> : <code>eq</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>ne</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>gt</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>lt</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>le</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>sa</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>eb</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>ap</code> ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p></div>",
+      "status": "generated"
+  }
+}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-careplan-patient.json b/resources/uscore_v3.0.1/SearchParameter-us-core-careplan-patient.json
new file mode 100644
index 000000000..6390454d5
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-careplan-patient.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-careplan-patient","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreCareplanPatient</h2><p><b> description</b> : Who the care plan is for<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-careplan-patient</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-patient</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreCareplanPatient</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-patient\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>patient</code>\n\t\t\t</p><p><b> base</b> :CarePlan</p><p><b> type</b> : reference</p><p><b> expression</b> : <code>CarePlan.subject.where(resolve() is Patient)</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:CarePlan/f:subject</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>type</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>identifier</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-patient","version":"3.0.1","name":"USCoreCareplanPatient","derivedFrom":"http://hl7.org/fhir/SearchParameter/clinical-patient","status":"active","experimental":false,"date":"2019-08-26T20:15:53+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Who the care plan is for<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"patient","base":["CarePlan"],"type":"reference","expression":"CarePlan.subject.where(resolve() is Patient)","xpath":"f:CarePlan/f:subject","xpathUsage":"normal","target":["Patient","Group"],"multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","type","identifier"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-careplan-status.json b/resources/uscore_v3.0.1/SearchParameter-us-core-careplan-status.json
new file mode 100644
index 000000000..352135c7c
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-careplan-status.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-careplan-status","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreCareplanStatus</h2><p><b> description</b> : draft | active | suspended | completed | entered-in-error | cancelled | unknown<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-careplan-status</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-status</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreCareplanStatus</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/CarePlan-status\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>status</code>\n\t\t\t</p><p><b> base</b> :CarePlan</p><p><b> type</b> : token</p><p><b> expression</b> : <code>CarePlan.status</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:CarePlan/f:status</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><div class=\"note-to-balloters\"><p><b> mulitpleOr</b> : True   (Conformance Expectation = SHALL)</p></div><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-status","version":"3.0.1","name":"USCoreCareplanStatus","derivedFrom":"http://hl7.org/fhir/SearchParameter/CarePlan-status","status":"active","experimental":false,"date":"2019-08-26T20:15:53+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"draft | active | suspended | completed | entered-in-error | cancelled | unknown<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"status","base":["CarePlan"],"type":"token","expression":"CarePlan.status","xpath":"f:CarePlan/f:status","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-careteam-patient.json b/resources/uscore_v3.0.1/SearchParameter-us-core-careteam-patient.json
new file mode 100644
index 000000000..7786a7d39
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-careteam-patient.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-careteam-patient","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreCareteamPatient</h2><p><b> description</b> : Who care team is for<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-careteam-patient</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-careteam-patient</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreCareteamPatient</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-patient\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>patient</code>\n\t\t\t</p><p><b> base</b> :CareTeam</p><p><b> type</b> : reference</p><p><b> expression</b> : <code>CareTeam.subject.where(resolve() is Patient)</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:CareTeam/f:subject</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>type</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>identifier</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-careteam-patient","version":"3.0.1","name":"USCoreCareteamPatient","derivedFrom":"http://hl7.org/fhir/SearchParameter/clinical-patient","status":"active","experimental":false,"date":"2019-08-26T20:15:53+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Who care team is for<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"patient","base":["CareTeam"],"type":"reference","expression":"CareTeam.subject.where(resolve() is Patient)","xpath":"f:CareTeam/f:subject","xpathUsage":"normal","target":["Patient","Group"],"multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","type","identifier"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-careteam-status.json b/resources/uscore_v3.0.1/SearchParameter-us-core-careteam-status.json
new file mode 100644
index 000000000..dae1bc131
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-careteam-status.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-careteam-status","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreCareteamStatus</h2><p><b> description</b> : proposed | active | suspended | inactive | entered-in-error<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-careteam-status</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-careteam-status</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreCareteamStatus</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/CareTeam-status\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>status</code>\n\t\t\t</p><p><b> base</b> :CareTeam</p><p><b> type</b> : token</p><p><b> expression</b> : <code>CareTeam.status</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:CareTeam/f:status</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = SHALL)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-careteam-status","version":"3.0.1","name":"USCoreCareteamStatus","derivedFrom":"http://hl7.org/fhir/SearchParameter/CareTeam-status","status":"active","experimental":false,"date":"2019-08-26T20:15:53+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"proposed | active | suspended | inactive | entered-in-error<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"status","base":["CareTeam"],"type":"token","expression":"CareTeam.status","xpath":"f:CareTeam/f:status","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-condition-category.json b/resources/uscore_v3.0.1/SearchParameter-us-core-condition-category.json
new file mode 100644
index 000000000..69ab92091
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-condition-category.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-condition-category","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreConditionCategory</h2><p><b> description</b> : The category of the condition<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-condition-category</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-category</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreConditionCategory</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Condition-category\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>category</code>\n\t\t\t</p><p><b> base</b> :Condition</p><p><b> type</b> : token</p><p><b> expression</b> : <code>Condition.category</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Condition/f:category</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-category","version":"3.0.1","name":"USCoreConditionCategory","derivedFrom":"http://hl7.org/fhir/SearchParameter/Condition-category","status":"active","experimental":false,"date":"2019-08-26T20:15:51+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"The category of the condition<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"category","base":["Condition"],"type":"token","expression":"Condition.category","xpath":"f:Condition/f:category","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-condition-clinical-status.json b/resources/uscore_v3.0.1/SearchParameter-us-core-condition-clinical-status.json
new file mode 100644
index 000000000..c03162aee
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-condition-clinical-status.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-condition-clinical-status","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreConditionClinicalStatus</h2><p><b> description</b> : The clinical status of the condition<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-condition-clinical-status</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-clinical-status</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreConditionClinicalStatus</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Condition-clinical-status\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>clinical-status</code>\n\t\t\t</p><p><b> base</b> :Condition</p><p><b> type</b> : token</p><p><b> expression</b> : <code>Condition.clinicalStatus</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Condition/f:clinicalStatus</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-clinical-status","version":"3.0.1","name":"USCoreConditionClinicalStatus","derivedFrom":"http://hl7.org/fhir/SearchParameter/Condition-clinical-status","status":"active","experimental":false,"date":"2019-08-26T20:15:51+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"The clinical status of the condition<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"clinical-status","base":["Condition"],"type":"token","expression":"Condition.clinicalStatus","xpath":"f:Condition/f:clinicalStatus","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-condition-code.json b/resources/uscore_v3.0.1/SearchParameter-us-core-condition-code.json
new file mode 100644
index 000000000..d84d599f7
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-condition-code.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-condition-code","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreConditionCode</h2><p><b> description</b> : Code for the condition<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-condition-code</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-code</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreConditionCode</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-code\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>code</code>\n\t\t\t</p><p><b> base</b> :Condition</p><p><b> type</b> : token</p><p><b> expression</b> : <code>Condition.code</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Condition/f:code</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-code","version":"3.0.1","name":"USCoreConditionCode","derivedFrom":"http://hl7.org/fhir/SearchParameter/clinical-code","status":"active","experimental":false,"date":"2019-08-26T20:15:51+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Code for the condition<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"code","base":["Condition"],"type":"token","expression":"Condition.code","xpath":"f:Condition/f:code","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-condition-onset-date.json b/resources/uscore_v3.0.1/SearchParameter-us-core-condition-onset-date.json
new file mode 100644
index 000000000..747b39b4d
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-condition-onset-date.json
@@ -0,0 +1,142 @@
+{
+  "id": "us-core-condition-onset-date",
+  "base": [
+      "Condition"
+  ],
+  "code": "onset-date",
+  "comparator": [
+      "eq",
+      "ne",
+      "gt",
+      "lt",
+      "le",
+      "sa",
+      "eb",
+      "ap"
+  ],
+  "contact": [
+      {
+          "telecom": [
+              {
+                  "system": "url",
+                  "value": "http://www.hl7.org/Special/committees/usrealm/index.cfm"
+              }
+          ]
+      }
+  ],
+  "date": "2019-08-26T20:15:51.886649Z",
+  "derivedFrom": "http://hl7.org/fhir/SearchParameter/Condition-onset-date",
+  "description": "Date related onsets (dateTime and Period)<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ",
+  "experimental": false,
+  "expression": "Condition.onset.as(dateTime)",
+  "modifier": [
+      "missing"
+  ],
+  "multipleAnd": true,
+  "multipleOr": true,
+  "name": "USCoreConditionOnsetDate",
+  "publisher": "HL7 International - US Realm Steering Committee",
+  "status": "active",
+  "type": "date",
+  "url": "http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-onset-date",
+  "version": "4.1.0",
+  "xpath": "f:Condition/f:onsetDateTime",
+  "xpathUsage": "normal",
+  "resourceType": "SearchParameter",
+  "_multipleOr": {
+      "extension": [
+          {
+              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+              "valueCode": "MAY"
+          }
+      ]
+  },
+  "_multipleAnd": {
+      "extension": [
+          {
+              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+              "valueCode": "SHOULD"
+          }
+      ]
+  },
+  "_modifier": [
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      }
+  ],
+  "_comparator": [
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "SHALL"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "SHALL"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "SHALL"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      }
+  ],
+  "text": {
+      "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreConditionOnsetDate</h2><p><b> description</b> : Date related onsets (dateTime and Period)<br></br>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br></br>\n - multipleAnd<br></br>\n - multipleOr<br></br>\n - modifier<br></br>\n - comparator<br></br>\n - chain<br></br>\n </p><br></br><p><b> id</b> us-core-condition-onset-date</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-onset-date</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreConditionOnsetDate</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Condition-onset-date\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p><!--\n\t<p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p>\n  --><p><b> code</b> : <code>onset-date</code>\n\t\t\t</p><p><b> base</b> :Condition</p><p><b> type</b> : date</p><p><b> expression</b> : <code>Condition.onset.as(dateTime)</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Condition/f:onsetDateTime</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = SHOULD)</p><p><b> comparator</b> : <code>eq</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>ne</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>gt</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>lt</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>le</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>sa</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>eb</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>ap</code> ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p></div>",
+      "status": "generated"
+  }
+}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-condition-patient.json b/resources/uscore_v3.0.1/SearchParameter-us-core-condition-patient.json
new file mode 100644
index 000000000..4b440f4ee
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-condition-patient.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-condition-patient","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreConditionPatient</h2><p><b> description</b> : Who has the condition?<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-condition-patient</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-patient</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreConditionPatient</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-patient\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>patient</code>\n\t\t\t</p><p><b> base</b> :Condition</p><p><b> type</b> : reference</p><p><b> expression</b> : <code>Condition.subject.where(resolve() is Patient)</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Condition/f:subject</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>type</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>identifier</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-patient","version":"3.0.1","name":"USCoreConditionPatient","derivedFrom":"http://hl7.org/fhir/SearchParameter/clinical-patient","status":"active","experimental":false,"date":"2019-08-26T20:15:51+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Who has the condition?<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"patient","base":["Condition"],"type":"reference","expression":"Condition.subject.where(resolve() is Patient)","xpath":"f:Condition/f:subject","xpathUsage":"normal","target":["Patient","Group"],"multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","type","identifier"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-device-patient.json b/resources/uscore_v3.0.1/SearchParameter-us-core-device-patient.json
new file mode 100644
index 000000000..2e6156fd9
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-device-patient.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-device-patient","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreDevicePatient</h2><p><b> description</b> : Patient information, if the resource is affixed to a person<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-device-patient</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-device-patient</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreDevicePatient</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Device-patient\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>patient</code>\n\t\t\t</p><p><b> base</b> :Device</p><p><b> type</b> : reference</p><p><b> expression</b> : <code>Device.patient</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Device/f:patient</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>type</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>identifier</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-device-patient","version":"3.0.1","name":"USCoreDevicePatient","derivedFrom":"http://hl7.org/fhir/SearchParameter/Device-patient","status":"active","experimental":false,"date":"2019-08-26T20:15:53+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Patient information, if the resource is affixed to a person<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"patient","base":["Device"],"type":"reference","expression":"Device.patient","xpath":"f:Device/f:patient","xpathUsage":"normal","target":["Patient"],"multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","type","identifier"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-device-type.json b/resources/uscore_v3.0.1/SearchParameter-us-core-device-type.json
new file mode 100644
index 000000000..1f7eff46c
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-device-type.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-device-type","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreDeviceType</h2><p><b> description</b> : The type of the device<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-device-type</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-device-type</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreDeviceType</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Device-type\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>type</code>\n\t\t\t</p><p><b> base</b> :Device</p><p><b> type</b> : token</p><p><b> expression</b> : <code>Device.type</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Device/f:type</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-device-type","version":"3.0.1","name":"USCoreDeviceType","derivedFrom":"http://hl7.org/fhir/SearchParameter/Device-type","status":"active","experimental":false,"date":"2019-08-26T20:15:53+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"The type of the device<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"type","base":["Device"],"type":"token","expression":"Device.type","xpath":"f:Device/f:type","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-diagnosticreport-category.json b/resources/uscore_v3.0.1/SearchParameter-us-core-diagnosticreport-category.json
new file mode 100644
index 000000000..c363662cc
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-diagnosticreport-category.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-diagnosticreport-category","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreDiagnosticreportCategory</h2><p><b> description</b> : Which diagnostic discipline/department created the report<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-diagnosticreport-category</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-category</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreDiagnosticreportCategory</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/DiagnosticReport-category\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>category</code>\n\t\t\t</p><p><b> base</b> :DiagnosticReport</p><p><b> type</b> : token</p><p><b> expression</b> : <code>DiagnosticReport.category</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:DiagnosticReport/f:category</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-category","version":"3.0.1","name":"USCoreDiagnosticreportCategory","derivedFrom":"http://hl7.org/fhir/SearchParameter/DiagnosticReport-category","status":"active","experimental":false,"date":"2019-08-26T20:15:52+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Which diagnostic discipline/department created the report<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"category","base":["DiagnosticReport"],"type":"token","expression":"DiagnosticReport.category","xpath":"f:DiagnosticReport/f:category","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-diagnosticreport-code.json b/resources/uscore_v3.0.1/SearchParameter-us-core-diagnosticreport-code.json
new file mode 100644
index 000000000..462e74bf1
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-diagnosticreport-code.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-diagnosticreport-code","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreDiagnosticreportCode</h2><p><b> description</b> : The code for the report, as opposed to codes for the atomic results, which are the names on the observation resource referred to from the result<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-diagnosticreport-code</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-code</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreDiagnosticreportCode</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-code\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>code</code>\n\t\t\t</p><p><b> base</b> :DiagnosticReport</p><p><b> type</b> : token</p><p><b> expression</b> : <code>DiagnosticReport.code</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:DiagnosticReport/f:code</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = SHOULD)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-code","version":"3.0.1","name":"USCoreDiagnosticreportCode","derivedFrom":"http://hl7.org/fhir/SearchParameter/clinical-code","status":"active","experimental":false,"date":"2019-08-26T20:15:52+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"The code for the report, as opposed to codes for the atomic results, which are the names on the observation resource referred to from the result<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"code","base":["DiagnosticReport"],"type":"token","expression":"DiagnosticReport.code","xpath":"f:DiagnosticReport/f:code","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-diagnosticreport-date.json b/resources/uscore_v3.0.1/SearchParameter-us-core-diagnosticreport-date.json
new file mode 100644
index 000000000..b32700925
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-diagnosticreport-date.json
@@ -0,0 +1,142 @@
+{
+  "id": "us-core-diagnosticreport-date",
+  "base": [
+      "DiagnosticReport"
+  ],
+  "code": "date",
+  "comparator": [
+      "eq",
+      "ne",
+      "gt",
+      "lt",
+      "le",
+      "sa",
+      "eb",
+      "ap"
+  ],
+  "contact": [
+      {
+          "telecom": [
+              {
+                  "system": "url",
+                  "value": "http://www.hl7.org/Special/committees/usrealm/index.cfm"
+              }
+          ]
+      }
+  ],
+  "date": "2019-08-26T20:15:52.717671Z",
+  "derivedFrom": "http://hl7.org/fhir/SearchParameter/clinical-date",
+  "description": "The clinically relevant time of the report<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ",
+  "experimental": false,
+  "expression": "DiagnosticReport.effective",
+  "modifier": [
+      "missing"
+  ],
+  "multipleAnd": true,
+  "multipleOr": true,
+  "name": "USCoreDiagnosticreportDate",
+  "publisher": "HL7 International - US Realm Steering Committee",
+  "status": "active",
+  "type": "date",
+  "url": "http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-date",
+  "version": "4.1.0",
+  "xpath": "f:DiagnosticReport/f:effectiveDateTime",
+  "xpathUsage": "normal",
+  "resourceType": "SearchParameter",
+  "_multipleOr": {
+      "extension": [
+          {
+              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+              "valueCode": "MAY"
+          }
+      ]
+  },
+  "_multipleAnd": {
+      "extension": [
+          {
+              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+              "valueCode": "SHOULD"
+          }
+      ]
+  },
+  "_modifier": [
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      }
+  ],
+  "_comparator": [
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "SHALL"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "SHALL"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "SHALL"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      }
+  ],
+  "text": {
+      "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreDiagnosticreportDate</h2><p><b> description</b> : The clinically relevant time of the report<br></br>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br></br>\n - multipleAnd<br></br>\n - multipleOr<br></br>\n - modifier<br></br>\n - comparator<br></br>\n - chain<br></br>\n </p><br></br><p><b> id</b> us-core-diagnosticreport-date</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-date</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreDiagnosticreportDate</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-date\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p><!--\n\t<p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p>\n  --><p><b> code</b> : <code>date</code>\n\t\t\t</p><p><b> base</b> :DiagnosticReport</p><p><b> type</b> : date</p><p><b> expression</b> : <code>DiagnosticReport.effective</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:DiagnosticReport/f:effectiveDateTime</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = SHOULD)</p><p><b> comparator</b> : <code>eq</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>ne</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>gt</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>lt</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>le</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>sa</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>eb</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>ap</code> ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p></div>",
+      "status": "generated"
+  }
+}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-diagnosticreport-patient.json b/resources/uscore_v3.0.1/SearchParameter-us-core-diagnosticreport-patient.json
new file mode 100644
index 000000000..386ae9da4
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-diagnosticreport-patient.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-diagnosticreport-patient","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreDiagnosticreportPatient</h2><p><b> description</b> : The subject of the report if a patient<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-diagnosticreport-patient</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-patient</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreDiagnosticreportPatient</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-patient\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>patient</code>\n\t\t\t</p><p><b> base</b> :DiagnosticReport</p><p><b> type</b> : reference</p><p><b> expression</b> : <code>DiagnosticReport.subject.where(resolve() is Patient)</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:DiagnosticReport/f:subject</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>type</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>identifier</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-patient","version":"3.0.1","name":"USCoreDiagnosticreportPatient","derivedFrom":"http://hl7.org/fhir/SearchParameter/clinical-patient","status":"active","experimental":false,"date":"2019-08-26T20:15:52+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"The subject of the report if a patient<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"patient","base":["DiagnosticReport"],"type":"reference","expression":"DiagnosticReport.subject.where(resolve() is Patient)","xpath":"f:DiagnosticReport/f:subject","xpathUsage":"normal","target":["Patient","Group"],"multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","type","identifier"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-diagnosticreport-status.json b/resources/uscore_v3.0.1/SearchParameter-us-core-diagnosticreport-status.json
new file mode 100644
index 000000000..9099c04e0
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-diagnosticreport-status.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-diagnosticreport-status","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreDiagnosticreportStatus</h2><p><b> description</b> : The status of the report<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-diagnosticreport-status</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-status</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreDiagnosticreportStatus</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/DiagnosticReport-status\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>status</code>\n\t\t\t</p><p><b> base</b> :DiagnosticReport</p><p><b> type</b> : token</p><p><b> expression</b> : <code>DiagnosticReport.status</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:DiagnosticReport/f:status</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = SHALL)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-status","version":"3.0.1","name":"USCoreDiagnosticreportStatus","derivedFrom":"http://hl7.org/fhir/SearchParameter/DiagnosticReport-status","status":"active","experimental":false,"date":"2019-08-26T20:15:52+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"The status of the report<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"status","base":["DiagnosticReport"],"type":"token","expression":"DiagnosticReport.status","xpath":"f:DiagnosticReport/f:status","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-category.json b/resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-category.json
new file mode 100644
index 000000000..344f4b021
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-category.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-documentreference-category","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreDocumentreferenceCategory</h2><p><b> description</b> : Categorization of document<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-documentreference-category</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-category</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreDocumentreferenceCategory</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/DocumentReference-category\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>category</code>\n\t\t\t</p><p><b> base</b> :DocumentReference</p><p><b> type</b> : token</p><p><b> expression</b> : <code>DocumentReference.category</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:DocumentReference/f:category</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-category","version":"3.0.1","name":"USCoreDocumentreferenceCategory","derivedFrom":"http://hl7.org/fhir/SearchParameter/DocumentReference-category","status":"active","experimental":false,"date":"2019-08-26T20:15:52+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Categorization of document<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"category","base":["DocumentReference"],"type":"token","expression":"DocumentReference.category","xpath":"f:DocumentReference/f:category","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-date.json b/resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-date.json
new file mode 100644
index 000000000..de0a0c556
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-date.json
@@ -0,0 +1,142 @@
+{
+  "id": "us-core-documentreference-date",
+  "base": [
+      "DocumentReference"
+  ],
+  "code": "date",
+  "comparator": [
+      "eq",
+      "ne",
+      "gt",
+      "lt",
+      "le",
+      "sa",
+      "eb",
+      "ap"
+  ],
+  "contact": [
+      {
+          "telecom": [
+              {
+                  "system": "url",
+                  "value": "http://www.hl7.org/Special/committees/usrealm/index.cfm"
+              }
+          ]
+      }
+  ],
+  "date": "2019-08-26T20:15:52.388335Z",
+  "derivedFrom": "http://hl7.org/fhir/SearchParameter/DocumentReference-date",
+  "description": "When this document reference was created<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ",
+  "experimental": false,
+  "expression": "DocumentReference.date",
+  "modifier": [
+      "missing"
+  ],
+  "multipleAnd": true,
+  "multipleOr": true,
+  "name": "USCoreDocumentreferenceDate",
+  "publisher": "HL7 International - US Realm Steering Committee",
+  "status": "active",
+  "type": "date",
+  "url": "http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-date",
+  "version": "4.1.0",
+  "xpath": "f:DocumentReference/f:date",
+  "xpathUsage": "normal",
+  "resourceType": "SearchParameter",
+  "_multipleOr": {
+      "extension": [
+          {
+              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+              "valueCode": "MAY"
+          }
+      ]
+  },
+  "_multipleAnd": {
+      "extension": [
+          {
+              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+              "valueCode": "SHOULD"
+          }
+      ]
+  },
+  "_modifier": [
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      }
+  ],
+  "_comparator": [
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "SHALL"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "SHALL"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "SHALL"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      }
+  ],
+  "text": {
+      "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreDocumentreferenceDate</h2><p><b> description</b> : When this document reference was created<br></br>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br></br>\n - multipleAnd<br></br>\n - multipleOr<br></br>\n - modifier<br></br>\n - comparator<br></br>\n - chain<br></br>\n </p><br></br><p><b> id</b> us-core-documentreference-date</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-date</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreDocumentreferenceDate</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/DocumentReference-date\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p><!--\n\t<p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p>\n  --><p><b> code</b> : <code>date</code>\n\t\t\t</p><p><b> base</b> :DocumentReference</p><p><b> type</b> : date</p><p><b> expression</b> : <code>DocumentReference.date</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:DocumentReference/f:date</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = SHOULD)</p><p><b> comparator</b> : <code>eq</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>ne</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>gt</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>lt</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>le</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>sa</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>eb</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>ap</code> ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p></div>",
+      "status": "generated"
+  }
+}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-id.json b/resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-id.json
new file mode 100644
index 000000000..e7c34ccc2
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-id.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-documentreference-id","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreDocumentreferenceId</h2><p><b> description</b> : Logical id of this artifact<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-documentreference-id</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-id</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreDocumentreferenceId</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Resource-id\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>_id</code>\n\t\t\t</p><p><b> base</b> :DocumentReference</p><p><b> type</b> : token</p><p><b> expression</b> : <code>DocumentReference.id</code>\n\t\t\t</p><p><b> xpath</b> : <code>DocumentReference.id</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-id","version":"3.0.1","name":"USCoreDocumentreferenceId","derivedFrom":"http://hl7.org/fhir/SearchParameter/Resource-id","status":"active","experimental":false,"date":"2019-08-26T20:15:52+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Logical id of this artifact<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"_id","base":["DocumentReference"],"type":"token","expression":"DocumentReference.id","xpath":"DocumentReference.id","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-patient.json b/resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-patient.json
new file mode 100644
index 000000000..3c2214db5
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-patient.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-documentreference-patient","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreDocumentreferencePatient</h2><p><b> description</b> : Who/what is the subject of the document<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-documentreference-patient</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-patient</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreDocumentreferencePatient</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-patient\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>patient</code>\n\t\t\t</p><p><b> base</b> :DocumentReference</p><p><b> type</b> : reference</p><p><b> expression</b> : <code>DocumentReference.subject.where(resolve() is Patient)</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:DocumentReference/f:subject</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>type</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>identifier</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-patient","version":"3.0.1","name":"USCoreDocumentreferencePatient","derivedFrom":"http://hl7.org/fhir/SearchParameter/clinical-patient","status":"active","experimental":false,"date":"2019-08-26T20:15:52+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Who/what is the subject of the document<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"patient","base":["DocumentReference"],"type":"reference","expression":"DocumentReference.subject.where(resolve() is Patient)","xpath":"f:DocumentReference/f:subject","xpathUsage":"normal","target":["Patient","Group"],"multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","type","identifier"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-period.json b/resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-period.json
new file mode 100644
index 000000000..03c615b88
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-period.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-documentreference-period","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreDocumentreferencePeriod</h2><p><b> description</b> : Time of service that is being documented<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-documentreference-period</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-period</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreDocumentreferencePeriod</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/DocumentReference-period\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>period</code>\n\t\t\t</p><p><b> base</b> :DocumentReference</p><p><b> type</b> : date</p><p><b> expression</b> : <code>DocumentReference.context.period</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:DocumentReference/f:context/f:period</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = SHOULD)</p><p><b> comparator</b> : <code>eq</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>ne</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>gt</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>lt</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>le</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>sa</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>eb</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>ap</code> ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-period","version":"3.0.1","name":"USCoreDocumentreferencePeriod","derivedFrom":"http://hl7.org/fhir/SearchParameter/DocumentReference-period","status":"active","experimental":false,"date":"2019-08-26T20:15:52+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Time of service that is being documented<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"period","base":["DocumentReference"],"type":"date","expression":"DocumentReference.context.period","xpath":"f:DocumentReference/f:context/f:period","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}]},"comparator":["eq","ne","gt","lt","le","sa","eb","ap"],"modifier":["missing"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-status.json b/resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-status.json
new file mode 100644
index 000000000..0ffce3ee8
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-status.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-documentreference-status","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreDocumentreferenceStatus</h2><p><b> description</b> : current | superseded | entered-in-error<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-documentreference-status</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-status</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreDocumentreferenceStatus</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/DocumentReference-status\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>status</code>\n\t\t\t</p><p><b> base</b> :DocumentReference</p><p><b> type</b> : token</p><p><b> expression</b> : <code>DocumentReference.status</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:DocumentReference/f:status</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = SHALL)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-status","version":"3.0.1","name":"USCoreDocumentreferenceStatus","derivedFrom":"http://hl7.org/fhir/SearchParameter/DocumentReference-status","status":"active","experimental":false,"date":"2019-08-26T20:15:52+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"current | superseded | entered-in-error<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"status","base":["DocumentReference"],"type":"token","expression":"DocumentReference.status","xpath":"f:DocumentReference/f:status","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-type.json b/resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-type.json
new file mode 100644
index 000000000..1398d43a4
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-documentreference-type.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-documentreference-type","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreDocumentreferenceType</h2><p><b> description</b> : Kind of document (LOINC if possible)<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-documentreference-type</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-type</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreDocumentreferenceType</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-type\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>type</code>\n\t\t\t</p><p><b> base</b> :DocumentReference</p><p><b> type</b> : token</p><p><b> expression</b> : <code>DocumentReference.type</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:DocumentReference/f:type</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-type","version":"3.0.1","name":"USCoreDocumentreferenceType","derivedFrom":"http://hl7.org/fhir/SearchParameter/clinical-type","status":"active","experimental":false,"date":"2019-08-26T20:15:52+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Kind of document (LOINC if possible)<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"type","base":["DocumentReference"],"type":"token","expression":"DocumentReference.type","xpath":"f:DocumentReference/f:type","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-encounter-class.json b/resources/uscore_v3.0.1/SearchParameter-us-core-encounter-class.json
new file mode 100644
index 000000000..b4560ca41
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-encounter-class.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-encounter-class","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreEncounterClass</h2><p><b> description</b> : Classification of patient encounter<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-encounter-class</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-class</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreEncounterClass</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Encounter-class\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>class</code>\n\t\t\t</p><p><b> base</b> :Encounter</p><p><b> type</b> : token</p><p><b> expression</b> : <code>Encounter.class</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Encounter/f:class</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-class","version":"3.0.1","name":"USCoreEncounterClass","derivedFrom":"http://hl7.org/fhir/SearchParameter/Encounter-class","status":"active","experimental":false,"date":"2019-08-26T20:15:51+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Classification of patient encounter<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"class","base":["Encounter"],"type":"token","expression":"Encounter.class","xpath":"f:Encounter/f:class","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-encounter-date.json b/resources/uscore_v3.0.1/SearchParameter-us-core-encounter-date.json
new file mode 100644
index 000000000..717166579
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-encounter-date.json
@@ -0,0 +1,142 @@
+{
+  "id": "us-core-encounter-date",
+  "base": [
+      "Encounter"
+  ],
+  "code": "date",
+  "comparator": [
+      "eq",
+      "ne",
+      "gt",
+      "lt",
+      "le",
+      "sa",
+      "eb",
+      "ap"
+  ],
+  "contact": [
+      {
+          "telecom": [
+              {
+                  "system": "url",
+                  "value": "http://www.hl7.org/Special/committees/usrealm/index.cfm"
+              }
+          ]
+      }
+  ],
+  "date": "2019-08-26T20:15:51.325701Z",
+  "derivedFrom": "http://hl7.org/fhir/SearchParameter/clinical-date",
+  "description": "A date within the period the Encounter lasted<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ",
+  "experimental": false,
+  "expression": "Encounter.period",
+  "modifier": [
+      "missing"
+  ],
+  "multipleAnd": true,
+  "multipleOr": true,
+  "name": "USCoreEncounterDate",
+  "publisher": "HL7 International - US Realm Steering Committee",
+  "status": "active",
+  "type": "date",
+  "url": "http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-date",
+  "version": "4.1.0",
+  "xpath": "f:Encounter/f:period",
+  "xpathUsage": "normal",
+  "resourceType": "SearchParameter",
+  "_multipleOr": {
+      "extension": [
+          {
+              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+              "valueCode": "MAY"
+          }
+      ]
+  },
+  "_multipleAnd": {
+      "extension": [
+          {
+              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+              "valueCode": "SHOULD"
+          }
+      ]
+  },
+  "_modifier": [
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      }
+  ],
+  "_comparator": [
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "SHALL"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "SHALL"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "SHALL"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      }
+  ],
+  "text": {
+      "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreEncounterDate</h2><p><b> description</b> : A date within the period the Encounter lasted<br></br>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br></br>\n - multipleAnd<br></br>\n - multipleOr<br></br>\n - modifier<br></br>\n - comparator<br></br>\n - chain<br></br>\n </p><br></br><p><b> id</b> us-core-encounter-date</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-date</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreEncounterDate</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-date\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p><!--\n\t<p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p>\n  --><p><b> code</b> : <code>date</code>\n\t\t\t</p><p><b> base</b> :Encounter</p><p><b> type</b> : date</p><p><b> expression</b> : <code>Encounter.period</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Encounter/f:period</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = SHOULD)</p><p><b> comparator</b> : <code>eq</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>ne</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>gt</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>lt</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>le</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>sa</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>eb</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>ap</code> ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p></div>",
+      "status": "generated"
+  }
+}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-encounter-id.json b/resources/uscore_v3.0.1/SearchParameter-us-core-encounter-id.json
new file mode 100644
index 000000000..389c8651f
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-encounter-id.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-encounter-id","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreEncounterId</h2><p><b> description</b> : Logical id of this artifact<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-encounter-id</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-id</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreEncounterId</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Resource-id\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>_id</code>\n\t\t\t</p><p><b> base</b> :Encounter</p><p><b> type</b> : token</p><p><b> expression</b> : <code>Encounter.id</code>\n\t\t\t</p><p><b> xpath</b> : <code>Encounter.id</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-id","version":"3.0.1","name":"USCoreEncounterId","derivedFrom":"http://hl7.org/fhir/SearchParameter/Resource-id","status":"active","experimental":false,"date":"2019-08-26T20:15:51+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Logical id of this artifact<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"_id","base":["Encounter"],"type":"token","expression":"Encounter.id","xpath":"Encounter.id","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-encounter-identifier.json b/resources/uscore_v3.0.1/SearchParameter-us-core-encounter-identifier.json
new file mode 100644
index 000000000..5faad3f66
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-encounter-identifier.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-encounter-identifier","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreEncounterIdentifier</h2><p><b> description</b> : Identifier(s) by which this encounter is known<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-encounter-identifier</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-identifier</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreEncounterIdentifier</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-identifier\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>identifier</code>\n\t\t\t</p><p><b> base</b> :Encounter</p><p><b> type</b> : token</p><p><b> expression</b> : <code>Encounter.identifier</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Encounter/f:identifier</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-identifier","version":"3.0.1","name":"USCoreEncounterIdentifier","derivedFrom":"http://hl7.org/fhir/SearchParameter/clinical-identifier","status":"active","experimental":false,"date":"2019-08-26T20:15:51+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Identifier(s) by which this encounter is known<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"identifier","base":["Encounter"],"type":"token","expression":"Encounter.identifier","xpath":"f:Encounter/f:identifier","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-encounter-patient.json b/resources/uscore_v3.0.1/SearchParameter-us-core-encounter-patient.json
new file mode 100644
index 000000000..43dc50254
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-encounter-patient.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-encounter-patient","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreEncounterPatient</h2><p><b> description</b> : The patient or group present at the encounter<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-encounter-patient</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-patient</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreEncounterPatient</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-patient\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>patient</code>\n\t\t\t</p><p><b> base</b> :Encounter</p><p><b> type</b> : reference</p><p><b> expression</b> : <code>Encounter.subject.where(resolve() is Patient)</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Encounter/f:subject</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>type</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>identifier</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-patient","version":"3.0.1","name":"USCoreEncounterPatient","derivedFrom":"http://hl7.org/fhir/SearchParameter/clinical-patient","status":"active","experimental":false,"date":"2019-08-26T20:15:51+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"The patient or group present at the encounter<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"patient","base":["Encounter"],"type":"reference","expression":"Encounter.subject.where(resolve() is Patient)","xpath":"f:Encounter/f:subject","xpathUsage":"normal","target":["Patient","Group"],"multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","type","identifier"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-encounter-status.json b/resources/uscore_v3.0.1/SearchParameter-us-core-encounter-status.json
new file mode 100644
index 000000000..2e9ab1d47
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-encounter-status.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-encounter-status","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreEncounterStatus</h2><p><b> description</b> : planned | in-progress | onhold | completed | cancelled | entered-in-error | unknown<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-encounter-status</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-status</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreEncounterStatus</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Encounter-status\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>status</code>\n\t\t\t</p><p><b> base</b> :Encounter</p><p><b> type</b> : token</p><p><b> expression</b> : <code>Encounter.status</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Encounter/f:status</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-status","version":"3.0.1","name":"USCoreEncounterStatus","derivedFrom":"http://hl7.org/fhir/SearchParameter/Encounter-status","status":"active","experimental":false,"date":"2019-08-26T20:15:51+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"planned | in-progress | onhold | completed | cancelled | entered-in-error | unknown<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"status","base":["Encounter"],"type":"token","expression":"Encounter.status","xpath":"f:Encounter/f:status","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-encounter-type.json b/resources/uscore_v3.0.1/SearchParameter-us-core-encounter-type.json
new file mode 100644
index 000000000..ea1b8c391
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-encounter-type.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-encounter-type","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreEncounterType</h2><p><b> description</b> : Specific type of encounter<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-encounter-type</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-type</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreEncounterType</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-type\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>type</code>\n\t\t\t</p><p><b> base</b> :Encounter</p><p><b> type</b> : token</p><p><b> expression</b> : <code>Encounter.type</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Encounter/f:type</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-type","version":"3.0.1","name":"USCoreEncounterType","derivedFrom":"http://hl7.org/fhir/SearchParameter/clinical-type","status":"active","experimental":false,"date":"2019-08-26T20:15:51+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Specific type of encounter<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"type","base":["Encounter"],"type":"token","expression":"Encounter.type","xpath":"f:Encounter/f:type","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-ethnicity.json b/resources/uscore_v3.0.1/SearchParameter-us-core-ethnicity.json
new file mode 100644
index 000000000..40b46b7fe
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-ethnicity.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-ethnicity","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: us-core-ethnicity</p><p><b>url</b>: <a href=\"http://hl7.org/fhir/us/core/SearchParameter/us-core-ethnicity\">http://hl7.org/fhir/us/core/SearchParameter/us-core-ethnicity</a></p><p><b>name</b>: USCoreEthnicity</p><p><b>status</b>: active</p><p><b>date</b>: May 21, 2019, 12:00:00 AM</p><p><b>publisher</b>: US Realm Steering Committee</p><p><b>contact</b>: </p><p><b>description</b>: Returns patients with an ethnicity extension matching the specified code.</p><p><b>jurisdiction</b>: United States of America <span style=\"background: LightGoldenRodYellow\">(Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})</span></p><p><b>code</b>: ethnicity</p><p><b>base</b>: Patient</p><p><b>type</b>: token</p><p><b>expression</b>: Patient.extension.where(url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity').extension.value.code</p><p><b>xpath</b>: f:Patient/f:extension[@url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity']/f:extension/f:valueCoding/f:code/@value</p><p><b>xpathUsage</b>: normal</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-ethnicity","name":"USCoreEthnicity","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://www.healthit.gov/"}]}],"description":"Returns patients with an ethnicity extension matching the specified code.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"ethnicity","base":["Patient"],"type":"token","expression":"Patient.extension.where(url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity').extension.value.code","xpath":"f:Patient/f:extension[@url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity']/f:extension/f:valueCoding/f:code/@value","xpathUsage":"normal"}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-goal-lifecycle-status.json b/resources/uscore_v3.0.1/SearchParameter-us-core-goal-lifecycle-status.json
new file mode 100644
index 000000000..322b5c3b0
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-goal-lifecycle-status.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-goal-lifecycle-status","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreGoalLifecycleStatus</h2><p><b> description</b> : proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-goal-lifecycle-status</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-goal-lifecycle-status</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreGoalLifecycleStatus</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Goal-lifecycle-status\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>lifecycle-status</code>\n\t\t\t</p><p><b> base</b> :Goal</p><p><b> type</b> : token</p><p><b> expression</b> : <code>Goal.lifecycleStatus</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Goal/f:lifecycleStatus</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-goal-lifecycle-status","version":"3.0.1","name":"USCoreGoalLifecycleStatus","derivedFrom":"http://hl7.org/fhir/SearchParameter/Goal-lifecycle-status","status":"active","experimental":false,"date":"2019-08-26T20:15:52+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"lifecycle-status","base":["Goal"],"type":"token","expression":"Goal.lifecycleStatus","xpath":"f:Goal/f:lifecycleStatus","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-goal-patient.json b/resources/uscore_v3.0.1/SearchParameter-us-core-goal-patient.json
new file mode 100644
index 000000000..067edee64
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-goal-patient.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-goal-patient","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreGoalPatient</h2><p><b> description</b> : Who this goal is intended for<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-goal-patient</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-goal-patient</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreGoalPatient</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-patient\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>patient</code>\n\t\t\t</p><p><b> base</b> :Goal</p><p><b> type</b> : reference</p><p><b> expression</b> : <code>Goal.subject.where(resolve() is Patient)</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Goal/f:subject</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>type</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>identifier</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-goal-patient","version":"3.0.1","name":"USCoreGoalPatient","derivedFrom":"http://hl7.org/fhir/SearchParameter/clinical-patient","status":"active","experimental":false,"date":"2019-08-26T20:15:52+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Who this goal is intended for<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"patient","base":["Goal"],"type":"reference","expression":"Goal.subject.where(resolve() is Patient)","xpath":"f:Goal/f:subject","xpathUsage":"normal","target":["Patient","Group"],"multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","type","identifier"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-goal-target-date.json b/resources/uscore_v3.0.1/SearchParameter-us-core-goal-target-date.json
new file mode 100644
index 000000000..1a07be346
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-goal-target-date.json
@@ -0,0 +1,142 @@
+{
+  "id": "us-core-goal-target-date",
+  "base": [
+      "Goal"
+  ],
+  "code": "target-date",
+  "comparator": [
+      "eq",
+      "ne",
+      "gt",
+      "lt",
+      "le",
+      "sa",
+      "eb",
+      "ap"
+  ],
+  "contact": [
+      {
+          "telecom": [
+              {
+                  "system": "url",
+                  "value": "http://www.hl7.org/Special/committees/usrealm/index.cfm"
+              }
+          ]
+      }
+  ],
+  "date": "2019-08-26T20:15:52.870259Z",
+  "derivedFrom": "http://hl7.org/fhir/SearchParameter/Goal-target-date",
+  "description": "Reach goal on or before<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ",
+  "experimental": false,
+  "expression": "Goal.id",
+  "modifier": [
+      "missing"
+  ],
+  "multipleAnd": true,
+  "multipleOr": true,
+  "name": "USCoreGoalTargetDate",
+  "publisher": "HL7 International - US Realm Steering Committee",
+  "status": "active",
+  "type": "date",
+  "url": "http://hl7.org/fhir/us/core/SearchParameter/us-core-goal-target-date",
+  "version": "4.1.0",
+  "xpath": "f:Goal/f:target/f:dueDate",
+  "xpathUsage": "normal",
+  "resourceType": "SearchParameter",
+  "_multipleOr": {
+      "extension": [
+          {
+              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+              "valueCode": "MAY"
+          }
+      ]
+  },
+  "_multipleAnd": {
+      "extension": [
+          {
+              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+              "valueCode": "SHOULD"
+          }
+      ]
+  },
+  "_modifier": [
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      }
+  ],
+  "_comparator": [
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "SHALL"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "SHALL"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "SHALL"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      }
+  ],
+  "text": {
+      "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreGoalTargetDate</h2><p><b> description</b> : Reach goal on or before<br></br>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br></br>\n - multipleAnd<br></br>\n - multipleOr<br></br>\n - modifier<br></br>\n - comparator<br></br>\n - chain<br></br>\n </p><br></br><p><b> id</b> us-core-goal-target-date</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-goal-target-date</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreGoalTargetDate</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Goal-target-date\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p><!--\n\t<p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p>\n  --><p><b> code</b> : <code>target-date</code>\n\t\t\t</p><p><b> base</b> :Goal</p><p><b> type</b> : date</p><p><b> expression</b> : <code>Goal.id</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Goal/f:target/f:dueDate</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = SHOULD)</p><p><b> comparator</b> : <code>eq</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>ne</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>gt</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>lt</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>le</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>sa</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>eb</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>ap</code> ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p></div>",
+      "status": "generated"
+  }
+}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-immunization-date.json b/resources/uscore_v3.0.1/SearchParameter-us-core-immunization-date.json
new file mode 100644
index 000000000..c5ed4f251
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-immunization-date.json
@@ -0,0 +1,142 @@
+{
+  "id": "us-core-immunization-date",
+  "base": [
+      "Immunization"
+  ],
+  "code": "date",
+  "comparator": [
+      "eq",
+      "ne",
+      "gt",
+      "lt",
+      "le",
+      "sa",
+      "eb",
+      "ap"
+  ],
+  "contact": [
+      {
+          "telecom": [
+              {
+                  "system": "url",
+                  "value": "http://www.hl7.org/Special/committees/usrealm/index.cfm"
+              }
+          ]
+      }
+  ],
+  "date": "2019-08-26T20:15:52.135836Z",
+  "derivedFrom": "http://hl7.org/fhir/SearchParameter/clinical-date",
+  "description": "Vaccination  (non)-Administration Date<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ",
+  "experimental": false,
+  "expression": "Immunization.occurrence",
+  "modifier": [
+      "missing"
+  ],
+  "multipleAnd": true,
+  "multipleOr": true,
+  "name": "USCoreImmunizationDate",
+  "publisher": "HL7 International - US Realm Steering Committee",
+  "status": "active",
+  "type": "date",
+  "url": "http://hl7.org/fhir/us/core/SearchParameter/us-core-immunization-date",
+  "version": "4.1.0",
+  "xpath": "f:Immunization/f:occurrenceDateTime",
+  "xpathUsage": "normal",
+  "resourceType": "SearchParameter",
+  "_multipleOr": {
+      "extension": [
+          {
+              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+              "valueCode": "MAY"
+          }
+      ]
+  },
+  "_multipleAnd": {
+      "extension": [
+          {
+              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+              "valueCode": "SHOULD"
+          }
+      ]
+  },
+  "_modifier": [
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      }
+  ],
+  "_comparator": [
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "SHALL"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "SHALL"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "SHALL"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      },
+      {
+          "extension": [
+              {
+                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+                  "valueCode": "MAY"
+              }
+          ]
+      }
+  ],
+  "text": {
+      "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreImmunizationDate</h2><p><b> description</b> : Vaccination  (non)-Administration Date<br></br>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br></br>\n - multipleAnd<br></br>\n - multipleOr<br></br>\n - modifier<br></br>\n - comparator<br></br>\n - chain<br></br>\n </p><br></br><p><b> id</b> us-core-immunization-date</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-immunization-date</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreImmunizationDate</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-date\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p><!--\n\t<p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p>\n  --><p><b> code</b> : <code>date</code>\n\t\t\t</p><p><b> base</b> :Immunization</p><p><b> type</b> : date</p><p><b> expression</b> : <code>Immunization.occurrence</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Immunization/f:occurrenceDateTime</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = SHOULD)</p><p><b> comparator</b> : <code>eq</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>ne</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>gt</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>lt</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>le</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>sa</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>eb</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>ap</code> ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p></div>",
+      "status": "generated"
+  }
+}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-immunization-patient.json b/resources/uscore_v3.0.1/SearchParameter-us-core-immunization-patient.json
new file mode 100644
index 000000000..1485e441c
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-immunization-patient.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-immunization-patient","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreImmunizationPatient</h2><p><b> description</b> : The patient for the vaccination record<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-immunization-patient</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-immunization-patient</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreImmunizationPatient</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-patient\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>patient</code>\n\t\t\t</p><p><b> base</b> :Immunization</p><p><b> type</b> : reference</p><p><b> expression</b> : <code>Immunization.patient</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Immunization/f:patient</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>type</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>identifier</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-immunization-patient","version":"3.0.1","name":"USCoreImmunizationPatient","derivedFrom":"http://hl7.org/fhir/SearchParameter/clinical-patient","status":"active","experimental":false,"date":"2019-08-26T20:15:51+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"The patient for the vaccination record<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"patient","base":["Immunization"],"type":"reference","expression":"Immunization.patient","xpath":"f:Immunization/f:patient","xpathUsage":"normal","target":["Patient","Group"],"multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","type","identifier"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-immunization-status.json b/resources/uscore_v3.0.1/SearchParameter-us-core-immunization-status.json
new file mode 100644
index 000000000..a85f94443
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-immunization-status.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-immunization-status","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreImmunizationStatus</h2><p><b> description</b> : Immunization event status<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-immunization-status</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-immunization-status</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreImmunizationStatus</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Immunization-status\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>status</code>\n\t\t\t</p><p><b> base</b> :Immunization</p><p><b> type</b> : token</p><p><b> expression</b> : <code>Immunization.status</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Immunization/f:status</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-immunization-status","version":"3.0.1","name":"USCoreImmunizationStatus","derivedFrom":"http://hl7.org/fhir/SearchParameter/Immunization-status","status":"active","experimental":false,"date":"2019-08-26T20:15:52+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Immunization event status<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"status","base":["Immunization"],"type":"token","expression":"Immunization.status","xpath":"f:Immunization/f:status","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-location-address-city.json b/resources/uscore_v3.0.1/SearchParameter-us-core-location-address-city.json
new file mode 100644
index 000000000..6fe1e8c1f
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-location-address-city.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-location-address-city","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreLocationAddressCity</h2><p><b> description</b> : A city specified in an address<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-location-address-city</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-location-address-city</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreLocationAddressCity</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Location-address-city\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>address-city</code>\n\t\t\t</p><p><b> base</b> :Location</p><p><b> type</b> : string</p><p><b> expression</b> : <code>Location.address.city</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Location/f:address/f:city</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>exact</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>contains</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-location-address-city","version":"3.0.1","name":"USCoreLocationAddressCity","derivedFrom":"http://hl7.org/fhir/SearchParameter/Location-address-city","status":"active","experimental":false,"date":"2019-08-26T20:15:54+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"A city specified in an address<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"address-city","base":["Location"],"type":"string","expression":"Location.address.city","xpath":"f:Location/f:address/f:city","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","exact","contains"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-location-address-postalcode.json b/resources/uscore_v3.0.1/SearchParameter-us-core-location-address-postalcode.json
new file mode 100644
index 000000000..c2c5c21b2
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-location-address-postalcode.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-location-address-postalcode","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreLocationAddressPostalcode</h2><p><b> description</b> : A postal code specified in an address<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-location-address-postalcode</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-location-address-postalcode</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreLocationAddressPostalcode</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Location-address-postalcode\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>address-postalcode</code>\n\t\t\t</p><p><b> base</b> :Location</p><p><b> type</b> : string</p><p><b> expression</b> : <code>Location.address.postalCode</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Location/f:address/f:postalCode</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>exact</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>contains</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-location-address-postalcode","version":"3.0.1","name":"USCoreLocationAddressPostalcode","derivedFrom":"http://hl7.org/fhir/SearchParameter/Location-address-postalcode","status":"active","experimental":false,"date":"2019-08-26T20:15:54+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"A postal code specified in an address<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"address-postalcode","base":["Location"],"type":"string","expression":"Location.address.postalCode","xpath":"f:Location/f:address/f:postalCode","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","exact","contains"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-location-address-state.json b/resources/uscore_v3.0.1/SearchParameter-us-core-location-address-state.json
new file mode 100644
index 000000000..d9303678c
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-location-address-state.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-location-address-state","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreLocationAddressState</h2><p><b> description</b> : A state specified in an address<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-location-address-state</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-location-address-state</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreLocationAddressState</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Location-address-state\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>address-state</code>\n\t\t\t</p><p><b> base</b> :Location</p><p><b> type</b> : string</p><p><b> expression</b> : <code>Location.address.state</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Location/f:address/f:state</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>exact</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>contains</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-location-address-state","version":"3.0.1","name":"USCoreLocationAddressState","derivedFrom":"http://hl7.org/fhir/SearchParameter/Location-address-state","status":"active","experimental":false,"date":"2019-08-26T20:15:54+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"A state specified in an address<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"address-state","base":["Location"],"type":"string","expression":"Location.address.state","xpath":"f:Location/f:address/f:state","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","exact","contains"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-location-address.json b/resources/uscore_v3.0.1/SearchParameter-us-core-location-address.json
new file mode 100644
index 000000000..503d78110
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-location-address.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-location-address","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreLocationAddress</h2><p><b> description</b> : A (part of the) address of the location<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-location-address</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-location-address</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreLocationAddress</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Location-address\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>address</code>\n\t\t\t</p><p><b> base</b> :Location</p><p><b> type</b> : string</p><p><b> expression</b> : <code>Location.address</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Location/f:address</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>exact</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>contains</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-location-address","version":"3.0.1","name":"USCoreLocationAddress","derivedFrom":"http://hl7.org/fhir/SearchParameter/Location-address","status":"active","experimental":false,"date":"2019-08-26T20:15:53+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"A (part of the) address of the location<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"address","base":["Location"],"type":"string","expression":"Location.address","xpath":"f:Location/f:address","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","exact","contains"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-location-name.json b/resources/uscore_v3.0.1/SearchParameter-us-core-location-name.json
new file mode 100644
index 000000000..3310f6d22
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-location-name.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-location-name","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreLocationName</h2><p><b> description</b> : A portion of the location's name or alias<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-location-name</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-location-name</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreLocationName</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Location-name\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>name</code>\n\t\t\t</p><p><b> base</b> :Location</p><p><b> type</b> : string</p><p><b> expression</b> : <code>Location.name</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Location/f:name</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>exact</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>contains</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-location-name","version":"3.0.1","name":"USCoreLocationName","derivedFrom":"http://hl7.org/fhir/SearchParameter/Location-name","status":"active","experimental":false,"date":"2019-08-26T20:15:53+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"A portion of the location's name or alias<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"name","base":["Location"],"type":"string","expression":"Location.name","xpath":"f:Location/f:name","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","exact","contains"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-medicationrequest-authoredon.json b/resources/uscore_v3.0.1/SearchParameter-us-core-medicationrequest-authoredon.json
new file mode 100644
index 000000000..4a77d5f35
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-medicationrequest-authoredon.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-medicationrequest-authoredon","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreMedicationrequestAuthoredon</h2><p><b> description</b> : Return prescriptions written on this date<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-medicationrequest-authoredon</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-authoredon</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreMedicationrequestAuthoredon</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/MedicationRequest-authoredon\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>authoredon</code>\n\t\t\t</p><p><b> base</b> :MedicationRequest</p><p><b> type</b> : date</p><p><b> expression</b> : <code>MedicationRequest.authoredOn</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:MedicationRequest/f:authoredOn</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = SHOULD)</p><p><b> comparator</b> : <code>eq</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>ne</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>gt</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>lt</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>le</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>sa</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>eb</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>ap</code> ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-authoredon","version":"3.0.1","name":"USCoreMedicationrequestAuthoredon","derivedFrom":"http://hl7.org/fhir/SearchParameter/MedicationRequest-authoredon","status":"active","experimental":false,"date":"2019-08-26T20:15:53+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Return prescriptions written on this date<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"authoredon","base":["MedicationRequest"],"type":"date","expression":"MedicationRequest.authoredOn","xpath":"f:MedicationRequest/f:authoredOn","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}]},"comparator":["eq","ne","gt","lt","le","sa","eb","ap"],"modifier":["missing"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-medicationrequest-encounter.json b/resources/uscore_v3.0.1/SearchParameter-us-core-medicationrequest-encounter.json
new file mode 100644
index 000000000..038038e5f
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-medicationrequest-encounter.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-medicationrequest-encounter","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreMedicationrequestEncounter</h2><p><b> description</b> : Return prescriptions with this encounter identifier<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-medicationrequest-encounter</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-encounter</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreMedicationrequestEncounter</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/medications-encounter\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>encounter</code>\n\t\t\t</p><p><b> base</b> :MedicationRequest</p><p><b> type</b> : reference</p><p><b> expression</b> : <code>MedicationRequest.encounter</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:MedicationRequest/f:encounter</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>type</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>identifier</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-encounter","version":"3.0.1","name":"USCoreMedicationrequestEncounter","derivedFrom":"http://hl7.org/fhir/SearchParameter/medications-encounter","status":"active","experimental":false,"date":"2019-08-26T20:15:53+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Return prescriptions with this encounter identifier<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"encounter","base":["MedicationRequest"],"type":"reference","expression":"MedicationRequest.encounter","xpath":"f:MedicationRequest/f:encounter","xpathUsage":"normal","target":["Encounter"],"multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","type","identifier"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-medicationrequest-intent.json b/resources/uscore_v3.0.1/SearchParameter-us-core-medicationrequest-intent.json
new file mode 100644
index 000000000..657e23a9e
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-medicationrequest-intent.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-medicationrequest-intent","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreMedicationrequestIntent</h2><p><b> description</b> : Returns prescriptions with different intents<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-medicationrequest-intent</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-intent</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreMedicationrequestIntent</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/MedicationRequest-intent\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>intent</code>\n\t\t\t</p><p><b> base</b> :MedicationRequest</p><p><b> type</b> : token</p><p><b> expression</b> : <code>MedicationRequest.intent</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:MedicationRequest/f:intent</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-intent","version":"3.0.1","name":"USCoreMedicationrequestIntent","derivedFrom":"http://hl7.org/fhir/SearchParameter/MedicationRequest-intent","status":"active","experimental":false,"date":"2019-08-26T20:15:53+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Returns prescriptions with different intents<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"intent","base":["MedicationRequest"],"type":"token","expression":"MedicationRequest.intent","xpath":"f:MedicationRequest/f:intent","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-medicationrequest-patient.json b/resources/uscore_v3.0.1/SearchParameter-us-core-medicationrequest-patient.json
new file mode 100644
index 000000000..4853da5e7
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-medicationrequest-patient.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-medicationrequest-patient","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreMedicationrequestPatient</h2><p><b> description</b> : Returns prescriptions for a specific patient<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-medicationrequest-patient</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-patient</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreMedicationrequestPatient</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-patient\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>patient</code>\n\t\t\t</p><p><b> base</b> :MedicationRequest</p><p><b> type</b> : reference</p><p><b> expression</b> : <code>MedicationRequest.subject.where(resolve() is Patient)</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:MedicationRequest/f:subject</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>type</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>identifier</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-patient","version":"3.0.1","name":"USCoreMedicationrequestPatient","derivedFrom":"http://hl7.org/fhir/SearchParameter/clinical-patient","status":"active","experimental":false,"date":"2019-08-26T20:15:53+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Returns prescriptions for a specific patient<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"patient","base":["MedicationRequest"],"type":"reference","expression":"MedicationRequest.subject.where(resolve() is Patient)","xpath":"f:MedicationRequest/f:subject","xpathUsage":"normal","target":["Patient","Group"],"multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","type","identifier"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-medicationrequest-status.json b/resources/uscore_v3.0.1/SearchParameter-us-core-medicationrequest-status.json
new file mode 100644
index 000000000..04fc65437
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-medicationrequest-status.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-medicationrequest-status","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreMedicationrequestStatus</h2><p><b> description</b> : Status of the prescription<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-medicationrequest-status</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-status</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreMedicationrequestStatus</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/medications-status\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>status</code>\n\t\t\t</p><p><b> base</b> :MedicationRequest</p><p><b> type</b> : token</p><p><b> expression</b> : <code>MedicationRequest.status</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:MedicationRequest/f:status</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = SHALL)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-status","version":"3.0.1","name":"USCoreMedicationrequestStatus","derivedFrom":"http://hl7.org/fhir/SearchParameter/medications-status","status":"active","experimental":false,"date":"2019-08-26T20:15:52+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Status of the prescription<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"status","base":["MedicationRequest"],"type":"token","expression":"MedicationRequest.status","xpath":"f:MedicationRequest/f:status","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-observation-category.json b/resources/uscore_v3.0.1/SearchParameter-us-core-observation-category.json
new file mode 100644
index 000000000..bdfaabca4
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-observation-category.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-observation-category","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreObservationCategory</h2><p><b> description</b> : The classification of the type of observation<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-observation-category</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-category</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreObservationCategory</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Observation-category\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>category</code>\n\t\t\t</p><p><b> base</b> :Observation</p><p><b> type</b> : token</p><p><b> expression</b> : <code>Observation.category</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Observation/f:category</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-category","version":"3.0.1","name":"USCoreObservationCategory","derivedFrom":"http://hl7.org/fhir/SearchParameter/Observation-category","status":"active","experimental":false,"date":"2019-08-26T20:15:53+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"The classification of the type of observation<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"category","base":["Observation"],"type":"token","expression":"Observation.category","xpath":"f:Observation/f:category","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-observation-code.json b/resources/uscore_v3.0.1/SearchParameter-us-core-observation-code.json
new file mode 100644
index 000000000..da3de0c3e
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-observation-code.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-observation-code","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreObservationCode</h2><p><b> description</b> : The code of the observation type<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-observation-code</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-code</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreObservationCode</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-code\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>code</code>\n\t\t\t</p><p><b> base</b> :Observation</p><p><b> type</b> : token</p><p><b> expression</b> : <code>Observation.code</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Observation/f:code</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = SHOULD)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-code","version":"3.0.1","name":"USCoreObservationCode","derivedFrom":"http://hl7.org/fhir/SearchParameter/clinical-code","status":"active","experimental":false,"date":"2019-08-26T20:15:53+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"The code of the observation type<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"code","base":["Observation"],"type":"token","expression":"Observation.code","xpath":"f:Observation/f:code","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-observation-date.json b/resources/uscore_v3.0.1/SearchParameter-us-core-observation-date.json
new file mode 100644
index 000000000..de30cb04a
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-observation-date.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-observation-date","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreObservationDate</h2><p><b> description</b> : Obtained date/time. If the obtained element is a period, a date that falls in the period<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-observation-date</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-date</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreObservationDate</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-date\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>date</code>\n\t\t\t</p><p><b> base</b> :Observation</p><p><b> type</b> : date</p><p><b> expression</b> : <code>Observation.effective</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Observation/f:effectiveDateTime</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = SHOULD)</p><p><b> comparator</b> : <code>eq</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>ne</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>gt</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>lt</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>le</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>sa</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>eb</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>ap</code> ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-date","version":"3.0.1","name":"USCoreObservationDate","derivedFrom":"http://hl7.org/fhir/SearchParameter/clinical-date","status":"active","experimental":false,"date":"2019-08-26T20:15:53+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Obtained date/time. If the obtained element is a period, a date that falls in the period<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"date","base":["Observation"],"type":"date","expression":"Observation.effective","xpath":"f:Observation/f:effectiveDateTime","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}]},"comparator":["eq","ne","gt","lt","le","sa","eb","ap"],"modifier":["missing"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-observation-patient.json b/resources/uscore_v3.0.1/SearchParameter-us-core-observation-patient.json
new file mode 100644
index 000000000..1ea4f3bda
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-observation-patient.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-observation-patient","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreObservationPatient</h2><p><b> description</b> : The subject that the observation is about (if patient)<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-observation-patient</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-patient</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreObservationPatient</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-patient\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>patient</code>\n\t\t\t</p><p><b> base</b> :Observation</p><p><b> type</b> : reference</p><p><b> expression</b> : <code>Observation.subject.where(resolve() is Patient)</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Observation/f:subject</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>type</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>identifier</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-patient","version":"3.0.1","name":"USCoreObservationPatient","derivedFrom":"http://hl7.org/fhir/SearchParameter/clinical-patient","status":"active","experimental":false,"date":"2019-08-26T20:15:53+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"The subject that the observation is about (if patient)<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"patient","base":["Observation"],"type":"reference","expression":"Observation.subject.where(resolve() is Patient)","xpath":"f:Observation/f:subject","xpathUsage":"normal","target":["Patient","Group"],"multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","type","identifier"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-observation-status.json b/resources/uscore_v3.0.1/SearchParameter-us-core-observation-status.json
new file mode 100644
index 000000000..b677479d6
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-observation-status.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-observation-status","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreObservationStatus</h2><p><b> description</b> : The status of the observation<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-observation-status</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-status</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreObservationStatus</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Observation-status\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>status</code>\n\t\t\t</p><p><b> base</b> :Observation</p><p><b> type</b> : token</p><p><b> expression</b> : <code>Observation.status</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Observation/f:status</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = SHALL)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-status","version":"3.0.1","name":"USCoreObservationStatus","derivedFrom":"http://hl7.org/fhir/SearchParameter/Observation-status","status":"active","experimental":false,"date":"2019-08-26T20:15:53+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"The status of the observation<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"status","base":["Observation"],"type":"token","expression":"Observation.status","xpath":"f:Observation/f:status","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-organization-address.json b/resources/uscore_v3.0.1/SearchParameter-us-core-organization-address.json
new file mode 100644
index 000000000..c298eaf8a
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-organization-address.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-organization-address","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreOrganizationAddress</h2><p><b> description</b> : A server defined search that may match any of the string fields in the Address, including line, city, district, state, country, postalCode, and/or text<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-organization-address</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-organization-address</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreOrganizationAddress</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Organization-address\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>address</code>\n\t\t\t</p><p><b> base</b> :Organization</p><p><b> type</b> : string</p><p><b> expression</b> : <code>Organization.address</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Organization/f:address</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>exact</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>contains</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-organization-address","version":"3.0.1","name":"USCoreOrganizationAddress","derivedFrom":"http://hl7.org/fhir/SearchParameter/Organization-address","status":"active","experimental":false,"date":"2019-08-26T20:15:54+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"A server defined search that may match any of the string fields in the Address, including line, city, district, state, country, postalCode, and/or text<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"address","base":["Organization"],"type":"string","expression":"Organization.address","xpath":"f:Organization/f:address","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","exact","contains"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-organization-name.json b/resources/uscore_v3.0.1/SearchParameter-us-core-organization-name.json
new file mode 100644
index 000000000..e577dcd5a
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-organization-name.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-organization-name","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreOrganizationName</h2><p><b> description</b> : A portion of the organization's name or alias<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-organization-name</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-organization-name</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreOrganizationName</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Organization-name\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>name</code>\n\t\t\t</p><p><b> base</b> :Organization</p><p><b> type</b> : string</p><p><b> expression</b> : <code>Organization.name</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Organization/f:name</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>exact</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>contains</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-organization-name","version":"3.0.1","name":"USCoreOrganizationName","derivedFrom":"http://hl7.org/fhir/SearchParameter/Organization-name","status":"active","experimental":false,"date":"2019-08-26T20:15:54+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"A portion of the organization's name or alias<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"name","base":["Organization"],"type":"string","expression":"Organization.name","xpath":"f:Organization/f:name","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","exact","contains"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-patient-birthdate.json b/resources/uscore_v3.0.1/SearchParameter-us-core-patient-birthdate.json
new file mode 100644
index 000000000..8d01b343b
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-patient-birthdate.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-patient-birthdate","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCorePatientBirthdate</h2><p><b> description</b> : The patient's date of birth<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-patient-birthdate</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-birthdate</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCorePatientBirthdate</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/individual-birthdate\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>birthdate</code>\n\t\t\t</p><p><b> base</b> :Patient</p><p><b> type</b> : date</p><p><b> expression</b> : <code>Patient.birthDate</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Patient/f:birthDate</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>eq</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>ne</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>gt</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>lt</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>le</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>sa</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>eb</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>ap</code> ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-birthdate","version":"3.0.1","name":"USCorePatientBirthdate","derivedFrom":"http://hl7.org/fhir/SearchParameter/individual-birthdate","status":"active","experimental":false,"date":"2019-08-26T20:15:51+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"The patient's date of birth<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"birthdate","base":["Patient"],"type":"date","expression":"Patient.birthDate","xpath":"f:Patient/f:birthDate","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"comparator":["eq","ne","gt","lt","le","sa","eb","ap"],"modifier":["missing"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-patient-family.json b/resources/uscore_v3.0.1/SearchParameter-us-core-patient-family.json
new file mode 100644
index 000000000..8da41cb83
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-patient-family.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-patient-family","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCorePatientFamily</h2><p><b> description</b> : A portion of the family name of the patient<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-patient-family</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-family</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCorePatientFamily</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/individual-family\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>family</code>\n\t\t\t</p><p><b> base</b> :Patient</p><p><b> type</b> : string</p><p><b> expression</b> : <code>Patient.name.family</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Patient/f:name/f:family</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>exact</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>contains</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-family","version":"3.0.1","name":"USCorePatientFamily","derivedFrom":"http://hl7.org/fhir/SearchParameter/individual-family","status":"active","experimental":false,"date":"2019-08-26T20:15:51+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"A portion of the family name of the patient<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"family","base":["Patient"],"type":"string","expression":"Patient.name.family","xpath":"f:Patient/f:name/f:family","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","exact","contains"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-patient-gender.json b/resources/uscore_v3.0.1/SearchParameter-us-core-patient-gender.json
new file mode 100644
index 000000000..2ca769699
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-patient-gender.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-patient-gender","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCorePatientGender</h2><p><b> description</b> : Gender of the patient<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-patient-gender</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-gender</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCorePatientGender</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/individual-gender\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>gender</code>\n\t\t\t</p><p><b> base</b> :Patient</p><p><b> type</b> : token</p><p><b> expression</b> : <code>Patient.gender</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Patient/f:gender</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-gender","version":"3.0.1","name":"USCorePatientGender","derivedFrom":"http://hl7.org/fhir/SearchParameter/individual-gender","status":"active","experimental":false,"date":"2019-08-26T20:15:51+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Gender of the patient<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"gender","base":["Patient"],"type":"token","expression":"Patient.gender","xpath":"f:Patient/f:gender","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-patient-given.json b/resources/uscore_v3.0.1/SearchParameter-us-core-patient-given.json
new file mode 100644
index 000000000..565f451ae
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-patient-given.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-patient-given","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCorePatientGiven</h2><p><b> description</b> : A portion of the given name of the patient<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-patient-given</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-given</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCorePatientGiven</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/individual-given\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>given</code>\n\t\t\t</p><p><b> base</b> :Patient</p><p><b> type</b> : string</p><p><b> expression</b> : <code>Patient.name.given</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Patient/f:name/f:given</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>exact</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>contains</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-given","version":"3.0.1","name":"USCorePatientGiven","derivedFrom":"http://hl7.org/fhir/SearchParameter/individual-given","status":"active","experimental":false,"date":"2019-08-26T20:15:51+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"A portion of the given name of the patient<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"given","base":["Patient"],"type":"string","expression":"Patient.name.given","xpath":"f:Patient/f:name/f:given","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","exact","contains"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-patient-id.json b/resources/uscore_v3.0.1/SearchParameter-us-core-patient-id.json
new file mode 100644
index 000000000..135630563
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-patient-id.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-patient-id","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCorePatientId</h2><p><b> description</b> : Logical id of this artifact<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-patient-id</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-id</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCorePatientId</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Resource-id\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>_id</code>\n\t\t\t</p><p><b> base</b> :Patient</p><p><b> type</b> : token</p><p><b> expression</b> : <code>Patient.id</code>\n\t\t\t</p><p><b> xpath</b> : <code>Patient.id</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-id","version":"3.0.1","name":"USCorePatientId","derivedFrom":"http://hl7.org/fhir/SearchParameter/Resource-id","status":"active","experimental":false,"date":"2019-08-26T20:15:51+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Logical id of this artifact<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"_id","base":["Patient"],"type":"token","expression":"Patient.id","xpath":"Patient.id","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-patient-identifier.json b/resources/uscore_v3.0.1/SearchParameter-us-core-patient-identifier.json
new file mode 100644
index 000000000..1b79b631a
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-patient-identifier.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-patient-identifier","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCorePatientIdentifier</h2><p><b> description</b> : A patient identifier<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-patient-identifier</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-identifier</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCorePatientIdentifier</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Patient-identifier\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>identifier</code>\n\t\t\t</p><p><b> base</b> :Patient</p><p><b> type</b> : token</p><p><b> expression</b> : <code>Patient.identifier</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Patient/f:identifier</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-identifier","version":"3.0.1","name":"USCorePatientIdentifier","derivedFrom":"http://hl7.org/fhir/SearchParameter/Patient-identifier","status":"active","experimental":false,"date":"2019-08-26T20:15:51+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"A patient identifier<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"identifier","base":["Patient"],"type":"token","expression":"Patient.identifier","xpath":"f:Patient/f:identifier","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-patient-name.json b/resources/uscore_v3.0.1/SearchParameter-us-core-patient-name.json
new file mode 100644
index 000000000..33feef99b
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-patient-name.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-patient-name","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCorePatientName</h2><p><b> description</b> : A server defined search that may match any of the string fields in the HumanName, including family, give, prefix, suffix, suffix, and/or text<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-patient-name</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-name</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCorePatientName</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Patient-name\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>name</code>\n\t\t\t</p><p><b> base</b> :Patient</p><p><b> type</b> : string</p><p><b> expression</b> : <code>Patient.name</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Patient/f:name</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>exact</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>contains</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-name","version":"3.0.1","name":"USCorePatientName","derivedFrom":"http://hl7.org/fhir/SearchParameter/Patient-name","status":"active","experimental":false,"date":"2019-08-26T20:15:51+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"A server defined search that may match any of the string fields in the HumanName, including family, give, prefix, suffix, suffix, and/or text<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"name","base":["Patient"],"type":"string","expression":"Patient.name","xpath":"f:Patient/f:name","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","exact","contains"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-practitioner-identifier.json b/resources/uscore_v3.0.1/SearchParameter-us-core-practitioner-identifier.json
new file mode 100644
index 000000000..c0be9f07d
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-practitioner-identifier.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-practitioner-identifier","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCorePractitionerIdentifier</h2><p><b> description</b> : A practitioner's Identifier<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-practitioner-identifier</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-practitioner-identifier</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCorePractitionerIdentifier</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Practitioner-identifier\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>identifier</code>\n\t\t\t</p><p><b> base</b> :Practitioner</p><p><b> type</b> : token</p><p><b> expression</b> : <code>Practitioner.identifier</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Practitioner/f:identifier</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-practitioner-identifier","version":"3.0.1","name":"USCorePractitionerIdentifier","derivedFrom":"http://hl7.org/fhir/SearchParameter/Practitioner-identifier","status":"active","experimental":false,"date":"2019-08-26T20:15:54+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"A practitioner's Identifier<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"identifier","base":["Practitioner"],"type":"token","expression":"Practitioner.identifier","xpath":"f:Practitioner/f:identifier","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-practitioner-name.json b/resources/uscore_v3.0.1/SearchParameter-us-core-practitioner-name.json
new file mode 100644
index 000000000..41675bd22
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-practitioner-name.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-practitioner-name","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCorePractitionerName</h2><p><b> description</b> : A server defined search that may match any of the string fields in the HumanName, including family, give, prefix, suffix, suffix, and/or text<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-practitioner-name</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-practitioner-name</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCorePractitionerName</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Practitioner-name\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>name</code>\n\t\t\t</p><p><b> base</b> :Practitioner</p><p><b> type</b> : string</p><p><b> expression</b> : <code>Practitioner.name</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Practitioner/f:name</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>exact</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>contains</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-practitioner-name","version":"3.0.1","name":"USCorePractitionerName","derivedFrom":"http://hl7.org/fhir/SearchParameter/Practitioner-name","status":"active","experimental":false,"date":"2019-08-26T20:15:54+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"A server defined search that may match any of the string fields in the HumanName, including family, give, prefix, suffix, suffix, and/or text<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"name","base":["Practitioner"],"type":"string","expression":"Practitioner.name","xpath":"f:Practitioner/f:name","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","exact","contains"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-practitionerrole-practitioner.json b/resources/uscore_v3.0.1/SearchParameter-us-core-practitionerrole-practitioner.json
new file mode 100644
index 000000000..e32f41e51
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-practitionerrole-practitioner.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-practitionerrole-practitioner","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCorePractitionerrolePractitioner</h2><p><b> description</b> : Practitioner that is able to provide the defined services for the organization<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-practitionerrole-practitioner</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-practitionerrole-practitioner</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCorePractitionerrolePractitioner</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/PractitionerRole-practitioner\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>practitioner</code>\n\t\t\t</p><p><b> base</b> :PractitionerRole</p><p><b> type</b> : reference</p><p><b> expression</b> : <code>PractitionerRole.practitioner</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:PractitionerRole/f:practitioner</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>type</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>identifier</code>  (Conformance Expectation =  MAY)</p><p><b> chain</b> : <code>identifier</code>  (Conformance Expectation = SHALL)</p><p><b> chain</b> : <code>name</code>  (Conformance Expectation = SHALL)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-practitionerrole-practitioner","version":"3.0.1","name":"USCorePractitionerrolePractitioner","derivedFrom":"http://hl7.org/fhir/SearchParameter/PractitionerRole-practitioner","status":"active","experimental":false,"date":"2019-08-26T20:15:54+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Practitioner that is able to provide the defined services for the organization<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"practitioner","base":["PractitionerRole"],"type":"reference","expression":"PractitionerRole.practitioner","xpath":"f:PractitionerRole/f:practitioner","xpathUsage":"normal","target":["Practitioner"],"multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","type","identifier"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}],"chain":["identifier","name"],"_chain":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-practitionerrole-specialty.json b/resources/uscore_v3.0.1/SearchParameter-us-core-practitionerrole-specialty.json
new file mode 100644
index 000000000..f5fd245f2
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-practitionerrole-specialty.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-practitionerrole-specialty","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCorePractitionerroleSpecialty</h2><p><b> description</b> : The practitioner has this specialty at an organization<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-practitionerrole-specialty</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-practitionerrole-specialty</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCorePractitionerroleSpecialty</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/PractitionerRole-specialty\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>specialty</code>\n\t\t\t</p><p><b> base</b> :PractitionerRole</p><p><b> type</b> : token</p><p><b> expression</b> : <code>PractitionerRole.specialty</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:PractitionerRole/f:specialty</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-practitionerrole-specialty","version":"3.0.1","name":"USCorePractitionerroleSpecialty","derivedFrom":"http://hl7.org/fhir/SearchParameter/PractitionerRole-specialty","status":"active","experimental":false,"date":"2019-08-26T20:15:54+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"The practitioner has this specialty at an organization<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"specialty","base":["PractitionerRole"],"type":"token","expression":"PractitionerRole.specialty","xpath":"f:PractitionerRole/f:specialty","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-procedure-code.json b/resources/uscore_v3.0.1/SearchParameter-us-core-procedure-code.json
new file mode 100644
index 000000000..ce39b686f
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-procedure-code.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-procedure-code","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreProcedureCode</h2><p><b> description</b> : A code to identify a  procedure<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-procedure-code</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-code</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreProcedureCode</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-code\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>code</code>\n\t\t\t</p><p><b> base</b> :Procedure</p><p><b> type</b> : token</p><p><b> expression</b> : <code>Procedure.code</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Procedure/f:code</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = SHOULD)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-code","version":"3.0.1","name":"USCoreProcedureCode","derivedFrom":"http://hl7.org/fhir/SearchParameter/clinical-code","status":"active","experimental":false,"date":"2019-08-26T20:15:53+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"A code to identify a  procedure<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"code","base":["Procedure"],"type":"token","expression":"Procedure.code","xpath":"f:Procedure/f:code","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-procedure-date.json b/resources/uscore_v3.0.1/SearchParameter-us-core-procedure-date.json
new file mode 100644
index 000000000..45fa36a58
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-procedure-date.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-procedure-date","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreProcedureDate</h2><p><b> description</b> : When the procedure occurred or is occurring<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-procedure-date</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-date</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreProcedureDate</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-date\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>date</code>\n\t\t\t</p><p><b> base</b> :Procedure</p><p><b> type</b> : date</p><p><b> expression</b> : <code>Procedure.occurrence</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Procedure/f:occurrenceDateTime</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = SHOULD)</p><p><b> comparator</b> : <code>eq</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>ne</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>gt</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>lt</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>le</code> ( Conformance Expectation = SHALL)</p><p><b> comparator</b> : <code>sa</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>eb</code> ( Conformance Expectation = MAY)</p><p><b> comparator</b> : <code>ap</code> ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-date","version":"3.0.1","name":"USCoreProcedureDate","derivedFrom":"http://hl7.org/fhir/SearchParameter/clinical-date","status":"active","experimental":false,"date":"2019-08-26T20:15:53+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"When the procedure occurred or is occurring<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"date","base":["Procedure"],"type":"date","expression":"Procedure.occurrence","xpath":"f:Procedure/f:occurrenceDateTime","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}]},"comparator":["eq","ne","gt","lt","le","sa","eb","ap"],"modifier":["missing"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-procedure-patient.json b/resources/uscore_v3.0.1/SearchParameter-us-core-procedure-patient.json
new file mode 100644
index 000000000..0aa414c35
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-procedure-patient.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-procedure-patient","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreProcedurePatient</h2><p><b> description</b> : Search by subject - a patient<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-procedure-patient</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-patient</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreProcedurePatient</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/clinical-patient\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>patient</code>\n\t\t\t</p><p><b> base</b> :Procedure</p><p><b> type</b> : reference</p><p><b> expression</b> : <code>Procedure.subject.where(resolve() is Patient)</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Procedure/f:subject</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = MAY)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>type</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>identifier</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-patient","version":"3.0.1","name":"USCoreProcedurePatient","derivedFrom":"http://hl7.org/fhir/SearchParameter/clinical-patient","status":"active","experimental":false,"date":"2019-08-26T20:15:53+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Search by subject - a patient<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"patient","base":["Procedure"],"type":"reference","expression":"Procedure.subject.where(resolve() is Patient)","xpath":"f:Procedure/f:subject","xpathUsage":"normal","target":["Patient","Group"],"multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","type","identifier"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-procedure-status.json b/resources/uscore_v3.0.1/SearchParameter-us-core-procedure-status.json
new file mode 100644
index 000000000..34a22f426
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-procedure-status.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-procedure-status","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>SearchParameter: USCoreProcedureStatus</h2><p><b> description</b> : preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown<br/>\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br/>\n - multipleAnd<br/>\n - multipleOr<br/>\n - modifier<br/>\n - comparator<br/>\n - chain<br/>\n </p><br/><p><b> id</b> us-core-procedure-status</p><p><b> url</b> : <b> http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-status</b>\n\t\t\t</p><p><b> version</b> : 4.1.0</p><p><b> name</b> : USCoreProcedureStatus</p><p><b> derivedFrom</b> : http://hl7.org/fhir/SearchParameter/Procedure-status\n\t\t\t</p><p><b> status</b> : active</p><p><b> experimental</b>  False</p><p><b> date</b> : 2019-08-26</p><p><b> publisher</b> : HL7 International - US Realm Steering Committee</p><p><b> contact</b> : http://www.hl7.org/Special/committees/usrealm/index.cfm</p><p><b> useContext</b> : </p><p><b> jurisdiction</b> : United States of America (the) <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United\n           States of America (the)'})</span>\n\t\t\t</p>  <!-- <p>\n\t\t<b> purpose</b> : Need to search by identifier for various infrastructural cases - mainly retrieving packages,\n         and matching as part of a chain</p> --><p><b> code</b> : <code>status</code>\n\t\t\t</p><p><b> base</b> :Procedure</p><p><b> type</b> : token</p><p><b> expression</b> : <code>Procedure.status</code>\n\t\t\t</p><p><b> xpath</b> : <code>f:Procedure/f:status</code>\n\t\t\t</p><p><b> xpathUsage</b> : normal</p><p><b> mulitpleOr</b> : True   (Conformance Expectation = SHALL)</p><p><b> mulitpleAnd</b> : True  ( Conformance Expectation = MAY)</p><p><b> modifier</b> : <code>missing</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>text</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>not-in</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>below</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>above</code>  (Conformance Expectation =  MAY)</p><p><b> modifier</b> : <code>ofType</code>  (Conformance Expectation =  MAY)</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-status","version":"3.0.1","name":"USCoreProcedureStatus","derivedFrom":"http://hl7.org/fhir/SearchParameter/Procedure-status","status":"active","experimental":false,"date":"2019-08-26T20:15:53+00:00","publisher":"HL7 International - US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown<br />\n<em>NOTE</em>: This US Core SearchParameter definition extends the usage context of\n<a href=\"http://hl7.org/fhir/R4/extension-capabilitystatement-expectation.html\">capabilitystatement-expectation</a>\n extension to formally express implementer expectations for these elements:<br />\n - multipleAnd<br />\n - multipleOr<br />\n - modifier<br />\n - comparator<br />\n - chain<br />\n ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"status","base":["Procedure"],"type":"token","expression":"Procedure.status","xpath":"f:Procedure/f:status","xpathUsage":"normal","multipleOr":true,"_multipleOr":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}]},"multipleAnd":true,"_multipleAnd":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},"modifier":["missing","text","not","in","not-in","below","above","ofType"],"_modifier":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}]}]}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/SearchParameter-us-core-race.json b/resources/uscore_v3.0.1/SearchParameter-us-core-race.json
new file mode 100644
index 000000000..b6fa4fa36
--- /dev/null
+++ b/resources/uscore_v3.0.1/SearchParameter-us-core-race.json
@@ -0,0 +1 @@
+{"resourceType":"SearchParameter","id":"us-core-race","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: us-core-race</p><p><b>url</b>: <a href=\"http://hl7.org/fhir/us/core/SearchParameter/us-core-race\">http://hl7.org/fhir/us/core/SearchParameter/us-core-race</a></p><p><b>name</b>: USCoreRace</p><p><b>status</b>: active</p><p><b>date</b>: May 21, 2019, 12:00:00 AM</p><p><b>publisher</b>: US Realm Steering Committee</p><p><b>contact</b>: </p><p><b>description</b>: Returns patients with a race extension matching the specified code.</p><p><b>jurisdiction</b>: United States of America <span style=\"background: LightGoldenRodYellow\">(Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})</span></p><p><b>code</b>: race</p><p><b>base</b>: Patient</p><p><b>type</b>: token</p><p><b>expression</b>: Patient.extension.where(url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race').extension.value.code</p><p><b>xpath</b>: f:Patient/f:extension[@url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-race']/f:extension/f:valueCoding/f:code/@value</p><p><b>xpathUsage</b>: normal</p></div>"},"url":"http://hl7.org/fhir/us/core/SearchParameter/us-core-race","name":"USCoreRace","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://www.healthit.gov/"}]}],"description":"Returns patients with a race extension matching the specified code.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"code":"race","base":["Patient"],"type":"token","expression":"Patient.extension.where(url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race').extension.value.code","xpath":"f:Patient/f:extension[@url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-race']/f:extension/f:valueCoding/f:code/@value","xpathUsage":"normal"}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-pediatric-bmi-for-age.json b/resources/uscore_v3.0.1/StructureDefinition-pediatric-bmi-for-age.json
new file mode 100644
index 000000000..fe9947884
--- /dev/null
+++ b/resources/uscore_v3.0.1/StructureDefinition-pediatric-bmi-for-age.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"pediatric-bmi-for-age","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-pediatric-bmi-for-age-definitions.html#Observation\" title=\"This profile defines how to represent BMI percentile per age and sex for youth 2-20 observations in FHIR using a standard LOINC code and UCUM units of measure.\">Observation</a><a name=\"Observation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-pediatric-bmi-for-age-definitions.html#Observation.code\">code</a><a name=\"Observation.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">BMI percentile per age and sex for youth 2-20<br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"http://hl7.org/fhir/R4/loinc.html\">http://loinc.org</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">59576-9</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-pediatric-bmi-for-age-definitions.html#Observation.valueQuantity\">valueQuantity</a><a name=\"Observation.valueQuantity\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#Quantity\">Quantity</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-pediatric-bmi-for-age-definitions.html#Observation.valueQuantity.value\">value</a><a name=\"Observation.valueQuantity.value\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-pediatric-bmi-for-age-definitions.html#Observation.valueQuantity.unit\">unit</a><a name=\"Observation.valueQuantity.unit\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-pediatric-bmi-for-age-definitions.html#Observation.valueQuantity.system\">system</a><a name=\"Observation.valueQuantity.system\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"http://hl7.org/fhir/R4/ucum.html\">http://unitsofmeasure.org</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-pediatric-bmi-for-age-definitions.html#Observation.valueQuantity.code\">code</a><a name=\"Observation.valueQuantity.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Coded responses from the common UCUM units for vital signs value set.<br/><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">%</span></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age","name":"USCorePediatricBMIforAgeObservationProfile","title":"US Core Pediatric BMI for Age Observation Profile","status":"active","experimental":false,"date":"2019-08-31T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the Observation resource for use in querying and retrieving pediatric BMI observations.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"sct-concept","uri":"http://snomed.info/conceptdomain","name":"SNOMED CT Concept Domain Binding"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"sct-attr","uri":"http://snomed.org/attributebinding","name":"SNOMED CT Attribute Binding"}],"kind":"resource","abstract":false,"type":"Observation","baseDefinition":"http://hl7.org/fhir/StructureDefinition/vitalsigns","derivation":"constraint","snapshot":{"element":[{"id":"Observation","path":"Observation","short":"FHIR Vital Signs Profile","definition":"This profile defines how to represent BMI percentile per age and sex for youth 2-20 observations in FHIR using a standard LOINC code and UCUM units of measure.","comment":"Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc.","alias":["Vital Signs","Measurement","Results","Tests"],"min":0,"max":"*","base":{"path":"Observation","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.div.exists()","xpath":"exists(f:text/h:div)","source":"DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"DomainResource"},{"key":"obs-7","severity":"error","human":"If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present","expression":"value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()","xpath":"not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))","source":"Observation"},{"key":"obs-6","severity":"error","human":"dataAbsentReason SHALL only be present if Observation.value[x] is not present","expression":"dataAbsentReason.empty() or value.empty()","xpath":"not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))","source":"Observation"},{"key":"vs-2","severity":"error","human":"If there is no component or hasMember element then either a value[x] or a data absent reason must be present.","expression":"(component.empty() and hasMember.empty()) implies (dataAbsentReason or value)","xpath":"f:component or f:memberOF or f:*[starts-with(local-name(.), 'value')] or f:dataAbsentReason","source":"Observation"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"sct-concept","map":"< 363787002 |Observable entity|"},{"identity":"v2","map":"OBX"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.id","path":"Observation.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"code":"id"}],"isModifier":false,"isSummary":true},{"id":"Observation.meta","path":"Observation.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"isModifier":false,"isSummary":true},{"id":"Observation.implicitRules","path":"Observation.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Observation.language","path":"Observation.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"Observation.text","path":"Observation.text","short":"Text summary of the resource, for human interpretation","definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Observation.contained","path":"Observation.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.extension","path":"Observation.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.modifierExtension","path":"Observation.modifierExtension","short":"Extensions that cannot be ignored","definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.identifier","path":"Observation.identifier","short":"Business Identifier for observation","definition":"A unique identifier assigned to this observation.","requirements":"Allows observations to be distinguished and referenced.","min":0,"max":"*","base":{"path":"Observation.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"OBX.21  For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4."},{"identity":"rim","map":"id"}]},{"id":"Observation.basedOn","path":"Observation.basedOn","short":"Fulfills plan, proposal or order","definition":"A plan, proposal or order that is fulfilled in whole or in part by this event.  For example, a MedicationRequest may require a patient to have laboratory test performed before  it is dispensed.","requirements":"Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.","alias":["Fulfills"],"min":0,"max":"*","base":{"path":"Observation.basedOn","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan","http://hl7.org/fhir/StructureDefinition/DeviceRequest","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation","http://hl7.org/fhir/StructureDefinition/MedicationRequest","http://hl7.org/fhir/StructureDefinition/NutritionOrder","http://hl7.org/fhir/StructureDefinition/ServiceRequest"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.basedOn"},{"identity":"v2","map":"ORC"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"}]},{"id":"Observation.partOf","path":"Observation.partOf","short":"Part of referenced event","definition":"A larger event of which this particular Observation is a component or step.  For example,  an observation as part of a procedure.","comment":"To link an Observation to an Encounter use `encounter`.  See the  [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below for guidance on referencing another Observation.","alias":["Container"],"min":0,"max":"*","base":{"path":"Observation.partOf","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationAdministration","http://hl7.org/fhir/StructureDefinition/MedicationDispense","http://hl7.org/fhir/StructureDefinition/MedicationStatement","http://hl7.org/fhir/StructureDefinition/Procedure","http://hl7.org/fhir/StructureDefinition/Immunization","http://hl7.org/fhir/StructureDefinition/ImagingStudy"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.partOf"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target"}]},{"id":"Observation.status","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"default: final"}],"path":"Observation.status","short":"registered | preliminary | final | amended +","definition":"The status of the result value.","comment":"This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","requirements":"Need to track the status of individual results. Some results are finalized before the whole report is finalized.","min":1,"max":"1","base":{"path":"Observation.status","min":1,"max":"1"},"type":[{"code":"code"}],"mustSupport":true,"isModifier":true,"isModifierReason":"This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Status"}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/observation-status|4.0.0"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"sct-concept","map":"< 445584004 |Report by finality status|"},{"identity":"v2","map":"OBX-11"},{"identity":"rim","map":"status  Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\""}]},{"id":"Observation.category","path":"Observation.category","slicing":{"discriminator":[{"type":"value","path":"coding.code"},{"type":"value","path":"coding.system"}],"ordered":false,"rules":"open"},"short":"Classification of  type of observation","definition":"A code that classifies the general type of observation being made.","comment":"In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once.  The level of granularity is defined by the category concepts in the value set.","requirements":"Used for filtering what observations are retrieved and displayed.","min":1,"max":"*","base":{"path":"Observation.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCategory"}],"strength":"preferred","description":"Codes for high level observation categories.","valueSet":"http://hl7.org/fhir/ValueSet/observation-category"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"}]},{"id":"Observation.category:VSCat","path":"Observation.category","sliceName":"VSCat","short":"Classification of  type of observation","definition":"A code that classifies the general type of observation being made.","comment":"In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once.  The level of granularity is defined by the category concepts in the value set.","requirements":"Used for filtering what observations are retrieved and displayed.","min":1,"max":"1","base":{"path":"Observation.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCategory"}],"strength":"preferred","description":"Codes for high level observation categories.","valueSet":"http://hl7.org/fhir/ValueSet/observation-category"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"}]},{"id":"Observation.category:VSCat.id","path":"Observation.category.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.category:VSCat.extension","path":"Observation.category.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.category:VSCat.coding","path":"Observation.category.coding","short":"Code defined by a terminology system","definition":"A reference to a code defined by a terminology system.","comment":"Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","requirements":"Allows for alternative encodings within a code system, and translations to other code systems.","min":1,"max":"*","base":{"path":"CodeableConcept.coding","min":0,"max":"*"},"type":[{"code":"Coding"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.1-8, C*E.10-22"},{"identity":"rim","map":"union(., ./translation)"},{"identity":"orim","map":"fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"}]},{"id":"Observation.category:VSCat.coding.id","path":"Observation.category.coding.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.category:VSCat.coding.extension","path":"Observation.category.coding.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.category:VSCat.coding.system","path":"Observation.category.coding.system","short":"Identity of the terminology system","definition":"The identification of the code system that defines the meaning of the symbol in the code.","comment":"The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.","requirements":"Need to be unambiguous about the source of the definition of the symbol.","min":1,"max":"1","base":{"path":"Coding.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"http://terminology.hl7.org/CodeSystem/observation-category","mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.3"},{"identity":"rim","map":"./codeSystem"},{"identity":"orim","map":"fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"}]},{"id":"Observation.category:VSCat.coding.version","path":"Observation.category.coding.version","short":"Version of the system - if relevant","definition":"The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","comment":"Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","min":0,"max":"1","base":{"path":"Coding.version","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.7"},{"identity":"rim","map":"./codeSystemVersion"},{"identity":"orim","map":"fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"}]},{"id":"Observation.category:VSCat.coding.code","path":"Observation.category.coding.code","short":"Symbol in syntax defined by the system","definition":"A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","requirements":"Need to refer to a particular code in the system.","min":1,"max":"1","base":{"path":"Coding.code","min":0,"max":"1"},"type":[{"code":"code"}],"fixedCode":"vital-signs","mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.1"},{"identity":"rim","map":"./code"},{"identity":"orim","map":"fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"}]},{"id":"Observation.category:VSCat.coding.display","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Observation.category.coding.display","short":"Representation defined by the system","definition":"A representation of the meaning of the code in the system, following the rules of the system.","requirements":"Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","min":0,"max":"1","base":{"path":"Coding.display","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.2 - but note this is not well followed"},{"identity":"rim","map":"CV.displayName"},{"identity":"orim","map":"fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"}]},{"id":"Observation.category:VSCat.coding.userSelected","path":"Observation.category.coding.userSelected","short":"If this coding was chosen directly by the user","definition":"Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).","comment":"Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","requirements":"This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","min":0,"max":"1","base":{"path":"Coding.userSelected","min":0,"max":"1"},"type":[{"code":"boolean"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Sometimes implied by being first"},{"identity":"rim","map":"CD.codingRationale"},{"identity":"orim","map":"fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]"}]},{"id":"Observation.category:VSCat.text","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Observation.category.text","short":"Plain text representation of the concept","definition":"A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","comment":"Very often the text is the same as a displayName of one of the codings.","requirements":"The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","min":0,"max":"1","base":{"path":"CodeableConcept.text","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.9. But note many systems use C*E.2 for this"},{"identity":"rim","map":"./originalText[mediaType/code=\"text/plain\"]/data"},{"identity":"orim","map":"fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"}]},{"id":"Observation.code","path":"Observation.code","short":"BMI percentile per age and sex for youth 2-20","definition":"Coded Responses from C-CDA Vital Sign Results.","comment":"additional codes that translate or map to this code are allowed.  For example a more granular LOINC code or code that is used locally in a system.","requirements":"5. SHALL contain exactly one [1..1] code, where the @code SHOULD be selected from ValueSet HITSP Vital Sign Result Type 2.16.840.1.113883.3.88.12.80.62 DYNAMIC (CONF:7301).","alias":["Name","Test"],"min":1,"max":"1","base":{"path":"Observation.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"59576-9"}]},"mustSupport":false,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSigns"}],"strength":"extensible","description":"This identifies the vital sign result type.","valueSet":"http://hl7.org/fhir/ValueSet/observation-vitalsignresult"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"},{"identity":"sct-attr","map":"116680003 |Is a|"}]},{"id":"Observation.subject","path":"Observation.subject","short":"Who and/or what the observation is about","definition":"The patient, or group of patients, location, or device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.","comment":"One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.","requirements":"Observations have no value if you don't know who or what they're about.","min":1,"max":"1","base":{"path":"Observation.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":"participation[typeCode=RTGT] "},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.focus","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"trial-use"}],"path":"Observation.focus","short":"What the observation is about, when it is not about the subject of record","definition":"The actual focus of an observation when it is not the patient of record representing something or someone associated with the patient such as a spouse, parent, fetus, or donor. For example, fetus observations in a mother's record.  The focus of an observation could also be an existing condition,  an intervention, the subject's diet,  another observation of the subject,  or a body structure such as tumor or implanted device.   An example use case would be using the Observation resource to capture whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus.","comment":"Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., \"Blood Glucose\") and does not need to be represented separately using this element.  Use `specimen` if a reference to a specimen is required.  If a code is required instead of a resource use either  `bodysite` for bodysites or the standard extension [focusCode](http://hl7.org/fhir/R4/extension-observation-focuscode.html).","min":0,"max":"*","base":{"path":"Observation.focus","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"participation[typeCode=SBJ]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.encounter","path":"Observation.encounter","short":"Healthcare event during which this observation is made","definition":"The healthcare event  (e.g. a patient and healthcare provider interaction) during which this observation is made.","comment":"This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).","requirements":"For some observations it may be important to know the link between an observation and a particular encounter.","alias":["Context"],"min":0,"max":"1","base":{"path":"Observation.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1"},{"identity":"rim","map":"inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"}]},{"id":"Observation.effective[x]","path":"Observation.effective[x]","short":"Often just a dateTime for Vital Signs","definition":"Often just a dateTime for Vital Signs.","comment":"At least a date should be present unless this observation is a historical report.  For recording imprecise or \"fuzzy\" times (For example, a blood glucose measurement taken \"after breakfast\") use the [Timing](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.","requirements":"Knowing when an observation was deemed true is important to its relevance as well as determining trends.","alias":["Occurrence"],"min":1,"max":"1","base":{"path":"Observation.effective[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"}],"constraint":[{"key":"vs-1","severity":"error","human":"if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day","expression":"($this as dateTime).toString().length() >= 8","xpath":"f:effectiveDateTime[matches(@value, '^\\d{4}-\\d{2}-\\d{2}')]"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"OBX-14, and/or OBX-19 after v2.4  (depends on who observation made)"},{"identity":"rim","map":"effectiveTime"}]},{"id":"Observation.issued","path":"Observation.issued","short":"Date/Time this version was made available","definition":"The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified.","comment":"For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](http://hl7.org/fhir/R4/resource-definitions.html#Meta.lastUpdated) time of the resource itself.  For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.","min":0,"max":"1","base":{"path":"Observation.issued","min":0,"max":"1"},"type":[{"code":"instant"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"v2","map":"OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"},{"identity":"rim","map":"participation[typeCode=AUT].time"}]},{"id":"Observation.performer","path":"Observation.performer","short":"Who is responsible for the observation","definition":"Who was responsible for asserting the observed value as \"true\".","requirements":"May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.","min":0,"max":"*","base":{"path":"Observation.performer","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/CareTeam","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"OBX.15 / (Practitioner)  OBX-16,  PRT-5:PRT-4='RO' /  (Device)  OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization)  OBX-23,  PRT-8:PRT-4='PO'"},{"identity":"rim","map":"participation[typeCode=PRF]"}]},{"id":"Observation.value[x]","path":"Observation.value[x]","slicing":{"discriminator":[{"type":"type","path":"$this"}],"ordered":false,"rules":"closed"},"short":"Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.","definition":"Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.","comment":"An observation may have; 1)  a single value here, 2)  both a value and a set of related or component values,  or 3)  only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code.  A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.  For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"9. SHALL contain exactly one [1..1] value with @xsi:type=\"PQ\" (CONF:7305).","min":0,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"}],"condition":["obs-7"],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"< 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.value[x]:valueQuantity","path":"Observation.value[x]","sliceName":"valueQuantity","short":"Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.","definition":"Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.","comment":"An observation may have; 1)  a single value here, 2)  both a value and a set of related or component values,  or 3)  only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code.  A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.  For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"9. SHALL contain exactly one [1..1] value with @xsi:type=\"PQ\" (CONF:7305).","min":1,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"}],"condition":["obs-7"],"mustSupport":false,"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"< 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.value[x]:valueQuantity.id","path":"Observation.value[x].id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.value[x]:valueQuantity.extension","path":"Observation.value[x].extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.value[x]:valueQuantity.value","path":"Observation.value[x].value","short":"Numerical value (with implicit precision)","definition":"The value of the measured amount. The value includes an implicit precision in the presentation of the value.","comment":"The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).","requirements":"Precision is handled implicitly in almost all cases of measurement.","min":1,"max":"1","base":{"path":"Quantity.value","min":0,"max":"1"},"type":[{"code":"decimal"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"SN.2  / CQ - N/A"},{"identity":"rim","map":"PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"}]},{"id":"Observation.value[x]:valueQuantity.comparator","path":"Observation.value[x].comparator","short":"< | <= | >= | > - how to understand the value","definition":"How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is \"<\" , then the real value is < stated value.","requirements":"Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","min":0,"max":"1","base":{"path":"Quantity.comparator","min":0,"max":"1"},"type":[{"code":"code"}],"meaningWhenMissing":"If there is no comparator, then there is no modification of the value","isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"QuantityComparator"}],"strength":"required","description":"How the Quantity should be understood and represented.","valueSet":"http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.0"},"mapping":[{"identity":"v2","map":"SN.1  / CQ.1"},{"identity":"rim","map":"IVL properties"}]},{"id":"Observation.value[x]:valueQuantity.unit","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Observation.value[x].unit","short":"Unit representation","definition":"A human-readable form of the unit.","requirements":"There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","min":1,"max":"1","base":{"path":"Quantity.unit","min":0,"max":"1"},"type":[{"code":"string"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"PQ.unit"}]},{"id":"Observation.value[x]:valueQuantity.system","path":"Observation.value[x].system","short":"System that defines coded unit form","definition":"The identification of the system that provides the coded form of the unit.","requirements":"Need to know the system that defines the coded form of the unit.","min":1,"max":"1","base":{"path":"Quantity.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"http://unitsofmeasure.org","condition":["qty-3"],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"CO.codeSystem, PQ.translation.codeSystem"}]},{"id":"Observation.value[x]:valueQuantity.code","path":"Observation.value[x].code","short":"Coded responses from the common UCUM units for vital signs value set.","definition":"A computer processable form of the unit in some unit representation system.","comment":"The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency.  The context of use may additionally require a code from a particular system.","requirements":"Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.","min":1,"max":"1","base":{"path":"Quantity.code","min":0,"max":"1"},"type":[{"code":"code"}],"fixedCode":"%","mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"PQ.code, MO.currency, PQ.translation.code"}]},{"id":"Observation.dataAbsentReason","path":"Observation.dataAbsentReason","short":"Why the result is missing","definition":"Provides a reason why the expected value in the element Observation.value[x] is missing.","comment":"Null or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  \"detected\", \"not detected\", \"inconclusive\", or  \"specimen unsatisfactory\".   \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0.  Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.interpretation","path":"Observation.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value.  For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ),  its use extends to other use cases where coded interpretations  are relevant.  Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.note","path":"Observation.note","short":"Comments about the observation","definition":"Comments about the observation or the results.","comment":"May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.","requirements":"Need to be able to provide free text additional information.","min":0,"max":"*","base":{"path":"Observation.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"},{"identity":"rim","map":"subjectOf.observationEvent[code=\"annotation\"].value"}]},{"id":"Observation.bodySite","path":"Observation.bodySite","short":"Observed body part","definition":"Indicates the site on the subject's body where the observation was made (i.e. the target site).","comment":"Only used if not implicit in code found in Observation.code.  In many systems, this may be represented as a related observation instead of an inline component.   \n\nIf the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).","min":0,"max":"1","base":{"path":"Observation.bodySite","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"example","description":"Codes describing anatomical locations. May include laterality.","valueSet":"http://hl7.org/fhir/ValueSet/body-site"},"mapping":[{"identity":"sct-concept","map":"< 123037004 |Body structure|"},{"identity":"v2","map":"OBX-20"},{"identity":"rim","map":"targetSiteCode"},{"identity":"sct-attr","map":"718497002 |Inherent location|"}]},{"id":"Observation.method","path":"Observation.method","short":"How it was done","definition":"Indicates the mechanism used to perform the observation.","comment":"Only used if not implicit in code for Observation.code.","requirements":"In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.","min":0,"max":"1","base":{"path":"Observation.method","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationMethod"}],"strength":"example","description":"Methods for simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-methods"},"mapping":[{"identity":"v2","map":"OBX-17"},{"identity":"rim","map":"methodCode"}]},{"id":"Observation.specimen","path":"Observation.specimen","short":"Specimen used for this observation","definition":"The specimen that was used when this observation was made.","comment":"Should only be used if not implicit in code found in `Observation.code`.  Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).","min":0,"max":"1","base":{"path":"Observation.specimen","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Specimen"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 123038009 |Specimen|"},{"identity":"v2","map":"SPM segment"},{"identity":"rim","map":"participation[typeCode=SPC].specimen"},{"identity":"sct-attr","map":"704319004 |Inherent in|"}]},{"id":"Observation.device","path":"Observation.device","short":"(Measurement) Device","definition":"The device used to generate the observation data.","comment":"Note that this is not meant to represent a device involved in the transmission of the result, e.g., a gateway.  Such devices may be documented using the Provenance resource where relevant.","min":0,"max":"1","base":{"path":"Observation.device","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/DeviceMetric"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 49062001 |Device|"},{"identity":"v2","map":"OBX-17 / PRT -10"},{"identity":"rim","map":"participation[typeCode=DEV]"},{"identity":"sct-attr","map":"424226004 |Using device|"}]},{"id":"Observation.referenceRange","path":"Observation.referenceRange","short":"Provides guide for interpretation","definition":"Guidance on how to interpret the value by comparison to a normal or recommended range.  Multiple reference ranges are interpreted as an \"OR\".   In other words, to represent two distinct target populations, two `referenceRange` elements would be used.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.referenceRange","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"},{"key":"obs-3","severity":"error","human":"Must have at least a low or a high or text","expression":"low.exists() or high.exists() or text.exists()","xpath":"(exists(f:low) or exists(f:high)or exists(f:text))"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.referenceRange.id","path":"Observation.referenceRange.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.extension","path":"Observation.referenceRange.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.modifierExtension","path":"Observation.referenceRange.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.referenceRange.low","path":"Observation.referenceRange.low","short":"Low Range, if relevant","definition":"The value of the low bound of the reference range.  The low bound of the reference range endpoint is inclusive of the value (e.g.  reference range is >=5 - <=9). If the low bound is omitted,  it is assumed to be meaningless (e.g. reference range is <=2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.low","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"condition":["obs-3"],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.low"}]},{"id":"Observation.referenceRange.high","path":"Observation.referenceRange.high","short":"High Range, if relevant","definition":"The value of the high bound of the reference range.  The high bound of the reference range endpoint is inclusive of the value (e.g.  reference range is >=5 - <=9). If the high bound is omitted,  it is assumed to be meaningless (e.g. reference range is >= 2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.high","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"condition":["obs-3"],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.high"}]},{"id":"Observation.referenceRange.type","path":"Observation.referenceRange.type","short":"Reference range qualifier","definition":"Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.","comment":"This SHOULD be populated if there is more than one range.  If this element is not present then the normal range is assumed.","requirements":"Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc.,  - for proper interpretation.","min":0,"max":"1","base":{"path":"Observation.referenceRange.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeMeaning"}],"strength":"preferred","description":"Code for the meaning of a reference range.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-meaning"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR  \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR  \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.appliesTo","path":"Observation.referenceRange.appliesTo","short":"Reference range population","definition":"Codes to indicate the target population this reference range applies to.  For example, a reference range may be based on the normal population or a particular sex or race.  Multiple `appliesTo`  are interpreted as an \"AND\" of the target populations.  For example, to represent a target population of African American females, both a code of female and a code for African American would be used.","comment":"This SHOULD be populated if there is more than one range.  If this element is not present then the normal population is assumed.","requirements":"Need to be able to identify the target population for proper interpretation.","min":0,"max":"*","base":{"path":"Observation.referenceRange.appliesTo","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeType"}],"strength":"example","description":"Codes identifying the population the reference range applies to.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-appliesto"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR  \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR  \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.age","path":"Observation.referenceRange.age","short":"Applicable age range, if relevant","definition":"The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so.","requirements":"Some analytes vary greatly over age.","min":0,"max":"1","base":{"path":"Observation.referenceRange.age","min":0,"max":"1"},"type":[{"code":"Range"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value"}]},{"id":"Observation.referenceRange.text","path":"Observation.referenceRange.text","short":"Text based reference range in an observation","definition":"Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation.  An example would be a reference value of \"Negative\" or a list or table of \"normals\".","min":0,"max":"1","base":{"path":"Observation.referenceRange.text","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:ST"}]},{"id":"Observation.hasMember","path":"Observation.hasMember","short":"Used when reporting vital signs panel components","definition":"Used when reporting vital signs panel components.","comment":"When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases.  For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below.  Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html)  into a final score and represent the score as an Observation.","min":0,"max":"*","base":{"path":"Observation.hasMember","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse","http://hl7.org/fhir/StructureDefinition/MolecularSequence","http://hl7.org/fhir/StructureDefinition/vitalsigns"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":"outBoundRelationship"}]},{"id":"Observation.derivedFrom","path":"Observation.derivedFrom","short":"Related measurements the observation is made from","definition":"The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.","comment":"All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value.  The most common reference will be another Observation.  For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below.","min":0,"max":"*","base":{"path":"Observation.derivedFrom","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DocumentReference","http://hl7.org/fhir/StructureDefinition/ImagingStudy","http://hl7.org/fhir/StructureDefinition/Media","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse","http://hl7.org/fhir/StructureDefinition/MolecularSequence","http://hl7.org/fhir/StructureDefinition/vitalsigns"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":".targetObservation"}]},{"id":"Observation.component","path":"Observation.component","short":"Used when reporting systolic and diastolic blood pressure.","definition":"Used when reporting systolic and diastolic blood pressure.","comment":"For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable).   However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.","min":0,"max":"*","base":{"path":"Observation.component","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"},{"key":"vs-3","severity":"error","human":"If there is no a value a data absent reason must be present","expression":"value.exists() or dataAbsentReason.exists()","xpath":"f:*[starts-with(local-name(.), 'value')] or f:dataAbsentReason"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"containment by OBX-4?"},{"identity":"rim","map":"outBoundRelationship[typeCode=COMP]"}]},{"id":"Observation.component.id","path":"Observation.component.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.extension","path":"Observation.component.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.modifierExtension","path":"Observation.component.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.component.code","path":"Observation.component.code","short":"Type of component observation (code / type)","definition":"Describes what was observed. Sometimes this is called the observation \"code\".","comment":"*All* code-value and  component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","min":1,"max":"1","base":{"path":"Observation.component.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSigns"}],"strength":"extensible","description":"This identifies the vital sign result type.","valueSet":"http://hl7.org/fhir/ValueSet/observation-vitalsignresult"},"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR \r< 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"}]},{"id":"Observation.component.value[x]","path":"Observation.component.value[x]","short":"Vital Sign Value recorded with UCUM","definition":"Vital Sign Value recorded with UCUM.","comment":"Used when observation has a set of component observations. An observation may have both a value (e.g. an  Apgar score)  and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.  For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"9. SHALL contain exactly one [1..1] value with @xsi:type=\"PQ\" (CONF:7305).","min":0,"max":"1","base":{"path":"Observation.component.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"},{"code":"CodeableConcept"},{"code":"string"},{"code":"boolean"},{"code":"integer"},{"code":"Range"},{"code":"Ratio"},{"code":"SampledData"},{"code":"time"},{"code":"dateTime"},{"code":"Period"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSignsUnits"}],"strength":"required","description":"Common UCUM units for recording Vital Signs.","valueSet":"http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.0"},"mapping":[{"identity":"sct-concept","map":"363714003 |Interprets| < 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.component.dataAbsentReason","path":"Observation.component.dataAbsentReason","short":"Why the component result is missing","definition":"Provides a reason why the expected value in the element Observation.component.value[x] is missing.","comment":"\"Null\" or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  \"detected\", \"not detected\", \"inconclusive\", or  \"test not done\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed.  Because of these options, use-case agreements are required to interpret general observations for exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.component.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.component.interpretation","path":"Observation.component.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value.  For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ),  its use extends to other use cases where coded interpretations  are relevant.  Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.component.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.component.referenceRange","path":"Observation.component.referenceRange","short":"Provides guide for interpretation of component result","definition":"Guidance on how to interpret the value by comparison to a normal or recommended range.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.component.referenceRange","min":0,"max":"*"},"contentReference":"#Observation.referenceRange","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]}]},"differential":{"element":[{"id":"Observation","path":"Observation","definition":"This profile defines how to represent BMI percentile per age and sex for youth 2-20 observations in FHIR using a standard LOINC code and UCUM units of measure.","mustSupport":false},{"id":"Observation.code","path":"Observation.code","short":"BMI percentile per age and sex for youth 2-20","comment":"additional codes that translate or map to this code are allowed.  For example a more granular LOINC code or code that is used locally in a system.","alias":["Test","Name"],"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"59576-9"}]},"mustSupport":false},{"id":"Observation.valueQuantity","path":"Observation.valueQuantity","min":1,"max":"1","mustSupport":false},{"id":"Observation.valueQuantity.value","path":"Observation.valueQuantity.value","min":1,"max":"1","type":[{"code":"decimal"}],"mustSupport":true},{"id":"Observation.valueQuantity.unit","path":"Observation.valueQuantity.unit","min":1,"max":"1","type":[{"code":"string"}],"mustSupport":true},{"id":"Observation.valueQuantity.system","path":"Observation.valueQuantity.system","min":1,"max":"1","type":[{"code":"uri"}],"fixedUri":"http://unitsofmeasure.org","mustSupport":true},{"id":"Observation.valueQuantity.code","path":"Observation.valueQuantity.code","short":"Coded responses from the common UCUM units for vital signs value set.","min":1,"max":"1","type":[{"code":"code"}],"fixedCode":"%","mustSupport":true}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-pediatric-weight-for-height.json b/resources/uscore_v3.0.1/StructureDefinition-pediatric-weight-for-height.json
new file mode 100644
index 000000000..634394941
--- /dev/null
+++ b/resources/uscore_v3.0.1/StructureDefinition-pediatric-weight-for-height.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"pediatric-weight-for-height","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-pediatric-weight-for-height-definitions.html#Observation\" title=\"This profile defines how to represent Weight-for-length per age and gender observations in FHIR using a standard LOINC code and UCUM units of measure.\">Observation</a><a name=\"Observation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-pediatric-weight-for-height-definitions.html#Observation.code\">code</a><a name=\"Observation.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Weight-for-length per age and gender<br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"http://hl7.org/fhir/R4/loinc.html\">http://loinc.org</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">77606-2</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-pediatric-weight-for-height-definitions.html#Observation.valueQuantity\">valueQuantity</a><a name=\"Observation.valueQuantity\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#Quantity\">Quantity</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-pediatric-weight-for-height-definitions.html#Observation.valueQuantity.value\">value</a><a name=\"Observation.valueQuantity.value\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-pediatric-weight-for-height-definitions.html#Observation.valueQuantity.unit\">unit</a><a name=\"Observation.valueQuantity.unit\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-pediatric-weight-for-height-definitions.html#Observation.valueQuantity.system\">system</a><a name=\"Observation.valueQuantity.system\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"http://hl7.org/fhir/R4/ucum.html\">http://unitsofmeasure.org</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-pediatric-weight-for-height-definitions.html#Observation.valueQuantity.code\">code</a><a name=\"Observation.valueQuantity.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Coded responses from the common UCUM units for vital signs value set.<br/><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">%</span></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height","name":"USCorePediatricWeightForHeightObservationProfile","title":"US Core Pediatric Weight for Height Observation Profile","status":"active","experimental":false,"date":"2019-08-31T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the Observation resource for use in querying and retrieving pediatric Weight-for-length per age and gender observations.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"sct-concept","uri":"http://snomed.info/conceptdomain","name":"SNOMED CT Concept Domain Binding"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"sct-attr","uri":"http://snomed.org/attributebinding","name":"SNOMED CT Attribute Binding"}],"kind":"resource","abstract":false,"type":"Observation","baseDefinition":"http://hl7.org/fhir/StructureDefinition/vitalsigns","derivation":"constraint","snapshot":{"element":[{"id":"Observation","path":"Observation","short":"FHIR Vital Signs Profile","definition":"This profile defines how to represent Weight-for-length per age and gender observations in FHIR using a standard LOINC code and UCUM units of measure.","comment":"Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc.","alias":["Vital Signs","Measurement","Results","Tests"],"min":0,"max":"*","base":{"path":"Observation","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.div.exists()","xpath":"exists(f:text/h:div)","source":"DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"DomainResource"},{"key":"obs-7","severity":"error","human":"If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present","expression":"value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()","xpath":"not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))","source":"Observation"},{"key":"obs-6","severity":"error","human":"dataAbsentReason SHALL only be present if Observation.value[x] is not present","expression":"dataAbsentReason.empty() or value.empty()","xpath":"not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))","source":"Observation"},{"key":"vs-2","severity":"error","human":"If there is no component or hasMember element then either a value[x] or a data absent reason must be present.","expression":"(component.empty() and hasMember.empty()) implies (dataAbsentReason or value)","xpath":"f:component or f:memberOF or f:*[starts-with(local-name(.), 'value')] or f:dataAbsentReason","source":"Observation"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"sct-concept","map":"< 363787002 |Observable entity|"},{"identity":"v2","map":"OBX"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.id","path":"Observation.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"code":"id"}],"isModifier":false,"isSummary":true},{"id":"Observation.meta","path":"Observation.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"isModifier":false,"isSummary":true},{"id":"Observation.implicitRules","path":"Observation.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Observation.language","path":"Observation.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"Observation.text","path":"Observation.text","short":"Text summary of the resource, for human interpretation","definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Observation.contained","path":"Observation.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.extension","path":"Observation.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.modifierExtension","path":"Observation.modifierExtension","short":"Extensions that cannot be ignored","definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.identifier","path":"Observation.identifier","short":"Business Identifier for observation","definition":"A unique identifier assigned to this observation.","requirements":"Allows observations to be distinguished and referenced.","min":0,"max":"*","base":{"path":"Observation.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"OBX.21  For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4."},{"identity":"rim","map":"id"}]},{"id":"Observation.basedOn","path":"Observation.basedOn","short":"Fulfills plan, proposal or order","definition":"A plan, proposal or order that is fulfilled in whole or in part by this event.  For example, a MedicationRequest may require a patient to have laboratory test performed before  it is dispensed.","requirements":"Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.","alias":["Fulfills"],"min":0,"max":"*","base":{"path":"Observation.basedOn","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan","http://hl7.org/fhir/StructureDefinition/DeviceRequest","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation","http://hl7.org/fhir/StructureDefinition/MedicationRequest","http://hl7.org/fhir/StructureDefinition/NutritionOrder","http://hl7.org/fhir/StructureDefinition/ServiceRequest"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.basedOn"},{"identity":"v2","map":"ORC"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"}]},{"id":"Observation.partOf","path":"Observation.partOf","short":"Part of referenced event","definition":"A larger event of which this particular Observation is a component or step.  For example,  an observation as part of a procedure.","comment":"To link an Observation to an Encounter use `encounter`.  See the  [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below for guidance on referencing another Observation.","alias":["Container"],"min":0,"max":"*","base":{"path":"Observation.partOf","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationAdministration","http://hl7.org/fhir/StructureDefinition/MedicationDispense","http://hl7.org/fhir/StructureDefinition/MedicationStatement","http://hl7.org/fhir/StructureDefinition/Procedure","http://hl7.org/fhir/StructureDefinition/Immunization","http://hl7.org/fhir/StructureDefinition/ImagingStudy"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.partOf"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target"}]},{"id":"Observation.status","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"default: final"}],"path":"Observation.status","short":"registered | preliminary | final | amended +","definition":"The status of the result value.","comment":"This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","requirements":"Need to track the status of individual results. Some results are finalized before the whole report is finalized.","min":1,"max":"1","base":{"path":"Observation.status","min":1,"max":"1"},"type":[{"code":"code"}],"mustSupport":true,"isModifier":true,"isModifierReason":"This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Status"}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/observation-status|4.0.0"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"sct-concept","map":"< 445584004 |Report by finality status|"},{"identity":"v2","map":"OBX-11"},{"identity":"rim","map":"status  Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\""}]},{"id":"Observation.category","path":"Observation.category","slicing":{"discriminator":[{"type":"value","path":"coding.code"},{"type":"value","path":"coding.system"}],"ordered":false,"rules":"open"},"short":"Classification of  type of observation","definition":"A code that classifies the general type of observation being made.","comment":"In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once.  The level of granularity is defined by the category concepts in the value set.","requirements":"Used for filtering what observations are retrieved and displayed.","min":1,"max":"*","base":{"path":"Observation.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCategory"}],"strength":"preferred","description":"Codes for high level observation categories.","valueSet":"http://hl7.org/fhir/ValueSet/observation-category"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"}]},{"id":"Observation.category:VSCat","path":"Observation.category","sliceName":"VSCat","short":"Classification of  type of observation","definition":"A code that classifies the general type of observation being made.","comment":"In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once.  The level of granularity is defined by the category concepts in the value set.","requirements":"Used for filtering what observations are retrieved and displayed.","min":1,"max":"1","base":{"path":"Observation.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCategory"}],"strength":"preferred","description":"Codes for high level observation categories.","valueSet":"http://hl7.org/fhir/ValueSet/observation-category"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"}]},{"id":"Observation.category:VSCat.id","path":"Observation.category.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.category:VSCat.extension","path":"Observation.category.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.category:VSCat.coding","path":"Observation.category.coding","short":"Code defined by a terminology system","definition":"A reference to a code defined by a terminology system.","comment":"Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","requirements":"Allows for alternative encodings within a code system, and translations to other code systems.","min":1,"max":"*","base":{"path":"CodeableConcept.coding","min":0,"max":"*"},"type":[{"code":"Coding"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.1-8, C*E.10-22"},{"identity":"rim","map":"union(., ./translation)"},{"identity":"orim","map":"fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"}]},{"id":"Observation.category:VSCat.coding.id","path":"Observation.category.coding.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.category:VSCat.coding.extension","path":"Observation.category.coding.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.category:VSCat.coding.system","path":"Observation.category.coding.system","short":"Identity of the terminology system","definition":"The identification of the code system that defines the meaning of the symbol in the code.","comment":"The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.","requirements":"Need to be unambiguous about the source of the definition of the symbol.","min":1,"max":"1","base":{"path":"Coding.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"http://terminology.hl7.org/CodeSystem/observation-category","mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.3"},{"identity":"rim","map":"./codeSystem"},{"identity":"orim","map":"fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"}]},{"id":"Observation.category:VSCat.coding.version","path":"Observation.category.coding.version","short":"Version of the system - if relevant","definition":"The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","comment":"Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","min":0,"max":"1","base":{"path":"Coding.version","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.7"},{"identity":"rim","map":"./codeSystemVersion"},{"identity":"orim","map":"fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"}]},{"id":"Observation.category:VSCat.coding.code","path":"Observation.category.coding.code","short":"Symbol in syntax defined by the system","definition":"A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","requirements":"Need to refer to a particular code in the system.","min":1,"max":"1","base":{"path":"Coding.code","min":0,"max":"1"},"type":[{"code":"code"}],"fixedCode":"vital-signs","mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.1"},{"identity":"rim","map":"./code"},{"identity":"orim","map":"fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"}]},{"id":"Observation.category:VSCat.coding.display","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Observation.category.coding.display","short":"Representation defined by the system","definition":"A representation of the meaning of the code in the system, following the rules of the system.","requirements":"Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","min":0,"max":"1","base":{"path":"Coding.display","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.2 - but note this is not well followed"},{"identity":"rim","map":"CV.displayName"},{"identity":"orim","map":"fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"}]},{"id":"Observation.category:VSCat.coding.userSelected","path":"Observation.category.coding.userSelected","short":"If this coding was chosen directly by the user","definition":"Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).","comment":"Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","requirements":"This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","min":0,"max":"1","base":{"path":"Coding.userSelected","min":0,"max":"1"},"type":[{"code":"boolean"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Sometimes implied by being first"},{"identity":"rim","map":"CD.codingRationale"},{"identity":"orim","map":"fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]"}]},{"id":"Observation.category:VSCat.text","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Observation.category.text","short":"Plain text representation of the concept","definition":"A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","comment":"Very often the text is the same as a displayName of one of the codings.","requirements":"The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","min":0,"max":"1","base":{"path":"CodeableConcept.text","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.9. But note many systems use C*E.2 for this"},{"identity":"rim","map":"./originalText[mediaType/code=\"text/plain\"]/data"},{"identity":"orim","map":"fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"}]},{"id":"Observation.code","path":"Observation.code","short":"Weight-for-length per age and gender","definition":"Coded Responses from C-CDA Vital Sign Results.","comment":"additional codes that translate or map to this code are allowed.  For example a more granular LOINC code or code that is used locally in a system.","requirements":"5. SHALL contain exactly one [1..1] code, where the @code SHOULD be selected from ValueSet HITSP Vital Sign Result Type 2.16.840.1.113883.3.88.12.80.62 DYNAMIC (CONF:7301).","alias":["Name","Test"],"min":1,"max":"1","base":{"path":"Observation.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"77606-2"}]},"mustSupport":false,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSigns"}],"strength":"extensible","description":"This identifies the vital sign result type.","valueSet":"http://hl7.org/fhir/ValueSet/observation-vitalsignresult"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"},{"identity":"sct-attr","map":"116680003 |Is a|"}]},{"id":"Observation.subject","path":"Observation.subject","short":"Who and/or what the observation is about","definition":"The patient, or group of patients, location, or device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.","comment":"One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.","requirements":"Observations have no value if you don't know who or what they're about.","min":1,"max":"1","base":{"path":"Observation.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":"participation[typeCode=RTGT] "},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.focus","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"trial-use"}],"path":"Observation.focus","short":"What the observation is about, when it is not about the subject of record","definition":"The actual focus of an observation when it is not the patient of record representing something or someone associated with the patient such as a spouse, parent, fetus, or donor. For example, fetus observations in a mother's record.  The focus of an observation could also be an existing condition,  an intervention, the subject's diet,  another observation of the subject,  or a body structure such as tumor or implanted device.   An example use case would be using the Observation resource to capture whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus.","comment":"Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., \"Blood Glucose\") and does not need to be represented separately using this element.  Use `specimen` if a reference to a specimen is required.  If a code is required instead of a resource use either  `bodysite` for bodysites or the standard extension [focusCode](http://hl7.org/fhir/R4/extension-observation-focuscode.html).","min":0,"max":"*","base":{"path":"Observation.focus","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"participation[typeCode=SBJ]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.encounter","path":"Observation.encounter","short":"Healthcare event during which this observation is made","definition":"The healthcare event  (e.g. a patient and healthcare provider interaction) during which this observation is made.","comment":"This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).","requirements":"For some observations it may be important to know the link between an observation and a particular encounter.","alias":["Context"],"min":0,"max":"1","base":{"path":"Observation.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1"},{"identity":"rim","map":"inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"}]},{"id":"Observation.effective[x]","path":"Observation.effective[x]","short":"Often just a dateTime for Vital Signs","definition":"Often just a dateTime for Vital Signs.","comment":"At least a date should be present unless this observation is a historical report.  For recording imprecise or \"fuzzy\" times (For example, a blood glucose measurement taken \"after breakfast\") use the [Timing](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.","requirements":"Knowing when an observation was deemed true is important to its relevance as well as determining trends.","alias":["Occurrence"],"min":1,"max":"1","base":{"path":"Observation.effective[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"}],"constraint":[{"key":"vs-1","severity":"error","human":"if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day","expression":"($this as dateTime).toString().length() >= 8","xpath":"f:effectiveDateTime[matches(@value, '^\\d{4}-\\d{2}-\\d{2}')]"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"OBX-14, and/or OBX-19 after v2.4  (depends on who observation made)"},{"identity":"rim","map":"effectiveTime"}]},{"id":"Observation.issued","path":"Observation.issued","short":"Date/Time this version was made available","definition":"The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified.","comment":"For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](http://hl7.org/fhir/R4/resource-definitions.html#Meta.lastUpdated) time of the resource itself.  For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.","min":0,"max":"1","base":{"path":"Observation.issued","min":0,"max":"1"},"type":[{"code":"instant"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"v2","map":"OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"},{"identity":"rim","map":"participation[typeCode=AUT].time"}]},{"id":"Observation.performer","path":"Observation.performer","short":"Who is responsible for the observation","definition":"Who was responsible for asserting the observed value as \"true\".","requirements":"May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.","min":0,"max":"*","base":{"path":"Observation.performer","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/CareTeam","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"OBX.15 / (Practitioner)  OBX-16,  PRT-5:PRT-4='RO' /  (Device)  OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization)  OBX-23,  PRT-8:PRT-4='PO'"},{"identity":"rim","map":"participation[typeCode=PRF]"}]},{"id":"Observation.value[x]","path":"Observation.value[x]","slicing":{"discriminator":[{"type":"type","path":"$this"}],"ordered":false,"rules":"closed"},"short":"Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.","definition":"Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.","comment":"An observation may have; 1)  a single value here, 2)  both a value and a set of related or component values,  or 3)  only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code.  A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.  For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"9. SHALL contain exactly one [1..1] value with @xsi:type=\"PQ\" (CONF:7305).","min":0,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"}],"condition":["obs-7"],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"< 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.value[x]:valueQuantity","path":"Observation.value[x]","sliceName":"valueQuantity","short":"Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.","definition":"Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.","comment":"An observation may have; 1)  a single value here, 2)  both a value and a set of related or component values,  or 3)  only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code.  A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.  For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"9. SHALL contain exactly one [1..1] value with @xsi:type=\"PQ\" (CONF:7305).","min":1,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"}],"condition":["obs-7"],"mustSupport":false,"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"< 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.value[x]:valueQuantity.id","path":"Observation.value[x].id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.value[x]:valueQuantity.extension","path":"Observation.value[x].extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.value[x]:valueQuantity.value","path":"Observation.value[x].value","short":"Numerical value (with implicit precision)","definition":"The value of the measured amount. The value includes an implicit precision in the presentation of the value.","comment":"The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).","requirements":"Precision is handled implicitly in almost all cases of measurement.","min":1,"max":"1","base":{"path":"Quantity.value","min":0,"max":"1"},"type":[{"code":"decimal"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"SN.2  / CQ - N/A"},{"identity":"rim","map":"PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"}]},{"id":"Observation.value[x]:valueQuantity.comparator","path":"Observation.value[x].comparator","short":"< | <= | >= | > - how to understand the value","definition":"How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is \"<\" , then the real value is < stated value.","requirements":"Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","min":0,"max":"1","base":{"path":"Quantity.comparator","min":0,"max":"1"},"type":[{"code":"code"}],"meaningWhenMissing":"If there is no comparator, then there is no modification of the value","isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"QuantityComparator"}],"strength":"required","description":"How the Quantity should be understood and represented.","valueSet":"http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.0"},"mapping":[{"identity":"v2","map":"SN.1  / CQ.1"},{"identity":"rim","map":"IVL properties"}]},{"id":"Observation.value[x]:valueQuantity.unit","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Observation.value[x].unit","short":"Unit representation","definition":"A human-readable form of the unit.","requirements":"There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","min":1,"max":"1","base":{"path":"Quantity.unit","min":0,"max":"1"},"type":[{"code":"string"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"PQ.unit"}]},{"id":"Observation.value[x]:valueQuantity.system","path":"Observation.value[x].system","short":"System that defines coded unit form","definition":"The identification of the system that provides the coded form of the unit.","requirements":"Need to know the system that defines the coded form of the unit.","min":1,"max":"1","base":{"path":"Quantity.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"http://unitsofmeasure.org","condition":["qty-3"],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"CO.codeSystem, PQ.translation.codeSystem"}]},{"id":"Observation.value[x]:valueQuantity.code","path":"Observation.value[x].code","short":"Coded responses from the common UCUM units for vital signs value set.","definition":"A computer processable form of the unit in some unit representation system.","comment":"The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency.  The context of use may additionally require a code from a particular system.","requirements":"Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.","min":1,"max":"1","base":{"path":"Quantity.code","min":0,"max":"1"},"type":[{"code":"code"}],"fixedCode":"%","mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"PQ.code, MO.currency, PQ.translation.code"}]},{"id":"Observation.dataAbsentReason","path":"Observation.dataAbsentReason","short":"Why the result is missing","definition":"Provides a reason why the expected value in the element Observation.value[x] is missing.","comment":"Null or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  \"detected\", \"not detected\", \"inconclusive\", or  \"specimen unsatisfactory\".   \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0.  Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.interpretation","path":"Observation.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value.  For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ),  its use extends to other use cases where coded interpretations  are relevant.  Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.note","path":"Observation.note","short":"Comments about the observation","definition":"Comments about the observation or the results.","comment":"May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.","requirements":"Need to be able to provide free text additional information.","min":0,"max":"*","base":{"path":"Observation.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"},{"identity":"rim","map":"subjectOf.observationEvent[code=\"annotation\"].value"}]},{"id":"Observation.bodySite","path":"Observation.bodySite","short":"Observed body part","definition":"Indicates the site on the subject's body where the observation was made (i.e. the target site).","comment":"Only used if not implicit in code found in Observation.code.  In many systems, this may be represented as a related observation instead of an inline component.   \n\nIf the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).","min":0,"max":"1","base":{"path":"Observation.bodySite","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"example","description":"Codes describing anatomical locations. May include laterality.","valueSet":"http://hl7.org/fhir/ValueSet/body-site"},"mapping":[{"identity":"sct-concept","map":"< 123037004 |Body structure|"},{"identity":"v2","map":"OBX-20"},{"identity":"rim","map":"targetSiteCode"},{"identity":"sct-attr","map":"718497002 |Inherent location|"}]},{"id":"Observation.method","path":"Observation.method","short":"How it was done","definition":"Indicates the mechanism used to perform the observation.","comment":"Only used if not implicit in code for Observation.code.","requirements":"In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.","min":0,"max":"1","base":{"path":"Observation.method","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationMethod"}],"strength":"example","description":"Methods for simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-methods"},"mapping":[{"identity":"v2","map":"OBX-17"},{"identity":"rim","map":"methodCode"}]},{"id":"Observation.specimen","path":"Observation.specimen","short":"Specimen used for this observation","definition":"The specimen that was used when this observation was made.","comment":"Should only be used if not implicit in code found in `Observation.code`.  Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).","min":0,"max":"1","base":{"path":"Observation.specimen","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Specimen"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 123038009 |Specimen|"},{"identity":"v2","map":"SPM segment"},{"identity":"rim","map":"participation[typeCode=SPC].specimen"},{"identity":"sct-attr","map":"704319004 |Inherent in|"}]},{"id":"Observation.device","path":"Observation.device","short":"(Measurement) Device","definition":"The device used to generate the observation data.","comment":"Note that this is not meant to represent a device involved in the transmission of the result, e.g., a gateway.  Such devices may be documented using the Provenance resource where relevant.","min":0,"max":"1","base":{"path":"Observation.device","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/DeviceMetric"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 49062001 |Device|"},{"identity":"v2","map":"OBX-17 / PRT -10"},{"identity":"rim","map":"participation[typeCode=DEV]"},{"identity":"sct-attr","map":"424226004 |Using device|"}]},{"id":"Observation.referenceRange","path":"Observation.referenceRange","short":"Provides guide for interpretation","definition":"Guidance on how to interpret the value by comparison to a normal or recommended range.  Multiple reference ranges are interpreted as an \"OR\".   In other words, to represent two distinct target populations, two `referenceRange` elements would be used.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.referenceRange","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"},{"key":"obs-3","severity":"error","human":"Must have at least a low or a high or text","expression":"low.exists() or high.exists() or text.exists()","xpath":"(exists(f:low) or exists(f:high)or exists(f:text))"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.referenceRange.id","path":"Observation.referenceRange.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.extension","path":"Observation.referenceRange.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.modifierExtension","path":"Observation.referenceRange.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.referenceRange.low","path":"Observation.referenceRange.low","short":"Low Range, if relevant","definition":"The value of the low bound of the reference range.  The low bound of the reference range endpoint is inclusive of the value (e.g.  reference range is >=5 - <=9). If the low bound is omitted,  it is assumed to be meaningless (e.g. reference range is <=2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.low","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"condition":["obs-3"],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.low"}]},{"id":"Observation.referenceRange.high","path":"Observation.referenceRange.high","short":"High Range, if relevant","definition":"The value of the high bound of the reference range.  The high bound of the reference range endpoint is inclusive of the value (e.g.  reference range is >=5 - <=9). If the high bound is omitted,  it is assumed to be meaningless (e.g. reference range is >= 2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.high","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"condition":["obs-3"],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.high"}]},{"id":"Observation.referenceRange.type","path":"Observation.referenceRange.type","short":"Reference range qualifier","definition":"Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.","comment":"This SHOULD be populated if there is more than one range.  If this element is not present then the normal range is assumed.","requirements":"Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc.,  - for proper interpretation.","min":0,"max":"1","base":{"path":"Observation.referenceRange.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeMeaning"}],"strength":"preferred","description":"Code for the meaning of a reference range.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-meaning"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR  \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR  \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.appliesTo","path":"Observation.referenceRange.appliesTo","short":"Reference range population","definition":"Codes to indicate the target population this reference range applies to.  For example, a reference range may be based on the normal population or a particular sex or race.  Multiple `appliesTo`  are interpreted as an \"AND\" of the target populations.  For example, to represent a target population of African American females, both a code of female and a code for African American would be used.","comment":"This SHOULD be populated if there is more than one range.  If this element is not present then the normal population is assumed.","requirements":"Need to be able to identify the target population for proper interpretation.","min":0,"max":"*","base":{"path":"Observation.referenceRange.appliesTo","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeType"}],"strength":"example","description":"Codes identifying the population the reference range applies to.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-appliesto"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR  \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR  \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.age","path":"Observation.referenceRange.age","short":"Applicable age range, if relevant","definition":"The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so.","requirements":"Some analytes vary greatly over age.","min":0,"max":"1","base":{"path":"Observation.referenceRange.age","min":0,"max":"1"},"type":[{"code":"Range"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value"}]},{"id":"Observation.referenceRange.text","path":"Observation.referenceRange.text","short":"Text based reference range in an observation","definition":"Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation.  An example would be a reference value of \"Negative\" or a list or table of \"normals\".","min":0,"max":"1","base":{"path":"Observation.referenceRange.text","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:ST"}]},{"id":"Observation.hasMember","path":"Observation.hasMember","short":"Used when reporting vital signs panel components","definition":"Used when reporting vital signs panel components.","comment":"When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases.  For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below.  Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html)  into a final score and represent the score as an Observation.","min":0,"max":"*","base":{"path":"Observation.hasMember","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse","http://hl7.org/fhir/StructureDefinition/MolecularSequence","http://hl7.org/fhir/StructureDefinition/vitalsigns"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":"outBoundRelationship"}]},{"id":"Observation.derivedFrom","path":"Observation.derivedFrom","short":"Related measurements the observation is made from","definition":"The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.","comment":"All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value.  The most common reference will be another Observation.  For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below.","min":0,"max":"*","base":{"path":"Observation.derivedFrom","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DocumentReference","http://hl7.org/fhir/StructureDefinition/ImagingStudy","http://hl7.org/fhir/StructureDefinition/Media","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse","http://hl7.org/fhir/StructureDefinition/MolecularSequence","http://hl7.org/fhir/StructureDefinition/vitalsigns"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":".targetObservation"}]},{"id":"Observation.component","path":"Observation.component","short":"Used when reporting systolic and diastolic blood pressure.","definition":"Used when reporting systolic and diastolic blood pressure.","comment":"For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable).   However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.","min":0,"max":"*","base":{"path":"Observation.component","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"},{"key":"vs-3","severity":"error","human":"If there is no a value a data absent reason must be present","expression":"value.exists() or dataAbsentReason.exists()","xpath":"f:*[starts-with(local-name(.), 'value')] or f:dataAbsentReason"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"containment by OBX-4?"},{"identity":"rim","map":"outBoundRelationship[typeCode=COMP]"}]},{"id":"Observation.component.id","path":"Observation.component.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.extension","path":"Observation.component.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.modifierExtension","path":"Observation.component.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.component.code","path":"Observation.component.code","short":"Type of component observation (code / type)","definition":"Describes what was observed. Sometimes this is called the observation \"code\".","comment":"*All* code-value and  component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","min":1,"max":"1","base":{"path":"Observation.component.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSigns"}],"strength":"extensible","description":"This identifies the vital sign result type.","valueSet":"http://hl7.org/fhir/ValueSet/observation-vitalsignresult"},"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR \r< 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"}]},{"id":"Observation.component.value[x]","path":"Observation.component.value[x]","short":"Vital Sign Value recorded with UCUM","definition":"Vital Sign Value recorded with UCUM.","comment":"Used when observation has a set of component observations. An observation may have both a value (e.g. an  Apgar score)  and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.  For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"9. SHALL contain exactly one [1..1] value with @xsi:type=\"PQ\" (CONF:7305).","min":0,"max":"1","base":{"path":"Observation.component.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"},{"code":"CodeableConcept"},{"code":"string"},{"code":"boolean"},{"code":"integer"},{"code":"Range"},{"code":"Ratio"},{"code":"SampledData"},{"code":"time"},{"code":"dateTime"},{"code":"Period"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSignsUnits"}],"strength":"required","description":"Common UCUM units for recording Vital Signs.","valueSet":"http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.0"},"mapping":[{"identity":"sct-concept","map":"363714003 |Interprets| < 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.component.dataAbsentReason","path":"Observation.component.dataAbsentReason","short":"Why the component result is missing","definition":"Provides a reason why the expected value in the element Observation.component.value[x] is missing.","comment":"\"Null\" or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  \"detected\", \"not detected\", \"inconclusive\", or  \"test not done\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed.  Because of these options, use-case agreements are required to interpret general observations for exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.component.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.component.interpretation","path":"Observation.component.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value.  For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ),  its use extends to other use cases where coded interpretations  are relevant.  Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.component.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.component.referenceRange","path":"Observation.component.referenceRange","short":"Provides guide for interpretation of component result","definition":"Guidance on how to interpret the value by comparison to a normal or recommended range.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.component.referenceRange","min":0,"max":"*"},"contentReference":"#Observation.referenceRange","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]}]},"differential":{"element":[{"id":"Observation","path":"Observation","definition":"This profile defines how to represent Weight-for-length per age and gender observations in FHIR using a standard LOINC code and UCUM units of measure.","mustSupport":false},{"id":"Observation.code","path":"Observation.code","short":"Weight-for-length per age and gender","comment":"additional codes that translate or map to this code are allowed.  For example a more granular LOINC code or code that is used locally in a system.","alias":["Test","Name"],"min":1,"max":"1","type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"77606-2"}]},"mustSupport":false},{"id":"Observation.valueQuantity","path":"Observation.valueQuantity","min":1,"max":"1","mustSupport":false},{"id":"Observation.valueQuantity.value","path":"Observation.valueQuantity.value","min":1,"max":"1","type":[{"code":"decimal"}],"mustSupport":true},{"id":"Observation.valueQuantity.unit","path":"Observation.valueQuantity.unit","min":1,"max":"1","type":[{"code":"string"}],"mustSupport":true},{"id":"Observation.valueQuantity.system","path":"Observation.valueQuantity.system","min":1,"max":"1","type":[{"code":"uri"}],"fixedUri":"http://unitsofmeasure.org","mustSupport":true},{"id":"Observation.valueQuantity.code","path":"Observation.valueQuantity.code","short":"Coded responses from the common UCUM units for vital signs value set.","min":1,"max":"1","type":[{"code":"code"}],"fixedCode":"%","mustSupport":true}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-allergyintolerance.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-allergyintolerance.json
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@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-allergyintolerance","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-allergyintolerance-definitions.html#AllergyIntolerance\" title=\"The US Core Allergies Profile is based upon the core FHIR AllergyIntolerance Resource and created to meet the 2015 Edition Common Clinical Data Set 'Medical allergies' requirements.\">AllergyIntolerance</a><a name=\"AllergyIntolerance\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-allergyintolerance-definitions.html#AllergyIntolerance.clinicalStatus\">clinicalStatus</a><a name=\"AllergyIntolerance.clinicalStatus\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-allergyintolerance-clinical.html\">AllergyIntoleranceClinicalStatusCodes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-allergyintolerance-definitions.html#AllergyIntolerance.verificationStatus\">verificationStatus</a><a name=\"AllergyIntolerance.verificationStatus\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-allergyintolerance-verification.html\">AllergyIntoleranceVerificationStatusCodes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-allergyintolerance-definitions.html#AllergyIntolerance.code\">code</a><a name=\"AllergyIntolerance.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-allergy-substance.html\">US Core Common substances for allergy and intolerance documentation including refutations</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-allergyintolerance-definitions.html#AllergyIntolerance.patient\">patient</a><a name=\"AllergyIntolerance.patient\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance","version":"3.0.1","name":"USCoreAllergyIntolerance","title":"US  Core AllergyIntolerance Profile","status":"active","experimental":false,"date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the AllergyIntolerance resource for the minimal set of data to query and retrieve allergy information.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"}],"kind":"resource","abstract":false,"type":"AllergyIntolerance","baseDefinition":"http://hl7.org/fhir/StructureDefinition/AllergyIntolerance","derivation":"constraint","snapshot":{"element":[{"id":"AllergyIntolerance","path":"AllergyIntolerance","short":"Allergy or Intolerance (generally: Risk of adverse reaction to a substance)","definition":"The US Core Allergies Profile is based upon the core FHIR AllergyIntolerance Resource and created to meet the 2015 Edition Common Clinical Data Set 'Medical allergies' requirements.","comment":"Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.","alias":["Allergy","Intolerance","Adverse Reaction"],"min":0,"max":"*","base":{"path":"AllergyIntolerance","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.div.exists()","xpath":"exists(f:text/h:div)","source":"DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"DomainResource"},{"key":"ait-1","severity":"error","human":"AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.","expression":"verificationStatus='entered-in-error' or clinicalStatus.exists()","xpath":"f:verificationStatus/@value='entered-in-error' or exists(f:clinicalStatus)","source":"AllergyIntolerance"},{"key":"ait-2","severity":"error","human":"AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error","expression":"verificationStatus!='entered-in-error' or clinicalStatus.empty()","xpath":"f:verificationStatus/@value!='entered-in-error' or not(exists(f:clinicalStatus))","source":"AllergyIntolerance"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"},{"identity":"argonaut-dq-dstu2","map":"AllergyIntolerance"}]},{"id":"AllergyIntolerance.id","path":"AllergyIntolerance.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"code":"id"}],"isModifier":false,"isSummary":true},{"id":"AllergyIntolerance.meta","path":"AllergyIntolerance.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"isModifier":false,"isSummary":true},{"id":"AllergyIntolerance.implicitRules","path":"AllergyIntolerance.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"AllergyIntolerance.language","path":"AllergyIntolerance.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"AllergyIntolerance.text","path":"AllergyIntolerance.text","short":"Text summary of the resource, for human interpretation","definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"AllergyIntolerance.contained","path":"AllergyIntolerance.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"AllergyIntolerance.extension","path":"AllergyIntolerance.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"AllergyIntolerance.modifierExtension","path":"AllergyIntolerance.modifierExtension","short":"Extensions that cannot be ignored","definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"AllergyIntolerance.identifier","path":"AllergyIntolerance.identifier","short":"External ids for this item","definition":"Business identifiers assigned to this AllergyIntolerance by the performer or other systems which remain constant as the resource is updated and propagates from server to server.","comment":"This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.","requirements":"Allows identification of the AllergyIntolerance as it is known by various participating systems and in a way that remains consistent across servers.","min":0,"max":"*","base":{"path":"AllergyIntolerance.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"IAM-7"},{"identity":"rim","map":"id"}]},{"id":"AllergyIntolerance.clinicalStatus","path":"AllergyIntolerance.clinicalStatus","short":"active | inactive | resolved","definition":"The clinical status of the allergy or intolerance.","comment":"Refer to [discussion](http://hl7.org/fhir/R4/extensibility.html#Special-Case) if clincalStatus is missing data.\nThe data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.","min":0,"max":"1","base":{"path":"AllergyIntolerance.clinicalStatus","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["ait-1","ait-2"],"mustSupport":true,"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the status contains the codes inactive and resolved that mark the AllergyIntolerance as no longer active.","isSummary":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/allergyintolerance-clinical"},"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":"Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"clinicalStatus\", moodCode=EVN].value"},{"identity":"argonaut-dq-dstu2","map":"AllergyIntolerance.status"}]},{"id":"AllergyIntolerance.verificationStatus","path":"AllergyIntolerance.verificationStatus","short":"unconfirmed | confirmed | refuted | entered-in-error","definition":"Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance (including pharmaceutical product).","comment":"The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.","min":0,"max":"1","base":{"path":"AllergyIntolerance.verificationStatus","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["ait-1","ait-2"],"mustSupport":true,"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the status contains the codes refuted and entered-in-error that mark the AllergyIntolerance as not currently valid.","isSummary":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/allergyintolerance-verification"},"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":"Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"verificationStatus\", moodCode=EVN].value"},{"identity":"argonaut-dq-dstu2","map":"AllergyIntolerance.status"}]},{"id":"AllergyIntolerance.type","path":"AllergyIntolerance.type","short":"allergy | intolerance - Underlying mechanism (if known)","definition":"Identification of the underlying physiological mechanism for the reaction risk.","comment":"Allergic (typically immune-mediated) reactions have been traditionally regarded as an indicator for potential escalation to significant future risk. Contemporary knowledge suggests that some reactions previously thought to be immune-mediated are, in fact, non-immune, but in some cases can still pose a life threatening risk. It is acknowledged that many clinicians might not be in a position to distinguish the mechanism of a particular reaction. Often the term \"allergy\" is used rather generically and may overlap with the use of \"intolerance\" - in practice the boundaries between these two concepts might not be well-defined or understood. This data element is included nevertheless, because many legacy systems have captured this attribute. Immunologic testing may provide supporting evidence for the basis of the reaction and the causative substance, but no tests are 100% sensitive or specific for sensitivity to a particular substance. If, as is commonly the case, it is unclear whether the reaction is due to an allergy or an intolerance, then the type element should be omitted from the resource.","alias":["Category","Class"],"min":0,"max":"1","base":{"path":"AllergyIntolerance.type","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AllergyIntoleranceType"}],"strength":"required","description":"Identification of the underlying physiological mechanism for a Reaction Risk.","valueSet":"http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.0"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"v2","map":"IAM-9"},{"identity":"rim","map":"code"}]},{"id":"AllergyIntolerance.category","path":"AllergyIntolerance.category","short":"food | medication | environment | biologic","definition":"Category of the identified substance.","comment":"This data element has been included because it is currently being captured in some clinical systems. This data can be derived from the substance where coding systems are used, and is effectively redundant in that situation.  When searching on category, consider the implications of AllergyIntolerance resources without a category.  For example, when searching on category = medication, medication allergies that don't have a category valued will not be returned.  Refer to [search](http://hl7.org/fhir/R4/search.html) for more information on how to search category with a :missing modifier to get allergies that don't have a category.  Additionally, category should be used with caution because category can be subjective based on the sender.","alias":["Category","Type","Reaction Type","Class"],"min":0,"max":"*","base":{"path":"AllergyIntolerance.category","min":0,"max":"*"},"type":[{"code":"code"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AllergyIntoleranceCategory"}],"strength":"required","description":"Category of an identified substance associated with allergies or intolerances.","valueSet":"http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.0"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"v2","map":"AL1-2"},{"identity":"rim","map":"value < IntoleranceValue (Agent)"}]},{"id":"AllergyIntolerance.criticality","path":"AllergyIntolerance.criticality","short":"low | high | unable-to-assess","definition":"Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance.","comment":"The default criticality value for any propensity to an adverse reaction should be 'Low Risk', indicating at the very least a relative contraindication to deliberate or voluntary exposure to the substance. 'High Risk' is flagged if the clinician has identified a propensity for a more serious or potentially life-threatening reaction, such as anaphylaxis, and implies an absolute contraindication to deliberate or voluntary exposure to the substance. If this element is missing, the criticality is unknown (though it may be known elsewhere).  Systems that capture a severity at the condition level are actually representing the concept of criticality whereas the severity documented at the reaction level is representing the true reaction severity.  Existing systems that are capturing both condition criticality and reaction severity may use the term \"severity\" to represent both.  Criticality is the worst it could be in the future (i.e. situation-agnostic) whereas severity is situation-dependent.","alias":["Severity","Seriousness","Contra-indication","Risk"],"min":0,"max":"1","base":{"path":"AllergyIntolerance.criticality","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AllergyIntoleranceCriticality"}],"strength":"required","description":"Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.","valueSet":"http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.0"},"mapping":[{"identity":"w5","map":"FiveWs.grade"},{"identity":"v2","map":"AL1-4"},{"identity":"rim","map":"inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV, value <= SeverityObservation (Severity Level)]"}]},{"id":"AllergyIntolerance.code","path":"AllergyIntolerance.code","short":"Code that identifies the allergy or intolerance","definition":"Code for an allergy or intolerance statement (either a positive or a negated/excluded statement).  This may be a code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk (e.g., \"Latex\"), an allergy or intolerance condition (e.g., \"Latex allergy\"), or a negated/excluded code for a specific substance or class (e.g., \"No latex allergy\") or a general or categorical negated statement (e.g.,  \"No known allergy\", \"No known drug allergies\").  Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'.  If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance.","comment":"It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, ICD-9, IDC-10, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text.\r\rWhen a substance or product code is specified for the 'code' element, the \"default\" semantic context is that this is a positive statement of an allergy or intolerance (depending on the value of the 'type' element, if present) condition to the specified substance/product.  In the corresponding SNOMED CT allergy model, the specified substance/product is the target (destination) of the \"Causative agent\" relationship.\r\rThe 'substanceExposureRisk' extension is available as a structured and more flexible alternative to the 'code' element for making positive or negative allergy or intolerance statements.  This extension provides the capability to make \"no known allergy\" (or \"no risk of adverse reaction\") statements regarding any coded substance/product (including cases when a pre-coordinated \"no allergy to x\" concept for that substance/product does not exist).  If the 'substanceExposureRisk' extension is present, the AllergyIntolerance.code element SHALL be omitted.","alias":["Code"],"min":1,"max":"1","base":{"path":"AllergyIntolerance.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-allergy-substance"},"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"AL1-3 / IAM-3"},{"identity":"rim","map":"substance/product:\r\r.participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]\r\rnegated/excluded substance/product:\r\r.participation[typeCode=CAGNT, negationInd=true].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]\r\rpositive or negated/excluded condition/situation:\r\rObservation.code=ASSERTION; Observation.value"},{"identity":"argonaut-dq-dstu2","map":"AllergyIntolerance.substance"}]},{"id":"AllergyIntolerance.patient","path":"AllergyIntolerance.patient","short":"Who the sensitivity is for","definition":"The patient who has the allergy or intolerance.","alias":["Patient"],"min":1,"max":"1","base":{"path":"AllergyIntolerance.patient","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"(PID-3)"},{"identity":"rim","map":".participation[typeCode=SBJ].role[classCode=PAT]"},{"identity":"w5","map":"FiveWs.subject"},{"identity":"argonaut-dq-dstu2","map":"AllergyIntolerance.patient"}]},{"id":"AllergyIntolerance.encounter","path":"AllergyIntolerance.encounter","short":"Encounter when the allergy or intolerance was asserted","definition":"The encounter when the allergy or intolerance was asserted.","min":0,"max":"1","base":{"path":"AllergyIntolerance.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.context"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"}]},{"id":"AllergyIntolerance.onset[x]","path":"AllergyIntolerance.onset[x]","short":"When allergy or intolerance was identified","definition":"Estimated or actual date,  date-time, or age when allergy or intolerance was identified.","min":0,"max":"1","base":{"path":"AllergyIntolerance.onset[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Age"},{"code":"Period"},{"code":"Range"},{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.init"},{"identity":"rim","map":"effectiveTime.low"}]},{"id":"AllergyIntolerance.recordedDate","path":"AllergyIntolerance.recordedDate","short":"Date first version of the resource instance was recorded","definition":"The recordedDate represents when this particular AllergyIntolerance record was created in the system, which is often a system-generated date.","min":0,"max":"1","base":{"path":"AllergyIntolerance.recordedDate","min":0,"max":"1"},"type":[{"code":"dateTime"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"v2","map":"IAM-13"},{"identity":"rim","map":".participation[typeCode=AUT].time"}]},{"id":"AllergyIntolerance.recorder","path":"AllergyIntolerance.recorder","short":"Who recorded the sensitivity","definition":"Individual who recorded the record and takes responsibility for its content.","alias":["Author"],"min":0,"max":"1","base":{"path":"AllergyIntolerance.recorder","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=AUT].role"}]},{"id":"AllergyIntolerance.asserter","path":"AllergyIntolerance.asserter","short":"Source of the information about the allergy","definition":"The source of the information about the allergy that is recorded.","comment":"The recorder takes responsibility for the content, but can reference the source from where they got it.","alias":["Source","Informant"],"min":0,"max":"1","base":{"path":"AllergyIntolerance.asserter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.source"},{"identity":"v2","map":"IAM-14 (if patient) / IAM-18 (if practitioner)"},{"identity":"rim","map":".participation[typeCode=INF].role"}]},{"id":"AllergyIntolerance.lastOccurrence","path":"AllergyIntolerance.lastOccurrence","short":"Date(/time) of last known occurrence of a reaction","definition":"Represents the date and/or time of the last known occurrence of a reaction event.","comment":"This date may be replicated by one of the Onset of Reaction dates. Where a textual representation of the date of last occurrence is required e.g. 'In Childhood, '10 years ago' the Comment element should be used.","min":0,"max":"1","base":{"path":"AllergyIntolerance.lastOccurrence","min":0,"max":"1"},"type":[{"code":"dateTime"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"outBoundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN, code <= CommonClinicalObservationType, value <= ObservationValue (Reaction Type)].effectiveTime"}]},{"id":"AllergyIntolerance.note","path":"AllergyIntolerance.note","short":"Additional text not captured in other fields","definition":"Additional narrative about the propensity for the Adverse Reaction, not captured in other fields.","comment":"For example: including reason for flagging a seriousness of 'High Risk'; and instructions related to future exposure or administration of the substance, such as administration within an Intensive Care Unit or under corticosteroid cover. The notes should be related to an allergy or intolerance as a condition in general and not related to any particular episode of it. For episode notes and descriptions, use AllergyIntolerance.event.description and  AllergyIntolerance.event.notes.","min":0,"max":"*","base":{"path":"AllergyIntolerance.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"subjectOf.observationEvent[code=\"annotation\"].value"}]},{"id":"AllergyIntolerance.reaction","path":"AllergyIntolerance.reaction","short":"Adverse Reaction Events linked to exposure to substance","definition":"Details about each adverse reaction event linked to exposure to the identified substance.","min":0,"max":"*","base":{"path":"AllergyIntolerance.reaction","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"outBoundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN, code <= CommonClinicalObservationType, value <= ObservationValue (Reaction Type)]"}]},{"id":"AllergyIntolerance.reaction.id","path":"AllergyIntolerance.reaction.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"AllergyIntolerance.reaction.extension","path":"AllergyIntolerance.reaction.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"AllergyIntolerance.reaction.modifierExtension","path":"AllergyIntolerance.reaction.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"AllergyIntolerance.reaction.substance","path":"AllergyIntolerance.reaction.substance","short":"Specific substance or pharmaceutical product considered to be responsible for event","definition":"Identification of the specific substance (or pharmaceutical product) considered to be responsible for the Adverse Reaction event. Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'.  If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance.","comment":"Coding of the specific substance (or pharmaceutical product) with a terminology capable of triggering decision support should be used wherever possible.  The 'code' element allows for the use of a specific substance or pharmaceutical product, or a group or class of substances. In the case of an allergy or intolerance to a class of substances, (for example, \"penicillins\"), the 'reaction.substance' element could be used to code the specific substance that was identified as having caused the reaction (for example, \"amoxycillin\"). Duplication of the value in the 'code' and 'reaction.substance' elements is acceptable when a specific substance has been recorded in 'code'.","min":0,"max":"1","base":{"path":"AllergyIntolerance.reaction.substance","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SubstanceCode"}],"strength":"example","description":"Codes defining the type of the substance (including pharmaceutical products).","valueSet":"http://hl7.org/fhir/ValueSet/substance-code"},"mapping":[{"identity":"rim","map":"outBoundRelationship[typeCode=SAS].target[classCode=SBADM, code <= ExposureCode].participation[typeCode=CSM].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]"}]},{"id":"AllergyIntolerance.reaction.manifestation","path":"AllergyIntolerance.reaction.manifestation","short":"Clinical symptoms/signs associated with the Event","definition":"Clinical symptoms and/or signs that are observed or associated with the adverse reaction event.","comment":"Manifestation can be expressed as a single word, phrase or brief description. For example: nausea, rash or no reaction. It is preferable that manifestation should be coded with a terminology, where possible. The values entered here may be used to display on an application screen as part of a list of adverse reactions, as recommended in the UK NHS CUI guidelines.  Terminologies commonly used include, but are not limited to, SNOMED CT or ICD10.","alias":["Symptoms","Signs"],"min":1,"max":"*","base":{"path":"AllergyIntolerance.reaction.manifestation","min":1,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Manifestation"}],"strength":"example","description":"Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.","valueSet":"http://hl7.org/fhir/ValueSet/clinical-findings"},"mapping":[{"identity":"v2","map":"AL1-5"},{"identity":"rim","map":"code"}]},{"id":"AllergyIntolerance.reaction.description","path":"AllergyIntolerance.reaction.description","short":"Description of the event as a whole","definition":"Text description about the reaction as a whole, including details of the manifestation if required.","comment":"Use the description to provide any details of a particular event of the occurred reaction such as circumstances, reaction specifics, what happened before/after. Information, related to the event, but not describing a particular care should be captured in the comment field. For example: at the age of four, the patient was given penicillin for strep throat and subsequently developed severe hives.","alias":["Narrative","Text"],"min":0,"max":"1","base":{"path":"AllergyIntolerance.reaction.description","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"text"}]},{"id":"AllergyIntolerance.reaction.onset","path":"AllergyIntolerance.reaction.onset","short":"Date(/time) when manifestations showed","definition":"Record of the date and/or time of the onset of the Reaction.","min":0,"max":"1","base":{"path":"AllergyIntolerance.reaction.onset","min":0,"max":"1"},"type":[{"code":"dateTime"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"AL1-6"},{"identity":"rim","map":"effectiveTime.low"}]},{"id":"AllergyIntolerance.reaction.severity","path":"AllergyIntolerance.reaction.severity","short":"mild | moderate | severe (of event as a whole)","definition":"Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations.","comment":"It is acknowledged that this assessment is very subjective. There may be some specific practice domains where objective scales have been applied. Objective scales can be included in this model as extensions.","min":0,"max":"1","base":{"path":"AllergyIntolerance.reaction.severity","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AllergyIntoleranceSeverity"}],"strength":"required","description":"Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.","valueSet":"http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.0"},"mapping":[{"identity":"rim","map":"inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV, value <= SeverityObservation (Severity Level)]"}]},{"id":"AllergyIntolerance.reaction.exposureRoute","path":"AllergyIntolerance.reaction.exposureRoute","short":"How the subject was exposed to the substance","definition":"Identification of the route by which the subject was exposed to the substance.","comment":"Coding of the route of exposure with a terminology should be used wherever possible.","min":0,"max":"1","base":{"path":"AllergyIntolerance.reaction.exposureRoute","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"RouteOfAdministration"}],"strength":"example","description":"A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.","valueSet":"http://hl7.org/fhir/ValueSet/route-codes"},"mapping":[{"identity":"rim","map":"outBoundRelationship[typeCode=SAS].target[classCode=SBADM, code <= ExposureCode].routeCode"}]},{"id":"AllergyIntolerance.reaction.note","path":"AllergyIntolerance.reaction.note","short":"Text about event not captured in other fields","definition":"Additional text about the adverse reaction event not captured in other fields.","comment":"Use this field to record information indirectly related to a particular event and not captured in the description. For example: Clinical records are no longer available, recorded based on information provided to the patient by her mother and her mother is deceased.","min":0,"max":"*","base":{"path":"AllergyIntolerance.reaction.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"subjectOf.observationEvent[code=\"annotation\"].value"}]}]},"differential":{"element":[{"id":"AllergyIntolerance","path":"AllergyIntolerance","definition":"The US Core Allergies Profile is based upon the core FHIR AllergyIntolerance Resource and created to meet the 2015 Edition Common Clinical Data Set 'Medical allergies' requirements.","mustSupport":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"AllergyIntolerance"}]},{"id":"AllergyIntolerance.clinicalStatus","path":"AllergyIntolerance.clinicalStatus","min":0,"max":"1","mustSupport":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/allergyintolerance-clinical"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"AllergyIntolerance.status"}]},{"id":"AllergyIntolerance.verificationStatus","path":"AllergyIntolerance.verificationStatus","min":0,"max":"1","mustSupport":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/allergyintolerance-verification"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"AllergyIntolerance.status"}]},{"id":"AllergyIntolerance.code","path":"AllergyIntolerance.code","min":1,"max":"1","mustSupport":true,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-allergy-substance"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"AllergyIntolerance.substance"}]},{"id":"AllergyIntolerance.patient","path":"AllergyIntolerance.patient","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"AllergyIntolerance.patient"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-birthsex.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-birthsex.json
new file mode 100644
index 000000000..b6d0d4221
--- /dev/null
+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-birthsex.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-birthsex","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-birthsex-definitions.html#Extension:birthsex\" title=\"A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc).\">Extension</a><a name=\"Extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-birthsex-definitions.html#Extension:birthsex.url\" title=\"null\">url</a><a name=\"Extension.url\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"color: darkgreen\">&quot;http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex&quot;</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-birthsex-definitions.html#Extension:birthsex.valueCode\" title=\"null\">valueCode</a><a name=\"Extension.valueCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-birthsex.html\">Birth Sex</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex","version":"3.0.1","name":"USCoreBirthSexExtension","title":"US Core Birth Sex Extension","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9).","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"}],"kind":"complex-type","abstract":false,"context":[{"type":"element","expression":"Patient"}],"type":"Extension","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Extension","derivation":"constraint","snapshot":{"element":[{"id":"Extension:birthsex","path":"Extension","short":"Extension","definition":"A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc).","comment":"The codes required are intended to present birth sex (i.e., the sex recorded on the patient’s birth certificate) and not gender identity or reassigned sex.","min":0,"max":"1","base":{"path":"Extension","min":0,"max":"*"},"condition":["ele-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"children().count() > id.count()","xpath":"@value|f:*|h:div","source":"Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])","source":"Extension"}],"isModifier":false,"mapping":[{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"},{"identity":"iso11179","map":".patient.administrativeGenderCode"}]},{"id":"Extension:birthsex.id","path":"Extension.id","representation":["xmlAttr"],"short":"xml:id (or equivalent in JSON)","definition":"unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Extension:birthsex.extension","path":"Extension.extension","short":"Additional Content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Extension:birthsex.url","path":"Extension.url","representation":["xmlAttr"],"short":"identifies the meaning of the extension","definition":"Source of the definition for the extension code - a logical name or a URL.","comment":"The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","min":1,"max":"1","base":{"path":"Extension.url","min":1,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex","mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Extension:birthsex.valueCode","path":"Extension.valueCode","short":"Value of extension","definition":"Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","min":0,"max":"1","base":{"path":"Extension.value[x]","min":0,"max":"1"},"type":[{"code":"code"}],"binding":{"strength":"required","description":"Code for sex assigned at birth","valueSet":"http://hl7.org/fhir/us/core/ValueSet/birthsex"},"mapping":[{"identity":"rim","map":"N/A"}]}]},"differential":{"element":[{"id":"Extension:birthsex","path":"Extension","definition":"A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc).","comment":"The codes required are intended to present birth sex (i.e., the sex recorded on the patient’s birth certificate) and not gender identity or reassigned sex.","min":0,"max":"1","isModifier":false,"mapping":[{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"},{"identity":"iso11179","map":".patient.administrativeGenderCode"}]},{"id":"Extension:birthsex.url","path":"Extension.url","fixedUri":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex"},{"id":"Extension:birthsex.valueCode","path":"Extension.valueCode","min":0,"max":"1","type":[{"code":"code"}],"binding":{"strength":"required","description":"Code for sex assigned at birth","valueSet":"http://hl7.org/fhir/us/core/ValueSet/birthsex"}}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-careplan.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-careplan.json
new file mode 100644
index 000000000..95e24d302
--- /dev/null
+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-careplan.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-careplan","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-careplan-definitions.html#CarePlan\" title=\"The US Core CarePlan Profile is based upon the core FHIR CarePlan Resource and created to meet the 2015 Edition Common Clinical Data Set 'Assessment and Plan of Treatment requirements.\">CarePlan</a><a name=\"CarePlan\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-careplan-definitions.html#CarePlan.text\">text</a><a name=\"CarePlan.text\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Narrative\">Narrative</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-careplan-definitions.html#CarePlan.text.status\" title=\"generated | additional.\">status</a><a name=\"CarePlan.text.status\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-narrative-status.html\">US Core Narrative Status</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-careplan-definitions.html#CarePlan.status\">status</a><a name=\"CarePlan.status\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-request-status.html\">RequestStatus</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-careplan-definitions.html#CarePlan.intent\">intent</a><a name=\"CarePlan.intent\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-care-plan-intent.html\">CarePlanIntent</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-us-core-careplan-definitions.html#CarePlan.category\" title=\"Type of plan.\">category</a><a name=\"CarePlan.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"font-style: italic\">1</span><span style=\"font-style: italic\">..</span><span style=\"font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/profiling.html#slicing\">(Slice Definition)</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by pattern:$this</span><br style=\"font-style: italic\"/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-careplan-definitions.html#CarePlan.category:AssessPlan\" title=\"Slice AssessPlan: Type of plan.\">category:AssessPlan</a><a name=\"CarePlan.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1241.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12410.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"CodeSystem-careplan-category.html\">http://hl7.org/fhir/us/core/CodeSystem/careplan-category</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12400.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">assess-plan</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-careplan-definitions.html#CarePlan.subject\" title=\"Who care plan is for.\">subject</a><a name=\"CarePlan.subject\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan","version":"3.0.1","name":"USCoreCarePlanProfile","title":"US Core CarePlan Profile","status":"active","experimental":false,"date":"2019-08-29T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the CarePlan resource for the minimal set of data to query and retrieve a patient's Care Plan.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"}],"kind":"resource","abstract":false,"type":"CarePlan","baseDefinition":"http://hl7.org/fhir/StructureDefinition/CarePlan","derivation":"constraint","snapshot":{"element":[{"id":"CarePlan","path":"CarePlan","short":"Healthcare plan for patient or group","definition":"The US Core CarePlan Profile is based upon the core FHIR CarePlan Resource and created to meet the 2015 Edition Common Clinical Data Set 'Assessment and Plan of Treatment requirements.","alias":["Care Team"],"min":0,"max":"*","base":{"path":"CarePlan","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.div.exists()","xpath":"exists(f:text/h:div)","source":"DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"DomainResource"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Request"},{"identity":"rim","map":"Act[classCode=PCPR, moodCode=INT]"},{"identity":"argonaut-dq-dstu2","map":"CarePlan"}]},{"id":"CarePlan.id","path":"CarePlan.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"code":"id"}],"isModifier":false,"isSummary":true},{"id":"CarePlan.meta","path":"CarePlan.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"isModifier":false,"isSummary":true},{"id":"CarePlan.implicitRules","path":"CarePlan.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"CarePlan.language","path":"CarePlan.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"CarePlan.text","path":"CarePlan.text","short":"Text summary of the resource, for human interpretation","definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":1,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"},{"identity":"argonaut-dq-dstu2","map":"CarePlan.text"}]},{"id":"CarePlan.text.id","path":"CarePlan.text.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"CarePlan.text.extension","path":"CarePlan.text.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"CarePlan.text.status","path":"CarePlan.text.status","short":"generated | extensions | additional | empty","definition":"generated | additional.","min":1,"max":"1","base":{"path":"Narrative.status","min":1,"max":"1"},"type":[{"code":"code"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"strength":"required","description":"Constrained value set of narrative statuses.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-narrative-status"},"mapping":[{"identity":"rim","map":"N/A"},{"identity":"argonaut-dq-dstu2","map":"CarePlan.text.status"}]},{"id":"CarePlan.text.div","path":"CarePlan.text.div","short":"Limited xhtml content","definition":"The actual narrative content, a stripped down version of XHTML.","comment":"The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.","min":1,"max":"1","base":{"path":"Narrative.div","min":1,"max":"1"},"type":[{"code":"xhtml"}],"constraint":[{"key":"txt-1","severity":"error","human":"The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes","expression":"htmlChecks()","xpath":"not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])"},{"key":"txt-2","severity":"error","human":"The narrative SHALL have some non-whitespace content","expression":"htmlChecks()","xpath":"descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"CarePlan.contained","path":"CarePlan.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"CarePlan.extension","path":"CarePlan.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"CarePlan.modifierExtension","path":"CarePlan.modifierExtension","short":"Extensions that cannot be ignored","definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"CarePlan.identifier","path":"CarePlan.identifier","short":"External Ids for this plan","definition":"Business identifiers assigned to this care plan by the performer or other systems which remain constant as the resource is updated and propagates from server to server.","comment":"This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.","requirements":"Allows identification of the care plan as it is known by various participating systems and in a way that remains consistent across servers.","min":0,"max":"*","base":{"path":"CarePlan.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"PTH-3"},{"identity":"rim","map":".id"}]},{"id":"CarePlan.instantiatesCanonical","path":"CarePlan.instantiatesCanonical","short":"Instantiates FHIR protocol or definition","definition":"The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan.","min":0,"max":"*","base":{"path":"CarePlan.instantiatesCanonical","min":0,"max":"*"},"type":[{"code":"canonical","targetProfile":["http://hl7.org/fhir/StructureDefinition/PlanDefinition","http://hl7.org/fhir/StructureDefinition/Questionnaire","http://hl7.org/fhir/StructureDefinition/Measure","http://hl7.org/fhir/StructureDefinition/ActivityDefinition","http://hl7.org/fhir/StructureDefinition/OperationDefinition"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.instantiatesCanonical"},{"identity":"rim","map":".outboundRelationship[typeCode=DEFN].target"}]},{"id":"CarePlan.instantiatesUri","path":"CarePlan.instantiatesUri","short":"Instantiates external protocol or definition","definition":"The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan.","comment":"This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.","min":0,"max":"*","base":{"path":"CarePlan.instantiatesUri","min":0,"max":"*"},"type":[{"code":"uri"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.instantiatesUri"},{"identity":"rim","map":".outboundRelationship[typeCode=DEFN].target"}]},{"id":"CarePlan.basedOn","path":"CarePlan.basedOn","short":"Fulfills CarePlan","definition":"A care plan that is fulfilled in whole or in part by this care plan.","requirements":"Allows tracing of the care plan and tracking whether proposals/recommendations were acted upon.","alias":["fulfills"],"min":0,"max":"*","base":{"path":"CarePlan.basedOn","min":0,"max":"*"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy","valueBoolean":true}],"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.basedOn"}]},{"id":"CarePlan.replaces","path":"CarePlan.replaces","short":"CarePlan replaced by this CarePlan","definition":"Completed or terminated care plan whose function is taken by this new care plan.","comment":"The replacement could be because the initial care plan was immediately rejected (due to an issue) or because the previous care plan was completed, but the need for the action described by the care plan remains ongoing.","requirements":"Allows tracing the continuation of a therapy or administrative process instantiated through multiple care plans.","alias":["supersedes"],"min":0,"max":"*","base":{"path":"CarePlan.replaces","min":0,"max":"*"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy","valueBoolean":true}],"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.replaces"}]},{"id":"CarePlan.partOf","path":"CarePlan.partOf","short":"Part of referenced CarePlan","definition":"A larger care plan of which this particular care plan is a component or step.","comment":"Each care plan is an independent request, such that having a care plan be part of another care plan can cause issues with cascading statuses.  As such, this element is still being discussed.","min":0,"max":"*","base":{"path":"CarePlan.partOf","min":0,"max":"*"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy","valueBoolean":true}],"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan"]}],"isModifier":false,"isSummary":true},{"id":"CarePlan.status","path":"CarePlan.status","short":"draft | active | suspended | completed | entered-in-error | cancelled | unknown","definition":"Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.","comment":"The unknown code is not to be used to convey other statuses.  The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the care plan.\n\nThis element is labeled as a modifier because the status contains the code entered-in-error that marks the plan as not currently valid.","requirements":"Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.","min":1,"max":"1","base":{"path":"CarePlan.status","min":1,"max":"1"},"type":[{"code":"code"}],"mustSupport":true,"isModifier":true,"isModifierReason":"This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"strength":"required","description":"Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.","valueSet":"http://hl7.org/fhir/ValueSet/request-status"},"mapping":[{"identity":"workflow","map":"Request.status {uses different ValueSet}"},{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"PTH-5"},{"identity":"rim","map":".statusCode planned = new active = active completed = completed"},{"identity":"argonaut-dq-dstu2","map":"CarePlan.status"}]},{"id":"CarePlan.intent","path":"CarePlan.intent","short":"proposal | plan | order | option","definition":"Indicates the level of authority/intentionality associated with the care plan and where the care plan fits into the workflow chain.","comment":"This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.","requirements":"Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain.","min":1,"max":"1","base":{"path":"CarePlan.intent","min":1,"max":"1"},"type":[{"code":"code"}],"mustSupport":true,"isModifier":true,"isModifierReason":"This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request\"","isSummary":true,"binding":{"strength":"required","description":"Codes indicating the degree of authority/intentionality associated with a care plan","valueSet":"http://hl7.org/fhir/ValueSet/care-plan-intent"},"mapping":[{"identity":"workflow","map":"Request.intent"},{"identity":"argonaut-dq-dstu2","map":"NA (new element in STU3)"}]},{"id":"CarePlan.category","path":"CarePlan.category","slicing":{"discriminator":[{"type":"pattern","path":"$this"}],"rules":"open"},"short":"Type of plan","definition":"Type of plan.","comment":"There may be multiple axes of categorization and one plan may serve multiple purposes.  In some cases, this may be redundant with references to CarePlan.concern.","requirements":"Identifies what \"kind\" of plan this is to support differentiation between multiple co-existing plans; e.g. \"Home health\", \"psychiatric\", \"asthma\", \"disease management\", \"wellness plan\", etc.","min":1,"max":"*","base":{"path":"CarePlan.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CarePlanCategory"}],"strength":"example","description":"Identifies what \"kind\" of plan this is to support differentiation between multiple co-existing plans; e.g. \"Home health\", \"psychiatric\", \"asthma\", \"disease management\", etc.","valueSet":"http://hl7.org/fhir/ValueSet/care-plan-category"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"argonaut-dq-dstu2","map":"CarePlan.category"}]},{"id":"CarePlan.category:AssessPlan","path":"CarePlan.category","sliceName":"AssessPlan","short":"Type of plan","definition":"Type of plan.","comment":"There may be multiple axes of categorization and one plan may serve multiple purposes.  In some cases, this may be redundant with references to CarePlan.concern.","requirements":"Identifies what \"kind\" of plan this is to support differentiation between multiple co-existing plans; e.g. \"Home health\", \"psychiatric\", \"asthma\", \"disease management\", \"wellness plan\", etc.","min":1,"max":"1","base":{"path":"CarePlan.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://hl7.org/fhir/us/core/CodeSystem/careplan-category","code":"assess-plan"}]},"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CarePlanCategory"}],"strength":"example","description":"Identifies what \"kind\" of plan this is to support differentiation between multiple co-existing plans; e.g. \"Home health\", \"psychiatric\", \"asthma\", \"disease management\", etc.","valueSet":"http://hl7.org/fhir/ValueSet/care-plan-category"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"argonaut-dq-dstu2","map":"CarePlan.category"}]},{"id":"CarePlan.title","path":"CarePlan.title","short":"Human-friendly name for the care plan","definition":"Human-friendly name for the care plan.","min":0,"max":"1","base":{"path":"CarePlan.title","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":true},{"id":"CarePlan.description","path":"CarePlan.description","short":"Summary of nature of plan","definition":"A description of the scope and nature of the plan.","requirements":"Provides more detail than conveyed by category.","min":0,"max":"1","base":{"path":"CarePlan.description","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"}]},{"id":"CarePlan.subject","path":"CarePlan.subject","short":"Who the care plan is for","definition":"Who care plan is for.","requirements":"Identifies the patient or group whose intended care is described by the plan.","alias":["patient"],"min":1,"max":"1","base":{"path":"CarePlan.subject","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":".participation[typeCode=PAT].role[classCode=PAT]"},{"identity":"w5","map":"FiveWs.subject"},{"identity":"argonaut-dq-dstu2","map":"CarePlan.subject"}]},{"id":"CarePlan.encounter","path":"CarePlan.encounter","short":"Encounter created as part of","definition":"The Encounter during which this CarePlan was created or to which the creation of this record is tightly associated.","comment":"This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. CarePlan activities conducted as a result of the care plan may well occur as part of other encounters.","min":0,"max":"1","base":{"path":"CarePlan.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"Associated PV1"},{"identity":"rim","map":"."}]},{"id":"CarePlan.period","path":"CarePlan.period","short":"Time period plan covers","definition":"Indicates when the plan did (or is intended to) come into effect and end.","comment":"Any activities scheduled as part of the plan should be constrained to the specified period regardless of whether the activities are planned within a single encounter/episode or across multiple encounters/episodes (e.g. the longitudinal management of a chronic condition).","requirements":"Allows tracking what plan(s) are in effect at a particular time.","alias":["timing"],"min":0,"max":"1","base":{"path":"CarePlan.period","min":0,"max":"1"},"type":[{"code":"Period"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.occurrence[x]"},{"identity":"w5","map":"FiveWs.planned"},{"identity":"v2","map":"GOL-7 / GOL-8"},{"identity":"rim","map":".effectiveTime"}]},{"id":"CarePlan.created","path":"CarePlan.created","short":"Date record was first recorded","definition":"Represents when this particular CarePlan record was created in the system, which is often a system-generated date.","alias":["authoredOn"],"min":0,"max":"1","base":{"path":"CarePlan.created","min":0,"max":"1"},"type":[{"code":"dateTime"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.authoredOn"},{"identity":"w5","map":"FiveWs.recorded"},{"identity":"rim","map":".participation[typeCode=AUT].time"}]},{"id":"CarePlan.author","path":"CarePlan.author","short":"Who is the designated responsible party","definition":"When populated, the author is responsible for the care plan.  The care plan is attributed to the author.","comment":"The author may also be a contributor.  For example, an organization can be an author, but not listed as a contributor.","min":0,"max":"1","base":{"path":"CarePlan.author","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/CareTeam"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.requester"},{"identity":"w5","map":"FiveWs.author"}]},{"id":"CarePlan.contributor","path":"CarePlan.contributor","short":"Who provided the content of the care plan","definition":"Identifies the individual(s) or organization who provided the contents of the care plan.","comment":"Collaborative care plans may have multiple contributors.","min":0,"max":"*","base":{"path":"CarePlan.contributor","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/CareTeam"]}],"isModifier":false,"isSummary":false},{"id":"CarePlan.careTeam","path":"CarePlan.careTeam","short":"Who's involved in plan?","definition":"Identifies all people and organizations who are expected to be involved in the care envisioned by this plan.","requirements":"Allows representation of care teams, helps scope care plan.  In some cases may be a determiner of access permissions.","min":0,"max":"*","base":{"path":"CarePlan.careTeam","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CareTeam"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.performer {similar but does not entail CareTeam}"},{"identity":"w5","map":"FiveWs.actor"}]},{"id":"CarePlan.addresses","path":"CarePlan.addresses","short":"Health issues this plan addresses","definition":"Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan.","comment":"When the diagnosis is related to an allergy or intolerance, the Condition and AllergyIntolerance resources can both be used. However, to be actionable for decision support, using Condition alone is not sufficient as the allergy or intolerance condition needs to be represented as an AllergyIntolerance.","requirements":"Links plan to the conditions it manages.  The element can identify risks addressed by the plan as well as active conditions.  (The Condition resource can include things like \"at risk for hypertension\" or \"fall risk\".)  Also scopes plans - multiple plans may exist addressing different concerns.","min":0,"max":"*","base":{"path":"CarePlan.addresses","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.reasonReference"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"v2","map":"PRB-4"},{"identity":"rim","map":".actRelationship[typeCode=SUBJ].target[classCode=CONC, moodCode=EVN]"}]},{"id":"CarePlan.supportingInfo","path":"CarePlan.supportingInfo","short":"Information considered as part of plan","definition":"Identifies portions of the patient's record that specifically influenced the formation of the plan.  These might include comorbidities, recent procedures, limitations, recent assessments, etc.","comment":"Use \"concern\" to identify specific conditions addressed by the care plan.","requirements":"Identifies barriers and other considerations associated with the care plan.","min":0,"max":"*","base":{"path":"CarePlan.supportingInfo","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.supportingInfo"}]},{"id":"CarePlan.goal","path":"CarePlan.goal","short":"Desired outcome of plan","definition":"Describes the intended objective(s) of carrying out the care plan.","comment":"Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline.","requirements":"Provides context for plan.  Allows plan effectiveness to be evaluated by clinicians.","min":0,"max":"*","base":{"path":"CarePlan.goal","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Goal"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"GOL.1"},{"identity":"rim","map":".outboundRelationship[typeCode<=OBJ]."}]},{"id":"CarePlan.activity","path":"CarePlan.activity","short":"Action to occur as part of plan","definition":"Identifies a planned action to occur as part of the plan.  For example, a medication to be used, lab tests to perform, self-monitoring, education, etc.","requirements":"Allows systems to prompt for performance of planned activities, and validate plans against best practice.","min":0,"max":"*","base":{"path":"CarePlan.activity","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"},{"key":"cpl-3","severity":"error","human":"Provide a reference or detail, not both","expression":"detail.empty() or reference.empty()","xpath":"not(exists(f:detail)) or not(exists(f:reference))"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"{no mapping\nNOTE: This is a list of contained Request-Event tuples!}"},{"identity":"rim","map":".outboundRelationship[typeCode=COMP].target"}]},{"id":"CarePlan.activity.id","path":"CarePlan.activity.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"CarePlan.activity.extension","path":"CarePlan.activity.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"CarePlan.activity.modifierExtension","path":"CarePlan.activity.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"CarePlan.activity.outcomeCodeableConcept","path":"CarePlan.activity.outcomeCodeableConcept","short":"Results of the activity","definition":"Identifies the outcome at the point when the status of the activity is assessed.  For example, the outcome of an education activity could be patient understands (or not).","comment":"Note that this should not duplicate the activity status (e.g. completed or in progress).","min":0,"max":"*","base":{"path":"CarePlan.activity.outcomeCodeableConcept","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CarePlanActivityOutcome"}],"strength":"example","description":"Identifies the results of the activity.","valueSet":"http://hl7.org/fhir/ValueSet/care-plan-activity-outcome"}},{"id":"CarePlan.activity.outcomeReference","path":"CarePlan.activity.outcomeReference","short":"Appointment, Encounter, Procedure, etc.","definition":"Details of the outcome or action resulting from the activity.  The reference to an \"event\" resource, such as Procedure or Encounter or Observation, is the result/outcome of the activity itself.  The activity can be conveyed using CarePlan.activity.detail OR using the CarePlan.activity.reference (a reference to a “request” resource).","comment":"The activity outcome is independent of the outcome of the related goal(s).  For example, if the goal is to achieve a target body weight of 150 lbs and an activity is defined to diet, then the activity outcome could be calories consumed whereas the goal outcome is an observation for the actual body weight measured.","requirements":"Links plan to resulting actions.","min":0,"max":"*","base":{"path":"CarePlan.activity.outcomeReference","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"{Event that is outcome of Request in activity.reference}"},{"identity":"rim","map":".inboundRelationship[typeCode=FLFS].source"}]},{"id":"CarePlan.activity.progress","path":"CarePlan.activity.progress","short":"Comments about the activity status/progress","definition":"Notes about the adherence/status/progress of the activity.","comment":"This element should NOT be used to describe the activity to be performed - that occurs either within the resource pointed to by activity.detail.reference or in activity.detail.description.","requirements":"Can be used to capture information about adherence, progress, concerns, etc.","min":0,"max":"*","base":{"path":"CarePlan.activity.progress","min":0,"max":"*"},"type":[{"code":"Annotation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"NTE?"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"}]},{"id":"CarePlan.activity.reference","path":"CarePlan.activity.reference","short":"Activity details defined in specific resource","definition":"The details of the proposed activity represented in a specific resource.","comment":"Standard extension exists ([resource-pertainsToGoal](http://hl7.org/fhir/R4/extension-resource-pertainstogoal.html)) that allows goals to be referenced from any of the referenced resources in CarePlan.activity.reference.  \rThe goal should be visible when the resource referenced by CarePlan.activity.reference is viewed independently from the CarePlan.  Requests that are pointed to by a CarePlan using this element should *not* point to this CarePlan using the \"basedOn\" element.  i.e. Requests that are part of a CarePlan are not \"based on\" the CarePlan.","requirements":"Details in a form consistent with other applications and contexts of use.","min":0,"max":"1","base":{"path":"CarePlan.activity.reference","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Appointment","http://hl7.org/fhir/StructureDefinition/CommunicationRequest","http://hl7.org/fhir/StructureDefinition/DeviceRequest","http://hl7.org/fhir/StructureDefinition/MedicationRequest","http://hl7.org/fhir/StructureDefinition/NutritionOrder","http://hl7.org/fhir/StructureDefinition/Task","http://hl7.org/fhir/StructureDefinition/ServiceRequest","http://hl7.org/fhir/StructureDefinition/VisionPrescription","http://hl7.org/fhir/StructureDefinition/RequestGroup"]}],"condition":["cpl-3"],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"{Request that resulted in Event in activity.actionResulting}"},{"identity":"rim","map":".outboundRelationship[typeCode=COMP].target"}]},{"id":"CarePlan.activity.detail","path":"CarePlan.activity.detail","short":"In-line definition of activity","definition":"A simple summary of a planned activity suitable for a general care plan system (e.g. form driven) that doesn't know about specific resources such as procedure etc.","requirements":"Details in a simple form for generic care plan systems.","min":0,"max":"1","base":{"path":"CarePlan.activity.detail","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["cpl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target"}]},{"id":"CarePlan.activity.detail.id","path":"CarePlan.activity.detail.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"CarePlan.activity.detail.extension","path":"CarePlan.activity.detail.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"CarePlan.activity.detail.modifierExtension","path":"CarePlan.activity.detail.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"CarePlan.activity.detail.kind","path":"CarePlan.activity.detail.kind","short":"Kind of resource","definition":"A description of the kind of resource the in-line definition of a care plan activity is representing.  The CarePlan.activity.detail is an in-line definition when a resource is not referenced using CarePlan.activity.reference.  For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest.","requirements":"May determine what types of extensions are permitted.","min":0,"max":"1","base":{"path":"CarePlan.activity.detail.kind","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CarePlanActivityKind"}],"strength":"required","description":"Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.","valueSet":"http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.0"},"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[classCode=LIST].code"}]},{"id":"CarePlan.activity.detail.instantiatesCanonical","path":"CarePlan.activity.detail.instantiatesCanonical","short":"Instantiates FHIR protocol or definition","definition":"The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan activity.","requirements":"Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity.","min":0,"max":"*","base":{"path":"CarePlan.activity.detail.instantiatesCanonical","min":0,"max":"*"},"type":[{"code":"canonical","targetProfile":["http://hl7.org/fhir/StructureDefinition/PlanDefinition","http://hl7.org/fhir/StructureDefinition/ActivityDefinition","http://hl7.org/fhir/StructureDefinition/Questionnaire","http://hl7.org/fhir/StructureDefinition/Measure","http://hl7.org/fhir/StructureDefinition/OperationDefinition"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.instantiatesCanonical"},{"identity":"rim","map":".outboundRelationship[typeCode=DEFN].target"}]},{"id":"CarePlan.activity.detail.instantiatesUri","path":"CarePlan.activity.detail.instantiatesUri","short":"Instantiates external protocol or definition","definition":"The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan activity.","comment":"This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.","requirements":"Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity.","min":0,"max":"*","base":{"path":"CarePlan.activity.detail.instantiatesUri","min":0,"max":"*"},"type":[{"code":"uri"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.instantiatesUri"},{"identity":"rim","map":".outboundRelationship[typeCode=DEFN].target"}]},{"id":"CarePlan.activity.detail.code","path":"CarePlan.activity.detail.code","short":"Detail type of activity","definition":"Detailed description of the type of planned activity; e.g. what lab test, what procedure, what kind of encounter.","comment":"Tends to be less relevant for activities involving particular products.  Codes should not convey negation - use \"prohibited\" instead.","requirements":"Allows matching performed to planned as well as validation against protocols.","min":0,"max":"1","base":{"path":"CarePlan.activity.detail.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CarePlanActivityType"}],"strength":"example","description":"Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.","valueSet":"http://hl7.org/fhir/ValueSet/procedure-code"},"mapping":[{"identity":"workflow","map":"Request.code"},{"identity":"v2","map":"OBR-4 / RXE-2 / RXO-1 / RXD-2"},{"identity":"rim","map":".code"}]},{"id":"CarePlan.activity.detail.reasonCode","path":"CarePlan.activity.detail.reasonCode","short":"Why activity should be done or why activity was prohibited","definition":"Provides the rationale that drove the inclusion of this particular activity as part of the plan or the reason why the activity was prohibited.","comment":"This could be a diagnosis code.  If a full condition record exists or additional detail is needed, use reasonCondition instead.","min":0,"max":"*","base":{"path":"CarePlan.activity.detail.reasonCode","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CarePlanActivityReason"}],"strength":"example","description":"Identifies why a care plan activity is needed.  Can include any health condition codes as well as such concepts as \"general wellness\", prophylaxis, surgical preparation, etc.","valueSet":"http://hl7.org/fhir/ValueSet/clinical-findings"},"mapping":[{"identity":"workflow","map":"Request.reasonCode"}]},{"id":"CarePlan.activity.detail.reasonReference","path":"CarePlan.activity.detail.reasonReference","short":"Why activity is needed","definition":"Indicates another resource, such as the health condition(s), whose existence justifies this request and drove the inclusion of this particular activity as part of the plan.","comment":"Conditions can be identified at the activity level that are not identified as reasons for the overall plan.","min":0,"max":"*","base":{"path":"CarePlan.activity.detail.reasonReference","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition","http://hl7.org/fhir/StructureDefinition/Observation","http://hl7.org/fhir/StructureDefinition/DiagnosticReport","http://hl7.org/fhir/StructureDefinition/DocumentReference"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.reasonReference"}]},{"id":"CarePlan.activity.detail.goal","path":"CarePlan.activity.detail.goal","short":"Goals this activity relates to","definition":"Internal reference that identifies the goals that this activity is intended to contribute towards meeting.","requirements":"So that participants know the link explicitly.","min":0,"max":"*","base":{"path":"CarePlan.activity.detail.goal","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Goal"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode<=OBJ]."}]},{"id":"CarePlan.activity.detail.status","path":"CarePlan.activity.detail.status","short":"not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error","definition":"Identifies what progress is being made for the specific activity.","comment":"Some aspects of status can be inferred based on the resources linked in actionTaken.  Note that \"status\" is only as current as the plan was most recently updated.  \nThe unknown code is not to be used to convey other statuses.  The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the activity.","requirements":"Indicates progress against the plan, whether the activity is still relevant for the plan.","min":1,"max":"1","base":{"path":"CarePlan.activity.detail.status","min":1,"max":"1"},"type":[{"code":"code"}],"isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the activity should not be treated as valid","isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CarePlanActivityStatus"}],"strength":"required","description":"Codes that reflect the current state of a care plan activity within its overall life cycle.","valueSet":"http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.0"},"mapping":[{"identity":"workflow","map":"Request.status"},{"identity":"v2","map":"ORC-5?"},{"identity":"rim","map":".statusCode not-started = new scheduled = not-started (and fulfillment relationship to appointent) in-progress = active on-hold = suspended completed = completed cancelled = aborted"}]},{"id":"CarePlan.activity.detail.statusReason","path":"CarePlan.activity.detail.statusReason","short":"Reason for current status","definition":"Provides reason why the activity isn't yet started, is on hold, was cancelled, etc.","comment":"Will generally not be present if status is \"complete\".  Be sure to prompt to update this (or at least remove the existing value) if the status is changed.","min":0,"max":"1","base":{"path":"CarePlan.activity.detail.statusReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.statusReason"}]},{"id":"CarePlan.activity.detail.doNotPerform","path":"CarePlan.activity.detail.doNotPerform","short":"If true, activity is prohibiting action","definition":"If true, indicates that the described activity is one that must NOT be engaged in when following the plan.  If false, or missing, indicates that the described activity is one that should be engaged in when following the plan.","comment":"This element is labeled as a modifier because it marks an activity as an activity that is not to be performed.","requirements":"Captures intention to not do something that may have been previously typical.","min":0,"max":"1","base":{"path":"CarePlan.activity.detail.doNotPerform","min":0,"max":"1"},"type":[{"code":"boolean"}],"meaningWhenMissing":"If missing indicates that the described activity is one that should be engaged in when following the plan.","isModifier":true,"isModifierReason":"If true this element negates the specified action. For example, instead of a request for a procedure, it is a request for the procedure to not occur.","isSummary":false,"mapping":[{"identity":"workflow","map":"Request.doNotPerform"},{"identity":"rim","map":"actionNegationInd"}]},{"id":"CarePlan.activity.detail.scheduled[x]","path":"CarePlan.activity.detail.scheduled[x]","short":"When activity is to occur","definition":"The period, timing or frequency upon which the described activity is to occur.","requirements":"Allows prompting for activities and detection of missed planned activities.","min":0,"max":"1","base":{"path":"CarePlan.activity.detail.scheduled[x]","min":0,"max":"1"},"type":[{"code":"Timing"},{"code":"Period"},{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.occurrence[x]"},{"identity":"v2","map":"TQ1"},{"identity":"rim","map":".effectiveTime"}]},{"id":"CarePlan.activity.detail.location","path":"CarePlan.activity.detail.location","short":"Where it should happen","definition":"Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc.","comment":"May reference a specific clinical location or may identify a type of location.","requirements":"Helps in planning of activity.","min":0,"max":"1","base":{"path":"CarePlan.activity.detail.location","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBR-24(???!!)"},{"identity":"rim","map":".participation[typeCode=LOC].role"}]},{"id":"CarePlan.activity.detail.performer","path":"CarePlan.activity.detail.performer","short":"Who will be responsible?","definition":"Identifies who's expected to be involved in the activity.","comment":"A performer MAY also be a participant in the care plan.","requirements":"Helps in planning of activity.","min":0,"max":"*","base":{"path":"CarePlan.activity.detail.performer","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/CareTeam","http://hl7.org/fhir/StructureDefinition/HealthcareService","http://hl7.org/fhir/StructureDefinition/Device"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.performer"},{"identity":"v2","map":"PRT-5 : ( PRV-4 = (provider participations)); PRT-5 : ( PRV-4 = (non-provider person participations )) ; PRT-5 : ( PRV-4 = (patient non-subject of care) ) ; PRT-8"},{"identity":"rim","map":".participation[typeCode=PFM]"}]},{"id":"CarePlan.activity.detail.product[x]","path":"CarePlan.activity.detail.product[x]","short":"What is to be administered/supplied","definition":"Identifies the food, drug or other product to be consumed or supplied in the activity.","min":0,"max":"1","base":{"path":"CarePlan.activity.detail.product[x]","min":0,"max":"1"},"type":[{"code":"CodeableConcept"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Medication","http://hl7.org/fhir/StructureDefinition/Substance"]}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CarePlanProduct"}],"strength":"example","description":"A product supplied or administered as part of a care plan activity.","valueSet":"http://hl7.org/fhir/ValueSet/medication-codes"},"mapping":[{"identity":"v2","map":"RXE-2 / RXO-1 / RXD-2"},{"identity":"rim","map":".participation[typeCode=PRD].role"}]},{"id":"CarePlan.activity.detail.dailyAmount","path":"CarePlan.activity.detail.dailyAmount","short":"How to consume/day?","definition":"Identifies the quantity expected to be consumed in a given day.","requirements":"Allows rough dose checking.","alias":["daily dose"],"min":0,"max":"1","base":{"path":"CarePlan.activity.detail.dailyAmount","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"RXO-23 / RXE-19 / RXD-12"},{"identity":"rim","map":".outboundRelationship[typeCode=COMP][classCode=SBADM].doseQuantity"}]},{"id":"CarePlan.activity.detail.quantity","path":"CarePlan.activity.detail.quantity","short":"How much to administer/supply/consume","definition":"Identifies the quantity expected to be supplied, administered or consumed by the subject.","min":0,"max":"1","base":{"path":"CarePlan.activity.detail.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"RXO-11 / RXE-10 / RXD-4 / RXG-5 / RXA-6 /  TQ1-2.1  *and*  RXO-12 /  RXE-11 / RXD-5 / RXG-7 / RXA-7 / TQ1-2.2"},{"identity":"rim","map":".outboundRelationship[typeCode=COMP][classCode=SPLY].quantity"}]},{"id":"CarePlan.activity.detail.description","path":"CarePlan.activity.detail.description","short":"Extra info describing activity to perform","definition":"This provides a textual description of constraints on the intended activity occurrence, including relation to other activities.  It may also include objectives, pre-conditions and end-conditions.  Finally, it may convey specifics about the activity such as body site, method, route, etc.","min":0,"max":"1","base":{"path":"CarePlan.activity.detail.description","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"NTE?"},{"identity":"rim","map":".text"}]},{"id":"CarePlan.note","path":"CarePlan.note","short":"Comments about the plan","definition":"General notes about the care plan not covered elsewhere.","requirements":"Used to capture information that applies to the plan as a whole that doesn't fit into discrete elements.","min":0,"max":"*","base":{"path":"CarePlan.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.note"},{"identity":"v2","map":"NTE?"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"}]}]},"differential":{"element":[{"id":"CarePlan","path":"CarePlan","definition":"The US Core CarePlan Profile is based upon the core FHIR CarePlan Resource and created to meet the 2015 Edition Common Clinical Data Set 'Assessment and Plan of Treatment requirements.","mustSupport":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan"}]},{"id":"CarePlan.text","path":"CarePlan.text","min":1,"max":"1","type":[{"code":"Narrative"}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan.text"}]},{"id":"CarePlan.text.status","path":"CarePlan.text.status","definition":"generated | additional.","type":[{"code":"code"}],"mustSupport":true,"binding":{"strength":"required","description":"Constrained value set of narrative statuses.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-narrative-status"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan.text.status"}]},{"id":"CarePlan.status","path":"CarePlan.status","requirements":"Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.","min":1,"max":"1","type":[{"code":"code"}],"mustSupport":true,"binding":{"strength":"required","description":"Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.","valueSet":"http://hl7.org/fhir/ValueSet/request-status"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan.status"}]},{"id":"CarePlan.intent","path":"CarePlan.intent","min":1,"max":"1","type":[{"code":"code"}],"mustSupport":true,"binding":{"strength":"required","description":"Codes indicating the degree of authority/intentionality associated with a care plan","valueSet":"http://hl7.org/fhir/ValueSet/care-plan-intent"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA (new element in STU3)"}]},{"id":"CarePlan.category","path":"CarePlan.category","slicing":{"discriminator":[{"type":"pattern","path":"$this"}],"rules":"open"},"definition":"Type of plan.","requirements":"Identifies what \"kind\" of plan this is to support differentiation between multiple co-existing plans; e.g. \"Home health\", \"psychiatric\", \"asthma\", \"disease management\", \"wellness plan\", etc.","min":1,"max":"*","type":[{"code":"CodeableConcept"}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan.category"}]},{"id":"CarePlan.category:AssessPlan","path":"CarePlan.category","sliceName":"AssessPlan","definition":"Type of plan.","requirements":"Identifies what \"kind\" of plan this is to support differentiation between multiple co-existing plans; e.g. \"Home health\", \"psychiatric\", \"asthma\", \"disease management\", \"wellness plan\", etc.","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://hl7.org/fhir/us/core/CodeSystem/careplan-category","code":"assess-plan"}]},"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan.category"}]},{"id":"CarePlan.subject","path":"CarePlan.subject","definition":"Who care plan is for.","requirements":"Identifies the patient or group whose intended care is described by the plan.","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan.subject"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-careteam.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-careteam.json
new file mode 100644
index 000000000..a2abb059a
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+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-careteam.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-careteam","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-careteam-definitions.html#CareTeam\" title=\"The US Core CareTeam Profile is based upon the core FHIR CareTeam Resource and created to meet the 2015 Edition Common Clinical Data Set 'Care team member(s)' requirements.\">CareTeam</a><a name=\"CareTeam\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-careteam-definitions.html#CareTeam.status\">status</a><a name=\"CareTeam.status\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-care-team-status.html\">CareTeamStatus</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-careteam-definitions.html#CareTeam.subject\">subject</a><a name=\"CareTeam.subject\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-careteam-definitions.html#CareTeam.participant\">participant</a><a name=\"CareTeam.participant\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-careteam-definitions.html#CareTeam.participant.role\">role</a><a name=\"CareTeam.participant.role\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-careteam-provider-roles.html\">US Core CareTeam Provider Roles</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-careteam-definitions.html#CareTeam.participant.member\">member</a><a name=\"CareTeam.participant.member\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a> | <a href=\"StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a> | <a href=\"StructureDefinition-us-core-organization.html\">US Core Organization Profile</a> | <a href=\"http://hl7.org/fhir/R4/relatedperson.html\">RelatedPerson</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam","version":"3.0.1","name":"USCoreCareTeam","title":"US Core CareTeam Profile","status":"active","experimental":false,"date":"2019-08-26T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the CareTeam resource for the minimal set of data to query and retrieve a patient's Care Team.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"}],"kind":"resource","abstract":false,"type":"CareTeam","baseDefinition":"http://hl7.org/fhir/StructureDefinition/CareTeam","derivation":"constraint","snapshot":{"element":[{"id":"CareTeam","path":"CareTeam","short":"Planned participants in the coordination and delivery of care for a patient or group","definition":"The US Core CareTeam Profile is based upon the core FHIR CareTeam Resource and created to meet the 2015 Edition Common Clinical Data Set 'Care team member(s)' requirements.","min":0,"max":"*","base":{"path":"CareTeam","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.div.exists()","xpath":"exists(f:text/h:div)","source":"DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"DomainResource"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"argonaut-dq-dstu2","map":"CarePlan"}]},{"id":"CareTeam.id","path":"CareTeam.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"code":"id"}],"isModifier":false,"isSummary":true},{"id":"CareTeam.meta","path":"CareTeam.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"isModifier":false,"isSummary":true},{"id":"CareTeam.implicitRules","path":"CareTeam.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"CareTeam.language","path":"CareTeam.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"CareTeam.text","path":"CareTeam.text","short":"Text summary of the resource, for human interpretation","definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"CareTeam.contained","path":"CareTeam.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"CareTeam.extension","path":"CareTeam.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"CareTeam.modifierExtension","path":"CareTeam.modifierExtension","short":"Extensions that cannot be ignored","definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"CareTeam.identifier","path":"CareTeam.identifier","short":"External Ids for this team","definition":"Business identifiers assigned to this care team by the performer or other systems which remain constant as the resource is updated and propagates from server to server.","comment":"This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.","requirements":"Allows identification of the care team as it is known by various participating systems and in a way that remains consistent across servers.","min":0,"max":"*","base":{"path":"CareTeam.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"}]},{"id":"CareTeam.status","path":"CareTeam.status","short":"proposed | active | suspended | inactive | entered-in-error","definition":"Indicates the current state of the care team.","comment":"This element is labeled as a modifier because the status contains the code entered-in-error that marks the care team as not currently valid.","min":0,"max":"1","base":{"path":"CareTeam.status","min":0,"max":"1"},"type":[{"code":"code"}],"mustSupport":true,"isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"strength":"required","description":"Indicates whether the team is current , represents future intentions or is now a historical record.","valueSet":"http://hl7.org/fhir/ValueSet/care-team-status"},"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"argonaut-dq-dstu2","map":"CarePlan.status"}]},{"id":"CareTeam.category","path":"CareTeam.category","short":"Type of team","definition":"Identifies what kind of team.  This is to support differentiation between multiple co-existing teams, such as care plan team, episode of care team, longitudinal care team.","comment":"There may be multiple axis of categorization and one team may serve multiple purposes.","requirements":"Used for filtering what teams(s) are retrieved and displayed to different types of users.","min":0,"max":"*","base":{"path":"CareTeam.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CareTeamCategory"}],"strength":"example","description":"Indicates the type of care team.","valueSet":"http://hl7.org/fhir/ValueSet/care-team-category"},"mapping":[{"identity":"w5","map":"FiveWs.class"}]},{"id":"CareTeam.name","path":"CareTeam.name","short":"Name of the team, such as crisis assessment team","definition":"A label for human use intended to distinguish like teams.  E.g. the \"red\" vs. \"green\" trauma teams.","comment":"The meaning/purpose of the team is conveyed in CareTeam.category.  This element may also convey semantics of the team (e.g. \"Red trauma team\"), but its primary purpose is to distinguish between identical teams in a human-friendly way.  (\"Team 18735\" isn't as friendly.).","min":0,"max":"1","base":{"path":"CareTeam.name","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":true},{"id":"CareTeam.subject","path":"CareTeam.subject","short":"Who care team is for","definition":"Identifies the patient or group whose intended care is handled by the team.","requirements":"Allows the team to care for a group (e.g. marriage) therapy. \nAllows for an organization to designate a team such as the PICC line team.","alias":["patient"],"min":1,"max":"1","base":{"path":"CareTeam.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"w5","map":"FiveWs.subject"},{"identity":"argonaut-dq-dstu2","map":"CarePlan.subject"}]},{"id":"CareTeam.encounter","path":"CareTeam.encounter","short":"Encounter created as part of","definition":"The Encounter during which this CareTeam was created or to which the creation of this record is tightly associated.","comment":"This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.","min":0,"max":"1","base":{"path":"CareTeam.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.context"}]},{"id":"CareTeam.period","path":"CareTeam.period","short":"Time period team covers","definition":"Indicates when the team did (or is intended to) come into effect and end.","requirements":"Allows tracking what team(s) are in effect at a particular time.","min":0,"max":"1","base":{"path":"CareTeam.period","min":0,"max":"1"},"type":[{"code":"Period"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.init"}]},{"id":"CareTeam.participant","path":"CareTeam.participant","short":"Members of the team","definition":"Identifies all people and organizations who are expected to be involved in the care team.","min":1,"max":"*","base":{"path":"CareTeam.participant","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"condition":["ctm-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"},{"key":"ctm-1","severity":"error","human":"CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner","expression":"onBehalfOf.exists() implies (member.resolve() is Practitioner)","xpath":"starts-with(f:member/f:reference/@value, 'Practitioner/') or contains(f:member/f:reference/@value, '/Practitioner/') or exists(ancestor::*/f:contains/f:Practitioner/f:id[@value=substring-after(current()/f:member/f:reference/@value, '#')]) or not(exists(f:onBehalfOf))","source":"CareTeam.participant"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"REL (REL.4 is always the Patient) ( or PRT?)"},{"identity":"rim","map":".participation[typeCode=PRF]"},{"identity":"argonaut-dq-dstu2","map":"CarePlan.participant"}]},{"id":"CareTeam.participant.id","path":"CareTeam.participant.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"CareTeam.participant.extension","path":"CareTeam.participant.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"CareTeam.participant.modifierExtension","path":"CareTeam.participant.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"CareTeam.participant.role","path":"CareTeam.participant.role","short":"Type of involvement","definition":"Indicates specific responsibility of an individual within the care team, such as \"Primary care physician\", \"Trained social worker counselor\", \"Caregiver\", etc.","comment":"Roles may sometimes be inferred by type of Practitioner.  These are relationships that hold only within the context of the care team.  General relationships should be handled as properties of the Patient resource directly.","min":1,"max":"1","base":{"path":"CareTeam.participant.role","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-careteam-provider-roles"},"mapping":[{"identity":"v2","map":"REL.2 (or PRT-4?)"},{"identity":"rim","map":".functionCode"},{"identity":"argonaut-dq-dstu2","map":"CarePlan.participant.role"}]},{"id":"CareTeam.participant.member","path":"CareTeam.participant.member","short":"Who is involved","definition":"The specific person or organization who is participating/expected to participate in the care team.","comment":"Patient only needs to be listed if they have a role other than \"subject of care\".\n\nMember is optional because some participants may be known only by their role, particularly in draft plans.","min":1,"max":"1","base":{"path":"CareTeam.participant.member","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient","http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"REL.5 (or PRT-5 : ( PRV-4 {provider participations} ) / PRT-5 : ( PRV-4  {non-provider person participations} ) / PRT-5 : ( PRV-4 = (patient non-subject of care) ) / PRT-8?)"},{"identity":"rim","map":".role"},{"identity":"argonaut-dq-dstu2","map":"CarePlan.participant.member"}]},{"id":"CareTeam.participant.onBehalfOf","path":"CareTeam.participant.onBehalfOf","short":"Organization of the practitioner","definition":"The organization of the practitioner.","requirements":"Practitioners can be associated with multiple organizations.  This element indicates which organization they were acting on behalf of.","min":0,"max":"1","base":{"path":"CareTeam.participant.onBehalfOf","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"isModifier":false,"isSummary":true},{"id":"CareTeam.participant.period","path":"CareTeam.participant.period","short":"Time period of participant","definition":"Indicates when the specific member or organization did (or is intended to) come into effect and end.","min":0,"max":"1","base":{"path":"CareTeam.participant.period","min":0,"max":"1"},"type":[{"code":"Period"}],"isModifier":false,"isSummary":false},{"id":"CareTeam.reasonCode","path":"CareTeam.reasonCode","short":"Why the care team exists","definition":"Describes why the care team exists.","min":0,"max":"*","base":{"path":"CareTeam.reasonCode","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CareTeamReason"}],"strength":"example","description":"Indicates the reason for the care team.","valueSet":"http://hl7.org/fhir/ValueSet/clinical-findings"},"mapping":[{"identity":"w5","map":"FiveWs.why[x]"}]},{"id":"CareTeam.reasonReference","path":"CareTeam.reasonReference","short":"Why the care team exists","definition":"Condition(s) that this care team addresses.","min":0,"max":"*","base":{"path":"CareTeam.reasonReference","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.why[x]"}]},{"id":"CareTeam.managingOrganization","path":"CareTeam.managingOrganization","short":"Organization responsible for the care team","definition":"The organization responsible for the care team.","requirements":"Allows for multiple organizations to collaboratively manage cross-organizational, longitudinal care plan.","min":0,"max":"*","base":{"path":"CareTeam.managingOrganization","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"isModifier":false,"isSummary":true},{"id":"CareTeam.telecom","path":"CareTeam.telecom","short":"A contact detail for the care team (that applies to all members)","definition":"A central contact detail for the care team (that applies to all members).","comment":"The ContactPoint.use code of home is not appropriate to use. These contacts are not the contact details of individual care team members.","min":0,"max":"*","base":{"path":"CareTeam.telecom","min":0,"max":"*"},"type":[{"code":"ContactPoint"}],"isModifier":false,"isSummary":false},{"id":"CareTeam.note","path":"CareTeam.note","short":"Comments made about the CareTeam","definition":"Comments made about the CareTeam.","min":0,"max":"*","base":{"path":"CareTeam.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"isModifier":false,"isSummary":false}]},"differential":{"element":[{"id":"CareTeam","path":"CareTeam","definition":"The US Core CareTeam Profile is based upon the core FHIR CareTeam Resource and created to meet the 2015 Edition Common Clinical Data Set 'Care team member(s)' requirements.","mustSupport":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan"}]},{"id":"CareTeam.status","path":"CareTeam.status","min":0,"max":"1","type":[{"code":"code"}],"mustSupport":true,"binding":{"strength":"required","description":"Indicates whether the team is current , represents future intentions or is now a historical record.","valueSet":"http://hl7.org/fhir/ValueSet/care-team-status"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan.status"}]},{"id":"CareTeam.subject","path":"CareTeam.subject","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan.subject"}]},{"id":"CareTeam.participant","path":"CareTeam.participant","min":1,"max":"*","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan.participant"}]},{"id":"CareTeam.participant.role","path":"CareTeam.participant.role","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"extensible","description":"Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-careteam-provider-roles"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan.participant.role"}]},{"id":"CareTeam.participant.member","path":"CareTeam.participant.member","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient","http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan.participant.member"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-condition.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-condition.json
new file mode 100644
index 000000000..29814695c
--- /dev/null
+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-condition.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-condition","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-condition-definitions.html#Condition\" title=\"The US Core Condition Profile is based upon the core FHIR Condition Resource and created to meet the 2015 Edition Common Clinical Data Set 'Problems' and 'Health Concerns' requirements.\">Condition</a><a name=\"Condition\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">us-core-1: </span>A code in Condition.category SHOULD be from US Core Condition Category Codes value set.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-condition-definitions.html#Condition.clinicalStatus\">clinicalStatus</a><a name=\"Condition.clinicalStatus\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-condition-clinical.html\">ConditionClinicalStatusCodes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-condition-definitions.html#Condition.verificationStatus\">verificationStatus</a><a name=\"Condition.verificationStatus\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-condition-ver-status.html\">ConditionVerificationStatus</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-condition-definitions.html#Condition.category\">category</a><a name=\"Condition.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-condition-category.html\">US Core Condition Category Codes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-condition-definitions.html#Condition.code\">code</a><a name=\"Condition.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-problem.html\">US Core Problem</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-condition-definitions.html#Condition.subject\">subject</a><a name=\"Condition.subject\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition","version":"3.0.1","name":"USCoreCondition","title":"US Core Condition Profile","status":"active","experimental":false,"date":"2019-05-21T00:00:00+00:00","publisher":"Health Level Seven International (Infrastructure and Messaging - Data Access Framework)","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the Condition resource for the minimal set of data to query and retrieve problems and health concerns information.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"sct-concept","uri":"http://snomed.info/conceptdomain","name":"SNOMED CT Concept Domain Binding"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"sct-attr","uri":"http://snomed.org/attributebinding","name":"SNOMED CT Attribute Binding"}],"kind":"resource","abstract":false,"type":"Condition","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Condition","derivation":"constraint","snapshot":{"element":[{"id":"Condition","path":"Condition","short":"Detailed information about conditions, problems or diagnoses","definition":"The US Core Condition Profile is based upon the core FHIR Condition Resource and created to meet the 2015 Edition Common Clinical Data Set 'Problems' and 'Health Concerns' requirements.","min":0,"max":"*","base":{"path":"Condition","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.div.exists()","xpath":"exists(f:text/h:div)","source":"DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"DomainResource"},{"key":"con-5","severity":"error","human":"Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error","expression":"verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()","xpath":"not(exists(f:verificationStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-ver-status' and f:code/@value='entered-in-error'])) or not(exists(f:clinicalStatus))","source":"Condition"},{"key":"con-4","severity":"error","human":"If condition is abated, then clinicalStatus must be either inactive, resolved, or remission","expression":"abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()","xpath":"not(exists(*[starts-with(local-name(.), 'abatement')])) or exists(f:clinicalStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-clinical' and f:code/@value=('resolved', 'remission', 'inactive')])","source":"Condition"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"Most systems will expect a clinicalStatus to be valued for problem-list-items that are managed over time, but might not need a clinicalStatus for point in time encounter-diagnosis."}],"key":"con-3","severity":"warning","human":"Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item","expression":"clinicalStatus.exists() or verificationStatus='entered-in-error' or category.select($this='problem-list-item').empty()","xpath":"exists(f:clinicalStatus) or f:verificationStatus/@value='entered-in-error' or not(exists(category[@value='problem-list-item']))","source":"Condition"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true}],"key":"us-core-1","severity":"warning","human":"A code in Condition.category SHOULD be from US Core Condition Category Codes value set.","expression":"where(category in 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category').exists()","xpath":"(no xpath equivalent)"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"sct-concept","map":"< 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)"},{"identity":"v2","map":"PPR message"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]"},{"identity":"argonaut-dq-dstu2","map":"Condition"}]},{"id":"Condition.id","path":"Condition.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"code":"id"}],"isModifier":false,"isSummary":true},{"id":"Condition.meta","path":"Condition.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"isModifier":false,"isSummary":true},{"id":"Condition.implicitRules","path":"Condition.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Condition.language","path":"Condition.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"Condition.text","path":"Condition.text","short":"Text summary of the resource, for human interpretation","definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Condition.contained","path":"Condition.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Condition.extension","path":"Condition.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Condition.modifierExtension","path":"Condition.modifierExtension","short":"Extensions that cannot be ignored","definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Condition.identifier","path":"Condition.identifier","short":"External Ids for this condition","definition":"Business identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server.","comment":"This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.","requirements":"Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.","min":0,"max":"*","base":{"path":"Condition.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"rim","map":".id"}]},{"id":"Condition.clinicalStatus","path":"Condition.clinicalStatus","short":"active | recurrence | relapse | inactive | remission | resolved","definition":"The clinical status of the condition.","comment":"The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.","min":0,"max":"1","base":{"path":"Condition.clinicalStatus","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["con-3","con-4","con-5"],"mustSupport":true,"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the status contains codes that mark the condition as no longer active.","isSummary":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/condition-clinical"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"sct-concept","map":"< 303105007 |Disease phases|"},{"identity":"v2","map":"PRB-14"},{"identity":"rim","map":"Observation ACT\n.inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"clinicalStatus\", moodCode=EVN].value"},{"identity":"argonaut-dq-dstu2","map":"Condition.clinicalStatus"}]},{"id":"Condition.verificationStatus","path":"Condition.verificationStatus","short":"unconfirmed | provisional | differential | confirmed | refuted | entered-in-error","definition":"The verification status to support the clinical status of the condition.","comment":"verificationStatus is not required.  For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status.\nThe data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.","min":0,"max":"1","base":{"path":"Condition.verificationStatus","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["con-3","con-5"],"mustSupport":true,"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.","isSummary":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/condition-ver-status"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"sct-concept","map":"< 410514004 |Finding context value|"},{"identity":"v2","map":"PRB-13"},{"identity":"rim","map":"Observation ACT\n.inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"verificationStatus\", moodCode=EVN].value"},{"identity":"sct-attr","map":"408729009"},{"identity":"argonaut-dq-dstu2","map":"Condition.verificationStatus"}]},{"id":"Condition.category","path":"Condition.category","short":"problem-list-item | encounter-diagnosis","definition":"A category assigned to the condition.","comment":"The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.","min":1,"max":"*","base":{"path":"Condition.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"sct-concept","map":"< 404684003 |Clinical finding|"},{"identity":"v2","map":"'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message"},{"identity":"rim","map":".code"},{"identity":"argonaut-dq-dstu2","map":"Condition.category"}]},{"id":"Condition.severity","path":"Condition.severity","short":"Subjective severity of condition","definition":"A subjective assessment of the severity of the condition as evaluated by the clinician.","comment":"Coding of the severity with a terminology is preferred, where possible.","min":0,"max":"1","base":{"path":"Condition.severity","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConditionSeverity"}],"strength":"preferred","description":"A subjective assessment of the severity of the condition as evaluated by the clinician.","valueSet":"http://hl7.org/fhir/ValueSet/condition-severity"},"mapping":[{"identity":"w5","map":"FiveWs.grade"},{"identity":"sct-concept","map":"< 272141005 |Severities|"},{"identity":"v2","map":"PRB-26 / ABS-3"},{"identity":"rim","map":"Can be pre/post-coordinated into value.  Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"severity\"].value"},{"identity":"sct-attr","map":"246112005"}]},{"id":"Condition.code","path":"Condition.code","short":"Identification of the condition, problem or diagnosis","definition":"Identification of the condition, problem or diagnosis.","requirements":"0..1 to account for primarily narrative only resources.","alias":["type"],"min":1,"max":"1","base":{"path":"Condition.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Valueset to describe the actual problem experienced by the patient","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-problem"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"code 246090004 |Associated finding| (< 404684003 |Clinical finding| MINUS\n<< 420134006 |Propensity to adverse reactions| MINUS \n<< 473010000 |Hypersensitivity condition| MINUS \n<< 79899007 |Drug interaction| MINUS\n<< 69449002 |Drug action| MINUS \n<< 441742003 |Evaluation finding| MINUS \n<< 307824009 |Administrative status| MINUS \n<< 385356007 |Tumor stage finding|) \nOR < 413350009 |Finding with explicit context|\nOR < 272379006 |Event|"},{"identity":"v2","map":"PRB-3"},{"identity":"rim","map":".value"},{"identity":"sct-attr","map":"246090004"},{"identity":"argonaut-dq-dstu2","map":"Condition.code"}]},{"id":"Condition.bodySite","path":"Condition.bodySite","short":"Anatomical location, if relevant","definition":"The anatomical location where this condition manifests itself.","comment":"Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).  May be a summary code, or a reference to a very precise definition of the location, or both.","min":0,"max":"*","base":{"path":"Condition.bodySite","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"example","description":"Codes describing anatomical locations. May include laterality.","valueSet":"http://hl7.org/fhir/ValueSet/body-site"},"mapping":[{"identity":"sct-concept","map":"< 442083009  |Anatomical or acquired body structure|"},{"identity":"rim","map":".targetBodySiteCode"},{"identity":"sct-attr","map":"363698007"}]},{"id":"Condition.subject","path":"Condition.subject","short":"Who has the condition?","definition":"Indicates the patient or group who the condition record is associated with.","requirements":"Group is typically used for veterinary or public health use cases.","alias":["patient"],"min":1,"max":"1","base":{"path":"Condition.subject","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":".participation[typeCode=SBJ].role[classCode=PAT]"},{"identity":"w5","map":"FiveWs.subject"},{"identity":"argonaut-dq-dstu2","map":"Condition.patient"}]},{"id":"Condition.encounter","path":"Condition.encounter","short":"Encounter created as part of","definition":"The Encounter during which this Condition was created or to which the creation of this record is tightly associated.","comment":"This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. This record indicates the encounter this particular record is associated with.  In the case of a \"new\" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first \"known\".","min":0,"max":"1","base":{"path":"Condition.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1-19 (+PV1-54)"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"}]},{"id":"Condition.onset[x]","path":"Condition.onset[x]","short":"Estimated or actual date,  date-time, or age","definition":"Estimated or actual date or date-time  the condition began, in the opinion of the clinician.","comment":"Age is generally used when the patient reports an age at which the Condition began to occur.","min":0,"max":"1","base":{"path":"Condition.onset[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Age"},{"code":"Period"},{"code":"Range"},{"code":"string"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.init"},{"identity":"v2","map":"PRB-16"},{"identity":"rim","map":".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at onset\"].value"}]},{"id":"Condition.abatement[x]","path":"Condition.abatement[x]","short":"When in resolution/remission","definition":"The date or estimated date that the condition resolved or went into remission. This is called \"abatement\" because of the many overloaded connotations associated with \"remission\" or \"resolution\" - Conditions are never really resolved, but they can abate.","comment":"There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated.  If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid.  When abatementString exists, it implies the condition is abated.","min":0,"max":"1","base":{"path":"Condition.abatement[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Age"},{"code":"Period"},{"code":"Range"},{"code":"string"}],"condition":["con-4"],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"rim","map":".effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at remission\"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed"}]},{"id":"Condition.recordedDate","path":"Condition.recordedDate","short":"Date record was first recorded","definition":"The recordedDate represents when this particular Condition record was created in the system, which is often a system-generated date.","min":0,"max":"1","base":{"path":"Condition.recordedDate","min":0,"max":"1"},"type":[{"code":"dateTime"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"v2","map":"REL-11"},{"identity":"rim","map":".participation[typeCode=AUT].time"}]},{"id":"Condition.recorder","path":"Condition.recorder","short":"Who recorded the condition","definition":"Individual who recorded the record and takes responsibility for its content.","min":0,"max":"1","base":{"path":"Condition.recorder","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=AUT].role"}]},{"id":"Condition.asserter","path":"Condition.asserter","short":"Person who asserts this condition","definition":"Individual who is making the condition statement.","min":0,"max":"1","base":{"path":"Condition.asserter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.source"},{"identity":"v2","map":"REL-7.1 identifier + REL-7.12 type code"},{"identity":"rim","map":".participation[typeCode=INF].role"}]},{"id":"Condition.stage","path":"Condition.stage","short":"Stage/grade, usually assessed formally","definition":"Clinical stage or grade of a condition. May include formal severity assessments.","min":0,"max":"*","base":{"path":"Condition.stage","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"},{"key":"con-1","severity":"error","human":"Stage SHALL have summary or assessment","expression":"summary.exists() or assessment.exists()","xpath":"exists(f:summary) or exists(f:assessment)"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"stage/grade\"]"}]},{"id":"Condition.stage.id","path":"Condition.stage.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Condition.stage.extension","path":"Condition.stage.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Condition.stage.modifierExtension","path":"Condition.stage.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Condition.stage.summary","path":"Condition.stage.summary","short":"Simple summary (disease specific)","definition":"A simple summary of the stage such as \"Stage 3\". The determination of the stage is disease-specific.","min":0,"max":"1","base":{"path":"Condition.stage.summary","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["con-1"],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConditionStage"}],"strength":"example","description":"Codes describing condition stages (e.g. Cancer stages).","valueSet":"http://hl7.org/fhir/ValueSet/condition-stage"},"mapping":[{"identity":"sct-concept","map":"< 254291000 |Staging and scales|"},{"identity":"v2","map":"PRB-14"},{"identity":"rim","map":".value"}]},{"id":"Condition.stage.assessment","path":"Condition.stage.assessment","short":"Formal record of assessment","definition":"Reference to a formal record of the evidence on which the staging assessment is based.","min":0,"max":"*","base":{"path":"Condition.stage.assessment","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/ClinicalImpression","http://hl7.org/fhir/StructureDefinition/DiagnosticReport","http://hl7.org/fhir/StructureDefinition/Observation"]}],"condition":["con-1"],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".self"}]},{"id":"Condition.stage.type","path":"Condition.stage.type","short":"Kind of staging","definition":"The kind of staging, such as pathological or clinical staging.","min":0,"max":"1","base":{"path":"Condition.stage.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConditionStageType"}],"strength":"example","description":"Codes describing the kind of condition staging (e.g. clinical or pathological).","valueSet":"http://hl7.org/fhir/ValueSet/condition-stage-type"},"mapping":[{"identity":"rim","map":"./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"stage type\"]"}]},{"id":"Condition.evidence","path":"Condition.evidence","short":"Supporting evidence","definition":"Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition.","comment":"The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.","min":0,"max":"*","base":{"path":"Condition.evidence","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"},{"key":"con-2","severity":"error","human":"evidence SHALL have code or details","expression":"code.exists() or detail.exists()","xpath":"exists(f:code) or exists(f:detail)"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]"}]},{"id":"Condition.evidence.id","path":"Condition.evidence.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Condition.evidence.extension","path":"Condition.evidence.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Condition.evidence.modifierExtension","path":"Condition.evidence.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Condition.evidence.code","path":"Condition.evidence.code","short":"Manifestation/symptom","definition":"A manifestation or symptom that led to the recording of this condition.","min":0,"max":"*","base":{"path":"Condition.evidence.code","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"condition":["con-2"],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ManifestationOrSymptom"}],"strength":"example","description":"Codes that describe the manifestation or symptoms of a condition.","valueSet":"http://hl7.org/fhir/ValueSet/manifestation-or-symptom"},"mapping":[{"identity":"workflow","map":"Event.reasonCode"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"sct-concept","map":"< 404684003 |Clinical finding|"},{"identity":"rim","map":"[code=\"diagnosis\"].value"}]},{"id":"Condition.evidence.detail","path":"Condition.evidence.detail","short":"Supporting information found elsewhere","definition":"Links to other relevant information, including pathology reports.","min":0,"max":"*","base":{"path":"Condition.evidence.detail","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"condition":["con-2"],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"rim","map":".self"}]},{"id":"Condition.note","path":"Condition.note","short":"Additional information about the Condition","definition":"Additional information about the Condition. This is a general notes/comments entry  for description of the Condition, its diagnosis and prognosis.","min":0,"max":"*","base":{"path":"Condition.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.note"},{"identity":"v2","map":"NTE child of PRB"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"}]}]},"differential":{"element":[{"id":"Condition","path":"Condition","definition":"The US Core Condition Profile is based upon the core FHIR Condition Resource and created to meet the 2015 Edition Common Clinical Data Set 'Problems' and 'Health Concerns' requirements.","constraint":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true}],"key":"us-core-1","severity":"warning","human":"A code in Condition.category SHOULD be from US Core Condition Category Codes value set.","expression":"where(category in 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category').exists()","xpath":"(no xpath equivalent)"}],"mustSupport":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Condition"}]},{"id":"Condition.clinicalStatus","path":"Condition.clinicalStatus","min":0,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/condition-clinical"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Condition.clinicalStatus"}]},{"id":"Condition.verificationStatus","path":"Condition.verificationStatus","min":0,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/condition-ver-status"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Condition.verificationStatus"}]},{"id":"Condition.category","path":"Condition.category","min":1,"max":"*","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Condition.category"}]},{"id":"Condition.code","path":"Condition.code","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"extensible","description":"Valueset to describe the actual problem experienced by the patient","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-problem"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Condition.code"}]},{"id":"Condition.subject","path":"Condition.subject","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Condition.patient"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-diagnosticreport-lab.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-diagnosticreport-lab.json
new file mode 100644
index 000000000..f38d6915c
--- /dev/null
+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-diagnosticreport-lab.json
@@ -0,0 +1,1666 @@
+{
+  "resourceType": "StructureDefinition",
+  "id": "us-core-diagnosticreport-lab",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-diagnosticreport-lab-definitions.html#DiagnosticReport\" title=\"The US Core Diagnostic Report Profile is based upon the core FHIR DiagnosticReport Resource and created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements.\">DiagnosticReport</a><a name=\"DiagnosticReport\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">us-core-7: </span>DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-diagnosticreport-lab-definitions.html#DiagnosticReport.status\" title=\"null\">status</a><a name=\"DiagnosticReport.status\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-diagnostic-report-status.html\">DiagnosticReportStatus</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-us-core-diagnosticreport-lab-definitions.html#DiagnosticReport.category\" title=\"null\">category</a><a name=\"DiagnosticReport.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"font-style: italic\">1</span><span style=\"font-style: italic\">..</span><span style=\"font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/profiling.html#slicing\">(Slice Definition)</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by pattern:$this</span><br style=\"font-style: italic\"/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-diagnosticreport-lab-definitions.html#DiagnosticReport.category:LaboratorySlice\" title=\"Slice LaboratorySlice: null\">category:LaboratorySlice</a><a name=\"DiagnosticReport.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1241.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12410.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"http://hl7.org/fhir/R4/v2/0074/index.html\">http://terminology.hl7.org/CodeSystem/v2-0074</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12400.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">LAB</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-diagnosticreport-lab-definitions.html#DiagnosticReport.code\" title=\"The test, panel or battery that was ordered.\">code</a><a name=\"DiagnosticReport.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">US Core Laboratory Report Order Code<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-diagnosticreport-lab-codes.html\">US Core Diagnostic Report Laboratory Codes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-diagnosticreport-lab-definitions.html#DiagnosticReport.subject\" title=\"null\">subject</a><a name=\"DiagnosticReport.subject\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_choice.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Choice of Types\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-diagnosticreport-lab-definitions.html#DiagnosticReport.effective[x]\" title=\"This is the Specimen Collection Datetime or Period which is the physically relevent dateTime for laboratory tests.\">effective[x]</a><a name=\"DiagnosticReport.effective_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Specimen Collection Datetime or Period</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span title=\"Base StructureDefinition for dateTime Type: A date, date-time or partial date (e.g. just year or year + month).  If hours and minutes are specified, a time zone SHALL be populated. The format is a union of the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints but may be zero-filled and may be ignored.                 Dates SHALL be valid dates.\">effectiveDateTime</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span title=\"Base StructureDefinition for Period Type: A time period defined by a start and end date and optionally time.\">effectivePeriod</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Period\">Period</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-diagnosticreport-lab-definitions.html#DiagnosticReport.issued\" title=\"null\">issued</a><a name=\"DiagnosticReport.issued\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#instant\">instant</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-diagnosticreport-lab-definitions.html#DiagnosticReport.performer\" title=\"null\">performer</a><a name=\"DiagnosticReport.performer\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a> | <a href=\"StructureDefinition-us-core-organization.html\">US Core Organization Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-diagnosticreport-lab-definitions.html#DiagnosticReport.result\" title=\"null\">result</a><a name=\"DiagnosticReport.result\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-observation-lab.html\">US Core Laboratory Result Observation Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">us-core-7: </span>DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present.<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-diagnosticreport-lab-definitions.html#DiagnosticReport.media\" title=\"null\">media</a><a name=\"DiagnosticReport.media\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-diagnosticreport-lab-definitions.html#DiagnosticReport.presentedForm\" title=\"null\">presentedForm</a><a name=\"DiagnosticReport.presentedForm\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Attachment\">Attachment</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">us-core-7: </span>DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present.<br/></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab",
+  "version": "3.0.1",
+  "name": "USCoreDiagnosticReportProfileLaboratoryReporting",
+  "title": "US Core DiagnosticReport Profile for Laboratory Results Reporting",
+  "status": "active",
+  "experimental": false,
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "url",
+          "value": "http://www.healthit.gov"
+        }
+      ]
+    }
+  ],
+  "description": "Defines constraints and extensions on the DiagnosticReport resource  for the minimal set of data to query and retrieve diagnostic reports associated with laboratory results for a patient",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "fhirVersion": "4.0.0",
+  "mapping": [
+    {
+      "identity": "workflow",
+      "uri": "http://hl7.org/fhir/workflow",
+      "name": "Workflow Pattern"
+    },
+    {
+      "identity": "v2",
+      "uri": "http://hl7.org/v2",
+      "name": "HL7 v2 Mapping"
+    },
+    {
+      "identity": "rim",
+      "uri": "http://hl7.org/v3",
+      "name": "RIM Mapping"
+    },
+    {
+      "identity": "w5",
+      "uri": "http://hl7.org/fhir/fivews",
+      "name": "FiveWs Pattern Mapping"
+    }
+  ],
+  "kind": "resource",
+  "abstract": false,
+  "type": "DiagnosticReport",
+  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
+  "derivation": "constraint",
+  "snapshot": {
+    "element": [
+      {
+        "id": "DiagnosticReport",
+        "path": "DiagnosticReport",
+        "short": "A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports",
+        "definition": "The US Core Diagnostic Report Profile is based upon the core FHIR DiagnosticReport Resource and created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements.",
+        "comment": "This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports.  For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.",
+        "alias": [
+          "Report",
+          "Test",
+          "Result",
+          "Results",
+          "Labs",
+          "Laboratory",
+          "Lab Result",
+          "Lab Report"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "DiagnosticReport",
+          "min": 0,
+          "max": "*"
+        },
+        "constraint": [
+          {
+            "key": "dom-2",
+            "severity": "error",
+            "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
+            "expression": "contained.contained.empty()",
+            "xpath": "not(parent::f:contained and f:contained)",
+            "source": "DomainResource"
+          },
+          {
+            "key": "dom-4",
+            "severity": "error",
+            "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
+            "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
+            "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
+            "source": "DomainResource"
+          },
+          {
+            "key": "dom-3",
+            "severity": "error",
+            "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
+            "expression": "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
+            "xpath": "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
+            "source": "DomainResource"
+          },
+          {
+            "extension": [
+              {
+                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
+                "valueBoolean": true
+              },
+              {
+                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
+                "valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
+              }
+            ],
+            "key": "dom-6",
+            "severity": "warning",
+            "human": "A resource should have narrative for robust management",
+            "expression": "text.div.exists()",
+            "xpath": "exists(f:text/h:div)",
+            "source": "DomainResource"
+          },
+          {
+            "key": "dom-5",
+            "severity": "error",
+            "human": "If a resource is contained in another resource, it SHALL NOT have a security label",
+            "expression": "contained.meta.security.empty()",
+            "xpath": "not(exists(f:contained/*/f:meta/f:security))",
+            "source": "DomainResource"
+          },
+          {
+            "key": "us-core-7",
+            "severity": "error",
+            "human": "DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present.",
+            "expression": "result.exists() or presentedForm.exists()",
+            "xpath": "f:result or f:presentedForm"
+          }
+        ],
+        "mustSupport": false,
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "Entity. Role, or Act"
+          },
+          {
+            "identity": "workflow",
+            "map": "Event"
+          },
+          {
+            "identity": "v2",
+            "map": "ORU -> OBR"
+          },
+          {
+            "identity": "rim",
+            "map": "Observation[classCode=OBS, moodCode=EVN]"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.id",
+        "path": "DiagnosticReport.id",
+        "short": "Logical id of this artifact",
+        "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
+        "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Resource.id",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "id"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": true
+      },
+      {
+        "id": "DiagnosticReport.meta",
+        "path": "DiagnosticReport.meta",
+        "short": "Metadata about the resource",
+        "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Resource.meta",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "Meta"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": true
+      },
+      {
+        "id": "DiagnosticReport.implicitRules",
+        "path": "DiagnosticReport.implicitRules",
+        "short": "A set of rules under which this content was created",
+        "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
+        "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Resource.implicitRules",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "uri"
+          }
+        ],
+        "isModifier": true,
+        "isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
+        "isSummary": true
+      },
+      {
+        "id": "DiagnosticReport.language",
+        "path": "DiagnosticReport.language",
+        "short": "Language of the resource content",
+        "definition": "The base language in which the resource is written.",
+        "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Resource.language",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "code"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "binding": {
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
+              "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
+            },
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
+              "valueString": "Language"
+            },
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
+              "valueBoolean": true
+            }
+          ],
+          "strength": "preferred",
+          "description": "A human language.",
+          "valueSet": "http://hl7.org/fhir/ValueSet/languages"
+        }
+      },
+      {
+        "id": "DiagnosticReport.text",
+        "path": "DiagnosticReport.text",
+        "short": "Text summary of the resource, for human interpretation",
+        "definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
+        "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
+        "alias": [
+          "narrative",
+          "html",
+          "xhtml",
+          "display"
+        ],
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "DomainResource.text",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "Narrative"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "Act.text?"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.contained",
+        "path": "DiagnosticReport.contained",
+        "short": "Contained, inline Resources",
+        "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
+        "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
+        "alias": [
+          "inline resources",
+          "anonymous resources",
+          "contained resources"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "DomainResource.contained",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Resource"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "N/A"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.extension",
+        "path": "DiagnosticReport.extension",
+        "short": "Additional content defined by implementations",
+        "definition": "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
+        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
+        "alias": [
+          "extensions",
+          "user content"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "DomainResource.extension",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Extension"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "N/A"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.modifierExtension",
+        "path": "DiagnosticReport.modifierExtension",
+        "short": "Extensions that cannot be ignored",
+        "definition": "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
+        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
+        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
+        "alias": [
+          "extensions",
+          "user content"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "DomainResource.modifierExtension",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Extension"
+          }
+        ],
+        "isModifier": true,
+        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "N/A"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.identifier",
+        "path": "DiagnosticReport.identifier",
+        "short": "Business identifier for report",
+        "definition": "Identifiers assigned to this report by the performer or other systems.",
+        "comment": "Usually assigned by the Information System of the diagnostic service provider (filler id).",
+        "requirements": "Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.",
+        "alias": [
+          "ReportID",
+          "Filler ID",
+          "Placer ID"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "DiagnosticReport.identifier",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Identifier"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "workflow",
+            "map": "Event.identifier"
+          },
+          {
+            "identity": "w5",
+            "map": "FiveWs.identifier"
+          },
+          {
+            "identity": "v2",
+            "map": "OBR-51/ for globally unique filler ID  - OBR-3 , For non-globally unique filler-id the flller/placer number must be combined with the universal service Id -  OBR-2(if present)+OBR-3+OBR-4"
+          },
+          {
+            "identity": "rim",
+            "map": "id"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.basedOn",
+        "path": "DiagnosticReport.basedOn",
+        "short": "What was requested",
+        "definition": "Details concerning a service requested.",
+        "comment": "Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.",
+        "requirements": "This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.",
+        "alias": [
+          "Request"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "DiagnosticReport.basedOn",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": [
+              "http://hl7.org/fhir/StructureDefinition/CarePlan",
+              "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation",
+              "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
+              "http://hl7.org/fhir/StructureDefinition/NutritionOrder",
+              "http://hl7.org/fhir/StructureDefinition/ServiceRequest"
+            ]
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "workflow",
+            "map": "Event.basedOn"
+          },
+          {
+            "identity": "v2",
+            "map": "ORC? OBR-2/3?"
+          },
+          {
+            "identity": "rim",
+            "map": "outboundRelationship[typeCode=FLFS].target"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.status",
+        "path": "DiagnosticReport.status",
+        "short": "registered | partial | preliminary | final +",
+        "definition": "The status of the diagnostic report.",
+        "requirements": "Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.",
+        "min": 1,
+        "max": "1",
+        "base": {
+          "path": "DiagnosticReport.status",
+          "min": 1,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "code"
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": true,
+        "isModifierReason": "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
+        "isSummary": true,
+        "binding": {
+          "strength": "required",
+          "valueSet": "http://hl7.org/fhir/ValueSet/diagnostic-report-status"
+        },
+        "mapping": [
+          {
+            "identity": "workflow",
+            "map": "Event.status"
+          },
+          {
+            "identity": "w5",
+            "map": "FiveWs.status"
+          },
+          {
+            "identity": "v2",
+            "map": "OBR-25 (not 1:1 mapping)"
+          },
+          {
+            "identity": "rim",
+            "map": "statusCode  Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type \"revise\""
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.category",
+        "path": "DiagnosticReport.category",
+        "slicing": {
+          "discriminator": [
+            {
+              "type": "pattern",
+              "path": "$this"
+            }
+          ],
+          "rules": "open"
+        },
+        "short": "Service category",
+        "definition": "A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.",
+        "comment": "Multiple categories are allowed using various categorization schemes.   The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.",
+        "alias": [
+          "Department",
+          "Sub-department",
+          "Service",
+          "Discipline"
+        ],
+        "min": 1,
+        "max": "*",
+        "base": {
+          "path": "DiagnosticReport.category",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": false,
+        "isSummary": true,
+        "binding": {
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
+              "valueString": "DiagnosticServiceSection"
+            }
+          ],
+          "strength": "example",
+          "description": "Codes for diagnostic service sections.",
+          "valueSet": "http://hl7.org/fhir/ValueSet/diagnostic-service-sections"
+        },
+        "mapping": [
+          {
+            "identity": "w5",
+            "map": "FiveWs.class"
+          },
+          {
+            "identity": "v2",
+            "map": "OBR-24"
+          },
+          {
+            "identity": "rim",
+            "map": "inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.category:LaboratorySlice",
+        "path": "DiagnosticReport.category",
+        "sliceName": "LaboratorySlice",
+        "short": "Service category",
+        "definition": "A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.",
+        "comment": "Multiple categories are allowed using various categorization schemes.   The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.",
+        "alias": [
+          "Department",
+          "Sub-department",
+          "Service",
+          "Discipline"
+        ],
+        "min": 1,
+        "max": "1",
+        "base": {
+          "path": "DiagnosticReport.category",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "patternCodeableConcept": {
+          "coding": [
+            {
+              "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
+              "code": "LAB"
+            }
+          ]
+        },
+        "mustSupport": true,
+        "isModifier": false,
+        "isSummary": true,
+        "binding": {
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
+              "valueString": "DiagnosticServiceSection"
+            }
+          ],
+          "strength": "example",
+          "description": "Codes for diagnostic service sections.",
+          "valueSet": "http://hl7.org/fhir/ValueSet/diagnostic-service-sections"
+        },
+        "mapping": [
+          {
+            "identity": "w5",
+            "map": "FiveWs.class"
+          },
+          {
+            "identity": "v2",
+            "map": "OBR-24"
+          },
+          {
+            "identity": "rim",
+            "map": "inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.code",
+        "path": "DiagnosticReport.code",
+        "short": "US Core Laboratory Report Order Code",
+        "definition": "The test, panel or battery that was ordered.",
+        "comment": "UsageNote= The typical patterns for codes are:  1)  a LOINC code either as a  translation from a \"local\" code or as a primary code, or 2)  a local code only if no suitable LOINC exists,  or 3)  both the local and the LOINC translation.   Systems SHALL be capable of sending the local code if one exists.",
+        "alias": [
+          "Type"
+        ],
+        "min": 1,
+        "max": "1",
+        "base": {
+          "path": "DiagnosticReport.code",
+          "min": 1,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": false,
+        "isSummary": true,
+        "binding": {
+          "strength": "extensible",
+          "description": "LOINC codes",
+          "valueSet": "http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes"
+        },
+        "mapping": [
+          {
+            "identity": "workflow",
+            "map": "Event.code"
+          },
+          {
+            "identity": "w5",
+            "map": "FiveWs.what[x]"
+          },
+          {
+            "identity": "v2",
+            "map": "OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)"
+          },
+          {
+            "identity": "rim",
+            "map": "code"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.subject",
+        "path": "DiagnosticReport.subject",
+        "short": "The subject of the report - usually, but not always, the patient",
+        "definition": "The subject of the report. Usually, but not always, this is a patient. However, diagnostic services also perform analyses on specimens collected from a variety of other sources.",
+        "requirements": "SHALL know the subject context.",
+        "alias": [
+          "Patient"
+        ],
+        "min": 1,
+        "max": "1",
+        "base": {
+          "path": "DiagnosticReport.subject",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": [
+              "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
+            ]
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": false,
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "workflow",
+            "map": "Event.subject"
+          },
+          {
+            "identity": "w5",
+            "map": "FiveWs.subject[x]"
+          },
+          {
+            "identity": "v2",
+            "map": "PID-3 (no HL7 v2 mapping for Group or Device)"
+          },
+          {
+            "identity": "rim",
+            "map": "participation[typeCode=SBJ]"
+          },
+          {
+            "identity": "w5",
+            "map": "FiveWs.subject"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.encounter",
+        "path": "DiagnosticReport.encounter",
+        "short": "Health care event when test ordered",
+        "definition": "The healthcare event  (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.",
+        "comment": "This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter  but still be tied to the context of the encounter  (e.g. pre-admission laboratory tests).",
+        "requirements": "Links the request to the Encounter context.",
+        "alias": [
+          "Context"
+        ],
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "DiagnosticReport.encounter",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": [
+              "http://hl7.org/fhir/StructureDefinition/Encounter"
+            ]
+          }
+        ],
+        "isModifier": false,
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "workflow",
+            "map": "Event.encounter"
+          },
+          {
+            "identity": "w5",
+            "map": "FiveWs.context"
+          },
+          {
+            "identity": "v2",
+            "map": "PV1-19"
+          },
+          {
+            "identity": "rim",
+            "map": "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.effective[x]",
+        "path": "DiagnosticReport.effective[x]",
+        "short": "Specimen Collection Datetime or Period",
+        "definition": "This is the Specimen Collection Datetime or Period which is the physically relevent dateTime for laboratory tests.",
+        "comment": "If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic.",
+        "requirements": "Need to know where in the patient history to file/present this report.",
+        "alias": [
+          "Observation time",
+          "Effective Time",
+          "Occurrence"
+        ],
+        "min": 1,
+        "max": "1",
+        "base": {
+          "path": "DiagnosticReport.effective[x]",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "dateTime"
+          },
+          {
+            "code": "Period"
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": false,
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "workflow",
+            "map": "Event.occurrence[x]"
+          },
+          {
+            "identity": "w5",
+            "map": "FiveWs.done[x]"
+          },
+          {
+            "identity": "v2",
+            "map": "OBR-7"
+          },
+          {
+            "identity": "rim",
+            "map": "effectiveTime"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.issued",
+        "path": "DiagnosticReport.issued",
+        "short": "DateTime this version was made",
+        "definition": "The date and time that this version of the report was made available to providers, typically after the report was reviewed and verified.",
+        "comment": "May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.",
+        "requirements": "Clinicians need to be able to check the date that the report was released.",
+        "alias": [
+          "Date published",
+          "Date Issued",
+          "Date Verified"
+        ],
+        "min": 1,
+        "max": "1",
+        "base": {
+          "path": "DiagnosticReport.issued",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "instant"
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": false,
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "w5",
+            "map": "FiveWs.recorded"
+          },
+          {
+            "identity": "v2",
+            "map": "OBR-22"
+          },
+          {
+            "identity": "rim",
+            "map": "participation[typeCode=VRF or AUT].time"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.performer",
+        "path": "DiagnosticReport.performer",
+        "short": "Responsible Diagnostic Service",
+        "definition": "The diagnostic service that is responsible for issuing the report.",
+        "comment": "This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.",
+        "requirements": "Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.",
+        "alias": [
+          "Laboratory",
+          "Service",
+          "Practitioner",
+          "Department",
+          "Company",
+          "Authorized by",
+          "Director"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "DiagnosticReport.performer",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": [
+              "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner",
+              "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
+            ]
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": false,
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "workflow",
+            "map": "Event.performer.actor"
+          },
+          {
+            "identity": "w5",
+            "map": "FiveWs.actor"
+          },
+          {
+            "identity": "v2",
+            "map": "PRT-8 (where this PRT-4-Participation = \"PO\")"
+          },
+          {
+            "identity": "rim",
+            "map": ".participation[typeCode=PRF]"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.resultsInterpreter",
+        "path": "DiagnosticReport.resultsInterpreter",
+        "short": "Primary result interpreter",
+        "definition": "The practitioner or organization that is responsible for the report's conclusions and interpretations.",
+        "comment": "Might not be the same entity that takes responsibility for the clinical report.",
+        "requirements": "Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.",
+        "alias": [
+          "Analyzed by",
+          "Reported by"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "DiagnosticReport.resultsInterpreter",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": [
+              "http://hl7.org/fhir/StructureDefinition/Practitioner",
+              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
+              "http://hl7.org/fhir/StructureDefinition/Organization",
+              "http://hl7.org/fhir/StructureDefinition/CareTeam"
+            ]
+          }
+        ],
+        "isModifier": false,
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "workflow",
+            "map": "Event.performer.actor"
+          },
+          {
+            "identity": "w5",
+            "map": "FiveWs.actor"
+          },
+          {
+            "identity": "v2",
+            "map": "OBR-32, PRT-8 (where this PRT-4-Participation = \"PI\")"
+          },
+          {
+            "identity": "rim",
+            "map": ".participation[typeCode=PRF]"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.specimen",
+        "path": "DiagnosticReport.specimen",
+        "short": "Specimens this report is based on",
+        "definition": "Details about the specimens on which this diagnostic report is based.",
+        "comment": "If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group.",
+        "requirements": "Need to be able to report information about the collected specimens on which the report is based.",
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "DiagnosticReport.specimen",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": [
+              "http://hl7.org/fhir/StructureDefinition/Specimen"
+            ]
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "v2",
+            "map": "SPM"
+          },
+          {
+            "identity": "rim",
+            "map": "participation[typeCode=SBJ]"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.result",
+        "path": "DiagnosticReport.result",
+        "short": "Observations",
+        "definition": "[Observations](http://hl7.org/fhir/R4/observation.html)  that are part of this diagnostic report.",
+        "comment": "Observations can contain observations.",
+        "requirements": "Need to support individual results, or  groups of results, where the result grouping is arbitrary, but meaningful.",
+        "alias": [
+          "Data",
+          "Atomic Value",
+          "Result",
+          "Atomic result",
+          "Data",
+          "Test",
+          "Analyte",
+          "Battery",
+          "Organizer"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "DiagnosticReport.result",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": [
+              "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
+            ]
+          }
+        ],
+        "constraint": [
+          {
+            "key": "us-core-7",
+            "severity": "error",
+            "human": "DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present.",
+            "expression": "result.exists() or presentedForm.exists()",
+            "xpath": "f:result or f:presentedForm"
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "v2",
+            "map": "OBXs"
+          },
+          {
+            "identity": "rim",
+            "map": "outboundRelationship[typeCode=COMP].target"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.imagingStudy",
+        "path": "DiagnosticReport.imagingStudy",
+        "short": "Reference to full details of imaging associated with the diagnostic report",
+        "definition": "One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images.",
+        "comment": "ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.",
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "DiagnosticReport.imagingStudy",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": [
+              "http://hl7.org/fhir/StructureDefinition/ImagingStudy"
+            ]
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.media",
+        "path": "DiagnosticReport.media",
+        "short": "Key images associated with this report",
+        "definition": "A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).",
+        "requirements": "Many diagnostic services include images in the report as part of their service.",
+        "alias": [
+          "DICOM",
+          "Slides",
+          "Scans"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "DiagnosticReport.media",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "BackboneElement"
+          }
+        ],
+        "constraint": [
+          {
+            "key": "ele-1",
+            "severity": "error",
+            "human": "All FHIR elements must have a @value or children",
+            "expression": "hasValue() or (children().count() > id.count())",
+            "xpath": "@value|f:*|h:div",
+            "source": "Element"
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": false,
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "v2",
+            "map": "OBX?"
+          },
+          {
+            "identity": "rim",
+            "map": "outboundRelationship[typeCode=COMP].target"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.media.id",
+        "path": "DiagnosticReport.media.id",
+        "representation": [
+          "xmlAttr"
+        ],
+        "short": "Unique id for inter-element referencing",
+        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Element.id",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "string"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "n/a"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.media.extension",
+        "path": "DiagnosticReport.media.extension",
+        "short": "Additional content defined by implementations",
+        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
+        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
+        "alias": [
+          "extensions",
+          "user content"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "Element.extension",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Extension"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "n/a"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.media.modifierExtension",
+        "path": "DiagnosticReport.media.modifierExtension",
+        "short": "Extensions that cannot be ignored even if unrecognized",
+        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
+        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
+        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
+        "alias": [
+          "extensions",
+          "user content",
+          "modifiers"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "BackboneElement.modifierExtension",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Extension"
+          }
+        ],
+        "isModifier": true,
+        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "N/A"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.media.comment",
+        "path": "DiagnosticReport.media.comment",
+        "short": "Comment about the image (e.g. explanation)",
+        "definition": "A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.",
+        "comment": "The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.",
+        "requirements": "The provider of the report should make a comment about each image included in the report.",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "DiagnosticReport.media.comment",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "string"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.media.link",
+        "path": "DiagnosticReport.media.link",
+        "short": "Reference to the image source",
+        "definition": "Reference to the image source.",
+        "min": 1,
+        "max": "1",
+        "base": {
+          "path": "DiagnosticReport.media.link",
+          "min": 1,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": [
+              "http://hl7.org/fhir/StructureDefinition/Media"
+            ]
+          }
+        ],
+        "isModifier": false,
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": ".value.reference"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.conclusion",
+        "path": "DiagnosticReport.conclusion",
+        "short": "Clinical conclusion (interpretation) of test results",
+        "definition": "Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report.",
+        "requirements": "Need to be able to provide a conclusion that is not lost among the basic result data.",
+        "alias": [
+          "Report"
+        ],
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "DiagnosticReport.conclusion",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "string"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "v2",
+            "map": "OBX"
+          },
+          {
+            "identity": "rim",
+            "map": "inboundRelationship[typeCode=\"SPRT\"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.conclusionCode",
+        "path": "DiagnosticReport.conclusionCode",
+        "short": "Codes for the clinical conclusion of test results",
+        "definition": "One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report.",
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "DiagnosticReport.conclusionCode",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "binding": {
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
+              "valueString": "AdjunctDiagnosis"
+            }
+          ],
+          "strength": "example",
+          "description": "Diagnosis codes provided as adjuncts to the report.",
+          "valueSet": "http://hl7.org/fhir/ValueSet/clinical-findings"
+        },
+        "mapping": [
+          {
+            "identity": "v2",
+            "map": "OBX"
+          },
+          {
+            "identity": "rim",
+            "map": "inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)"
+          }
+        ]
+      },
+      {
+        "id": "DiagnosticReport.presentedForm",
+        "path": "DiagnosticReport.presentedForm",
+        "short": "Entire report as issued",
+        "definition": "Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.",
+        "comment": "\"application/pdf\" is recommended as the most reliable and interoperable in this context.",
+        "requirements": "Gives laboratory the ability to provide its own fully formatted report for clinical fidelity.",
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "DiagnosticReport.presentedForm",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Attachment"
+          }
+        ],
+        "constraint": [
+          {
+            "key": "us-core-7",
+            "severity": "error",
+            "human": "DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present.",
+            "expression": "result.exists() or presentedForm.exists()",
+            "xpath": "f:result or f:presentedForm"
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "v2",
+            "map": "OBX"
+          },
+          {
+            "identity": "rim",
+            "map": "text (type=ED)"
+          }
+        ]
+      }
+    ]
+  },
+  "differential": {
+    "element": [
+      {
+        "id": "DiagnosticReport",
+        "path": "DiagnosticReport",
+        "definition": "The US Core Diagnostic Report Profile is based upon the core FHIR DiagnosticReport Resource and created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements.",
+        "alias": [
+          "Lab Result",
+          "Lab Report"
+        ],
+        "constraint": [
+          {
+            "key": "us-core-7",
+            "severity": "error",
+            "human": "DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present.",
+            "expression": "result.exists() or presentedForm.exists()",
+            "xpath": "f:result or f:presentedForm"
+          }
+        ],
+        "mustSupport": false,
+        "isModifier": false
+      },
+      {
+        "id": "DiagnosticReport.status",
+        "path": "DiagnosticReport.status",
+        "min": 1,
+        "max": "1",
+        "type": [
+          {
+            "code": "code"
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": false,
+        "binding": {
+          "strength": "required",
+          "valueSet": "http://hl7.org/fhir/ValueSet/diagnostic-report-status"
+        }
+      },
+      {
+        "id": "DiagnosticReport.category",
+        "path": "DiagnosticReport.category",
+        "slicing": {
+          "discriminator": [
+            {
+              "type": "pattern",
+              "path": "$this"
+            }
+          ],
+          "rules": "open"
+        },
+        "min": 1,
+        "max": "*",
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": false
+      },
+      {
+        "id": "DiagnosticReport.category:LaboratorySlice",
+        "path": "DiagnosticReport.category",
+        "sliceName": "LaboratorySlice",
+        "min": 1,
+        "max": "1",
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "patternCodeableConcept": {
+          "coding": [
+            {
+              "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
+              "code": "LAB"
+            }
+          ]
+        },
+        "mustSupport": true,
+        "isModifier": false
+      },
+      {
+        "id": "DiagnosticReport.code",
+        "path": "DiagnosticReport.code",
+        "short": "US Core Laboratory Report Order Code",
+        "definition": "The test, panel or battery that was ordered.",
+        "comment": "UsageNote= The typical patterns for codes are:  1)  a LOINC code either as a  translation from a \"local\" code or as a primary code, or 2)  a local code only if no suitable LOINC exists,  or 3)  both the local and the LOINC translation.   Systems SHALL be capable of sending the local code if one exists.",
+        "min": 1,
+        "max": "1",
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": false,
+        "binding": {
+          "strength": "extensible",
+          "description": "LOINC codes",
+          "valueSet": "http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes"
+        }
+      },
+      {
+        "id": "DiagnosticReport.subject",
+        "path": "DiagnosticReport.subject",
+        "min": 1,
+        "max": "1",
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": [
+              "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
+            ]
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": false
+      },
+      {
+        "id": "DiagnosticReport.effective[x]",
+        "path": "DiagnosticReport.effective[x]",
+        "short": "Specimen Collection Datetime or Period",
+        "definition": "This is the Specimen Collection Datetime or Period which is the physically relevent dateTime for laboratory tests.",
+        "min": 1,
+        "max": "1",
+        "type": [
+          {
+            "code": "dateTime"
+          },
+          {
+            "code": "Period"
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": false
+      },
+      {
+        "id": "DiagnosticReport.issued",
+        "path": "DiagnosticReport.issued",
+        "min": 1,
+        "max": "1",
+        "type": [
+          {
+            "code": "instant"
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": false
+      },
+      {
+        "id": "DiagnosticReport.performer",
+        "path": "DiagnosticReport.performer",
+        "min": 0,
+        "max": "*",
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": [
+              "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner",
+              "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
+            ]
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": false
+      },
+      {
+        "id": "DiagnosticReport.result",
+        "path": "DiagnosticReport.result",
+        "min": 0,
+        "max": "*",
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": [
+              "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
+            ]
+          }
+        ],
+        "constraint": [
+          {
+            "key": "us-core-7",
+            "severity": "error",
+            "human": "DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present.",
+            "expression": "result.exists() or presentedForm.exists()",
+            "xpath": "f:result or f:presentedForm"
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": false
+      },
+      {
+        "id": "DiagnosticReport.media",
+        "path": "DiagnosticReport.media",
+        "min": 0,
+        "max": "*",
+        "mustSupport": true,
+        "isModifier": false
+      },
+      {
+        "id": "DiagnosticReport.presentedForm",
+        "path": "DiagnosticReport.presentedForm",
+        "min": 0,
+        "max": "*",
+        "type": [
+          {
+            "code": "Attachment"
+          }
+        ],
+        "constraint": [
+          {
+            "key": "us-core-7",
+            "severity": "error",
+            "human": "DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present.",
+            "expression": "result.exists() or presentedForm.exists()",
+            "xpath": "f:result or f:presentedForm"
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": false
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-diagnosticreport-note.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-diagnosticreport-note.json
new file mode 100644
index 000000000..fafce52ad
--- /dev/null
+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-diagnosticreport-note.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-diagnosticreport-note","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-diagnosticreport-note-definitions.html#DiagnosticReport\" title=\"The US Core Diagnostic Report Profile for Report and Note exchange is based upon the requirements of the Argonauts to exchang imaginge reports.\">DiagnosticReport</a><a name=\"DiagnosticReport\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">US Core Diagnostic Report Profile for Report and Note exchange</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-diagnosticreport-note-definitions.html#DiagnosticReport.status\" title=\"null\">status</a><a name=\"DiagnosticReport.status\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-diagnostic-report-status.html\">DiagnosticReportStatus</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-diagnosticreport-note-definitions.html#DiagnosticReport.category\" title=\"null\">category</a><a name=\"DiagnosticReport.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-diagnosticreport-category.html\">US Core DiagnosticReport Category</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-diagnosticreport-note-definitions.html#DiagnosticReport.code\" title=\"The test, panel, report, or note that was ordered.\">code</a><a name=\"DiagnosticReport.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">US Core Report Code<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-diagnosticreport-report-and-note-codes.html\">US Core Diagnosticreport Report And Note Codes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-diagnosticreport-note-definitions.html#DiagnosticReport.subject\" title=\"The subject of the report. Usually, but not always, this is a patient. However diagnostic services also perform analyses on specimens collected from a variety of other sources.\">subject</a><a name=\"DiagnosticReport.subject\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element is included in summaries\">Σ</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The subject of the report - usually, but not always, the patient</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-diagnosticreport-note-definitions.html#DiagnosticReport.encounter\" title=\"null\">encounter</a><a name=\"DiagnosticReport.encounter\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-encounter.html\">US Core Encounter Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_choice.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Choice of Types\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-diagnosticreport-note-definitions.html#DiagnosticReport.effective[x]\" title=\"This is the Datetime or Period when the report or note was written.\">effective[x]</a><a name=\"DiagnosticReport.effective_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Time of the report or note</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span title=\"Base StructureDefinition for dateTime Type: A date, date-time or partial date (e.g. just year or year + month).  If hours and minutes are specified, a time zone SHALL be populated. The format is a union of the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints but may be zero-filled and may be ignored.                 Dates SHALL be valid dates.\">effectiveDateTime</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span title=\"Base StructureDefinition for Period Type: A time period defined by a start and end date and optionally time.\">effectivePeriod</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Period\">Period</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-diagnosticreport-note-definitions.html#DiagnosticReport.issued\" title=\"null\">issued</a><a name=\"DiagnosticReport.issued\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#instant\">instant</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-diagnosticreport-note-definitions.html#DiagnosticReport.performer\" title=\"null\">performer</a><a name=\"DiagnosticReport.performer\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a> | <a href=\"StructureDefinition-us-core-organization.html\">US Core Organization Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-diagnosticreport-note-definitions.html#DiagnosticReport.media\" title=\"null\">media</a><a name=\"DiagnosticReport.media\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-diagnosticreport-note-definitions.html#DiagnosticReport.presentedForm\" title=\"null\">presentedForm</a><a name=\"DiagnosticReport.presentedForm\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Attachment\">Attachment</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note","name":"USCoreDiagnosticReportProfileNoteExchange","title":"US Core DiagnosticReport Profile for Report and Note exchange","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the DiagnosticReport resource  for the minimal set of data to query and retrieve diagnostic reports associated with clinical notes for a patient","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"}],"kind":"resource","abstract":false,"type":"DiagnosticReport","baseDefinition":"http://hl7.org/fhir/StructureDefinition/DiagnosticReport","derivation":"constraint","snapshot":{"element":[{"id":"DiagnosticReport","path":"DiagnosticReport","short":"US Core Diagnostic Report Profile for Report and Note exchange","definition":"The US Core Diagnostic Report Profile for Report and Note exchange is based upon the requirements of the Argonauts to exchang imaginge reports.","comment":"This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports.  For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.","alias":["Report","Test","Result","Results","Labs","Laboratory","Imaging Report","Radiology Report"],"min":0,"max":"*","base":{"path":"DiagnosticReport","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.div.exists()","xpath":"exists(f:text/h:div)","source":"DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"DomainResource"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"v2","map":"ORU -> OBR"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"DiagnosticReport.id","path":"DiagnosticReport.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"code":"id"}],"isModifier":false,"isSummary":true},{"id":"DiagnosticReport.meta","path":"DiagnosticReport.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"isModifier":false,"isSummary":true},{"id":"DiagnosticReport.implicitRules","path":"DiagnosticReport.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"DiagnosticReport.language","path":"DiagnosticReport.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"DiagnosticReport.text","path":"DiagnosticReport.text","short":"Text summary of the resource, for human interpretation","definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"DiagnosticReport.contained","path":"DiagnosticReport.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"DiagnosticReport.extension","path":"DiagnosticReport.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"DiagnosticReport.modifierExtension","path":"DiagnosticReport.modifierExtension","short":"Extensions that cannot be ignored","definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"DiagnosticReport.identifier","path":"DiagnosticReport.identifier","short":"Business identifier for report","definition":"Identifiers assigned to this report by the performer or other systems.","comment":"Usually assigned by the Information System of the diagnostic service provider (filler id).","requirements":"Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.","alias":["ReportID","Filler ID","Placer ID"],"min":0,"max":"*","base":{"path":"DiagnosticReport.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"OBR-51/ for globally unique filler ID  - OBR-3 , For non-globally unique filler-id the flller/placer number must be combined with the universal service Id -  OBR-2(if present)+OBR-3+OBR-4"},{"identity":"rim","map":"id"}]},{"id":"DiagnosticReport.basedOn","path":"DiagnosticReport.basedOn","short":"What was requested","definition":"Details concerning a service requested.","comment":"Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.","requirements":"This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.","alias":["Request"],"min":0,"max":"*","base":{"path":"DiagnosticReport.basedOn","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation","http://hl7.org/fhir/StructureDefinition/MedicationRequest","http://hl7.org/fhir/StructureDefinition/NutritionOrder","http://hl7.org/fhir/StructureDefinition/ServiceRequest"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.basedOn"},{"identity":"v2","map":"ORC? OBR-2/3?"},{"identity":"rim","map":"outboundRelationship[typeCode=FLFS].target"}]},{"id":"DiagnosticReport.status","path":"DiagnosticReport.status","short":"registered | partial | preliminary | final +","definition":"The status of the diagnostic report.","requirements":"Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.","min":1,"max":"1","base":{"path":"DiagnosticReport.status","min":1,"max":"1"},"type":[{"code":"code"}],"mustSupport":true,"isModifier":true,"isModifierReason":"This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/diagnostic-report-status"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"OBR-25 (not 1:1 mapping)"},{"identity":"rim","map":"statusCode  Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type \"revise\""}]},{"id":"DiagnosticReport.category","path":"DiagnosticReport.category","short":"Service category","definition":"A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.","comment":"Multiple categories are allowed using various categorization schemes.   The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.","alias":["Department","Sub-department","Service","Discipline","service","discipline"],"min":1,"max":"*","base":{"path":"DiagnosticReport.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-category"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"v2","map":"OBR-24"},{"identity":"rim","map":"inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code"}]},{"id":"DiagnosticReport.code","path":"DiagnosticReport.code","short":"US Core Report Code","definition":"The test, panel, report, or note that was ordered.","comment":"UsageNote= The typical patterns for codes are:  1)  a LOINC code either as a  translation from a \"local\" code or as a primary code, or 2)  a local code only if no suitable LOINC exists,  or 3)  both the local and the LOINC translation.   Systems SHALL be capable of sending the local code if one exists.","alias":["Type"],"min":1,"max":"1","base":{"path":"DiagnosticReport.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"LOINC codes","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-report-and-note-codes"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)"},{"identity":"rim","map":"code"}]},{"id":"DiagnosticReport.subject","path":"DiagnosticReport.subject","short":"The subject of the report - usually, but not always, the patient","definition":"The subject of the report. Usually, but not always, this is a patient. However diagnostic services also perform analyses on specimens collected from a variety of other sources.","requirements":"SHALL know the subject context.","alias":["Patient"],"min":1,"max":"1","base":{"path":"DiagnosticReport.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3 (no HL7 v2 mapping for Group or Device)"},{"identity":"rim","map":"participation[typeCode=SBJ]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"DiagnosticReport.encounter","path":"DiagnosticReport.encounter","short":"Health care event when test ordered","definition":"The healthcare event  (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.","comment":"This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter  but still be tied to the context of the encounter  (e.g. pre-admission laboratory tests).","requirements":"Links the request to the Encounter context.","alias":["Context"],"min":0,"max":"1","base":{"path":"DiagnosticReport.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.encounter"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1-19"},{"identity":"rim","map":"inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"}]},{"id":"DiagnosticReport.effective[x]","path":"DiagnosticReport.effective[x]","short":"Time of the report or note","definition":"This is the Datetime or Period when the report or note was written.","comment":"If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic.","requirements":"Need to know where in the patient history to file/present this report.","alias":["Observation time","Effective Time","Occurrence"],"min":1,"max":"1","base":{"path":"DiagnosticReport.effective[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"OBR-7"},{"identity":"rim","map":"effectiveTime"}]},{"id":"DiagnosticReport.issued","path":"DiagnosticReport.issued","short":"DateTime this version was made","definition":"The date and time that this version of the report was made available to providers, typically after the report was reviewed and verified.","comment":"May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.","requirements":"Clinicians need to be able to check the date that the report was released.","alias":["Date published","Date Issued","Date Verified"],"min":0,"max":"1","base":{"path":"DiagnosticReport.issued","min":0,"max":"1"},"type":[{"code":"instant"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"v2","map":"OBR-22"},{"identity":"rim","map":"participation[typeCode=VRF or AUT].time"}]},{"id":"DiagnosticReport.performer","path":"DiagnosticReport.performer","short":"Responsible Diagnostic Service","definition":"The diagnostic service that is responsible for issuing the report.","comment":"This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.","requirements":"Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.","alias":["Laboratory","Service","Practitioner","Department","Company","Authorized by","Director"],"min":0,"max":"*","base":{"path":"DiagnosticReport.performer","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"PRT-8 (where this PRT-4-Participation = \"PO\")"},{"identity":"rim","map":".participation[typeCode=PRF]"}]},{"id":"DiagnosticReport.resultsInterpreter","path":"DiagnosticReport.resultsInterpreter","short":"Primary result interpreter","definition":"The practitioner or organization that is responsible for the report's conclusions and interpretations.","comment":"Might not be the same entity that takes responsibility for the clinical report.","requirements":"Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.","alias":["Analyzed by","Reported by"],"min":0,"max":"*","base":{"path":"DiagnosticReport.resultsInterpreter","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/CareTeam"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"OBR-32, PRT-8 (where this PRT-4-Participation = \"PI\")"},{"identity":"rim","map":".participation[typeCode=PRF]"}]},{"id":"DiagnosticReport.specimen","path":"DiagnosticReport.specimen","short":"Specimens this report is based on","definition":"Details about the specimens on which this diagnostic report is based.","comment":"If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group.","requirements":"Need to be able to report information about the collected specimens on which the report is based.","min":0,"max":"*","base":{"path":"DiagnosticReport.specimen","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Specimen"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"SPM"},{"identity":"rim","map":"participation[typeCode=SBJ]"}]},{"id":"DiagnosticReport.result","path":"DiagnosticReport.result","short":"Observations","definition":"[Observations](http://hl7.org/fhir/R4/observation.html)  that are part of this diagnostic report.","comment":"Observations can contain observations.","requirements":"Need to support individual results, or  groups of results, where the result grouping is arbitrary, but meaningful.","alias":["Data","Atomic Value","Result","Atomic result","Data","Test","Analyte","Battery","Organizer"],"min":0,"max":"*","base":{"path":"DiagnosticReport.result","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Observation"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBXs"},{"identity":"rim","map":"outboundRelationship[typeCode=COMP].target"}]},{"id":"DiagnosticReport.imagingStudy","path":"DiagnosticReport.imagingStudy","short":"Reference to full details of imaging associated with the diagnostic report","definition":"One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images.","comment":"ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.","min":0,"max":"*","base":{"path":"DiagnosticReport.imagingStudy","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/ImagingStudy"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]"}]},{"id":"DiagnosticReport.media","path":"DiagnosticReport.media","short":"Key images associated with this report","definition":"A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).","requirements":"Many diagnostic services include images in the report as part of their service.","alias":["DICOM","Slides","Scans"],"min":0,"max":"*","base":{"path":"DiagnosticReport.media","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"OBX?"},{"identity":"rim","map":"outboundRelationship[typeCode=COMP].target"}]},{"id":"DiagnosticReport.media.id","path":"DiagnosticReport.media.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"DiagnosticReport.media.extension","path":"DiagnosticReport.media.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"DiagnosticReport.media.modifierExtension","path":"DiagnosticReport.media.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"DiagnosticReport.media.comment","path":"DiagnosticReport.media.comment","short":"Comment about the image (e.g. explanation)","definition":"A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.","comment":"The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.","requirements":"The provider of the report should make a comment about each image included in the report.","min":0,"max":"1","base":{"path":"DiagnosticReport.media.comment","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"}]},{"id":"DiagnosticReport.media.link","path":"DiagnosticReport.media.link","short":"Reference to the image source","definition":"Reference to the image source.","min":1,"max":"1","base":{"path":"DiagnosticReport.media.link","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Media"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".value.reference"}]},{"id":"DiagnosticReport.conclusion","path":"DiagnosticReport.conclusion","short":"Clinical conclusion (interpretation) of test results","definition":"Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report.","requirements":"Need to be able to provide a conclusion that is not lost among the basic result data.","alias":["Report"],"min":0,"max":"1","base":{"path":"DiagnosticReport.conclusion","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX"},{"identity":"rim","map":"inboundRelationship[typeCode=\"SPRT\"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)"}]},{"id":"DiagnosticReport.conclusionCode","path":"DiagnosticReport.conclusionCode","short":"Codes for the clinical conclusion of test results","definition":"One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report.","min":0,"max":"*","base":{"path":"DiagnosticReport.conclusionCode","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AdjunctDiagnosis"}],"strength":"example","description":"Diagnosis codes provided as adjuncts to the report.","valueSet":"http://hl7.org/fhir/ValueSet/clinical-findings"},"mapping":[{"identity":"v2","map":"OBX"},{"identity":"rim","map":"inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)"}]},{"id":"DiagnosticReport.presentedForm","path":"DiagnosticReport.presentedForm","short":"Entire report as issued","definition":"Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.","comment":"\"application/pdf\" is recommended as the most reliable and interoperable in this context.","requirements":"Gives laboratory the ability to provide its own fully formatted report for clinical fidelity.","min":0,"max":"*","base":{"path":"DiagnosticReport.presentedForm","min":0,"max":"*"},"type":[{"code":"Attachment"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX"},{"identity":"rim","map":"text (type=ED)"}]}]},"differential":{"element":[{"id":"DiagnosticReport","path":"DiagnosticReport","short":"US Core Diagnostic Report Profile for Report and Note exchange","definition":"The US Core Diagnostic Report Profile for Report and Note exchange is based upon the requirements of the Argonauts to exchang imaginge reports.","alias":["Imaging Report","Radiology Report"],"mustSupport":false,"isModifier":false},{"id":"DiagnosticReport.status","path":"DiagnosticReport.status","min":1,"max":"1","type":[{"code":"code"}],"mustSupport":true,"isModifier":false,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/diagnostic-report-status"}},{"id":"DiagnosticReport.category","path":"DiagnosticReport.category","alias":["Department","Sub-department","service","discipline"],"min":1,"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-category"}},{"id":"DiagnosticReport.code","path":"DiagnosticReport.code","short":"US Core Report Code","definition":"The test, panel, report, or note that was ordered.","comment":"UsageNote= The typical patterns for codes are:  1)  a LOINC code either as a  translation from a \"local\" code or as a primary code, or 2)  a local code only if no suitable LOINC exists,  or 3)  both the local and the LOINC translation.   Systems SHALL be capable of sending the local code if one exists.","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"binding":{"strength":"extensible","description":"LOINC codes","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-report-and-note-codes"}},{"id":"DiagnosticReport.subject","path":"DiagnosticReport.subject","short":"The subject of the report - usually, but not always, the patient","definition":"The subject of the report. Usually, but not always, this is a patient. However diagnostic services also perform analyses on specimens collected from a variety of other sources.","requirements":"SHALL know the subject context.","alias":["Patient"],"min":1,"max":"1","base":{"path":"DiagnosticReport.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"isModifier":false,"isSummary":true},{"id":"DiagnosticReport.encounter","path":"DiagnosticReport.encounter","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"]}],"mustSupport":true,"isModifier":false},{"id":"DiagnosticReport.effective[x]","path":"DiagnosticReport.effective[x]","short":"Time of the report or note","definition":"This is the Datetime or Period when the report or note was written.","min":1,"max":"1","type":[{"code":"dateTime"},{"code":"Period"}],"mustSupport":true,"isModifier":false},{"id":"DiagnosticReport.issued","path":"DiagnosticReport.issued","min":0,"max":"1","type":[{"code":"instant"}],"mustSupport":true,"isModifier":false},{"id":"DiagnosticReport.performer","path":"DiagnosticReport.performer","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"]}],"mustSupport":true,"isModifier":false},{"id":"DiagnosticReport.media","path":"DiagnosticReport.media","min":0,"max":"*","mustSupport":true,"isModifier":false},{"id":"DiagnosticReport.presentedForm","path":"DiagnosticReport.presentedForm","min":0,"max":"*","type":[{"code":"Attachment"}],"mustSupport":true,"isModifier":false}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-direct.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-direct.json
new file mode 100644
index 000000000..92516193e
--- /dev/null
+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-direct.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-direct","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-direct-definitions.html#Extension:direct\" title=\"This email address is associated with a &quot;direct&quot; service - e.g. http://wiki.directproject.org/Addressing+Specification. This extension can only be used on contact points where the system = 'email'\">Extension</a><a name=\"Extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Email is a &quot;direct&quot; email</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-direct-definitions.html#Extension:direct.url\" title=\"null\">url</a><a name=\"Extension.url\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"color: darkgreen\">&quot;http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct&quot;</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-direct-definitions.html#Extension:direct.valueBoolean\" title=\"null\">valueBoolean</a><a name=\"Extension.valueBoolean\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct","version":"3.0.1","name":"USCoreDirectEmailExtension","title":"US Core Direct email Extension","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"This email address is associated with a [direct](http://wiki.directproject.org/Addressing+Specification) service.  This extension can only be used on contact points where the system = 'email'","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"}],"kind":"complex-type","abstract":false,"context":[{"type":"element","expression":"ContactPoint"}],"type":"Extension","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Extension","derivation":"constraint","snapshot":{"element":[{"id":"Extension:direct","path":"Extension","short":"Email is a \"direct\" email","definition":"This email address is associated with a [direct](http://wiki.directproject.org/Addressing+Specification) service.","comment":"This extension can only be used on contact points where the system = 'email'.","min":0,"max":"1","base":{"path":"Extension","min":0,"max":"*"},"condition":["ele-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"children().count() > id.count()","xpath":"@value|f:*|h:div","source":"Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])","source":"Extension"}],"isModifier":false,"mapping":[{"identity":"v2","map":"No v2 equivalent"},{"identity":"rim","map":"No RIM equivalent"}]},{"id":"Extension:direct.id","path":"Extension.id","representation":["xmlAttr"],"short":"xml:id (or equivalent in JSON)","definition":"unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Extension:direct.extension","path":"Extension.extension","short":"Additional Content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Extension:direct.url","path":"Extension.url","representation":["xmlAttr"],"short":"identifies the meaning of the extension","definition":"Source of the definition for the extension code - a logical name or a URL.","comment":"The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","min":1,"max":"1","base":{"path":"Extension.url","min":1,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct","mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Extension:direct.valueBoolean","path":"Extension.valueBoolean","short":"Value of extension","definition":"Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","min":0,"max":"1","base":{"path":"Extension.value[x]","min":0,"max":"1"},"type":[{"code":"boolean"}],"mapping":[{"identity":"rim","map":"N/A"}]}]},"differential":{"element":[{"id":"Extension:direct","path":"Extension","short":"Email is a \"direct\" email","definition":"This email address is associated with a \"direct\" service - e.g. http://wiki.directproject.org/Addressing+Specification. This extension can only be used on contact points where the system = 'email'","comment":"This extension can only be used on contact points where the system = 'email'.","min":0,"max":"1","isModifier":false,"mapping":[{"identity":"v2","map":"No v2 equivalent"},{"identity":"rim","map":"No RIM equivalent"}]},{"id":"Extension:direct.url","path":"Extension.url","fixedUri":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct"},{"id":"Extension:direct.valueBoolean","path":"Extension.valueBoolean","min":0,"max":"1","type":[{"code":"boolean"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-documentreference.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-documentreference.json
new file mode 100644
index 000000000..013bdb283
--- /dev/null
+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-documentreference.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-documentreference","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-documentreference-definitions.html#DocumentReference\" title=\"This is a basic constraint on DocumentRefernce for use in the US Core IG.\">DocumentReference</a><a name=\"DocumentReference\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-documentreference-definitions.html#DocumentReference.identifier\">identifier</a><a name=\"DocumentReference.identifier\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-documentreference-definitions.html#DocumentReference.status\">status</a><a name=\"DocumentReference.status\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-document-reference-status.html\">DocumentReferenceStatus</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-documentreference-definitions.html#DocumentReference.type\">type</a><a name=\"DocumentReference.type\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-documentreference-type.html\">US Core DocumentReference Type</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)<br/><a style=\"font-weight:bold\" href=\"http://hl7.org/fhir/R4/extension-elementdefinition-minvalueset.html\" title=\"Min Value Set Extension\">Min Binding: </a><a href=\"ValueSet-us-core-clinical-note-type.html\">US Core Clinical Note Type</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-documentreference-definitions.html#DocumentReference.category\">category</a><a name=\"DocumentReference.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-documentreference-category.html\">US Core DocumentReference Category</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-documentreference-definitions.html#DocumentReference.subject\">subject</a><a name=\"DocumentReference.subject\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-documentreference-definitions.html#DocumentReference.date\">date</a><a name=\"DocumentReference.date\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#instant\">instant</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-documentreference-definitions.html#DocumentReference.author\">author</a><a name=\"DocumentReference.author\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a> | <a href=\"StructureDefinition-us-core-practitionerrole.html\">US Core PractitionerRole Profile</a> | <a href=\"StructureDefinition-us-core-organization.html\">US Core Organization Profile</a> | <a href=\"http://hl7.org/fhir/R4/device.html\">Device</a> | <a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a> | <a href=\"http://hl7.org/fhir/R4/relatedperson.html\">RelatedPerson</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-documentreference-definitions.html#DocumentReference.custodian\">custodian</a><a name=\"DocumentReference.custodian\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-organization.html\">US Core Organization Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-documentreference-definitions.html#DocumentReference.content\">content</a><a name=\"DocumentReference.content\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-documentreference-definitions.html#DocumentReference.content.attachment\">attachment</a><a name=\"DocumentReference.content.attachment\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#Attachment\">Attachment</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">us-core-6: </span>DocumentReference.content.attachment.url or  DocumentReference.content.attachment.data or both SHALL be present.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-documentreference-definitions.html#DocumentReference.content.attachment.contentType\">contentType</a><a name=\"DocumentReference.content.attachment.contentType\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-documentreference-definitions.html#DocumentReference.content.attachment.data\">data</a><a name=\"DocumentReference.content.attachment.data\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#base64Binary\">base64Binary</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-documentreference-definitions.html#DocumentReference.content.attachment.url\">url</a><a name=\"DocumentReference.content.attachment.url\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#url\">url</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-documentreference-definitions.html#DocumentReference.content.format\">format</a><a name=\"DocumentReference.content.format\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-formatcodes.html\">DocumentReferenceFormatCodeSet</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-documentreference-definitions.html#DocumentReference.context\">context</a><a name=\"DocumentReference.context\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-documentreference-definitions.html#DocumentReference.context.encounter\">encounter</a><a name=\"DocumentReference.context.encounter\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-encounter.html\">US Core Encounter Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-documentreference-definitions.html#DocumentReference.context.period\">period</a><a name=\"DocumentReference.context.period\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#Period\">Period</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference","name":"USCoreDocumentReferenceProfile","title":"US Core DocumentReference Profile","status":"active","experimental":false,"date":"2019-08-11T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"The document reference profile used in US Core.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"fhircomposition","uri":"http://hl7.org/fhir/composition","name":"FHIR Composition"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"cda","uri":"http://hl7.org/v3/cda","name":"CDA (R2)"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"xds","uri":"http://ihe.net/xds","name":"XDS metadata equivalent"}],"kind":"resource","abstract":false,"type":"DocumentReference","baseDefinition":"http://hl7.org/fhir/StructureDefinition/DocumentReference","derivation":"constraint","snapshot":{"element":[{"id":"DocumentReference","path":"DocumentReference","short":"A reference to a document","definition":"This is a basic constraint on DocumentRefernce for use in the US Core IG.","comment":"Usually, this is used for documents other than those defined by FHIR.","min":0,"max":"*","base":{"path":"DocumentReference","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.div.exists()","xpath":"exists(f:text/h:div)","source":"DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"DomainResource"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"fhircomposition","map":"when describing a Composition"},{"identity":"rim","map":"Document[classCode=\"DOC\" and moodCode=\"EVN\"]"},{"identity":"cda","map":"when describing a CDA"}]},{"id":"DocumentReference.id","path":"DocumentReference.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"code":"id"}],"isModifier":false,"isSummary":true},{"id":"DocumentReference.meta","path":"DocumentReference.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"isModifier":false,"isSummary":true},{"id":"DocumentReference.implicitRules","path":"DocumentReference.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"DocumentReference.language","path":"DocumentReference.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"DocumentReference.text","path":"DocumentReference.text","short":"Text summary of the resource, for human interpretation","definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"DocumentReference.contained","path":"DocumentReference.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"DocumentReference.extension","path":"DocumentReference.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"DocumentReference.modifierExtension","path":"DocumentReference.modifierExtension","short":"Extensions that cannot be ignored","definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"DocumentReference.masterIdentifier","path":"DocumentReference.masterIdentifier","short":"Master Version Specific Identifier","definition":"Document identifier as assigned by the source of the document. This identifier is specific to this version of the document. This unique identifier may be used elsewhere to identify this version of the document.","comment":"CDA Document Id extension and root.","requirements":"The structure and format of this Id shall be consistent with the specification corresponding to the formatCode attribute. (e.g. for a DICOM standard document a 64-character numeric UID, for an HL7 CDA format a serialization of the CDA Document Id extension and root in the form \"oid^extension\", where OID is a 64 digits max, and the Id is a 16 UTF-8 char max. If the OID is coded without the extension then the '^' character shall not be included.).","min":0,"max":"1","base":{"path":"DocumentReference.masterIdentifier","min":0,"max":"1"},"type":[{"code":"Identifier"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"fhircomposition","map":"Composition.identifier"},{"identity":"v2","map":"TXA-12"},{"identity":"rim","map":".id"},{"identity":"xds","map":"DocumentEntry.uniqueId"},{"identity":"cda","map":"ClinicalDocument/id"}]},{"id":"DocumentReference.identifier","path":"DocumentReference.identifier","short":"Other identifiers for the document","definition":"Other identifiers associated with the document, including version independent identifiers.","min":0,"max":"*","base":{"path":"DocumentReference.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"TXA-16?"},{"identity":"rim","map":".id / .setId"},{"identity":"xds","map":"DocumentEntry.entryUUID"}]},{"id":"DocumentReference.status","path":"DocumentReference.status","short":"current | superseded | entered-in-error","definition":"The status of this document reference.","comment":"This is the status of the DocumentReference object, which might be independent from the docStatus element.\n\nThis element is labeled as a modifier because the status contains the codes that mark the document or reference as not currently valid.","min":1,"max":"1","base":{"path":"DocumentReference.status","min":1,"max":"1"},"type":[{"code":"code"}],"mustSupport":true,"isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/document-reference-status"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"TXA-19"},{"identity":"rim","map":"interim: .completionCode=\"IN\" & ./statusCode[isNormalDatatype()]=\"active\";  final: .completionCode=\"AU\" &&  ./statusCode[isNormalDatatype()]=\"complete\" and not(./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseDocument\", code) and isNormalAct()]);  amended: .completionCode=\"AU\" &&  ./statusCode[isNormalDatatype()]=\"complete\" and ./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseDocument\", code) and isNormalAct() and statusCode=\"completed\"];  withdrawn : .completionCode=NI &&  ./statusCode[isNormalDatatype()]=\"obsolete\""},{"identity":"xds","map":"DocumentEntry.availabilityStatus"}]},{"id":"DocumentReference.docStatus","path":"DocumentReference.docStatus","short":"preliminary | final | appended | amended | entered-in-error","definition":"The status of the underlying document.","comment":"The document that is pointed to might be in various lifecycle states.","min":0,"max":"1","base":{"path":"DocumentReference.docStatus","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ReferredDocumentStatus"}],"strength":"required","description":"Status of the underlying document.","valueSet":"http://hl7.org/fhir/ValueSet/composition-status|4.0.0"},"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"fhircomposition","map":"Composition.status"},{"identity":"v2","map":"TXA-17"},{"identity":"rim","map":".statusCode"}]},{"id":"DocumentReference.type","path":"DocumentReference.type","short":"Kind of document (LOINC if possible)","definition":"Specifies the particular kind of document referenced  (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the document referenced.","comment":"Key metadata element describing the document that describes he exact type of document. Helps humans to assess whether the document is of interest when viewing a list of documents.","min":1,"max":"1","base":{"path":"DocumentReference.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-minValueSet","valueCanonical":"http://hl7.org/fhir/us/core/ValueSet/us-core-clinical-note-type"}],"strength":"required","description":"All LOINC  values whose SCALE is DOC in the LOINC database and the HL7 v3 Code System NullFlavor concept 'unknown'","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-type"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.class"},{"identity":"fhircomposition","map":"Composition.type"},{"identity":"v2","map":"TXA-2"},{"identity":"rim","map":"./code"},{"identity":"xds","map":"DocumentEntry.type"},{"identity":"cda","map":"ClinicalDocument/code/@code \n\nThe typeCode should be mapped from the ClinicalDocument/code element to a set of document type codes configured in the affinity domain. One suggested coding system to use for typeCode is LOINC, in which case the mapping step can be omitted."}]},{"id":"DocumentReference.category","path":"DocumentReference.category","short":"Categorization of document","definition":"A categorization for the type of document referenced - helps for indexing and searching. This may be implied by or derived from the code specified in the DocumentReference.type.","comment":"Key metadata element describing the the category or classification of the document. This is a broader perspective that groups similar documents based on how they would be used. This is a primary key used in searching.","alias":["claxs"],"min":1,"max":"*","base":{"path":"DocumentReference.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"The US Core DocumentReferences Type Value Set is a &#39;starter set&#39; of categories supported for fetching and storing clinical notes.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-category"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"fhircomposition","map":"Composition.class"},{"identity":"rim","map":".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"},{"identity":"xds","map":"DocumentEntry.class"},{"identity":"cda","map":"Derived from a mapping of /ClinicalDocument/code/@code to an Affinity Domain specified coded value to use and coding system. Affinity Domains are encouraged to use the appropriate value for Type of Service, based on the LOINC Type of Service (see Page 53 of the LOINC User's Manual). Must be consistent with /ClinicalDocument/code/@code"}]},{"id":"DocumentReference.subject","path":"DocumentReference.subject","short":"Who/what is the subject of the document","definition":"Who or what the document is about. The document can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of farm animals, or a set of patients that share a common exposure).","min":1,"max":"1","base":{"path":"DocumentReference.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"fhircomposition","map":"Composition.subject"},{"identity":"v2","map":"PID-3 (No standard way to define a Practitioner or Group subject in HL7 v2 MDM message)"},{"identity":"rim","map":".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]"},{"identity":"xds","map":"DocumentEntry.patientId"},{"identity":"cda","map":"ClinicalDocument/recordTarget/"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"DocumentReference.date","path":"DocumentReference.date","short":"When this document reference was created","definition":"When the document reference was created.","comment":"Referencing/indexing time is used for tracking, organizing versions and searching.","alias":["indexed"],"min":0,"max":"1","base":{"path":"DocumentReference.date","min":0,"max":"1"},"type":[{"code":"instant"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.recorded"},{"identity":"fhircomposition","map":"Composition.date"},{"identity":"rim","map":".availabilityTime[type=\"TS\"]"}]},{"id":"DocumentReference.author","path":"DocumentReference.author","short":"Who and/or what authored the document","definition":"Identifies who is responsible for adding the information to the document.","comment":"Not necessarily who did the actual data entry (i.e. typist) or who was the source (informant).","min":0,"max":"*","base":{"path":"DocumentReference.author","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole","http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"fhircomposition","map":"Composition.author"},{"identity":"v2","map":"TXA-9 (No standard way to indicate a Device in HL7 v2 MDM message)"},{"identity":"rim","map":".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"},{"identity":"xds","map":"DocumentEntry.author"},{"identity":"cda","map":"ClinicalDocument/author"}]},{"id":"DocumentReference.authenticator","path":"DocumentReference.authenticator","short":"Who/what authenticated the document","definition":"Which person or organization authenticates that this document is valid.","comment":"Represents a participant within the author institution who has legally authenticated or attested the document. Legal authentication implies that a document has been signed manually or electronically by the legal Authenticator.","min":0,"max":"1","base":{"path":"DocumentReference.authenticator","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.witness"},{"identity":"fhircomposition","map":"Composition.attester"},{"identity":"v2","map":"TXA-10"},{"identity":"rim","map":".participation[typeCode=\"AUTHEN\"].role[classCode=\"ASSIGNED\"]"},{"identity":"xds","map":"DocumentEntry.legalAuthenticator"},{"identity":"cda","map":"ClinicalDocument/legalAuthenticator"}]},{"id":"DocumentReference.custodian","path":"DocumentReference.custodian","short":"Organization which maintains the document","definition":"Identifies the organization or group who is responsible for ongoing maintenance of and access to the document.","comment":"Identifies the logical organization (software system, vendor, or department) to go to find the current version, where to report issues, etc. This is different from the physical location (URL, disk drive, or server) of the document, which is the technical location of the document, which host may be delegated to the management of some other organization.","min":0,"max":"1","base":{"path":"DocumentReference.custodian","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"]}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"fhircomposition","map":"Composition.custodian"},{"identity":"rim","map":".participation[typeCode=\"RCV\"].role[classCode=\"CUST\"].scoper[classCode=\"ORG\" and determinerCode=\"INST\"]"}]},{"id":"DocumentReference.relatesTo","path":"DocumentReference.relatesTo","short":"Relationships to other documents","definition":"Relationships that this document has with other document references that already exist.","comment":"This element is labeled as a modifier because documents that append to other documents are incomplete on their own.","min":0,"max":"*","base":{"path":"DocumentReference.relatesTo","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"fhircomposition","map":"Composition.relatesTo"},{"identity":"rim","map":".outboundRelationship"},{"identity":"xds","map":"DocumentEntry Associations"}]},{"id":"DocumentReference.relatesTo.id","path":"DocumentReference.relatesTo.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"DocumentReference.relatesTo.extension","path":"DocumentReference.relatesTo.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"DocumentReference.relatesTo.modifierExtension","path":"DocumentReference.relatesTo.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"DocumentReference.relatesTo.code","path":"DocumentReference.relatesTo.code","short":"replaces | transforms | signs | appends","definition":"The type of relationship that this document has with anther document.","comment":"If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.","min":1,"max":"1","base":{"path":"DocumentReference.relatesTo.code","min":1,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DocumentRelationshipType"}],"strength":"required","description":"The type of relationship between documents.","valueSet":"http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.0"},"mapping":[{"identity":"fhircomposition","map":"Composition.relatesTo.code"},{"identity":"rim","map":".outboundRelationship.typeCode"},{"identity":"xds","map":"DocumentEntry Associations type"}]},{"id":"DocumentReference.relatesTo.target","path":"DocumentReference.relatesTo.target","short":"Target of the relationship","definition":"The target document of this relationship.","min":1,"max":"1","base":{"path":"DocumentReference.relatesTo.target","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DocumentReference"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"fhircomposition","map":"Composition.relatesTo.target"},{"identity":"rim","map":".target[classCode=\"DOC\", moodCode=\"EVN\"].id"},{"identity":"xds","map":"DocumentEntry Associations reference"}]},{"id":"DocumentReference.description","path":"DocumentReference.description","short":"Human-readable description","definition":"Human-readable description of the source document.","comment":"What the document is about,  a terse summary of the document.","requirements":"Helps humans to assess whether the document is of interest.","min":0,"max":"1","base":{"path":"DocumentReference.description","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"TXA-25"},{"identity":"rim","map":".outboundRelationship[typeCode=\"SUBJ\"].target.text"},{"identity":"xds","map":"DocumentEntry.comments"}]},{"id":"DocumentReference.securityLabel","path":"DocumentReference.securityLabel","short":"Document security-tags","definition":"A set of Security-Tag codes specifying the level of privacy/security of the Document. Note that DocumentReference.meta.security contains the security labels of the \"reference\" to the document, while DocumentReference.securityLabel contains a snapshot of the security labels on the document the reference refers to.","comment":"The confidentiality codes can carry multiple vocabulary items. HL7 has developed an understanding of security and privacy tags that might be desirable in a Document Sharing environment, called HL7 Healthcare Privacy and Security Classification System (HCS). The following specification is recommended but not mandated, as the vocabulary bindings are an administrative domain responsibility. The use of this method is up to the policy domain such as the XDS Affinity Domain or other Trust Domain where all parties including sender and recipients are trusted to appropriately tag and enforce.   \n\nIn the HL7 Healthcare Privacy and Security Classification (HCS) there are code systems specific to Confidentiality, Sensitivity, Integrity, and Handling Caveats. Some values would come from a local vocabulary as they are related to workflow roles and special projects.","requirements":"Use of the Health Care Privacy/Security Classification (HCS) system of security-tag use is recommended.","min":0,"max":"*","base":{"path":"DocumentReference.securityLabel","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SecurityLabels"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"extensible","description":"Security Labels from the Healthcare Privacy and Security Classification System.","valueSet":"http://hl7.org/fhir/ValueSet/security-labels"},"mapping":[{"identity":"fhircomposition","map":"Composition.confidentiality, Composition.meta.security"},{"identity":"v2","map":"TXA-18"},{"identity":"rim","map":".confidentialityCode"},{"identity":"xds","map":"DocumentEntry.confidentialityCode"},{"identity":"cda","map":"ClinicalDocument/confidentialityCode/@code"}]},{"id":"DocumentReference.content","path":"DocumentReference.content","short":"Document referenced","definition":"The document and format referenced. There may be multiple content element repetitions, each with a different format.","min":1,"max":"1","base":{"path":"DocumentReference.content","min":1,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"fhircomposition","map":"Bundle(Composition+*)"},{"identity":"rim","map":"document.text"}]},{"id":"DocumentReference.content.id","path":"DocumentReference.content.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"DocumentReference.content.extension","path":"DocumentReference.content.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"DocumentReference.content.modifierExtension","path":"DocumentReference.content.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"DocumentReference.content.attachment","path":"DocumentReference.content.attachment","short":"Where to access the document","definition":"The document or URL of the document along with critical metadata to prove content has integrity.","min":1,"max":"1","base":{"path":"DocumentReference.content.attachment","min":1,"max":"1"},"type":[{"code":"Attachment"}],"constraint":[{"key":"us-core-6","severity":"error","human":"DocumentReference.content.attachment.url or  DocumentReference.content.attachment.data or both SHALL be present.","expression":"url.exists() or data.exists()","xpath":"f:url or f:content"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"fhircomposition","map":"Composition.language, \nComposition.title, \nComposition.date"},{"identity":"v2","map":"TXA-3 for mime type"},{"identity":"rim","map":"document.text"},{"identity":"xds","map":"DocumentEntry.mimeType, DocumentEntry.languageCode, DocumentEntry.URI, DocumentEntry.size, DocumentEntry.hash, DocumentEntry.title, DocumentEntry.creationTime"},{"identity":"cda","map":"ClinicalDocument/languageCode, ClinicalDocument/title, ClinicalDocument/date"}]},{"id":"DocumentReference.content.attachment.id","path":"DocumentReference.content.attachment.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"DocumentReference.content.attachment.extension","path":"DocumentReference.content.attachment.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"DocumentReference.content.attachment.contentType","path":"DocumentReference.content.attachment.contentType","short":"Mime type of the content, with charset etc.","definition":"Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. Includes mime type parameters such as charset where appropriate.","requirements":"Processors of the data need to be able to know how to interpret the data.","min":1,"max":"1","base":{"path":"Attachment.contentType","min":0,"max":"1"},"type":[{"code":"code"}],"example":[{"label":"General","valueCode":"text/plain; charset=UTF-8, image/png"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MimeType"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"required","description":"The mime type of an attachment. Any valid mime type is allowed.","valueSet":"http://hl7.org/fhir/ValueSet/mimetypes|4.0.0"},"mapping":[{"identity":"v2","map":"ED.2+ED.3/RP.2+RP.3. Note conversion may be needed if old style values are being used"},{"identity":"rim","map":"./mediaType, ./charset"}]},{"id":"DocumentReference.content.attachment.language","path":"DocumentReference.content.attachment.language","short":"Human language of the content (BCP-47)","definition":"The human language of the content. The value can be any valid value according to BCP 47.","requirements":"Users need to be able to choose between the languages in a set of attachments.","min":0,"max":"1","base":{"path":"Attachment.language","min":0,"max":"1"},"type":[{"code":"code"}],"example":[{"label":"General","valueCode":"en-AU"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"},"mapping":[{"identity":"rim","map":"./language"}]},{"id":"DocumentReference.content.attachment.data","path":"DocumentReference.content.attachment.data","short":"Data inline, base64ed","definition":"The actual data of the attachment - a sequence of bytes, base64 encoded.","comment":"The base64-encoded data SHALL be expressed in the same character set as the base resource XML or JSON.","requirements":"The data needs to able to be transmitted inline.","min":0,"max":"1","base":{"path":"Attachment.data","min":0,"max":"1"},"type":[{"code":"base64Binary"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"ED.5"},{"identity":"rim","map":"./data"}]},{"id":"DocumentReference.content.attachment.url","path":"DocumentReference.content.attachment.url","short":"Uri where the data can be found","definition":"A location where the data can be accessed.","comment":"If both data and url are provided, the url SHALL point to the same content as the data contains. Urls may be relative references or may reference transient locations such as a wrapping envelope using cid: though this has ramifications for using signatures. Relative URLs are interpreted relative to the service url, like a resource reference, rather than relative to the resource itself. If a URL is provided, it SHALL resolve to actual data.","requirements":"The data needs to be transmitted by reference.","min":0,"max":"1","base":{"path":"Attachment.url","min":0,"max":"1"},"type":[{"code":"url"}],"example":[{"label":"General","valueUrl":"http://www.acme.com/logo-small.png"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"RP.1+RP.2 - if they refer to a URL (see v2.6)"},{"identity":"rim","map":"./reference/literal"}]},{"id":"DocumentReference.content.attachment.size","path":"DocumentReference.content.attachment.size","short":"Number of bytes of content (if url provided)","definition":"The number of bytes of data that make up this attachment (before base64 encoding, if that is done).","comment":"The number of bytes is redundant if the data is provided as a base64binary, but is useful if the data is provided as a url reference.","requirements":"Representing the size allows applications to determine whether they should fetch the content automatically in advance, or refuse to fetch it at all.","min":0,"max":"1","base":{"path":"Attachment.size","min":0,"max":"1"},"type":[{"code":"unsignedInt"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"N/A (needs data type R3 proposal)"}]},{"id":"DocumentReference.content.attachment.hash","path":"DocumentReference.content.attachment.hash","short":"Hash of the data (sha-1, base64ed)","definition":"The calculated hash of the data using SHA-1. Represented using base64.","comment":"The hash is calculated on the data prior to base64 encoding, if the data is based64 encoded. The hash is not intended to support digital signatures. Where protection against malicious threats a digital signature should be considered, see [Provenance.signature](http://hl7.org/fhir/R4/provenance-definitions.html#Provenance.signature) for mechanism to protect a resource with a digital signature.","requirements":"Included so that applications can verify that the contents of a location have not changed due to technical failures (e.g., storage rot, transport glitch, incorrect version).","min":0,"max":"1","base":{"path":"Attachment.hash","min":0,"max":"1"},"type":[{"code":"base64Binary"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".integrityCheck[parent::ED/integrityCheckAlgorithm=\"SHA-1\"]"}]},{"id":"DocumentReference.content.attachment.title","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"DocumentReference.content.attachment.title","short":"Label to display in place of the data","definition":"A label or set of text to display in place of the data.","requirements":"Applications need a label to display to a human user in place of the actual data if the data cannot be rendered or perceived by the viewer.","min":0,"max":"1","base":{"path":"Attachment.title","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"Official Corporate Logo"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"./title/data"}]},{"id":"DocumentReference.content.attachment.creation","path":"DocumentReference.content.attachment.creation","short":"Date attachment was first created","definition":"The date that the attachment was first created.","requirements":"This is often tracked as an integrity issue for use of the attachment.","min":0,"max":"1","base":{"path":"Attachment.creation","min":0,"max":"1"},"type":[{"code":"dateTime"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"N/A (needs data type R3 proposal)"}]},{"id":"DocumentReference.content.format","path":"DocumentReference.content.format","short":"Format/content rules for the document","definition":"An identifier of the document encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.","comment":"Note that while IHE mostly issues URNs for format types, not all documents can be identified by a URI.","min":0,"max":"1","base":{"path":"DocumentReference.content.format","min":0,"max":"1"},"type":[{"code":"Coding"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/ValueSet/formatcodes"},"mapping":[{"identity":"fhircomposition","map":"Composition.meta.profile"},{"identity":"rim","map":"document.text"},{"identity":"xds","map":"DocumentEntry.formatCode"},{"identity":"cda","map":"derived from the IHE Profile or Implementation Guide templateID"}]},{"id":"DocumentReference.context","path":"DocumentReference.context","short":"Clinical context of document","definition":"The clinical context in which the document was prepared.","comment":"These values are primarily added to help with searching for interesting/relevant documents.","min":0,"max":"1","base":{"path":"DocumentReference.context","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"outboundRelationship[typeCode=\"SUBJ\"].target[classCode<'ACT']"}]},{"id":"DocumentReference.context.id","path":"DocumentReference.context.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"DocumentReference.context.extension","path":"DocumentReference.context.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"DocumentReference.context.modifierExtension","path":"DocumentReference.context.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"DocumentReference.context.encounter","path":"DocumentReference.context.encounter","short":"Context of the document  content","definition":"Describes the clinical encounter or type of care that the document content is associated with.","min":0,"max":"1","base":{"path":"DocumentReference.context.encounter","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"]}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"fhircomposition","map":"Composition.encounter"},{"identity":"rim","map":"unique(highest(./outboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()], priorityNumber)/target[moodCode=\"EVN\" and classCode=(\"ENC\", \"PCPR\") and isNormalAct])"}]},{"id":"DocumentReference.context.event","path":"DocumentReference.context.event","short":"Main clinical acts documented","definition":"This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the type Code, such as a \"History and Physical Report\" in which the procedure being documented is necessarily a \"History and Physical\" act.","comment":"An event can further specialize the act inherent in the type, such as  where it is simply \"Procedure Report\" and the procedure was a \"colonoscopy\". If one or more event codes are included, they shall not conflict with the values inherent in the class or type elements as such a conflict would create an ambiguous situation.","min":0,"max":"*","base":{"path":"DocumentReference.context.event","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DocumentEventType"}],"strength":"example","description":"This list of codes represents the main clinical acts being documented.","valueSet":"http://terminology.hl7.org/ValueSet/v3-ActCode"},"mapping":[{"identity":"fhircomposition","map":"Composition.event.code"},{"identity":"rim","map":".code"},{"identity":"xds","map":"DocumentEntry.eventCodeList"}]},{"id":"DocumentReference.context.period","path":"DocumentReference.context.period","short":"Time of service that is being documented","definition":"The time period over which the service that is described by the document was provided.","min":0,"max":"1","base":{"path":"DocumentReference.context.period","min":0,"max":"1"},"type":[{"code":"Period"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"fhircomposition","map":"Composition.event.period"},{"identity":"rim","map":".effectiveTime"},{"identity":"xds","map":"DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime"},{"identity":"cda","map":"ClinicalDocument/documentationOf/\nserviceEvent/effectiveTime/low/\n@value --> ClinicalDocument/documentationOf/\nserviceEvent/effectiveTime/high/\n@value"}]},{"id":"DocumentReference.context.facilityType","path":"DocumentReference.context.facilityType","short":"Kind of facility where patient was seen","definition":"The kind of facility where the patient was seen.","min":0,"max":"1","base":{"path":"DocumentReference.context.facilityType","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DocumentC80FacilityType"}],"strength":"example","description":"XDS Facility Type.","valueSet":"http://hl7.org/fhir/ValueSet/c80-facilitycodes"},"mapping":[{"identity":"fhircomposition","map":"usually from a mapping to a local ValueSet"},{"identity":"rim","map":".participation[typeCode=\"LOC\"].role[classCode=\"DSDLOC\"].code"},{"identity":"xds","map":"DocumentEntry.healthcareFacilityTypeCode"},{"identity":"cda","map":"usually a mapping to a local ValueSet. Must be consistent with /clinicalDocument/code"}]},{"id":"DocumentReference.context.practiceSetting","path":"DocumentReference.context.practiceSetting","short":"Additional details about where the content was created (e.g. clinical specialty)","definition":"This property may convey specifics about the practice setting where the content was created, often reflecting the clinical specialty.","comment":"This element should be based on a coarse classification system for the class of specialty practice. Recommend the use of the classification system for Practice Setting, such as that described by the Subject Matter Domain in LOINC.","requirements":"This is an important piece of metadata that providers often rely upon to quickly sort and/or filter out to find specific content.","min":0,"max":"1","base":{"path":"DocumentReference.context.practiceSetting","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DocumentC80PracticeSetting"}],"strength":"example","description":"Additional details about where the content was created (e.g. clinical specialty).","valueSet":"http://hl7.org/fhir/ValueSet/c80-practice-codes"},"mapping":[{"identity":"fhircomposition","map":"usually from a mapping to a local ValueSet"},{"identity":"rim","map":".participation[typeCode=\"LOC\"].role[classCode=\"DSDLOC\"].code"},{"identity":"xds","map":"DocumentEntry.practiceSettingCode"},{"identity":"cda","map":"usually from a mapping to a local ValueSet"}]},{"id":"DocumentReference.context.sourcePatientInfo","path":"DocumentReference.context.sourcePatientInfo","short":"Patient demographics from source","definition":"The Patient Information as known when the document was published. May be a reference to a version specific, or contained.","min":0,"max":"1","base":{"path":"DocumentReference.context.sourcePatientInfo","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"fhircomposition","map":"Composition.subject"},{"identity":"rim","map":".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]"},{"identity":"xds","map":"DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId"},{"identity":"cda","map":"ClinicalDocument/recordTarget/"}]},{"id":"DocumentReference.context.related","path":"DocumentReference.context.related","short":"Related identifiers or resources","definition":"Related identifiers or resources associated with the DocumentReference.","comment":"May be identifiers or resources that caused the DocumentReference or referenced Document to be created.","min":0,"max":"*","base":{"path":"DocumentReference.context.related","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"fhircomposition","map":"Composition.event.detail"},{"identity":"rim","map":"./outboundRelationship[typeCode=\"PERT\" and isNormalActRelationship()] / target[isNormalAct]"},{"identity":"xds","map":"DocumentEntry.referenceIdList"},{"identity":"cda","map":"ClinicalDocument/relatedDocument"}]}]},"differential":{"element":[{"id":"DocumentReference","path":"DocumentReference","definition":"This is a basic constraint on DocumentRefernce for use in the US Core IG.","mustSupport":false},{"id":"DocumentReference.identifier","path":"DocumentReference.identifier","min":0,"max":"*","mustSupport":true},{"id":"DocumentReference.status","path":"DocumentReference.status","min":1,"max":"1","mustSupport":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/document-reference-status"}},{"id":"DocumentReference.type","path":"DocumentReference.type","min":1,"max":"1","mustSupport":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-minValueSet","valueCanonical":"http://hl7.org/fhir/us/core/ValueSet/us-core-clinical-note-type"}],"strength":"required","description":"All LOINC  values whose SCALE is DOC in the LOINC database and the HL7 v3 Code System NullFlavor concept 'unknown'","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-type"}},{"id":"DocumentReference.category","path":"DocumentReference.category","min":1,"max":"*","mustSupport":true,"binding":{"strength":"extensible","description":"The US Core DocumentReferences Type Value Set is a &#39;starter set&#39; of categories supported for fetching and storing clinical notes.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-category"}},{"id":"DocumentReference.subject","path":"DocumentReference.subject","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true},{"id":"DocumentReference.date","path":"DocumentReference.date","min":0,"max":"1","mustSupport":true},{"id":"DocumentReference.author","path":"DocumentReference.author","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole","http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"mustSupport":true},{"id":"DocumentReference.custodian","path":"DocumentReference.custodian","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"]}],"mustSupport":true},{"id":"DocumentReference.content","path":"DocumentReference.content","min":1,"max":"1","mustSupport":true},{"id":"DocumentReference.content.attachment","path":"DocumentReference.content.attachment","min":1,"max":"1","constraint":[{"key":"us-core-6","severity":"error","human":"DocumentReference.content.attachment.url or  DocumentReference.content.attachment.data or both SHALL be present.","expression":"url.exists() or data.exists()","xpath":"f:url or f:content"}],"mustSupport":true},{"id":"DocumentReference.content.attachment.contentType","path":"DocumentReference.content.attachment.contentType","min":1,"max":"1","mustSupport":true},{"id":"DocumentReference.content.attachment.data","path":"DocumentReference.content.attachment.data","min":0,"max":"1","mustSupport":true},{"id":"DocumentReference.content.attachment.url","path":"DocumentReference.content.attachment.url","min":0,"max":"1","mustSupport":true},{"id":"DocumentReference.content.format","path":"DocumentReference.content.format","min":0,"max":"1","mustSupport":true,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/ValueSet/formatcodes"}},{"id":"DocumentReference.context","path":"DocumentReference.context","min":0,"max":"1","mustSupport":true},{"id":"DocumentReference.context.encounter","path":"DocumentReference.context.encounter","min":0,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"]}],"mustSupport":true},{"id":"DocumentReference.context.period","path":"DocumentReference.context.period","mustSupport":true}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-encounter.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-encounter.json
new file mode 100644
index 000000000..a8f3fe726
--- /dev/null
+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-encounter.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-encounter","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-encounter-definitions.html#Encounter\" title=\"This is basic constraint on Encounter for use in US Core resources.\">Encounter</a><a name=\"Encounter\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-encounter-definitions.html#Encounter.identifier\">identifier</a><a name=\"Encounter.identifier\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-encounter-definitions.html#Encounter.identifier.system\">system</a><a name=\"Encounter.identifier.system\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-encounter-definitions.html#Encounter.identifier.value\">value</a><a name=\"Encounter.identifier.value\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-encounter-definitions.html#Encounter.status\">status</a><a name=\"Encounter.status\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-encounter-definitions.html#Encounter.class\">class</a><a name=\"Encounter.class\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-encounter-definitions.html#Encounter.type\">type</a><a name=\"Encounter.type\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-encounter-type.html\">US Core Encounter Type</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-encounter-definitions.html#Encounter.subject\">subject</a><a name=\"Encounter.subject\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-encounter-definitions.html#Encounter.participant\">participant</a><a name=\"Encounter.participant\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-encounter-definitions.html#Encounter.participant.type\">type</a><a name=\"Encounter.participant.type\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-encounter-definitions.html#Encounter.participant.period\">period</a><a name=\"Encounter.participant.period\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Period\">Period</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-encounter-definitions.html#Encounter.participant.individual\">individual</a><a name=\"Encounter.participant.individual\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-encounter-definitions.html#Encounter.period\">period</a><a name=\"Encounter.period\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Period\">Period</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-encounter-definitions.html#Encounter.reasonCode\">reasonCode</a><a name=\"Encounter.reasonCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-encounter-definitions.html#Encounter.hospitalization\">hospitalization</a><a name=\"Encounter.hospitalization\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-encounter-definitions.html#Encounter.hospitalization.dischargeDisposition\">dischargeDisposition</a><a name=\"Encounter.hospitalization.dischargeDisposition\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-encounter-definitions.html#Encounter.location\">location</a><a name=\"Encounter.location\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-encounter-definitions.html#Encounter.location.location\">location</a><a name=\"Encounter.location.location\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-location.html\">US Core Location Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter","name":"USCoreEncounterProfile","title":"US Core Encounter Profile","status":"active","experimental":false,"date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"The Encounter referenced in the US Core profiles.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"}],"kind":"resource","abstract":false,"type":"Encounter","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Encounter","derivation":"constraint","snapshot":{"element":[{"id":"Encounter","path":"Encounter","short":"An interaction during which services are provided to the patient","definition":"This is basic constraint on Encounter for use in US Core resources.","alias":["Visit"],"min":0,"max":"*","base":{"path":"Encounter","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.div.exists()","xpath":"exists(f:text/h:div)","source":"DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"DomainResource"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"rim","map":"Encounter[@moodCode='EVN']"}]},{"id":"Encounter.id","path":"Encounter.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"code":"id"}],"isModifier":false,"isSummary":true},{"id":"Encounter.meta","path":"Encounter.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"isModifier":false,"isSummary":true},{"id":"Encounter.implicitRules","path":"Encounter.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Encounter.language","path":"Encounter.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"Encounter.text","path":"Encounter.text","short":"Text summary of the resource, for human interpretation","definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Encounter.contained","path":"Encounter.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Encounter.extension","path":"Encounter.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Encounter.modifierExtension","path":"Encounter.modifierExtension","short":"Extensions that cannot be ignored","definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Encounter.identifier","path":"Encounter.identifier","short":"Identifier(s) by which this encounter is known","definition":"Identifier(s) by which this encounter is known.","min":0,"max":"*","base":{"path":"Encounter.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"PV1-19"},{"identity":"rim","map":".id"}]},{"id":"Encounter.identifier.id","path":"Encounter.identifier.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Encounter.identifier.extension","path":"Encounter.identifier.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Encounter.identifier.use","path":"Encounter.identifier.use","short":"usual | official | temp | secondary | old (If known)","definition":"The purpose of this identifier.","comment":"Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","requirements":"Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","min":0,"max":"1","base":{"path":"Identifier.use","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierUse"}],"strength":"required","description":"Identifies the purpose for this identifier, if known .","valueSet":"http://hl7.org/fhir/ValueSet/identifier-use|4.0.0"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Encounter.identifier.type","path":"Encounter.identifier.type","short":"Description of identifier","definition":"A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","comment":"This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","requirements":"Allows users to make use of identifiers when the identifier system is not known.","min":0,"max":"1","base":{"path":"Identifier.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierType"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"extensible","description":"A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","valueSet":"http://hl7.org/fhir/ValueSet/identifier-type"},"mapping":[{"identity":"v2","map":"CX.5"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Encounter.identifier.system","path":"Encounter.identifier.system","short":"The namespace for the identifier value","definition":"Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","comment":"Identifier.system is always case sensitive.","requirements":"There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","min":1,"max":"1","base":{"path":"Identifier.system","min":0,"max":"1"},"type":[{"code":"uri"}],"example":[{"label":"General","valueUri":"http://www.acme.com/identifiers/patient"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / EI-2-4"},{"identity":"rim","map":"II.root or Role.id.root"},{"identity":"servd","map":"./IdentifierType"}]},{"id":"Encounter.identifier.value","path":"Encounter.identifier.value","short":"The value that is unique","definition":"The portion of the identifier typically relevant to the user and which is unique within the context of the system.","comment":"If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","min":1,"max":"1","base":{"path":"Identifier.value","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"123456"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.1 / EI.1"},{"identity":"rim","map":"II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"},{"identity":"servd","map":"./Value"}]},{"id":"Encounter.identifier.period","path":"Encounter.identifier.period","short":"Time period when id is/was valid for use","definition":"Time period during which identifier is/was valid for use.","min":0,"max":"1","base":{"path":"Identifier.period","min":0,"max":"1"},"type":[{"code":"Period"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.7 + CX.8"},{"identity":"rim","map":"Role.effectiveTime or implied by context"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Encounter.identifier.assigner","path":"Encounter.identifier.assigner","short":"Organization that issued id (may be just text)","definition":"Organization that issued/manages the identifier.","comment":"The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","min":0,"max":"1","base":{"path":"Identifier.assigner","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / (CX.4,CX.9,CX.10)"},{"identity":"rim","map":"II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper"},{"identity":"servd","map":"./IdentifierIssuingAuthority"}]},{"id":"Encounter.status","path":"Encounter.status","short":"planned | arrived | triaged | in-progress | onleave | finished | cancelled +","definition":"planned | arrived | triaged | in-progress | onleave | finished | cancelled +.","comment":"Note that internal business rules will determine the appropriate transitions that may occur between statuses (and also classes).","min":1,"max":"1","base":{"path":"Encounter.status","min":1,"max":"1"},"type":[{"code":"code"}],"mustSupport":true,"isModifier":true,"isModifierReason":"This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"EncounterStatus"}],"strength":"required","description":"Current state of the encounter.","valueSet":"http://hl7.org/fhir/ValueSet/encounter-status|4.0.0"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"No clear equivalent in HL7 v2; active/finished could be inferred from PV1-44, PV1-45, PV2-24; inactive could be inferred from PV2-16"},{"identity":"rim","map":".statusCode"}]},{"id":"Encounter.statusHistory","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"StatusHistory"}],"path":"Encounter.statusHistory","short":"List of past encounter statuses","definition":"The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them.","comment":"The current status is always found in the current version of the resource, not the status history.","min":0,"max":"*","base":{"path":"Encounter.statusHistory","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Encounter.statusHistory.id","path":"Encounter.statusHistory.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Encounter.statusHistory.extension","path":"Encounter.statusHistory.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Encounter.statusHistory.modifierExtension","path":"Encounter.statusHistory.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Encounter.statusHistory.status","path":"Encounter.statusHistory.status","short":"planned | arrived | triaged | in-progress | onleave | finished | cancelled +","definition":"planned | arrived | triaged | in-progress | onleave | finished | cancelled +.","min":1,"max":"1","base":{"path":"Encounter.statusHistory.status","min":1,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"EncounterStatus"}],"strength":"required","description":"Current state of the encounter.","valueSet":"http://hl7.org/fhir/ValueSet/encounter-status|4.0.0"},"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Encounter.statusHistory.period","path":"Encounter.statusHistory.period","short":"The time that the episode was in the specified status","definition":"The time that the episode was in the specified status.","min":1,"max":"1","base":{"path":"Encounter.statusHistory.period","min":1,"max":"1"},"type":[{"code":"Period"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Encounter.class","path":"Encounter.class","short":"Classification of patient encounter","definition":"Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations.","min":1,"max":"1","base":{"path":"Encounter.class","min":1,"max":"1"},"type":[{"code":"Coding"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"EncounterClass"}],"strength":"extensible","description":"Classification of the encounter.","valueSet":"http://terminology.hl7.org/ValueSet/v3-ActEncounterCode"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"v2","map":"PV1-2"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ].source[classCode=LIST].code"}]},{"id":"Encounter.classHistory","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"ClassHistory"}],"path":"Encounter.classHistory","short":"List of past encounter classes","definition":"The class history permits the tracking of the encounters transitions without needing to go  through the resource history.  This would be used for a case where an admission starts of as an emergency encounter, then transitions into an inpatient scenario. Doing this and not restarting a new encounter ensures that any lab/diagnostic results can more easily follow the patient and not require re-processing and not get lost or cancelled during a kind of discharge from emergency to inpatient.","min":0,"max":"*","base":{"path":"Encounter.classHistory","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Encounter.classHistory.id","path":"Encounter.classHistory.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Encounter.classHistory.extension","path":"Encounter.classHistory.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Encounter.classHistory.modifierExtension","path":"Encounter.classHistory.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Encounter.classHistory.class","path":"Encounter.classHistory.class","short":"inpatient | outpatient | ambulatory | emergency +","definition":"inpatient | outpatient | ambulatory | emergency +.","min":1,"max":"1","base":{"path":"Encounter.classHistory.class","min":1,"max":"1"},"type":[{"code":"Coding"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"EncounterClass"}],"strength":"extensible","description":"Classification of the encounter.","valueSet":"http://terminology.hl7.org/ValueSet/v3-ActEncounterCode"},"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Encounter.classHistory.period","path":"Encounter.classHistory.period","short":"The time that the episode was in the specified class","definition":"The time that the episode was in the specified class.","min":1,"max":"1","base":{"path":"Encounter.classHistory.period","min":1,"max":"1"},"type":[{"code":"Period"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Encounter.type","path":"Encounter.type","short":"Specific type of encounter","definition":"Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).","comment":"Since there are many ways to further classify encounters, this element is 0..*.","min":1,"max":"*","base":{"path":"Encounter.type","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Valueset to describe the Encounter Type","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.class"},{"identity":"v2","map":"PV1-4 / PV1-18"},{"identity":"rim","map":".code"}]},{"id":"Encounter.serviceType","path":"Encounter.serviceType","short":"Specific type of service","definition":"Broad categorization of the service that is to be provided (e.g. cardiology).","min":0,"max":"1","base":{"path":"Encounter.serviceType","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"EncounterServiceType"}],"strength":"example","description":"Broad categorization of the service that is to be provided.","valueSet":"http://hl7.org/fhir/ValueSet/service-type"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"v2","map":"PV1-10"},{"identity":"rim","map":"n/a"}]},{"id":"Encounter.priority","path":"Encounter.priority","short":"Indicates the urgency of the encounter","definition":"Indicates the urgency of the encounter.","min":0,"max":"1","base":{"path":"Encounter.priority","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Priority"}],"strength":"example","description":"Indicates the urgency of the encounter.","valueSet":"http://terminology.hl7.org/ValueSet/v3-ActPriority"},"mapping":[{"identity":"w5","map":"FiveWs.grade"},{"identity":"v2","map":"PV2-25"},{"identity":"rim","map":".priorityCode"}]},{"id":"Encounter.subject","path":"Encounter.subject","short":"The patient or group present at the encounter","definition":"The patient or group present at the encounter.","comment":"While the encounter is always about the patient, the patient might not actually be known in all contexts of use, and there may be a group of patients that could be anonymous (such as in a group therapy for Alcoholics Anonymous - where the recording of the encounter could be used for billing on the number of people/staff and not important to the context of the specific patients) or alternately in veterinary care a herd of sheep receiving treatment (where the animals are not individually tracked).","alias":["patient"],"min":1,"max":"1","base":{"path":"Encounter.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":".participation[typeCode=SBJ]/role[classCode=PAT]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Encounter.episodeOfCare","path":"Encounter.episodeOfCare","short":"Episode(s) of care that this encounter should be recorded against","definition":"Where a specific encounter should be classified as a part of a specific episode(s) of care this field should be used. This association can facilitate grouping of related encounters together for a specific purpose, such as government reporting, issue tracking, association via a common problem.  The association is recorded on the encounter as these are typically created after the episode of care and grouped on entry rather than editing the episode of care to append another encounter to it (the episode of care could span years).","min":0,"max":"*","base":{"path":"Encounter.episodeOfCare","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1-54, PV1-53"},{"identity":"rim","map":"n/a"}]},{"id":"Encounter.basedOn","path":"Encounter.basedOn","short":"The ServiceRequest that initiated this encounter","definition":"The request this encounter satisfies (e.g. incoming referral or procedure request).","alias":["incomingReferral"],"min":0,"max":"*","base":{"path":"Encounter.basedOn","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.basedOn"},{"identity":"rim","map":".reason.ClinicalDocument"}]},{"id":"Encounter.participant","path":"Encounter.participant","short":"List of participants involved in the encounter","definition":"The list of people responsible for providing the service.","min":0,"max":"*","base":{"path":"Encounter.participant","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer"},{"identity":"v2","map":"ROL"},{"identity":"rim","map":".participation[typeCode=PFM]"}]},{"id":"Encounter.participant.id","path":"Encounter.participant.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Encounter.participant.extension","path":"Encounter.participant.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Encounter.participant.modifierExtension","path":"Encounter.participant.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Encounter.participant.type","path":"Encounter.participant.type","short":"Role of participant in encounter","definition":"Role of participant in encounter.","comment":"The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.","min":0,"max":"*","base":{"path":"Encounter.participant.type","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ParticipantType"}],"strength":"extensible","description":"Role of participant in encounter.","valueSet":"http://hl7.org/fhir/ValueSet/encounter-participant-type"},"mapping":[{"identity":"workflow","map":"Event.performer.function"},{"identity":"v2","map":"ROL-3 (or maybe PRT-4)"},{"identity":"rim","map":".functionCode"}]},{"id":"Encounter.participant.period","path":"Encounter.participant.period","short":"Period of time during the encounter that the participant participated","definition":"The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.","min":0,"max":"1","base":{"path":"Encounter.participant.period","min":0,"max":"1"},"type":[{"code":"Period"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"ROL-5, ROL-6 (or maybe PRT-5)"},{"identity":"rim","map":".time"}]},{"id":"Encounter.participant.individual","path":"Encounter.participant.individual","short":"Persons involved in the encounter other than the patient","definition":"Persons involved in the encounter other than the patient.","min":0,"max":"1","base":{"path":"Encounter.participant.individual","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.who"},{"identity":"v2","map":"ROL-4"},{"identity":"rim","map":".role"}]},{"id":"Encounter.appointment","path":"Encounter.appointment","short":"The appointment that scheduled this encounter","definition":"The appointment that scheduled this encounter.","min":0,"max":"*","base":{"path":"Encounter.appointment","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Appointment"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.basedOn"},{"identity":"v2","map":"SCH-1 / SCH-2"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target[classCode=ENC, moodCode=APT]"}]},{"id":"Encounter.period","path":"Encounter.period","short":"The start and end time of the encounter","definition":"The start and end time of the encounter.","comment":"If not (yet) known, the end of the Period may be omitted.","min":0,"max":"1","base":{"path":"Encounter.period","min":0,"max":"1"},"type":[{"code":"Period"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"PV1-44, PV1-45"},{"identity":"rim","map":".effectiveTime (low & high)"}]},{"id":"Encounter.length","path":"Encounter.length","short":"Quantity of time the encounter lasted (less time absent)","definition":"Quantity of time the encounter lasted. This excludes the time during leaves of absence.","comment":"May differ from the time the Encounter.period lasted because of leave of absence.","min":0,"max":"1","base":{"path":"Encounter.length","min":0,"max":"1"},"type":[{"code":"Duration"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"v2","map":"(PV1-45 less PV1-44) iff ( (PV1-44 not empty) and (PV1-45 not empty) ); units in minutes"},{"identity":"rim","map":".lengthOfStayQuantity"}]},{"id":"Encounter.reasonCode","path":"Encounter.reasonCode","short":"Coded reason the encounter takes place","definition":"Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.","comment":"For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).","alias":["Indication","Admission diagnosis"],"min":0,"max":"*","base":{"path":"Encounter.reasonCode","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"EncounterReason"}],"strength":"preferred","description":"Reason why the encounter takes place.","valueSet":"http://hl7.org/fhir/ValueSet/encounter-reason"},"mapping":[{"identity":"workflow","map":"Event.reasonCode"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"v2","map":"EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations )"},{"identity":"rim","map":".reasonCode"}]},{"id":"Encounter.reasonReference","path":"Encounter.reasonReference","short":"Reason the encounter takes place (reference)","definition":"Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.","comment":"For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).","alias":["Indication","Admission diagnosis"],"min":0,"max":"*","base":{"path":"Encounter.reasonReference","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition","http://hl7.org/fhir/StructureDefinition/Procedure","http://hl7.org/fhir/StructureDefinition/Observation","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.reasonCode"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"v2","map":"EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations )"},{"identity":"rim","map":".reasonCode"}]},{"id":"Encounter.diagnosis","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Diagnosis"}],"path":"Encounter.diagnosis","short":"The list of diagnosis relevant to this encounter","definition":"The list of diagnosis relevant to this encounter.","min":0,"max":"*","base":{"path":"Encounter.diagnosis","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=RSON]"}]},{"id":"Encounter.diagnosis.id","path":"Encounter.diagnosis.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Encounter.diagnosis.extension","path":"Encounter.diagnosis.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Encounter.diagnosis.modifierExtension","path":"Encounter.diagnosis.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Encounter.diagnosis.condition","path":"Encounter.diagnosis.condition","short":"The diagnosis or procedure relevant to the encounter","definition":"Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.","comment":"For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).","alias":["Admission diagnosis","discharge diagnosis","indication"],"min":1,"max":"1","base":{"path":"Encounter.diagnosis.condition","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition","http://hl7.org/fhir/StructureDefinition/Procedure"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.reasonReference"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"v2","map":"Resources that would commonly referenced at Encounter.indication would be Condition and/or Procedure. These most closely align with DG1/PRB and PR1 respectively."},{"identity":"rim","map":".outboundRelationship[typeCode=RSON].target"}]},{"id":"Encounter.diagnosis.use","path":"Encounter.diagnosis.use","short":"Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)","definition":"Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …).","min":0,"max":"1","base":{"path":"Encounter.diagnosis.use","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DiagnosisRole"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"The type of diagnosis this condition represents.","valueSet":"http://hl7.org/fhir/ValueSet/diagnosis-role"},"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Encounter.diagnosis.rank","path":"Encounter.diagnosis.rank","short":"Ranking of the diagnosis (for each role type)","definition":"Ranking of the diagnosis (for each role type).","min":0,"max":"1","base":{"path":"Encounter.diagnosis.rank","min":0,"max":"1"},"type":[{"code":"positiveInt"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=RSON].priority"}]},{"id":"Encounter.account","path":"Encounter.account","short":"The set of accounts that may be used for billing for this Encounter","definition":"The set of accounts that may be used for billing for this Encounter.","comment":"The billing system may choose to allocate billable items associated with the Encounter to different referenced Accounts based on internal business rules.","min":0,"max":"*","base":{"path":"Encounter.account","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Account"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".pertains.A_Account"}]},{"id":"Encounter.hospitalization","path":"Encounter.hospitalization","short":"Details about the admission to a healthcare service","definition":"Details about the admission to a healthcare service.","comment":"An Encounter may cover more than just the inpatient stay. Contexts such as outpatients, community clinics, and aged care facilities are also included.\r\rThe duration recorded in the period of this encounter covers the entire scope of this hospitalization record.","min":0,"max":"1","base":{"path":"Encounter.hospitalization","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP].target[classCode=ENC, moodCode=EVN]"}]},{"id":"Encounter.hospitalization.id","path":"Encounter.hospitalization.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Encounter.hospitalization.extension","path":"Encounter.hospitalization.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Encounter.hospitalization.modifierExtension","path":"Encounter.hospitalization.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Encounter.hospitalization.preAdmissionIdentifier","path":"Encounter.hospitalization.preAdmissionIdentifier","short":"Pre-admission identifier","definition":"Pre-admission identifier.","min":0,"max":"1","base":{"path":"Encounter.hospitalization.preAdmissionIdentifier","min":0,"max":"1"},"type":[{"code":"Identifier"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"PV1-5"},{"identity":"rim","map":".id"}]},{"id":"Encounter.hospitalization.origin","path":"Encounter.hospitalization.origin","short":"The location/organization from which the patient came before admission","definition":"The location/organization from which the patient came before admission.","min":0,"max":"1","base":{"path":"Encounter.hospitalization.origin","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location","http://hl7.org/fhir/StructureDefinition/Organization"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".participation[typeCode=ORG].role"}]},{"id":"Encounter.hospitalization.admitSource","path":"Encounter.hospitalization.admitSource","short":"From where patient was admitted (physician referral, transfer)","definition":"From where patient was admitted (physician referral, transfer).","min":0,"max":"1","base":{"path":"Encounter.hospitalization.admitSource","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AdmitSource"}],"strength":"preferred","description":"From where the patient was admitted.","valueSet":"http://hl7.org/fhir/ValueSet/encounter-admit-source"},"mapping":[{"identity":"v2","map":"PV1-14"},{"identity":"rim","map":".admissionReferralSourceCode"}]},{"id":"Encounter.hospitalization.reAdmission","path":"Encounter.hospitalization.reAdmission","short":"The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission","definition":"Whether this hospitalization is a readmission and why if known.","min":0,"max":"1","base":{"path":"Encounter.hospitalization.reAdmission","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ReAdmissionType"}],"strength":"example","description":"The reason for re-admission of this hospitalization encounter.","valueSet":"http://terminology.hl7.org/ValueSet/v2-0092"},"mapping":[{"identity":"v2","map":"PV1-13"},{"identity":"rim","map":"n/a"}]},{"id":"Encounter.hospitalization.dietPreference","path":"Encounter.hospitalization.dietPreference","short":"Diet preferences reported by the patient","definition":"Diet preferences reported by the patient.","comment":"For example, a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive).","requirements":"Used to track patient's diet restrictions and/or preference. For a complete description of the nutrition needs of a patient during their stay, one should use the nutritionOrder resource which links to Encounter.","min":0,"max":"*","base":{"path":"Encounter.hospitalization.dietPreference","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"PatientDiet"}],"strength":"example","description":"Medical, cultural or ethical food preferences to help with catering requirements.","valueSet":"http://hl7.org/fhir/ValueSet/encounter-diet"},"mapping":[{"identity":"v2","map":"PV1-38"},{"identity":"rim","map":".outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=EVN, code=\"diet\"]"}]},{"id":"Encounter.hospitalization.specialCourtesy","path":"Encounter.hospitalization.specialCourtesy","short":"Special courtesies (VIP, board member)","definition":"Special courtesies (VIP, board member).","min":0,"max":"*","base":{"path":"Encounter.hospitalization.specialCourtesy","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Courtesies"}],"strength":"preferred","description":"Special courtesies.","valueSet":"http://hl7.org/fhir/ValueSet/encounter-special-courtesy"},"mapping":[{"identity":"v2","map":"PV1-16"},{"identity":"rim","map":".specialCourtesiesCode"}]},{"id":"Encounter.hospitalization.specialArrangement","path":"Encounter.hospitalization.specialArrangement","short":"Wheelchair, translator, stretcher, etc.","definition":"Any special requests that have been made for this hospitalization encounter, such as the provision of specific equipment or other things.","min":0,"max":"*","base":{"path":"Encounter.hospitalization.specialArrangement","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Arrangements"}],"strength":"preferred","description":"Special arrangements.","valueSet":"http://hl7.org/fhir/ValueSet/encounter-special-arrangements"},"mapping":[{"identity":"v2","map":"PV1-15 / OBR-30 / OBR-43"},{"identity":"rim","map":".specialArrangementCode"}]},{"id":"Encounter.hospitalization.destination","path":"Encounter.hospitalization.destination","short":"Location/organization to which the patient is discharged","definition":"Location/organization to which the patient is discharged.","min":0,"max":"1","base":{"path":"Encounter.hospitalization.destination","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location","http://hl7.org/fhir/StructureDefinition/Organization"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"PV1-37"},{"identity":"rim","map":".participation[typeCode=DST]"}]},{"id":"Encounter.hospitalization.dischargeDisposition","path":"Encounter.hospitalization.dischargeDisposition","short":"Category or kind of location after discharge","definition":"Category or kind of location after discharge.","min":0,"max":"1","base":{"path":"Encounter.hospitalization.dischargeDisposition","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DischargeDisp"}],"strength":"example","description":"Discharge Disposition.","valueSet":"http://hl7.org/fhir/ValueSet/encounter-discharge-disposition"},"mapping":[{"identity":"v2","map":"PV1-36"},{"identity":"rim","map":".dischargeDispositionCode"}]},{"id":"Encounter.location","path":"Encounter.location","short":"List of locations where the patient has been","definition":"List of locations where  the patient has been during this encounter.","comment":"Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type \"kind\" such as \"client's home\" and an encounter.class = \"virtual\".","min":0,"max":"*","base":{"path":"Encounter.location","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".participation[typeCode=LOC]"}]},{"id":"Encounter.location.id","path":"Encounter.location.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Encounter.location.extension","path":"Encounter.location.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Encounter.location.modifierExtension","path":"Encounter.location.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Encounter.location.location","path":"Encounter.location.location","short":"Location the encounter takes place","definition":"The location where the encounter takes place.","min":1,"max":"1","base":{"path":"Encounter.location.location","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-location"]}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.location"},{"identity":"w5","map":"FiveWs.where[x]"},{"identity":"v2","map":"PV1-3 / PV1-6 / PV1-11 / PV1-42 / PV1-43"},{"identity":"rim","map":".role"}]},{"id":"Encounter.location.status","path":"Encounter.location.status","short":"planned | active | reserved | completed","definition":"The status of the participants' presence at the specified location during the period specified. If the participant is no longer at the location, then the period will have an end date/time.","comment":"When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed.","min":0,"max":"1","base":{"path":"Encounter.location.status","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"EncounterLocationStatus"}],"strength":"required","description":"The status of the location.","valueSet":"http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.0"},"mapping":[{"identity":"rim","map":".role.statusCode"}]},{"id":"Encounter.location.physicalType","path":"Encounter.location.physicalType","short":"The physical type of the location (usually the level in the location hierachy - bed room ward etc.)","definition":"This will be used to specify the required levels (bed/ward/room/etc.) desired to be recorded to simplify either messaging or query.","comment":"This information is de-normalized from the Location resource to support the easier understanding of the encounter resource and processing in messaging or query.\n\nThere may be many levels in the hierachy, and this may only pic specific levels that are required for a specific usage scenario.","min":0,"max":"1","base":{"path":"Encounter.location.physicalType","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"PhysicalType"}],"strength":"example","description":"Physical form of the location.","valueSet":"http://hl7.org/fhir/ValueSet/location-physical-type"}},{"id":"Encounter.location.period","path":"Encounter.location.period","short":"Time period during which the patient was present at the location","definition":"Time period during which the patient was present at the location.","min":0,"max":"1","base":{"path":"Encounter.location.period","min":0,"max":"1"},"type":[{"code":"Period"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".time"}]},{"id":"Encounter.serviceProvider","path":"Encounter.serviceProvider","short":"The organization (facility) responsible for this encounter","definition":"The organization that is primarily responsible for this Encounter's services. This MAY be the same as the organization on the Patient record, however it could be different, such as if the actor performing the services was from an external organization (which may be billed seperately) for an external consultation.  Refer to the example bundle showing an abbreviated set of Encounters for a colonoscopy.","min":0,"max":"1","base":{"path":"Encounter.serviceProvider","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"v2","map":"PL.6  & PL.1"},{"identity":"rim","map":".particiaption[typeCode=PFM].role"}]},{"id":"Encounter.partOf","path":"Encounter.partOf","short":"Another Encounter this encounter is part of","definition":"Another Encounter of which this encounter is a part of (administratively or in time).","comment":"This is also used for associating a child's encounter back to the mother's encounter.\r\rRefer to the Notes section in the Patient resource for further details.","min":0,"max":"1","base":{"path":"Encounter.partOf","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy","valueBoolean":true}],"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.partOf"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[classCode=COMP, moodCode=EVN]"}]}]},"differential":{"element":[{"id":"Encounter","path":"Encounter","definition":"This is basic constraint on Encounter for use in US Core resources.","alias":["Visit"],"mustSupport":false},{"id":"Encounter.identifier","path":"Encounter.identifier","min":0,"max":"*","type":[{"code":"Identifier"}],"mustSupport":true},{"id":"Encounter.identifier.system","path":"Encounter.identifier.system","min":1,"max":"1","type":[{"code":"uri"}],"mustSupport":true},{"id":"Encounter.identifier.value","path":"Encounter.identifier.value","min":1,"max":"1","type":[{"code":"string"}],"mustSupport":true},{"id":"Encounter.status","path":"Encounter.status","min":1,"max":"1","type":[{"code":"code"}],"mustSupport":true},{"id":"Encounter.class","path":"Encounter.class","min":1,"max":"1","type":[{"code":"Coding"}],"mustSupport":true},{"id":"Encounter.type","path":"Encounter.type","min":1,"max":"*","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"extensible","description":"Valueset to describe the Encounter Type","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type"}},{"id":"Encounter.subject","path":"Encounter.subject","alias":["patient"],"min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true},{"id":"Encounter.participant","path":"Encounter.participant","min":0,"max":"*","mustSupport":true},{"id":"Encounter.participant.type","path":"Encounter.participant.type","min":0,"max":"*","type":[{"code":"CodeableConcept"}],"mustSupport":true},{"id":"Encounter.participant.period","path":"Encounter.participant.period","min":0,"max":"1","type":[{"code":"Period"}],"mustSupport":true},{"id":"Encounter.participant.individual","path":"Encounter.participant.individual","min":0,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"]}],"mustSupport":true},{"id":"Encounter.period","path":"Encounter.period","min":0,"max":"1","type":[{"code":"Period"}],"mustSupport":true},{"id":"Encounter.reasonCode","path":"Encounter.reasonCode","alias":["Indication","Admission diagnosis"],"min":0,"max":"*","type":[{"code":"CodeableConcept"}],"mustSupport":true},{"id":"Encounter.hospitalization","path":"Encounter.hospitalization","min":0,"max":"1","mustSupport":true},{"id":"Encounter.hospitalization.dischargeDisposition","path":"Encounter.hospitalization.dischargeDisposition","min":0,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true},{"id":"Encounter.location","path":"Encounter.location","min":0,"max":"*","mustSupport":true},{"id":"Encounter.location.location","path":"Encounter.location.location","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-location"]}],"mustSupport":true}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-ethnicity.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-ethnicity.json
new file mode 100644
index 000000000..c0f2a3fca
--- /dev/null
+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-ethnicity.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-ethnicity","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-ethnicity-definitions.html#Extension:ethnicity\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">Extension</a><a name=\"Extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">US Core ethnicity Extension</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck15.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-ethnicity-definitions.html#Extension:ethnicity.extension:ombcategory\" title=\"Slice ombCategory: The 2 ethnicity category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards).\">extension:ombCategory</a><a name=\"Extension.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/extensibility.html#Extension\">Extension</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Hispanic or Latino|Not Hispanic or Latino</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck150.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-ethnicity-definitions.html#Extension:ethnicity.extension:ombcategory.url\" title=\"null\">url</a><a name=\"Extension.extension.url\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"color: darkgreen\">&quot;ombCategory&quot;</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck140.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-ethnicity-definitions.html#Extension:ethnicity.extension:ombcategory.valueCoding\" title=\"null\">valueCoding</a><a name=\"Extension.extension.valueCoding\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-omb-ethnicity-category.html\">OMB Ethnicity Categories</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck15.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-ethnicity-definitions.html#Extension:ethnicity.extension:detailed\" title=\"Slice detailed: The 41 CDC ethnicity codes that are grouped under one of the 2 OMB ethnicity category codes.\">extension:detailed</a><a name=\"Extension.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/extensibility.html#Extension\">Extension</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Extended ethnicity codes<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck150.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-ethnicity-definitions.html#Extension:ethnicity.extension:detailed.url\" title=\"null\">url</a><a name=\"Extension.extension.url\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"color: darkgreen\">&quot;detailed&quot;</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck140.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-ethnicity-definitions.html#Extension:ethnicity.extension:detailed.valueCoding\" title=\"null\">valueCoding</a><a name=\"Extension.extension.valueCoding\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-detailed-ethnicity.html\">Detailed ethnicity</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck15.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-ethnicity-definitions.html#Extension:ethnicity.extension:text\" title=\"Slice text: Plain text representation of the ethnicity concept(s).\">extension:text</a><a name=\"Extension.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/extensibility.html#Extension\">Extension</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">ethnicity Text</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck150.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-ethnicity-definitions.html#Extension:ethnicity.extension:text.url\" title=\"null\">url</a><a name=\"Extension.extension.url\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"color: darkgreen\">&quot;text&quot;</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck140.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-ethnicity-definitions.html#Extension:ethnicity.extension:text.valueString\" title=\"null\">valueString</a><a name=\"Extension.extension.valueString\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-ethnicity-definitions.html#Extension:ethnicity.url\" title=\"null\">url</a><a name=\"Extension.url\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"color: darkgreen\">&quot;http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity&quot;</span></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity","version":"3.0.1","name":"USCoreEthnicityExtension","title":"US Core Ethnicity Extension","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"purpose":"Complies with 2015 Edition Common Clinical Data Set for patient race.","fhirVersion":"4.0.0","mapping":[{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"}],"kind":"complex-type","abstract":false,"context":[{"type":"element","expression":"Patient"}],"type":"Extension","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Extension","derivation":"constraint","snapshot":{"element":[{"id":"Extension:ethnicity","path":"Extension","short":"US Core ethnicity Extension","definition":"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.","min":0,"max":"1","base":{"path":"Extension","min":0,"max":"*"},"condition":["ele-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"children().count() > id.count()","xpath":"@value|f:*|h:div","source":"Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])","source":"Extension"}],"isModifier":false},{"id":"Extension:ethnicity.id","path":"Extension.id","representation":["xmlAttr"],"short":"xml:id (or equivalent in JSON)","definition":"unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Extension:ethnicity.extension","path":"Extension.extension","slicing":{"id":"2","discriminator":[{"type":"value","path":"url"}],"ordered":false,"rules":"open"},"short":"Extension","definition":"An Extension","min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}]},{"id":"Extension:ethnicity.extension:ombcategory","path":"Extension.extension","sliceName":"ombCategory","short":"Hispanic or Latino|Not Hispanic or Latino","definition":"The 2 ethnicity category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards).","min":0,"max":"1","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"mustSupport":true,"isModifier":false,"mapping":[{"identity":"iso11179","map":"/ClinicalDocument/recordTarget/patientRole/patient/ethnicGroupCode"}]},{"id":"Extension:ethnicity.extension:ombcategory.id","path":"Extension.extension.id","representation":["xmlAttr"],"short":"xml:id (or equivalent in JSON)","definition":"unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Extension:ethnicity.extension:ombcategory.extension","path":"Extension.extension.extension","short":"Additional Content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"0","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Extension:ethnicity.extension:ombcategory.url","path":"Extension.extension.url","representation":["xmlAttr"],"short":"identifies the meaning of the extension","definition":"Source of the definition for the extension code - a logical name or a URL.","comment":"The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","min":1,"max":"1","base":{"path":"Extension.url","min":1,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"ombCategory","mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Extension:ethnicity.extension:ombcategory.valueCoding","path":"Extension.extension.valueCoding","short":"Value of extension","definition":"Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","min":1,"max":"1","base":{"path":"Extension.value[x]","min":0,"max":"1"},"type":[{"code":"Coding"}],"binding":{"strength":"required","description":"The 2 ethnicity category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards).","valueSet":"http://hl7.org/fhir/us/core/ValueSet/omb-ethnicity-category"},"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Extension:ethnicity.extension:detailed","path":"Extension.extension","sliceName":"detailed","short":"Extended ethnicity codes","definition":"The 41 CDC ethnicity codes that are grouped under one of the 2 OMB ethnicity category codes.","min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"mapping":[{"identity":"iso11179","map":"/ClinicalDocument/recordTarget/patientRole/patient/sdtc:ethnicGroupCode"}]},{"id":"Extension:ethnicity.extension:detailed.id","path":"Extension.extension.id","representation":["xmlAttr"],"short":"xml:id (or equivalent in JSON)","definition":"unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Extension:ethnicity.extension:detailed.extension","path":"Extension.extension.extension","short":"Additional Content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"0","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Extension:ethnicity.extension:detailed.url","path":"Extension.extension.url","representation":["xmlAttr"],"short":"identifies the meaning of the extension","definition":"Source of the definition for the extension code - a logical name or a URL.","comment":"The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","min":1,"max":"1","base":{"path":"Extension.url","min":1,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"detailed","mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Extension:ethnicity.extension:detailed.valueCoding","path":"Extension.extension.valueCoding","short":"Value of extension","definition":"Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","min":1,"max":"1","base":{"path":"Extension.value[x]","min":0,"max":"1"},"type":[{"code":"Coding"}],"binding":{"strength":"required","description":"The 41 [CDC ethnicity codes](http://www.cdc.gov/phin/resources/vocabulary/index.html) that are grouped under one of the 2 OMB ethnicity category codes.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity"},"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Extension:ethnicity.extension:text","path":"Extension.extension","sliceName":"text","short":"ethnicity Text","definition":"Plain text representation of the ethnicity concept(s).","min":1,"max":"1","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"mustSupport":true,"isModifier":false},{"id":"Extension:ethnicity.extension:text.id","path":"Extension.extension.id","representation":["xmlAttr"],"short":"xml:id (or equivalent in JSON)","definition":"unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Extension:ethnicity.extension:text.extension","path":"Extension.extension.extension","short":"Additional Content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"0","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Extension:ethnicity.extension:text.url","path":"Extension.extension.url","representation":["xmlAttr"],"short":"identifies the meaning of the extension","definition":"Source of the definition for the extension code - a logical name or a URL.","comment":"The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","min":1,"max":"1","base":{"path":"Extension.url","min":1,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"text","mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Extension:ethnicity.extension:text.valueString","path":"Extension.extension.valueString","short":"Value of extension","definition":"Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","min":1,"max":"1","base":{"path":"Extension.value[x]","min":0,"max":"1"},"type":[{"code":"string"}],"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Extension:ethnicity.url","path":"Extension.url","representation":["xmlAttr"],"short":"identifies the meaning of the extension","definition":"Source of the definition for the extension code - a logical name or a URL.","comment":"The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","min":1,"max":"1","base":{"path":"Extension.url","min":1,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity","mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Extension:ethnicity.value[x]","path":"Extension.value[x]","short":"Value of extension","definition":"Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","min":0,"max":"0","base":{"path":"Extension.value[x]","min":0,"max":"1"},"type":[{"code":"base64Binary"},{"code":"boolean"},{"code":"code"},{"code":"date"},{"code":"dateTime"},{"code":"decimal"},{"code":"id"},{"code":"instant"},{"code":"integer"},{"code":"markdown"},{"code":"oid"},{"code":"positiveInt"},{"code":"string"},{"code":"time"},{"code":"unsignedInt"},{"code":"uri"},{"code":"Address"},{"code":"Age"},{"code":"Annotation"},{"code":"Attachment"},{"code":"CodeableConcept"},{"code":"Coding"},{"code":"ContactPoint"},{"code":"Count"},{"code":"Distance"},{"code":"Duration"},{"code":"HumanName"},{"code":"Identifier"},{"code":"Money"},{"code":"Period"},{"code":"Quantity"},{"code":"Range"},{"code":"Ratio"},{"code":"Reference"},{"code":"SampledData"},{"code":"Signature"},{"code":"Timing"},{"code":"Meta"}],"mapping":[{"identity":"rim","map":"N/A"}]}]},"differential":{"element":[{"id":"Extension:ethnicity","path":"Extension","short":"US Core ethnicity Extension","definition":"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.","min":0,"max":"1","isModifier":false},{"id":"Extension:ethnicity.extension:ombcategory","path":"Extension.extension","sliceName":"ombCategory","short":"Hispanic or Latino|Not Hispanic or Latino","definition":"The 2 ethnicity category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards).","min":0,"max":"1","type":[{"code":"Extension"}],"mustSupport":true,"isModifier":false,"mapping":[{"identity":"iso11179","map":"/ClinicalDocument/recordTarget/patientRole/patient/ethnicGroupCode"}]},{"id":"Extension:ethnicity.extension:ombcategory.url","path":"Extension.extension.url","min":1,"max":"1","type":[{"code":"uri"}],"fixedUri":"ombCategory"},{"id":"Extension:ethnicity.extension:ombcategory.valueCoding","path":"Extension.extension.valueCoding","min":1,"max":"1","type":[{"code":"Coding"}],"binding":{"strength":"required","description":"The 2 ethnicity category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards).","valueSet":"http://hl7.org/fhir/us/core/ValueSet/omb-ethnicity-category"}},{"id":"Extension:ethnicity.extension:detailed","path":"Extension.extension","sliceName":"detailed","short":"Extended ethnicity codes","definition":"The 41 CDC ethnicity codes that are grouped under one of the 2 OMB ethnicity category codes.","min":0,"max":"*","type":[{"code":"Extension"}],"isModifier":false,"mapping":[{"identity":"iso11179","map":"/ClinicalDocument/recordTarget/patientRole/patient/sdtc:ethnicGroupCode"}]},{"id":"Extension:ethnicity.extension:detailed.url","path":"Extension.extension.url","min":1,"max":"1","type":[{"code":"uri"}],"fixedUri":"detailed"},{"id":"Extension:ethnicity.extension:detailed.valueCoding","path":"Extension.extension.valueCoding","min":1,"max":"1","type":[{"code":"Coding"}],"binding":{"strength":"required","description":"The 41 [CDC ethnicity codes](http://www.cdc.gov/phin/resources/vocabulary/index.html) that are grouped under one of the 2 OMB ethnicity category codes.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity"}},{"id":"Extension:ethnicity.extension:text","path":"Extension.extension","sliceName":"text","short":"ethnicity Text","definition":"Plain text representation of the ethnicity concept(s).","min":1,"max":"1","type":[{"code":"Extension"}],"mustSupport":true,"isModifier":false},{"id":"Extension:ethnicity.extension:text.url","path":"Extension.extension.url","min":1,"max":"1","type":[{"code":"uri"}],"fixedUri":"text"},{"id":"Extension:ethnicity.extension:text.valueString","path":"Extension.extension.valueString","min":1,"max":"1","type":[{"code":"string"}]},{"id":"Extension:ethnicity.url","path":"Extension.url","min":1,"max":"1","fixedUri":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-goal.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-goal.json
new file mode 100644
index 000000000..df11758bb
--- /dev/null
+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-goal.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-goal","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-goal-definitions.html#Goal\" title=\"The US Core Goal Profile is based upon the core FHIR Goal Resource and created to meet the 2015 Edition Common Clinical Data Set 'Goals' requirements.\">Goal</a><a name=\"Goal\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-goal-definitions.html#Goal.lifecycleStatus\" title=\"Type of plan.\">lifecycleStatus</a><a name=\"Goal.lifecycleStatus\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-goal-status.html\">GoalLifecycleStatus</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-goal-definitions.html#Goal.description\" title=\"proposed | draft | active | completed | cancelled.\">description</a><a name=\"Goal.description\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-goal-definitions.html#Goal.subject\" title=\"Who care plan is for.\">subject</a><a name=\"Goal.subject\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-goal-definitions.html#Goal.target\">target</a><a name=\"Goal.target\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-goal-definitions.html#Goal.target.dueDate\">dueDate</a><a name=\"Goal.target.dueDate\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal","version":"3.0.1","name":"USCoreGoalProfile","title":"US Core Goal Profile","status":"active","experimental":false,"date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the Goal resource for the minimal set of data to query and retrieve a patient's goal(s).","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"}],"kind":"resource","abstract":false,"type":"Goal","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Goal","derivation":"constraint","snapshot":{"element":[{"id":"Goal","path":"Goal","short":"Describes the intended objective(s) for a patient, group or organization","definition":"The US Core Goal Profile is based upon the core FHIR Goal Resource and created to meet the 2015 Edition Common Clinical Data Set 'Goals' requirements.","comment":"Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline.","min":0,"max":"*","base":{"path":"Goal","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.div.exists()","xpath":"exists(f:text/h:div)","source":"DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"DomainResource"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"v2","map":"GOL.1"},{"identity":"rim","map":".outboundRelationship[typeCode<=OBJ]."},{"identity":"argonaut-dq-dstu2","map":"Goal"}]},{"id":"Goal.id","path":"Goal.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"code":"id"}],"isModifier":false,"isSummary":true},{"id":"Goal.meta","path":"Goal.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"isModifier":false,"isSummary":true},{"id":"Goal.implicitRules","path":"Goal.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Goal.language","path":"Goal.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"Goal.text","path":"Goal.text","short":"Text summary of the resource, for human interpretation","definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Goal.contained","path":"Goal.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Goal.extension","path":"Goal.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Goal.modifierExtension","path":"Goal.modifierExtension","short":"Extensions that cannot be ignored","definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Goal.identifier","path":"Goal.identifier","short":"External Ids for this goal","definition":"Business identifiers assigned to this goal by the performer or other systems which remain constant as the resource is updated and propagates from server to server.","comment":"This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.","requirements":"Allows identification of the goal as it is known by various participating systems and in a way that remains consistent across servers.","min":0,"max":"*","base":{"path":"Goal.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"rim","map":".id"}]},{"id":"Goal.lifecycleStatus","path":"Goal.lifecycleStatus","short":"proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected","definition":"Type of plan.","comment":"This element is labeled as a modifier because the lifecycleStatus contains codes that mark the resource as not currently valid.","requirements":"Identifies what \"kind\" of plan this is to support differentiation between multiple co-existing plans; e.g. \"Home health\", \"psychiatric\", \"asthma\", \"disease management\", \"wellness plan\", etc.","min":1,"max":"1","base":{"path":"Goal.lifecycleStatus","min":1,"max":"1"},"type":[{"code":"code"}],"mustSupport":true,"isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/goal-status"},"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"GOL-18-goal life cycle status"},{"identity":"rim","map":".statusCode in-progress = active (classCode = OBJ) cancelled = aborted"},{"identity":"argonaut-dq-dstu2","map":"Goal.status"}]},{"id":"Goal.achievementStatus","path":"Goal.achievementStatus","short":"in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable","definition":"Describes the progression, or lack thereof, towards the goal against the target.","min":0,"max":"1","base":{"path":"Goal.achievementStatus","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"GoalAchievementStatus"}],"strength":"preferred","description":"Indicates the progression, or lack thereof, towards the goal against the target.","valueSet":"http://hl7.org/fhir/ValueSet/goal-achievement"},"mapping":[{"identity":"rim","map":".statusCode achieved = complete sustaining = active"}]},{"id":"Goal.category","path":"Goal.category","short":"E.g. Treatment, dietary, behavioral, etc.","definition":"Indicates a category the goal falls within.","requirements":"Allows goals to be filtered and sorted.","min":0,"max":"*","base":{"path":"Goal.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"GoalCategory"}],"strength":"example","description":"Codes for grouping and sorting goals.","valueSet":"http://hl7.org/fhir/ValueSet/goal-category"},"mapping":[{"identity":"w5","map":"FiveWs.class"}]},{"id":"Goal.priority","path":"Goal.priority","short":"high-priority | medium-priority | low-priority","definition":"Identifies the mutually agreed level of importance associated with reaching/sustaining the goal.","comment":"Extensions are available to track priorities as established by each participant (i.e. Priority from the patient's perspective, different practitioners' perspectives, family member's perspectives)\r\rThe ordinal extension on Coding can be used to convey a numerically comparable ranking to priority.  (Keep in mind that different coding systems may use a \"low value=important\".","requirements":"Used for sorting and presenting goals.","min":0,"max":"1","base":{"path":"Goal.priority","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"GoalPriority"}],"strength":"preferred","description":"The level of importance associated with a goal.","valueSet":"http://hl7.org/fhir/ValueSet/goal-priority"},"mapping":[{"identity":"w5","map":"FiveWs.grade"},{"identity":"rim","map":".priorityCode"}]},{"id":"Goal.description","path":"Goal.description","short":"Code or text describing goal","definition":"proposed | draft | active | completed | cancelled.","comment":"If no code is available, use CodeableConcept.text.","requirements":"Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.","min":1,"max":"1","base":{"path":"Goal.description","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"GoalDescription"}],"strength":"example","description":"Codes providing the details of a particular goal.  This will generally be system or implementation guide-specific.  In many systems, only the text element will be used.","valueSet":"http://hl7.org/fhir/ValueSet/clinical-findings"},"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"GOL-3.2-goal ID.text"},{"identity":"rim","map":".text"},{"identity":"argonaut-dq-dstu2","map":"Goal.description"}]},{"id":"Goal.subject","path":"Goal.subject","short":"Who this goal is intended for","definition":"Who care plan is for.","requirements":"Identifies the patient or group whose intended care is described by the plan.","min":1,"max":"1","base":{"path":"Goal.subject","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3-patient ID list"},{"identity":"rim","map":".participation[typeCode=PAT].role[classCode=PAT]"},{"identity":"w5","map":"FiveWs.subject"},{"identity":"argonaut-dq-dstu2","map":"Goal.subject"}]},{"id":"Goal.start[x]","path":"Goal.start[x]","short":"When goal pursuit begins","definition":"The date or event after which the goal should begin being pursued.","requirements":"Goals can be established prior to there being an intention to start pursuing them; e.g. Goals for post-surgical recovery established prior to surgery.","min":0,"max":"1","base":{"path":"Goal.start[x]","min":0,"max":"1"},"type":[{"code":"date"},{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"GoalStartEvent"}],"strength":"example","description":"Codes describing events that can trigger the initiation of a goal.","valueSet":"http://hl7.org/fhir/ValueSet/goal-start-event"},"mapping":[{"identity":"w5","map":"FiveWs.planned"}]},{"id":"Goal.target","path":"Goal.target","short":"Target outcome for the goal","definition":"Indicates what should be done by when.","comment":"When multiple targets are present for a single goal instance, all targets must be met for the overall goal to be met.","requirements":"Allows the progress of the goal to be monitored against an observation or due date.  Target is 0..* to support Observations with multiple components, such as blood pressure goals with both a systolic and diastolic target.","min":0,"max":"*","base":{"path":"Goal.target","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"condition":["gol-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"},{"key":"gol-1","severity":"error","human":"Goal.target.measure is required if Goal.target.detail is populated","expression":"(detail.exists() and measure.exists()) or detail.exists().not()","xpath":"(exists(f:*[starts-with(local-name(.), 'detail')]) and exists(f:measure)) or not(exists(f:*[starts-with(local-name(.), 'detail')]))","source":"Goal.target"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"Goal.target.id","path":"Goal.target.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Goal.target.extension","path":"Goal.target.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Goal.target.modifierExtension","path":"Goal.target.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Goal.target.measure","path":"Goal.target.measure","short":"The parameter whose value is being tracked","definition":"The parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.","min":0,"max":"1","base":{"path":"Goal.target.measure","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["gol-1"],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"GoalTargetMeasure"}],"strength":"example","description":"Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.","valueSet":"http://hl7.org/fhir/ValueSet/observation-codes"}},{"id":"Goal.target.detail[x]","path":"Goal.target.detail[x]","short":"The target value to be achieved","definition":"The target value of the focus to be achieved to signify the fulfillment of the goal, e.g. 150 pounds, 7.0%. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any focus value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any focus value at or above the low value.","comment":"A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Goal.target.measure defines a coded value.","min":0,"max":"1","base":{"path":"Goal.target.detail[x]","min":0,"max":"1"},"type":[{"code":"Quantity"},{"code":"Range"},{"code":"CodeableConcept"},{"code":"string"},{"code":"boolean"},{"code":"integer"},{"code":"Ratio"}],"condition":["gol-1"],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"GoalTargetDetail"}],"strength":"example","description":"Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal."}},{"id":"Goal.target.due[x]","path":"Goal.target.due[x]","slicing":{"discriminator":[{"type":"type","path":"$this"}],"ordered":false,"rules":"closed"},"short":"Reach goal on or before","definition":"Indicates either the date or the duration after start by which the goal should be met.","requirements":"Identifies when the goal should be evaluated.","min":0,"max":"1","base":{"path":"Goal.target.due[x]","min":0,"max":"1"},"type":[{"code":"date"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.done[x]"}]},{"id":"Goal.target.due[x]:dueDate","path":"Goal.target.due[x]","sliceName":"dueDate","short":"Reach goal on or before","definition":"Indicates either the date or the duration after start by which the goal should be met.","requirements":"Identifies when the goal should be evaluated.","min":0,"max":"1","base":{"path":"Goal.target.due[x]","min":0,"max":"1"},"type":[{"code":"date"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.done[x]"}]},{"id":"Goal.statusDate","path":"Goal.statusDate","short":"When goal status took effect","definition":"Identifies when the current status.  I.e. When initially created, when achieved, when cancelled, etc.","comment":"To see the date for past statuses, query history.","min":0,"max":"1","base":{"path":"Goal.statusDate","min":0,"max":"1"},"type":[{"code":"date"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"}]},{"id":"Goal.statusReason","path":"Goal.statusReason","short":"Reason for current status","definition":"Captures the reason for the current status.","comment":"This will typically be captured for statuses such as rejected, on-hold or cancelled, but could be present for others.","min":0,"max":"1","base":{"path":"Goal.statusReason","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false},{"id":"Goal.expressedBy","path":"Goal.expressedBy","short":"Who's responsible for creating Goal?","definition":"Indicates whose goal this is - patient goal, practitioner goal, etc.","comment":"This is the individual responsible for establishing the goal, not necessarily who recorded it.  (For that, use the Provenance resource.).","min":0,"max":"1","base":{"path":"Goal.expressedBy","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.source"}]},{"id":"Goal.addresses","path":"Goal.addresses","short":"Issues addressed by this goal","definition":"The identified conditions and other health record elements that are intended to be addressed by the goal.","requirements":"Allows specific goals to explicitly linked to the concerns they're dealing with - makes the goal more understandable.","min":0,"max":"*","base":{"path":"Goal.addresses","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition","http://hl7.org/fhir/StructureDefinition/Observation","http://hl7.org/fhir/StructureDefinition/MedicationStatement","http://hl7.org/fhir/StructureDefinition/NutritionOrder","http://hl7.org/fhir/StructureDefinition/ServiceRequest","http://hl7.org/fhir/StructureDefinition/RiskAssessment"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"rim","map":".outboundRelationship[typeCode=SUBJ].target[classCode=CONC]"}]},{"id":"Goal.note","path":"Goal.note","short":"Comments about the goal","definition":"Any comments related to the goal.","comment":"May be used for progress notes, concerns or other related information that doesn't actually describe the goal itself.","requirements":"There's a need to capture information about the goal that doesn't actually describe the goal.","min":0,"max":"*","base":{"path":"Goal.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"GOL-16-goal evaluation + NTE?"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"}]},{"id":"Goal.outcomeCode","path":"Goal.outcomeCode","short":"What result was achieved regarding the goal?","definition":"Identifies the change (or lack of change) at the point when the status of the goal is assessed.","comment":"Note that this should not duplicate the goal status.","requirements":"Outcome tracking is a key aspect of care planning.","min":0,"max":"*","base":{"path":"Goal.outcomeCode","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"GoalOutcome"}],"strength":"example","description":"The result of the goal; e.g. \"25% increase in shoulder mobility\", \"Anxiety reduced to moderate levels\".  \"15 kg weight loss sustained over 6 months\".","valueSet":"http://hl7.org/fhir/ValueSet/clinical-findings"}},{"id":"Goal.outcomeReference","path":"Goal.outcomeReference","short":"Observation that resulted from goal","definition":"Details of what's changed (or not changed).","comment":"The goal outcome is independent of the outcome of the related activities.  For example, if the Goal is to achieve a target body weight of 150 lb and a care plan activity is defined to diet, then the care plan’s activity outcome could be calories consumed whereas goal outcome is an observation for the actual body weight measured.","requirements":"Outcome tracking is a key aspect of care planning.","min":0,"max":"*","base":{"path":"Goal.outcomeReference","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Observation"]}],"isModifier":false,"isSummary":false}]},"differential":{"element":[{"id":"Goal","path":"Goal","definition":"The US Core Goal Profile is based upon the core FHIR Goal Resource and created to meet the 2015 Edition Common Clinical Data Set 'Goals' requirements.","mustSupport":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Goal"}]},{"id":"Goal.lifecycleStatus","path":"Goal.lifecycleStatus","definition":"Type of plan.","requirements":"Identifies what \"kind\" of plan this is to support differentiation between multiple co-existing plans; e.g. \"Home health\", \"psychiatric\", \"asthma\", \"disease management\", \"wellness plan\", etc.","min":1,"max":"1","type":[{"code":"code"}],"mustSupport":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/goal-status"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Goal.status"}]},{"id":"Goal.description","path":"Goal.description","definition":"proposed | draft | active | completed | cancelled.","requirements":"Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Goal.description"}]},{"id":"Goal.subject","path":"Goal.subject","definition":"Who care plan is for.","requirements":"Identifies the patient or group whose intended care is described by the plan.","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Goal.subject"}]},{"id":"Goal.target","path":"Goal.target","min":0,"max":"*","mustSupport":true},{"id":"Goal.target.dueDate","path":"Goal.target.dueDate","min":0,"max":"1","mustSupport":true}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-immunization.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-immunization.json
new file mode 100644
index 000000000..1783b20a8
--- /dev/null
+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-immunization.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-immunization","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-immunization-definitions.html#Immunization\" title=\"The US Core Immunization Profile is based upon the core FHIR Immunization Resource and created to meet the 2015 Edition Common Clinical Data Set 'Immunizations' requirements.\">Immunization</a><a name=\"Immunization\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-immunization-definitions.html#Immunization.status\">status</a><a name=\"Immunization.status\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-immunization-status.html\">ImmunizationStatusCodes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-immunization-definitions.html#Immunization.statusReason\">statusReason</a><a name=\"Immunization.statusReason\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-immunization-status-reason.html\">ImmunizationStatusReasonCodes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#example\" title=\"Instances are not expected or even encouraged to draw from the specified value set.  The value set merely provides examples of the types of concepts intended to be included.\">example</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-immunization-definitions.html#Immunization.vaccineCode\">vaccineCode</a><a name=\"Immunization.vaccineCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Vaccine Product Type (bind to CVX)<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-vaccines-cvx.html\">US Core Vaccine Administered Value Set (CVX)</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)<br/><span style=\"font-weight:bold\">us-core-1: </span>SHOULD have a translation to the NDC value set</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-immunization-definitions.html#Immunization.patient\">patient</a><a name=\"Immunization.patient\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_choice.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Choice of Types\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-immunization-definitions.html#Immunization.occurrence[x]\">occurrence[x]</a><a name=\"Immunization.occurrence_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span title=\"Base StructureDefinition for dateTime Type: A date, date-time or partial date (e.g. just year or year + month).  If hours and minutes are specified, a time zone SHALL be populated. The format is a union of the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints but may be zero-filled and may be ignored.                 Dates SHALL be valid dates.\">occurrenceDateTime</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span title=\"Base StructureDefinition for string Type: A sequence of Unicode characters\">occurrenceString</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-immunization-definitions.html#Immunization.primarySource\">primarySource</a><a name=\"Immunization.primarySource\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization","version":"3.0.1","name":"USCoreImmunizationProfile","title":"US Core Immunization Profile","status":"active","experimental":false,"date":"2019-08-26T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the Immunization resource for the minimal set of data to query and retrieve  patient's immunization information.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"quick","uri":"http://unknown.org/QUICK","name":"QUICK"},{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"cda","uri":"http://hl7.org/v3/cda","name":"CDA (R2)"}],"kind":"resource","abstract":false,"type":"Immunization","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Immunization","derivation":"constraint","snapshot":{"element":[{"id":"Immunization","path":"Immunization","short":"Immunization event information","definition":"The US Core Immunization Profile is based upon the core FHIR Immunization Resource and created to meet the 2015 Edition Common Clinical Data Set 'Immunizations' requirements.","min":0,"max":"*","base":{"path":"Immunization","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.div.exists()","xpath":"exists(f:text/h:div)","source":"DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"DomainResource"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"v2","map":"VXU_V04"},{"identity":"rim","map":"SubstanceAdministration"},{"identity":"quick","map":"ImmunizationPerformanceOccurrence"},{"identity":"argonaut-dq-dstu2","map":"Immunization"}]},{"id":"Immunization.id","path":"Immunization.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"code":"id"}],"isModifier":false,"isSummary":true},{"id":"Immunization.meta","path":"Immunization.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"isModifier":false,"isSummary":true},{"id":"Immunization.implicitRules","path":"Immunization.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Immunization.language","path":"Immunization.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"Immunization.text","path":"Immunization.text","short":"Text summary of the resource, for human interpretation","definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Immunization.contained","path":"Immunization.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.extension","path":"Immunization.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.modifierExtension","path":"Immunization.modifierExtension","short":"Extensions that cannot be ignored","definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.identifier","path":"Immunization.identifier","short":"Business identifier","definition":"A unique identifier assigned to this immunization record.","min":0,"max":"*","base":{"path":"Immunization.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"rim","map":".id"},{"identity":"cda","map":"ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/id"}]},{"id":"Immunization.status","path":"Immunization.status","short":"completed | entered-in-error | not-done","definition":"Indicates the current status of the immunization event.","comment":"Will generally be set to show that the immunization has been completed or not done.  This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","min":1,"max":"1","base":{"path":"Immunization.status","min":1,"max":"1"},"type":[{"code":"code"}],"mustSupport":true,"isModifier":true,"isModifierReason":"This element is labeled as a modifier because it is a status element that contains statuses entered-in-error and not-done which means that the resource should not be treated as valid","isSummary":true,"binding":{"strength":"required","description":"Constrained list of immunizaiotn status","valueSet":"http://hl7.org/fhir/ValueSet/immunization-status"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":"statusCode"},{"identity":"argonaut-dq-dstu2","map":"Immunization.status"}]},{"id":"Immunization.statusReason","path":"Immunization.statusReason","short":"Reason not done","definition":"Indicates the reason the immunization event was not performed.","comment":"This is generally only used for the status of \"not-done\". The reason for performing the immunization event is captured in reasonCode, not here.","min":0,"max":"1","base":{"path":"Immunization.statusReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/immunization-status-reason"},"mapping":[{"identity":"workflow","map":"Event.statusReason"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"},{"identity":"argonaut-dq-dstu2","map":"Immunization.wasNotGiven"}]},{"id":"Immunization.vaccineCode","path":"Immunization.vaccineCode","short":"Vaccine Product Type (bind to CVX)","definition":"Vaccine that was administered or was to be administered.","min":1,"max":"1","base":{"path":"Immunization.vaccineCode","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true}],"key":"us-core-1","severity":"warning","human":"SHOULD have a translation to the NDC value set","expression":"coding.where(system='http://hl7.org/fhir/sid/ndc').empty()","xpath":"not(exists(f:coding/f:system[@value='http://hl7.org/fhir/sid/ndc']))"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"The CVX (vaccine administered) code system","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-vaccines-cvx"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"RXA-5"},{"identity":"rim","map":".code"},{"identity":"cda","map":"ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/realmCode/code"},{"identity":"quick","map":"vaccine"},{"identity":"argonaut-dq-dstu2","map":"Immunization.vaccineCode"}]},{"id":"Immunization.patient","path":"Immunization.patient","short":"Who was immunized","definition":"The patient who either received or did not receive the immunization.","alias":["Patient"],"min":1,"max":"1","base":{"path":"Immunization.patient","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":".partipication[ttypeCode=].role"},{"identity":"w5","map":"FiveWs.subject"},{"identity":"quick","map":"subject"},{"identity":"argonaut-dq-dstu2","map":"Immunization.patient"}]},{"id":"Immunization.encounter","path":"Immunization.encounter","short":"Encounter immunization was part of","definition":"The visit or admission or other contact between patient and health care provider the immunization was performed as part of.","min":0,"max":"1","base":{"path":"Immunization.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1-19"},{"identity":"rim","map":"component->EncounterEvent"}]},{"id":"Immunization.occurrence[x]","path":"Immunization.occurrence[x]","short":"Vaccine administration date","definition":"Date vaccine administered or was to be administered.","comment":"When immunizations are given a specific date and time should always be known.   When immunizations are patient reported, a specific date might not be known.  Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given. An exact date is always preferable, but the use of the String data type is acceptable when an exact date is not known. A small number of vaccines (e.g. live oral typhoid vaccine) are given as a series of patient self-administered dose over a span of time. In cases like this, often, only the first dose (typically a provider supervised dose) is recorded with the occurrence indicating the date/time of the first dose.","min":1,"max":"1","base":{"path":"Immunization.occurrence[x]","min":1,"max":"1"},"type":[{"code":"dateTime"},{"code":"string"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"RXA-3"},{"identity":"rim","map":".effectiveTime"},{"identity":"cda","map":"ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveTime/value"},{"identity":"quick","map":"performanceTime"},{"identity":"argonaut-dq-dstu2","map":"Immunization.date"}]},{"id":"Immunization.recorded","path":"Immunization.recorded","short":"When the immunization was first captured in the subject's record","definition":"The date the occurrence of the immunization was first captured in the record - potentially significantly after the occurrence of the event.","min":0,"max":"1","base":{"path":"Immunization.recorded","min":0,"max":"1"},"type":[{"code":"dateTime"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"rim","map":".participation[typeCode=AUT].time"}]},{"id":"Immunization.primarySource","path":"Immunization.primarySource","short":"Indicates context the data was recorded in","definition":"An indication that the content of the record is based on information from the person who administered the vaccine. This reflects the context under which the data was originally recorded.","comment":"Reflects the “reliability” of the content.","min":1,"max":"1","base":{"path":"Immunization.primarySource","min":0,"max":"1"},"type":[{"code":"boolean"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.source"},{"identity":"v2","map":"RXA-9"},{"identity":"rim","map":"immunization.uncertaintycode (if primary source=false, uncertainty=U)"},{"identity":"quick","map":"reported"},{"identity":"argonaut-dq-dstu2","map":"Immunization.reported"}]},{"id":"Immunization.reportOrigin","path":"Immunization.reportOrigin","short":"Indicates the source of a secondarily reported record","definition":"The source of the data when the report of the immunization event is not based on information from the person who administered the vaccine.","comment":"Should not be populated if primarySource = True, not required even if primarySource = False.","min":0,"max":"1","base":{"path":"Immunization.reportOrigin","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ImmunizationReportOrigin"}],"strength":"example","description":"The source of the data for a record which is not from a primary source.","valueSet":"http://hl7.org/fhir/ValueSet/immunization-origin"},"mapping":[{"identity":"w5","map":"FiveWs.source"},{"identity":"v2","map":"RXA-9"},{"identity":"rim","map":".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported) .participation[typeCode=INF].role[classCode=LIC] (this syntax for health care professional) .participation[typeCode=INF].role[classCode=PRS] (this syntax for family member)"}]},{"id":"Immunization.location","path":"Immunization.location","short":"Where immunization occurred","definition":"The service delivery location where the vaccine administration occurred.","min":0,"max":"1","base":{"path":"Immunization.location","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.location"},{"identity":"w5","map":"FiveWs.where[x]"},{"identity":"v2","map":"RXA-27  (or RXA-11, deprecated as of v2.7)"},{"identity":"rim","map":".participation[typeCode=LOC].COCT_MT240000UV"}]},{"id":"Immunization.manufacturer","path":"Immunization.manufacturer","short":"Vaccine manufacturer","definition":"Name of vaccine manufacturer.","min":0,"max":"1","base":{"path":"Immunization.manufacturer","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"RXA-17"},{"identity":"rim","map":".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=ORG]"},{"identity":"cda","map":"ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacuturerOrganization/name"}]},{"id":"Immunization.lotNumber","path":"Immunization.lotNumber","short":"Vaccine lot number","definition":"Lot number of the  vaccine product.","min":0,"max":"1","base":{"path":"Immunization.lotNumber","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"RXA-15"},{"identity":"rim","map":".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].id"},{"identity":"cda","map":"ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/lotNumberText"}]},{"id":"Immunization.expirationDate","path":"Immunization.expirationDate","short":"Vaccine expiration date","definition":"Date vaccine batch expires.","min":0,"max":"1","base":{"path":"Immunization.expirationDate","min":0,"max":"1"},"type":[{"code":"date"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"RXA-16"},{"identity":"rim","map":".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"}]},{"id":"Immunization.site","path":"Immunization.site","short":"Body site vaccine  was administered","definition":"Body site where vaccine was administered.","min":0,"max":"1","base":{"path":"Immunization.site","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ImmunizationSite"}],"strength":"example","description":"The site at which the vaccine was administered.","valueSet":"http://hl7.org/fhir/ValueSet/immunization-site"},"mapping":[{"identity":"v2","map":"RXR-2"},{"identity":"rim","map":"observation.targetSiteCode"},{"identity":"cda","map":"ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/approachSiteCode/code"}]},{"id":"Immunization.route","path":"Immunization.route","short":"How vaccine entered body","definition":"The path by which the vaccine product is taken into the body.","min":0,"max":"1","base":{"path":"Immunization.route","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ImmunizationRoute"}],"strength":"example","description":"The route by which the vaccine was administered.","valueSet":"http://hl7.org/fhir/ValueSet/immunization-route"},"mapping":[{"identity":"v2","map":"RXR-1"},{"identity":"rim","map":".routeCode"},{"identity":"cda","map":"ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/routeCode/code"}]},{"id":"Immunization.doseQuantity","path":"Immunization.doseQuantity","short":"Amount of vaccine administered","definition":"The quantity of vaccine product that was administered.","min":0,"max":"1","base":{"path":"Immunization.doseQuantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"RXA-6 / RXA-7"},{"identity":"rim","map":".doseQuantity"}]},{"id":"Immunization.performer","path":"Immunization.performer","short":"Who performed event","definition":"Indicates who performed the immunization event.","min":0,"max":"*","base":{"path":"Immunization.performer","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer"},{"identity":"v2","map":"ORC-12 / RXA-10"},{"identity":"rim","map":".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"}]},{"id":"Immunization.performer.id","path":"Immunization.performer.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Immunization.performer.extension","path":"Immunization.performer.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Immunization.performer.modifierExtension","path":"Immunization.performer.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.performer.function","path":"Immunization.performer.function","short":"What type of performance was done","definition":"Describes the type of performance (e.g. ordering provider, administering provider, etc.).","min":0,"max":"1","base":{"path":"Immunization.performer.function","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ImmunizationFunction"}],"strength":"extensible","description":"The role a practitioner or organization plays in the immunization event.","valueSet":"http://hl7.org/fhir/ValueSet/immunization-function"},"mapping":[{"identity":"workflow","map":"Event.performer.function"},{"identity":"rim","map":".participation.functionCode"}]},{"id":"Immunization.performer.actor","path":"Immunization.performer.actor","short":"Individual or organization who was performing","definition":"The practitioner or organization who performed the action.","comment":"When the individual practitioner who performed the action is known, it is best to send.","min":1,"max":"1","base":{"path":"Immunization.performer.actor","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"rim","map":".player"}]},{"id":"Immunization.note","path":"Immunization.note","short":"Additional immunization notes","definition":"Extra information about the immunization that is not conveyed by the other attributes.","min":0,"max":"*","base":{"path":"Immunization.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.note"},{"identity":"v2","map":"OBX-5 : OBX-3 = 48767-8"},{"identity":"rim","map":"note"}]},{"id":"Immunization.reasonCode","path":"Immunization.reasonCode","short":"Why immunization occurred","definition":"Reasons why the vaccine was administered.","min":0,"max":"*","base":{"path":"Immunization.reasonCode","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ImmunizationReason"}],"strength":"example","description":"The reason why a vaccine was administered.","valueSet":"http://hl7.org/fhir/ValueSet/immunization-reason"},"mapping":[{"identity":"workflow","map":"Event.reasonCode"},{"identity":"rim","map":"[actionNegationInd=false].reasonCode"}]},{"id":"Immunization.reasonReference","path":"Immunization.reasonReference","short":"Why immunization occurred","definition":"Condition, Observation or DiagnosticReport that supports why the immunization was administered.","min":0,"max":"*","base":{"path":"Immunization.reasonReference","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition","http://hl7.org/fhir/StructureDefinition/Observation","http://hl7.org/fhir/StructureDefinition/DiagnosticReport"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.reasonReference"},{"identity":"rim","map":"N/A"}]},{"id":"Immunization.isSubpotent","path":"Immunization.isSubpotent","short":"Dose potency","definition":"Indication if a dose is considered to be subpotent. By default, a dose should be considered to be potent.","comment":"Typically, the recognition of the dose being sub-potent is retrospective, after the administration (ex. notification of a manufacturer recall after administration). However, in the case of a partial administration (the patient moves unexpectedly and only some of the dose is actually administered), subpotency may be recognized immediately, but it is still important to record the event.","min":0,"max":"1","base":{"path":"Immunization.isSubpotent","min":0,"max":"1"},"type":[{"code":"boolean"}],"meaningWhenMissing":"By default, a dose should be considered to be potent.","isModifier":true,"isModifierReason":"This element is labeled as a modifier because an immunization event with a subpotent vaccine doesn't protect the patient the same way as a potent dose.","isSummary":true,"mapping":[{"identity":"v2","map":"RXA-20 = PA (partial administration)"},{"identity":"rim","map":"N/A"}]},{"id":"Immunization.subpotentReason","path":"Immunization.subpotentReason","short":"Reason for being subpotent","definition":"Reason why a dose is considered to be subpotent.","min":0,"max":"*","base":{"path":"Immunization.subpotentReason","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SubpotentReason"}],"strength":"example","description":"The reason why a dose is considered to be subpotent.","valueSet":"http://hl7.org/fhir/ValueSet/immunization-subpotent-reason"},"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.education","path":"Immunization.education","short":"Educational material presented to patient","definition":"Educational material presented to the patient (or guardian) at the time of vaccine administration.","min":0,"max":"*","base":{"path":"Immunization.education","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"},{"key":"imm-1","severity":"error","human":"One of documentType or reference SHALL be present","expression":"documentType.exists() or reference.exists()","xpath":"exists(f:documentType) or exists(f:reference)"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.education.id","path":"Immunization.education.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Immunization.education.extension","path":"Immunization.education.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Immunization.education.modifierExtension","path":"Immunization.education.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.education.documentType","path":"Immunization.education.documentType","short":"Educational material document identifier","definition":"Identifier of the material presented to the patient.","min":0,"max":"1","base":{"path":"Immunization.education.documentType","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-5 : OBX-3 = 69764-9"},{"identity":"rim","map":"N/A"}]},{"id":"Immunization.education.reference","path":"Immunization.education.reference","short":"Educational material reference pointer","definition":"Reference pointer to the educational material given to the patient if the information was on line.","min":0,"max":"1","base":{"path":"Immunization.education.reference","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.education.publicationDate","path":"Immunization.education.publicationDate","short":"Educational material publication date","definition":"Date the educational material was published.","min":0,"max":"1","base":{"path":"Immunization.education.publicationDate","min":0,"max":"1"},"type":[{"code":"dateTime"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-5 : OBX-3 = 29768-9"},{"identity":"rim","map":"N/A"}]},{"id":"Immunization.education.presentationDate","path":"Immunization.education.presentationDate","short":"Educational material presentation date","definition":"Date the educational material was given to the patient.","min":0,"max":"1","base":{"path":"Immunization.education.presentationDate","min":0,"max":"1"},"type":[{"code":"dateTime"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-5 : OBX-3 = 29769-7"},{"identity":"rim","map":"N/A"}]},{"id":"Immunization.programEligibility","path":"Immunization.programEligibility","short":"Patient eligibility for a vaccination program","definition":"Indicates a patient's eligibility for a funding program.","min":0,"max":"*","base":{"path":"Immunization.programEligibility","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProgramEligibility"}],"strength":"example","description":"The patient's eligibility for a vaccation program.","valueSet":"http://hl7.org/fhir/ValueSet/immunization-program-eligibility"},"mapping":[{"identity":"v2","map":"OBX-5 : OBX-3 = 64994-7"},{"identity":"rim","map":"N/A"}]},{"id":"Immunization.fundingSource","path":"Immunization.fundingSource","short":"Funding source for the vaccine","definition":"Indicates the source of the vaccine actually administered. This may be different than the patient eligibility (e.g. the patient may be eligible for a publically purchased vaccine but due to inventory issues, vaccine purchased with private funds was actually administered).","min":0,"max":"1","base":{"path":"Immunization.fundingSource","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FundingSource"}],"strength":"example","description":"The source of funding used to purchase the vaccine administered.","valueSet":"http://hl7.org/fhir/ValueSet/immunization-funding-source"},"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.reaction","path":"Immunization.reaction","short":"Details of a reaction that follows immunization","definition":"Categorical data indicating that an adverse event is associated in time to an immunization.","comment":"A reaction may be an indication of an allergy or intolerance and, if this is determined to be the case, it should be recorded as a new AllergyIntolerance resource instance as most systems will not query against past Immunization.reaction elements.","min":0,"max":"*","base":{"path":"Immunization.reaction","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"Observation[classCode=obs].code"}]},{"id":"Immunization.reaction.id","path":"Immunization.reaction.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Immunization.reaction.extension","path":"Immunization.reaction.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Immunization.reaction.modifierExtension","path":"Immunization.reaction.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.reaction.date","path":"Immunization.reaction.date","short":"When reaction started","definition":"Date of reaction to the immunization.","min":0,"max":"1","base":{"path":"Immunization.reaction.date","min":0,"max":"1"},"type":[{"code":"dateTime"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-14 (ideally this would be reported in an IAM segment, but IAM is not part of the HL7 v2 VXU message - most likely would appear in OBX segments if at all)"},{"identity":"rim","map":".effectiveTime"}]},{"id":"Immunization.reaction.detail","path":"Immunization.reaction.detail","short":"Additional information on reaction","definition":"Details of the reaction.","min":0,"max":"1","base":{"path":"Immunization.reaction.detail","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Observation"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-5"},{"identity":"rim","map":".value"}]},{"id":"Immunization.reaction.reported","path":"Immunization.reaction.reported","short":"Indicates self-reported reaction","definition":"Self-reported indicator.","min":0,"max":"1","base":{"path":"Immunization.reaction.reported","min":0,"max":"1"},"type":[{"code":"boolean"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"(HL7 v2 doesn't seem to provide for this)"},{"identity":"rim","map":".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)"}]},{"id":"Immunization.protocolApplied","path":"Immunization.protocolApplied","short":"Protocol followed by the provider","definition":"The protocol (set of recommendations) being followed by the provider who administered the dose.","min":0,"max":"*","base":{"path":"Immunization.protocolApplied","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.protocolApplied.id","path":"Immunization.protocolApplied.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Immunization.protocolApplied.extension","path":"Immunization.protocolApplied.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Immunization.protocolApplied.modifierExtension","path":"Immunization.protocolApplied.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.protocolApplied.series","path":"Immunization.protocolApplied.series","short":"Name of vaccine series","definition":"One possible path to achieve presumed immunity against a disease - within the context of an authority.","min":0,"max":"1","base":{"path":"Immunization.protocolApplied.series","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.protocolApplied.authority","path":"Immunization.protocolApplied.authority","short":"Who is responsible for publishing the recommendations","definition":"Indicates the authority who published the protocol (e.g. ACIP) that is being followed.","min":0,"max":"1","base":{"path":"Immunization.protocolApplied.authority","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.protocolApplied.targetDisease","path":"Immunization.protocolApplied.targetDisease","short":"Vaccine preventatable disease being targetted","definition":"The vaccine preventable disease the dose is being administered against.","min":0,"max":"*","base":{"path":"Immunization.protocolApplied.targetDisease","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"TargetDisease"}],"strength":"example","description":"The vaccine preventable disease the dose is being administered for.","valueSet":"http://hl7.org/fhir/ValueSet/immunization-target-disease"},"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.protocolApplied.doseNumber[x]","path":"Immunization.protocolApplied.doseNumber[x]","short":"Dose number within series","definition":"Nominal position in a series.","comment":"The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).","min":1,"max":"1","base":{"path":"Immunization.protocolApplied.doseNumber[x]","min":1,"max":"1"},"type":[{"code":"positiveInt"},{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.protocolApplied.seriesDoses[x]","path":"Immunization.protocolApplied.seriesDoses[x]","short":"Recommended number of doses for immunity","definition":"The recommended number of doses to achieve immunity.","comment":"The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).","min":0,"max":"1","base":{"path":"Immunization.protocolApplied.seriesDoses[x]","min":0,"max":"1"},"type":[{"code":"positiveInt"},{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]}]},"differential":{"element":[{"id":"Immunization","path":"Immunization","definition":"The US Core Immunization Profile is based upon the core FHIR Immunization Resource and created to meet the 2015 Edition Common Clinical Data Set 'Immunizations' requirements.","mustSupport":false,"mapping":[{"identity":"quick","map":"ImmunizationPerformanceOccurrence"},{"identity":"quick","map":"ImmunizationPerformanceOccurrence"},{"identity":"argonaut-dq-dstu2","map":"Immunization"}]},{"id":"Immunization.status","path":"Immunization.status","min":1,"max":"1","type":[{"code":"code"}],"mustSupport":true,"binding":{"strength":"required","description":"Constrained list of immunizaiotn status","valueSet":"http://hl7.org/fhir/ValueSet/immunization-status"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Immunization.status"}]},{"id":"Immunization.statusReason","path":"Immunization.statusReason","min":0,"max":"1","mustSupport":true,"binding":{"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/immunization-status-reason"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Immunization.wasNotGiven"}]},{"id":"Immunization.vaccineCode","path":"Immunization.vaccineCode","short":"Vaccine Product Type (bind to CVX)","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"constraint":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true}],"key":"us-core-1","severity":"warning","human":"SHOULD have a translation to the NDC value set","expression":"coding.where(system='http://hl7.org/fhir/sid/ndc').empty()","xpath":"not(exists(f:coding/f:system[@value='http://hl7.org/fhir/sid/ndc']))"}],"mustSupport":true,"binding":{"strength":"extensible","description":"The CVX (vaccine administered) code system","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-vaccines-cvx"},"mapping":[{"identity":"quick","map":"vaccine"},{"identity":"quick","map":"vaccine"},{"identity":"argonaut-dq-dstu2","map":"Immunization.vaccineCode"}]},{"id":"Immunization.patient","path":"Immunization.patient","alias":["Patient"],"min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"mapping":[{"identity":"quick","map":"subject"},{"identity":"quick","map":"subject"},{"identity":"argonaut-dq-dstu2","map":"Immunization.patient"}]},{"id":"Immunization.occurrence[x]","path":"Immunization.occurrence[x]","min":1,"max":"1","type":[{"code":"dateTime"},{"code":"string"}],"mustSupport":true,"mapping":[{"identity":"quick","map":"performanceTime"},{"identity":"quick","map":"performanceTime"},{"identity":"argonaut-dq-dstu2","map":"Immunization.date"}]},{"id":"Immunization.primarySource","path":"Immunization.primarySource","min":1,"max":"1","type":[{"code":"boolean"}],"mustSupport":true,"mapping":[{"identity":"quick","map":"reported"},{"identity":"quick","map":"reported"},{"identity":"argonaut-dq-dstu2","map":"Immunization.reported"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-implantable-device.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-implantable-device.json
new file mode 100644
index 000000000..800be8bf6
--- /dev/null
+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-implantable-device.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-implantable-device","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-implantable-device-definitions.html#Device\" title=\"The US Core Implantable Device Profile is based upon the core FHIR Device Resource and created to meet the 2015 Edition Common Clinical Data Set 'Unique device identifier(s) for a patient’s implantable device(s)' requirements.\">Device</a><a name=\"Device\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">us-core-9: </span>At least one of the Production Identifiers (UDI-PI) SHALL be present.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-implantable-device-definitions.html#Device.udiCarrier\">udiCarrier</a><a name=\"Device.udiCarrier\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-implantable-device-definitions.html#Device.udiCarrier.deviceIdentifier\">deviceIdentifier</a><a name=\"Device.udiCarrier.deviceIdentifier\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-implantable-device-definitions.html#Device.udiCarrier.carrierAIDC\">carrierAIDC</a><a name=\"Device.udiCarrier.carrierAIDC\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#base64Binary\">base64Binary</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-implantable-device-definitions.html#Device.udiCarrier.carrierHRF\">carrierHRF</a><a name=\"Device.udiCarrier.carrierHRF\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-implantable-device-definitions.html#Device.distinctIdentifier\">distinctIdentifier</a><a name=\"Device.distinctIdentifier\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-implantable-device-definitions.html#Device.manufactureDate\">manufactureDate</a><a name=\"Device.manufactureDate\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-implantable-device-definitions.html#Device.expirationDate\">expirationDate</a><a name=\"Device.expirationDate\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-implantable-device-definitions.html#Device.lotNumber\">lotNumber</a><a name=\"Device.lotNumber\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-implantable-device-definitions.html#Device.serialNumber\">serialNumber</a><a name=\"Device.serialNumber\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-implantable-device-definitions.html#Device.type\">type</a><a name=\"Device.type\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-device-kind.html\">FHIRDeviceTypes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-implantable-device-definitions.html#Device.patient\">patient</a><a name=\"Device.patient\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device","version":"3.0.1","name":"USCoreImplantableDeviceProfile","title":"US Core Implantable Device Profile","status":"active","experimental":false,"date":"2019-08-11T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the Device resource for the minimal set of data to query and retrieve a patient's implantable device(s).","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"udi","uri":"http://fda.gov/UDI","name":"UDI Mapping"}],"kind":"resource","abstract":false,"type":"Device","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Device","derivation":"constraint","snapshot":{"element":[{"id":"Device","path":"Device","short":"Item used in healthcare","definition":"The US Core Implantable Device Profile is based upon the core FHIR Device Resource and created to meet the 2015 Edition Common Clinical Data Set 'Unique device identifier(s) for a patient’s implantable device(s)' requirements.","min":0,"max":"*","base":{"path":"Device","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.div.exists()","xpath":"exists(f:text/h:div)","source":"DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"DomainResource"},{"key":"us-core-9","severity":"error","human":"At least one of the Production Identifiers (UDI-PI) SHALL be present.","expression":"manufactureDate.exists() or expirationDate.exists() or lotNumber.exists() or serialNumber.exists() or distinctIdentifier.exists()","xpath":"f:manufactureDate or f:expirationDate or f:lotNumber or f:serialNumber or f:distinctIdentifier"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"rim","map":"Device"},{"identity":"argonaut-dq-dstu2","map":"Device"}]},{"id":"Device.id","path":"Device.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"code":"id"}],"isModifier":false,"isSummary":true},{"id":"Device.meta","path":"Device.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"isModifier":false,"isSummary":true},{"id":"Device.implicitRules","path":"Device.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Device.language","path":"Device.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"Device.text","path":"Device.text","short":"Text summary of the resource, for human interpretation","definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Device.contained","path":"Device.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Device.extension","path":"Device.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Device.modifierExtension","path":"Device.modifierExtension","short":"Extensions that cannot be ignored","definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Device.identifier","path":"Device.identifier","short":"Instance identifier","definition":"Unique instance identifiers assigned to a device by manufacturers other organizations or owners.","comment":"The barcode string from a barcode present on a device label or package may identify the instance, include names given to the device in local usage, or may identify the type of device. If the identifier identifies the type of device, Device.type element should be used.","min":0,"max":"*","base":{"path":"Device.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"rim","map":".id"},{"identity":"udi","map":"The serial number which is a component of the production identifier (PI), a conditional, variable portion of a UDI.   The identifier.type code should be set to “SNO”(Serial Number) and the system left empty."}]},{"id":"Device.definition","path":"Device.definition","short":"The reference to the definition for the device","definition":"The reference to the definition for the device.","min":0,"max":"1","base":{"path":"Device.definition","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DeviceDefinition"]}],"isModifier":false,"isSummary":false},{"id":"Device.udiCarrier","path":"Device.udiCarrier","short":"Unique Device Identifier (UDI) Barcode string","definition":"Unique device identifier (UDI) assigned to device label or package.  Note that the Device may include multiple udiCarriers as it either may include just the udiCarrier for the jurisdiction it is sold, or for multiple jurisdictions it could have been sold.","comment":"Some devices may not have UDI information (for example. historical data or patient reported data).","min":1,"max":"1","base":{"path":"Device.udiCarrier","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"rim","map":".id and .code"},{"identity":"argonaut-dq-dstu2","map":"Device.udi"}]},{"id":"Device.udiCarrier.id","path":"Device.udiCarrier.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Device.udiCarrier.extension","path":"Device.udiCarrier.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Device.udiCarrier.modifierExtension","path":"Device.udiCarrier.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Device.udiCarrier.deviceIdentifier","path":"Device.udiCarrier.deviceIdentifier","short":"Mandatory fixed portion of UDI","definition":"The device identifier (DI) is a mandatory, fixed portion of a UDI that identifies the labeler and the specific version or model of a device.","alias":["DI"],"min":1,"max":"1","base":{"path":"Device.udiCarrier.deviceIdentifier","min":0,"max":"1"},"type":[{"code":"string"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":"Role.id.extension"},{"identity":"udi","map":"The device identifier (DI), a mandatory, fixed portion of a UDI that identifies the labeler and the specific version or model of a device."},{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"id":"Device.udiCarrier.issuer","path":"Device.udiCarrier.issuer","short":"UDI Issuing Organization","definition":"Organization that is charged with issuing UDIs for devices.  For example, the US FDA issuers include :\n1) GS1: \nhttp://hl7.org/fhir/NamingSystem/gs1-di, \n2) HIBCC:\nhttp://hl7.org/fhir/NamingSystem/hibcc-dI, \n3) ICCBBA for blood containers:\nhttp://hl7.org/fhir/NamingSystem/iccbba-blood-di, \n4) ICCBA for other devices:\nhttp://hl7.org/fhir/NamingSystem/iccbba-other-di.","alias":["Barcode System"],"min":0,"max":"1","base":{"path":"Device.udiCarrier.issuer","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Role.id.root"},{"identity":"udi","map":"All UDIs are to be issued under a system operated by an Jurisdiction-accredited issuing agency.\nGS1 DIs: \n http://hl7.org/fhir/NamingSystem/gs1\nHIBCC DIs:\n http://hl7.org/fhir/NamingSystem/hibcc\nICCBBA DIs for blood containers:\n http://hl7.org/fhir/NamingSystem/iccbba-blood\nICCBA DIs for other devices:\n http://hl7.org/fhir/NamingSystem/iccbba-other"}]},{"id":"Device.udiCarrier.jurisdiction","path":"Device.udiCarrier.jurisdiction","short":"Regional UDI authority","definition":"The identity of the authoritative source for UDI generation within a  jurisdiction.  All UDIs are globally unique within a single namespace with the appropriate repository uri as the system.  For example,  UDIs of devices managed in the U.S. by the FDA, the value is  http://hl7.org/fhir/NamingSystem/fda-udi.","requirements":"Allows a recipient of a UDI to know which database will contain the UDI-associated metadata.","min":0,"max":"1","base":{"path":"Device.udiCarrier.jurisdiction","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Role.scoper"}]},{"id":"Device.udiCarrier.carrierAIDC","path":"Device.udiCarrier.carrierAIDC","short":"UDI Machine Readable Barcode String","definition":"The full UDI carrier of the Automatic Identification and Data Capture (AIDC) technology representation of the barcode string as printed on the packaging of the device - e.g., a barcode or RFID.   Because of limitations on character sets in XML and the need to round-trip JSON data through XML, AIDC Formats *SHALL* be base64 encoded.","comment":"The AIDC form of UDIs should be scanned or otherwise used for the identification of the device whenever possible to minimize errors in records resulting from manual transcriptions. If separate barcodes for DI and PI are present, concatenate the string with DI first and in order of human readable expression on label.","alias":["Automatic Identification and Data Capture","UDI","Barcode String"],"min":0,"max":"1","base":{"path":"Device.udiCarrier.carrierAIDC","min":0,"max":"1"},"type":[{"code":"base64Binary"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"Role.id.extension"},{"identity":"udi","map":"A unique device identifier (UDI) on a device label a form that uses automatic identification and data capture (AIDC) technology."},{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"id":"Device.udiCarrier.carrierHRF","path":"Device.udiCarrier.carrierHRF","short":"UDI Human Readable Barcode String","definition":"The full UDI carrier as the human readable form (HRF) representation of the barcode string as printed on the packaging of the device.","comment":"If separate barcodes for DI and PI are present, concatenate the string with DI first and in order of human readable expression on label.","alias":["Human Readable Form","UDI","Barcode String"],"min":0,"max":"1","base":{"path":"Device.udiCarrier.carrierHRF","min":0,"max":"1"},"type":[{"code":"string"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"Role.id.extension"},{"identity":"udi","map":"A unique device identifier (UDI) on a device label in plain text"},{"identity":"argonaut-dq-dstu2","map":"Device.udi"}]},{"id":"Device.udiCarrier.entryType","path":"Device.udiCarrier.entryType","short":"barcode | rfid | manual +","definition":"A coded entry to indicate how the data was entered.","requirements":"Supports a way to distinguish hand entered from machine read data.","min":0,"max":"1","base":{"path":"Device.udiCarrier.entryType","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"UDIEntryType"}],"strength":"required","description":"Codes to identify how UDI data was entered.","valueSet":"http://hl7.org/fhir/ValueSet/udi-entry-type|4.0.0"},"mapping":[{"identity":"rim","map":"NA"}]},{"id":"Device.status","path":"Device.status","short":"active | inactive | entered-in-error | unknown","definition":"Status of the Device availability.","comment":"This element is labeled as a modifier because the status contains the codes inactive and entered-in-error that mark the device (record)as not currently valid.","min":0,"max":"1","base":{"path":"Device.status","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FHIRDeviceStatus"}],"strength":"required","description":"The availability status of the device.","valueSet":"http://hl7.org/fhir/ValueSet/device-status|4.0.0"},"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":".statusCode"}]},{"id":"Device.statusReason","path":"Device.statusReason","short":"online | paused | standby | offline | not-ready | transduc-discon | hw-discon | off","definition":"Reason for the dtatus of the Device availability.","min":0,"max":"*","base":{"path":"Device.statusReason","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FHIRDeviceStatusReason"}],"strength":"extensible","description":"The availability status reason of the device.","valueSet":"http://hl7.org/fhir/ValueSet/device-status-reason"},"mapping":[{"identity":"w5","map":"FiveWs.status"}]},{"id":"Device.distinctIdentifier","path":"Device.distinctIdentifier","short":"The distinct identification string","definition":"The distinct identification string as required by regulation for a human cell, tissue, or cellular and tissue-based product.","comment":"For example, this applies to devices in the United States regulated under *Code of Federal Regulation 21CFR§1271.290(c)*.","alias":["Distinct Identification Code (DIC)"],"min":0,"max":"1","base":{"path":"Device.distinctIdentifier","min":0,"max":"1"},"type":[{"code":"string"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":".lotNumberText"},{"identity":"udi","map":"The lot or batch number within which a device was manufactured - which is a component of the production identifier (PI), a conditional, variable portion of a UDI."},{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"id":"Device.manufacturer","path":"Device.manufacturer","short":"Name of device manufacturer","definition":"A name of the manufacturer.","min":0,"max":"1","base":{"path":"Device.manufacturer","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":".playedRole[typeCode=MANU].scoper.name"},{"identity":"udi","map":"N/A"}]},{"id":"Device.manufactureDate","path":"Device.manufactureDate","short":"Date when the device was made","definition":"The date and time when the device was manufactured.","min":0,"max":"1","base":{"path":"Device.manufactureDate","min":0,"max":"1"},"type":[{"code":"dateTime"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":".existenceTime.low"},{"identity":"udi","map":"The date a specific device was manufactured - which is a component of the production identifier (PI), a conditional, variable portion of a UDI.  For FHIR, The datetime syntax must converted to YYYY-MM-DD[THH:MM:SS].  If hour is present, the minutes and seconds should both be set to “00”."},{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"id":"Device.expirationDate","path":"Device.expirationDate","short":"Date and time of expiry of this device (if applicable)","definition":"The date and time beyond which this device is no longer valid or should not be used (if applicable).","min":0,"max":"1","base":{"path":"Device.expirationDate","min":0,"max":"1"},"type":[{"code":"dateTime"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":".expirationTime"},{"identity":"udi","map":"the expiration date of a specific device -  which is a component of the production identifier (PI), a conditional, variable portion of a UDI.  For FHIR, The datetime syntax must converted to YYYY-MM-DD[THH:MM:SS].  If hour is present, the minutes and seconds should both be set to “00”."},{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"id":"Device.lotNumber","path":"Device.lotNumber","short":"Lot number of manufacture","definition":"Lot number assigned by the manufacturer.","min":0,"max":"1","base":{"path":"Device.lotNumber","min":0,"max":"1"},"type":[{"code":"string"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":".lotNumberText"},{"identity":"udi","map":"The lot or batch number within which a device was manufactured - which is a component of the production identifier (PI), a conditional, variable portion of a UDI."},{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"id":"Device.serialNumber","path":"Device.serialNumber","short":"Serial number assigned by the manufacturer","definition":"The serial number assigned by the organization when the device was manufactured.","comment":"Alphanumeric Maximum 20.","min":0,"max":"1","base":{"path":"Device.serialNumber","min":0,"max":"1"},"type":[{"code":"string"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":".playedRole[typeCode=MANU].id"},{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"id":"Device.deviceName","path":"Device.deviceName","short":"The name of the device as given by the manufacturer","definition":"This represents the manufacturer's name of the device as provided by the device, from a UDI label, or by a person describing the Device.  This typically would be used when a person provides the name(s) or when the device represents one of the names available from DeviceDefinition.","min":0,"max":"*","base":{"path":"Device.deviceName","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":false},{"id":"Device.deviceName.id","path":"Device.deviceName.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Device.deviceName.extension","path":"Device.deviceName.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Device.deviceName.modifierExtension","path":"Device.deviceName.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Device.deviceName.name","path":"Device.deviceName.name","short":"The name of the device","definition":"The name of the device.","alias":["Σ"],"min":1,"max":"1","base":{"path":"Device.deviceName.name","min":1,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false},{"id":"Device.deviceName.type","path":"Device.deviceName.type","short":"udi-label-name | user-friendly-name | patient-reported-name | manufacturer-name | model-name | other","definition":"The type of deviceName.\nUDILabelName | UserFriendlyName | PatientReportedName | ManufactureDeviceName | ModelName.","min":1,"max":"1","base":{"path":"Device.deviceName.type","min":1,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DeviceNameType"}],"strength":"required","description":"The type of name the device is referred by.","valueSet":"http://hl7.org/fhir/ValueSet/device-nametype|4.0.0"},"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":".playedRole[typeCode=MANU].code"}]},{"id":"Device.modelNumber","path":"Device.modelNumber","short":"The model number for the device","definition":"The model number for the device.","min":0,"max":"1","base":{"path":"Device.modelNumber","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":".softwareName (included as part)"}]},{"id":"Device.partNumber","path":"Device.partNumber","short":"The part number of the device","definition":"The part number of the device.","comment":"Alphanumeric Maximum 20.","min":0,"max":"1","base":{"path":"Device.partNumber","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":".playedRole[typeCode=MANU].id"}]},{"id":"Device.type","path":"Device.type","short":"The kind or type of device","definition":"The kind or type of device.","min":1,"max":"1","base":{"path":"Device.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"strength":"extensible","description":"Codes to identify medical devices","valueSet":"http://hl7.org/fhir/ValueSet/device-kind"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Device.type"}]},{"id":"Device.specialization","path":"Device.specialization","short":"The capabilities supported on a  device, the standards to which the device conforms for a particular purpose, and used for the communication","definition":"The capabilities supported on a  device, the standards to which the device conforms for a particular purpose, and used for the communication.","min":0,"max":"*","base":{"path":"Device.specialization","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":false},{"id":"Device.specialization.id","path":"Device.specialization.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Device.specialization.extension","path":"Device.specialization.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Device.specialization.modifierExtension","path":"Device.specialization.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Device.specialization.systemType","path":"Device.specialization.systemType","short":"The standard that is used to operate and communicate","definition":"The standard that is used to operate and communicate.","alias":["Σ"],"min":1,"max":"1","base":{"path":"Device.specialization.systemType","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false},{"id":"Device.specialization.version","path":"Device.specialization.version","short":"The version of the standard that is used to operate and communicate","definition":"The version of the standard that is used to operate and communicate.","min":0,"max":"1","base":{"path":"Device.specialization.version","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"}]},{"id":"Device.version","path":"Device.version","short":"The actual design of the device or software version running on the device","definition":"The actual design of the device or software version running on the device.","min":0,"max":"*","base":{"path":"Device.version","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":false},{"id":"Device.version.id","path":"Device.version.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Device.version.extension","path":"Device.version.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Device.version.modifierExtension","path":"Device.version.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Device.version.type","path":"Device.version.type","short":"The type of the device version","definition":"The type of the device version.","alias":["Σ"],"min":0,"max":"1","base":{"path":"Device.version.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false},{"id":"Device.version.component","path":"Device.version.component","short":"A single component of the device version","definition":"A single component of the device version.","min":0,"max":"1","base":{"path":"Device.version.component","min":0,"max":"1"},"type":[{"code":"Identifier"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"}]},{"id":"Device.version.value","path":"Device.version.value","short":"The version text","definition":"The version text.","min":1,"max":"1","base":{"path":"Device.version.value","min":1,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false},{"id":"Device.property","path":"Device.property","short":"The actual configuration settings of a device as it actually operates, e.g., regulation status, time properties","definition":"The actual configuration settings of a device as it actually operates, e.g., regulation status, time properties.","min":0,"max":"*","base":{"path":"Device.property","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":false},{"id":"Device.property.id","path":"Device.property.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Device.property.extension","path":"Device.property.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Device.property.modifierExtension","path":"Device.property.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Device.property.type","path":"Device.property.type","short":"Code that specifies the property DeviceDefinitionPropetyCode (Extensible)","definition":"Code that specifies the property DeviceDefinitionPropetyCode (Extensible).","min":1,"max":"1","base":{"path":"Device.property.type","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false},{"id":"Device.property.valueQuantity","path":"Device.property.valueQuantity","short":"Property value as a quantity","definition":"Property value as a quantity.","min":0,"max":"*","base":{"path":"Device.property.valueQuantity","min":0,"max":"*"},"type":[{"code":"Quantity"}],"isModifier":false,"isSummary":false},{"id":"Device.property.valueCode","path":"Device.property.valueCode","short":"Property value as a code, e.g., NTP4 (synced to NTP)","definition":"Property value as a code, e.g., NTP4 (synced to NTP).","min":0,"max":"*","base":{"path":"Device.property.valueCode","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false},{"id":"Device.patient","path":"Device.patient","short":"Patient to whom Device is affixed","definition":"Patient information, If the device is affixed to a person.","requirements":"If the device is implanted in a patient, then need to associate the device to the patient.","min":1,"max":"1","base":{"path":"Device.patient","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"rim","map":".playedRole[typeCode=USED].scoper.playedRole[typeCode=PAT]"},{"identity":"w5","map":"FiveWs.subject"},{"identity":"argonaut-dq-dstu2","map":"Device.patient"}]},{"id":"Device.owner","path":"Device.owner","short":"Organization responsible for device","definition":"An organization that is responsible for the provision and ongoing maintenance of the device.","min":0,"max":"1","base":{"path":"Device.owner","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.source"},{"identity":"rim","map":".playedRole[typeCode=OWN].scoper"}]},{"id":"Device.contact","path":"Device.contact","short":"Details for human/organization for support","definition":"Contact details for an organization or a particular human that is responsible for the device.","comment":"used for troubleshooting etc.","min":0,"max":"*","base":{"path":"Device.contact","min":0,"max":"*"},"type":[{"code":"ContactPoint"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.source"},{"identity":"rim","map":".scopedRole[typeCode=CON].player"}]},{"id":"Device.location","path":"Device.location","short":"Where the device is found","definition":"The place where the device can be found.","requirements":"Device.location can be used to track device location.","min":0,"max":"1","base":{"path":"Device.location","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.where[x]"},{"identity":"rim","map":".playedRole[typeCode=LOCE].scoper"}]},{"id":"Device.url","path":"Device.url","short":"Network address to contact device","definition":"A network address on which the device may be contacted directly.","comment":"If the device is running a FHIR server, the network address should  be the Base URL from which a conformance statement may be retrieved.","min":0,"max":"1","base":{"path":"Device.url","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.where[x]"},{"identity":"rim","map":".telecom"}]},{"id":"Device.note","path":"Device.note","short":"Device notes and comments","definition":"Descriptive information, usage information or implantation information that is not captured in an existing element.","min":0,"max":"*","base":{"path":"Device.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".text"}]},{"id":"Device.safety","path":"Device.safety","short":"Safety Characteristics of Device","definition":"Provides additional safety characteristics about a medical device.  For example devices containing latex.","min":0,"max":"*","base":{"path":"Device.safety","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"NA"}]},{"id":"Device.parent","path":"Device.parent","short":"The parent device","definition":"The parent device.","min":0,"max":"1","base":{"path":"Device.parent","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device"]}],"isModifier":false,"isSummary":false}]},"differential":{"element":[{"id":"Device","path":"Device","definition":"The US Core Implantable Device Profile is based upon the core FHIR Device Resource and created to meet the 2015 Edition Common Clinical Data Set 'Unique device identifier(s) for a patient’s implantable device(s)' requirements.","constraint":[{"key":"us-core-9","severity":"error","human":"At least one of the Production Identifiers (UDI-PI) SHALL be present.","expression":"manufactureDate.exists() or expirationDate.exists() or lotNumber.exists() or serialNumber.exists() or distinctIdentifier.exists()","xpath":"f:manufactureDate or f:expirationDate or f:lotNumber or f:serialNumber or f:distinctIdentifier"}],"mustSupport":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Device"}]},{"id":"Device.udiCarrier","path":"Device.udiCarrier","comment":"Some devices may not have UDI information (for example. historical data or patient reported data).","min":1,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Device.udi"}]},{"id":"Device.udiCarrier.deviceIdentifier","path":"Device.udiCarrier.deviceIdentifier","alias":["DI"],"min":1,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"id":"Device.udiCarrier.carrierAIDC","path":"Device.udiCarrier.carrierAIDC","alias":["UDI","Barcode String"],"min":0,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"id":"Device.udiCarrier.carrierHRF","path":"Device.udiCarrier.carrierHRF","alias":["UDI","Barcode String"],"min":0,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Device.udi"}]},{"id":"Device.distinctIdentifier","path":"Device.distinctIdentifier","min":0,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"id":"Device.manufactureDate","path":"Device.manufactureDate","min":0,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"id":"Device.expirationDate","path":"Device.expirationDate","min":0,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"id":"Device.lotNumber","path":"Device.lotNumber","min":0,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"id":"Device.serialNumber","path":"Device.serialNumber","min":0,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"id":"Device.type","path":"Device.type","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"extensible","description":"Codes to identify medical devices","valueSet":"http://hl7.org/fhir/ValueSet/device-kind"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Device.type"}]},{"id":"Device.patient","path":"Device.patient","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Device.patient"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-location.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-location.json
new file mode 100644
index 000000000..021301fe6
--- /dev/null
+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-location.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-location","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-location-definitions.html#Location\">Location</a><a name=\"Location\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-location-definitions.html#Location.status\">status</a><a name=\"Location.status\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-location-definitions.html#Location.name\">name</a><a name=\"Location.name\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-location-definitions.html#Location.telecom\">telecom</a><a name=\"Location.telecom\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#ContactPoint\">ContactPoint</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-location-definitions.html#Location.address\">address</a><a name=\"Location.address\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Address\">Address</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-location-definitions.html#Location.address.line\">line</a><a name=\"Location.address.line\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-location-definitions.html#Location.address.city\">city</a><a name=\"Location.address.city\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-location-definitions.html#Location.address.state\">state</a><a name=\"Location.address.state\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-usps-state.html\">USPS Two Letter Alphabetic Codes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-location-definitions.html#Location.address.postalCode\">postalCode</a><a name=\"Location.address.postalCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">US Zip Codes</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-location-definitions.html#Location.managingOrganization\">managingOrganization</a><a name=\"Location.managingOrganization\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-organization.html\">US Core Organization Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-location","name":"USCoreLocation","title":"US Core Location Profile","status":"active","experimental":false,"date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines basic constraints and extensions on the Location resource for use with other US Core resources","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"servd","uri":"http://www.omg.org/spec/ServD/1.0/","name":"ServD"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"}],"kind":"resource","abstract":false,"type":"Location","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Location","derivation":"constraint","snapshot":{"element":[{"id":"Location","path":"Location","short":"Details and position information for a physical place","definition":"Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained, or accommodated.","min":0,"max":"*","base":{"path":"Location","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.div.exists()","xpath":"exists(f:text/h:div)","source":"DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"DomainResource"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"rim","map":".Role[classCode=SDLC]"},{"identity":"servd","map":"Organization"}]},{"id":"Location.id","path":"Location.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"code":"id"}],"isModifier":false,"isSummary":true},{"id":"Location.meta","path":"Location.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"isModifier":false,"isSummary":true},{"id":"Location.implicitRules","path":"Location.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Location.language","path":"Location.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"Location.text","path":"Location.text","short":"Text summary of the resource, for human interpretation","definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Location.contained","path":"Location.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Location.extension","path":"Location.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Location.modifierExtension","path":"Location.modifierExtension","short":"Extensions that cannot be ignored","definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Location.identifier","path":"Location.identifier","short":"Unique code or number identifying the location to its users","definition":"Unique code or number identifying the location to its users.","requirements":"Organization label locations in registries, need to keep track of those.","min":0,"max":"*","base":{"path":"Location.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"rim","map":".id"}]},{"id":"Location.status","path":"Location.status","short":"active | suspended | inactive","definition":"The status property covers the general availability of the resource, not the current value which may be covered by the operationStatus, or by a schedule/slots if they are configured for the location.","min":0,"max":"1","base":{"path":"Location.status","min":0,"max":"1"},"type":[{"code":"code"}],"mustSupport":true,"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"LocationStatus"}],"strength":"required","description":"Indicates whether the location is still in use.","valueSet":"http://hl7.org/fhir/ValueSet/location-status|4.0.0"},"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":".statusCode"}]},{"id":"Location.operationalStatus","path":"Location.operationalStatus","short":"The operational status of the location (typically only for a bed/room)","definition":"The operational status covers operation values most relevant to beds (but can also apply to rooms/units/chairs/etc. such as an isolation unit/dialysis chair). This typically covers concepts such as contamination, housekeeping, and other activities like maintenance.","min":0,"max":"1","base":{"path":"Location.operationalStatus","min":0,"max":"1"},"type":[{"code":"Coding"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"OperationalStatus"}],"strength":"preferred","description":"The operational status if the location (where typically a bed/room).","valueSet":"http://terminology.hl7.org/ValueSet/v2-0116"},"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":"n/a"}]},{"id":"Location.name","path":"Location.name","short":"Name of the location as used by humans","definition":"Name of the location as used by humans. Does not need to be unique.","comment":"If the name of a location changes, consider putting the old name in the alias column so that it can still be located through searches.","min":1,"max":"1","base":{"path":"Location.name","min":0,"max":"1"},"type":[{"code":"string"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".name"},{"identity":"servd","map":"./PrimaryAddress and ./OtherAddresses"}]},{"id":"Location.alias","path":"Location.alias","short":"A list of alternate names that the location is known as, or was known as, in the past","definition":"A list of alternate names that the location is known as, or was known as, in the past.","comment":"There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the location.","requirements":"Over time locations and organizations go through many changes and can be known by different names.\n\nFor searching knowing previous names that the location was known by can be very useful.","min":0,"max":"*","base":{"path":"Location.alias","min":0,"max":"*"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".name"}]},{"id":"Location.description","path":"Location.description","short":"Additional details about the location that could be displayed as further information to identify the location beyond its name","definition":"Description of the Location, which helps in finding or referencing the place.","requirements":"Humans need additional information to verify a correct location has been identified.","min":0,"max":"1","base":{"path":"Location.description","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".playingEntity[classCode=PLC determinerCode=INSTANCE].desc"}]},{"id":"Location.mode","path":"Location.mode","short":"instance | kind","definition":"Indicates whether a resource instance represents a specific location or a class of locations.","comment":"This is labeled as a modifier because whether or not the location is a class of locations changes how it can be used and understood.","requirements":"When using a Location resource for scheduling or orders, we need to be able to refer to a class of Locations instead of a specific Location.","min":0,"max":"1","base":{"path":"Location.mode","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"LocationMode"}],"strength":"required","description":"Indicates whether a resource instance represents a specific location or a class of locations.","valueSet":"http://hl7.org/fhir/ValueSet/location-mode|4.0.0"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".playingEntity[classCode=PLC].determinerCode"}]},{"id":"Location.type","path":"Location.type","short":"Type of function performed","definition":"Indicates the type of function performed at the location.","min":0,"max":"*","base":{"path":"Location.type","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"LocationType"}],"strength":"extensible","description":"Indicates the type of function performed at the location.","valueSet":"http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".code"}]},{"id":"Location.telecom","path":"Location.telecom","short":"Contact details of the location","definition":"The contact details of communication devices available at the location. This can include phone numbers, fax numbers, mobile numbers, email addresses and web sites.","min":0,"max":"*","base":{"path":"Location.telecom","min":0,"max":"*"},"type":[{"code":"ContactPoint"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".telecom"}]},{"id":"Location.address","path":"Location.address","short":"Physical location","definition":"Physical location.","comment":"Additional addresses should be recorded using another instance of the Location resource, or via the Organization.","requirements":"If locations can be visited, we need to keep track of their address.","min":0,"max":"1","base":{"path":"Location.address","min":0,"max":"1"},"type":[{"code":"Address"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".addr"},{"identity":"servd","map":"n/a"}]},{"id":"Location.address.id","path":"Location.address.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Location.address.extension","path":"Location.address.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Location.address.use","path":"Location.address.use","short":"home | work | temp | old | billing - purpose of this address","definition":"The purpose of this address.","comment":"Applications can assume that an address is current unless it explicitly says that it is temporary or old.","requirements":"Allows an appropriate address to be chosen from a list of many.","min":0,"max":"1","base":{"path":"Address.use","min":0,"max":"1"},"type":[{"code":"code"}],"example":[{"label":"General","valueCode":"home"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old address etc.for a current/permanent one","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AddressUse"}],"strength":"required","description":"The use of an address.","valueSet":"http://hl7.org/fhir/ValueSet/address-use|4.0.0"},"mapping":[{"identity":"v2","map":"XAD.7"},{"identity":"rim","map":"unique(./use)"},{"identity":"servd","map":"./AddressPurpose"}]},{"id":"Location.address.type","path":"Location.address.type","short":"postal | physical | both","definition":"Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.","comment":"The definition of Address states that \"address is intended to describe postal addresses, not physical locations\". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the [Location](http://hl7.org/fhir/R4/location.html#) resource).","min":0,"max":"1","base":{"path":"Address.type","min":0,"max":"1"},"type":[{"code":"code"}],"example":[{"label":"General","valueCode":"both"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AddressType"}],"strength":"required","description":"The type of an address (physical / postal).","valueSet":"http://hl7.org/fhir/ValueSet/address-type|4.0.0"},"mapping":[{"identity":"v2","map":"XAD.18"},{"identity":"rim","map":"unique(./use)"},{"identity":"vcard","map":"address type parameter"}]},{"id":"Location.address.text","path":"Location.address.text","short":"Text representation of the address","definition":"Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.","comment":"Can provide both a text representation and parts. Applications updating an address SHALL ensure that  when both text and parts are present,  no content is included in the text that isn't found in a part.","requirements":"A renderable, unencoded form.","min":0,"max":"1","base":{"path":"Address.text","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"137 Nowhere Street, Erewhon 9132"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6"},{"identity":"rim","map":"./formatted"},{"identity":"vcard","map":"address label parameter"}]},{"id":"Location.address.line","path":"Location.address.line","short":"Street name, number, direction & P.O. Box etc.","definition":"This component contains the house number, apartment number, street name, street direction,  P.O. Box number, delivery hints, and similar address information.","min":0,"max":"*","base":{"path":"Address.line","min":0,"max":"*"},"type":[{"code":"string"}],"orderMeaning":"The order in which lines should appear in an address label","example":[{"label":"General","valueString":"137 Nowhere Street"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)"},{"identity":"rim","map":"AD.part[parttype = AL]"},{"identity":"vcard","map":"street"},{"identity":"servd","map":"./StreetAddress (newline delimitted)"}]},{"id":"Location.address.city","path":"Location.address.city","short":"Name of city, town etc.","definition":"The name of the city, town, suburb, village or other community or delivery center.","alias":["Municpality"],"min":0,"max":"1","base":{"path":"Address.city","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"Erewhon"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.3"},{"identity":"rim","map":"AD.part[parttype = CTY]"},{"identity":"vcard","map":"locality"},{"identity":"servd","map":"./Jurisdiction"}]},{"id":"Location.address.district","path":"Location.address.district","short":"District name (aka county)","definition":"The name of the administrative area (county).","comment":"District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.","alias":["County"],"min":0,"max":"1","base":{"path":"Address.district","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"Madison"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.9"},{"identity":"rim","map":"AD.part[parttype = CNT | CPA]"}]},{"id":"Location.address.state","path":"Location.address.state","short":"Sub-unit of country (abbreviations ok)","definition":"Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).","alias":["Province","Territory"],"min":0,"max":"1","base":{"path":"Address.state","min":0,"max":"1"},"type":[{"code":"string"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Two letter USPS alphabetic codes.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state"},"mapping":[{"identity":"v2","map":"XAD.4"},{"identity":"rim","map":"AD.part[parttype = STA]"},{"identity":"vcard","map":"region"},{"identity":"servd","map":"./Region"},{"identity":"servd","map":"./Sites"}]},{"id":"Location.address.postalCode","path":"Location.address.postalCode","short":"US Zip Codes","definition":"A postal code designating a region defined by the postal service.","alias":["Zip"],"min":0,"max":"1","base":{"path":"Address.postalCode","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"9132"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.5"},{"identity":"rim","map":"AD.part[parttype = ZIP]"},{"identity":"vcard","map":"code"},{"identity":"servd","map":"./PostalIdentificationCode"}]},{"id":"Location.address.country","path":"Location.address.country","short":"Country (e.g. can be ISO 3166 2 or 3 letter code)","definition":"Country - a nation as commonly understood or generally accepted.","comment":"ISO 3166 3 letter codes can be used in place of a human readable country name.","min":0,"max":"1","base":{"path":"Address.country","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.6"},{"identity":"rim","map":"AD.part[parttype = CNT]"},{"identity":"vcard","map":"country"},{"identity":"servd","map":"./Country"}]},{"id":"Location.address.period","path":"Location.address.period","short":"Time period when address was/is in use","definition":"Time period when address was/is in use.","requirements":"Allows addresses to be placed in historical context.","min":0,"max":"1","base":{"path":"Address.period","min":0,"max":"1"},"type":[{"code":"Period"}],"example":[{"label":"General","valuePeriod":{"start":"2010-03-23T00:00:00+00:00","end":"2010-07-01T00:00:00+00:00"}}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.12 / XAD.13 + XAD.14"},{"identity":"rim","map":"./usablePeriod[type=\"IVL<TS>\"]"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Location.physicalType","path":"Location.physicalType","short":"Physical form of the location","definition":"Physical form of the location, e.g. building, room, vehicle, road.","requirements":"For purposes of showing relevant locations in queries, we need to categorize locations.","min":0,"max":"1","base":{"path":"Location.physicalType","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"PhysicalType"}],"strength":"example","description":"Physical form of the location.","valueSet":"http://hl7.org/fhir/ValueSet/location-physical-type"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".playingEntity [classCode=PLC].code"}]},{"id":"Location.position","path":"Location.position","short":"The absolute geographic location","definition":"The absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML).","requirements":"For mobile applications and automated route-finding knowing the exact location of the Location is required.","min":0,"max":"1","base":{"path":"Location.position","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".playingEntity [classCode=PLC determinerCode=INSTANCE].positionText"}]},{"id":"Location.position.id","path":"Location.position.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Location.position.extension","path":"Location.position.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Location.position.modifierExtension","path":"Location.position.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Location.position.longitude","path":"Location.position.longitude","short":"Longitude with WGS84 datum","definition":"Longitude. The value domain and the interpretation are the same as for the text of the longitude element in KML (see notes below).","min":1,"max":"1","base":{"path":"Location.position.longitude","min":1,"max":"1"},"type":[{"code":"decimal"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"(RIM Opted not to map the sub-elements of GPS location, is now an OBS)"}]},{"id":"Location.position.latitude","path":"Location.position.latitude","short":"Latitude with WGS84 datum","definition":"Latitude. The value domain and the interpretation are the same as for the text of the latitude element in KML (see notes below).","min":1,"max":"1","base":{"path":"Location.position.latitude","min":1,"max":"1"},"type":[{"code":"decimal"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"(RIM Opted not to map the sub-elements of GPS location, is now an OBS)"}]},{"id":"Location.position.altitude","path":"Location.position.altitude","short":"Altitude with WGS84 datum","definition":"Altitude. The value domain and the interpretation are the same as for the text of the altitude element in KML (see notes below).","min":0,"max":"1","base":{"path":"Location.position.altitude","min":0,"max":"1"},"type":[{"code":"decimal"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"(RIM Opted not to map the sub-elements of GPS location, is now an OBS)"}]},{"id":"Location.managingOrganization","path":"Location.managingOrganization","short":"Organization responsible for provisioning and upkeep","definition":"The organization responsible for the provisioning and upkeep of the location.","comment":"This can also be used as the part of the organization hierarchy where this location provides services. These services can be defined through the HealthcareService resource.","requirements":"Need to know who manages the location.","min":0,"max":"1","base":{"path":"Location.managingOrganization","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".scopingEntity[classCode=ORG determinerKind=INSTANCE]"}]},{"id":"Location.partOf","path":"Location.partOf","short":"Another Location this one is physically a part of","definition":"Another Location of which this Location is physically a part of.","requirements":"For purposes of location, display and identification, knowing which locations are located within other locations is important.","min":0,"max":"1","base":{"path":"Location.partOf","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy","valueBoolean":true}],"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".inboundLink[typeCode=PART].source[classCode=SDLC]"}]},{"id":"Location.hoursOfOperation","path":"Location.hoursOfOperation","short":"What days/times during a week is this location usually open","definition":"What days/times during a week is this location usually open.","comment":"This type of information is commonly found published in directories and on websites informing customers when the facility is available.\n\nSpecific services within the location may have their own hours which could be shorter (or longer) than the locations hours.","min":0,"max":"*","base":{"path":"Location.hoursOfOperation","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".effectiveTime"}]},{"id":"Location.hoursOfOperation.id","path":"Location.hoursOfOperation.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Location.hoursOfOperation.extension","path":"Location.hoursOfOperation.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Location.hoursOfOperation.modifierExtension","path":"Location.hoursOfOperation.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Location.hoursOfOperation.daysOfWeek","path":"Location.hoursOfOperation.daysOfWeek","short":"mon | tue | wed | thu | fri | sat | sun","definition":"Indicates which days of the week are available between the start and end Times.","min":0,"max":"*","base":{"path":"Location.hoursOfOperation.daysOfWeek","min":0,"max":"*"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DaysOfWeek"}],"strength":"required","description":"The days of the week.","valueSet":"http://hl7.org/fhir/ValueSet/days-of-week|4.0.0"},"mapping":[{"identity":"rim","map":".effectiveTime"}]},{"id":"Location.hoursOfOperation.allDay","path":"Location.hoursOfOperation.allDay","short":"The Location is open all day","definition":"The Location is open all day.","min":0,"max":"1","base":{"path":"Location.hoursOfOperation.allDay","min":0,"max":"1"},"type":[{"code":"boolean"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".effectiveTime"}]},{"id":"Location.hoursOfOperation.openingTime","path":"Location.hoursOfOperation.openingTime","short":"Time that the Location opens","definition":"Time that the Location opens.","min":0,"max":"1","base":{"path":"Location.hoursOfOperation.openingTime","min":0,"max":"1"},"type":[{"code":"time"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".effectiveTime"}]},{"id":"Location.hoursOfOperation.closingTime","path":"Location.hoursOfOperation.closingTime","short":"Time that the Location closes","definition":"Time that the Location closes.","min":0,"max":"1","base":{"path":"Location.hoursOfOperation.closingTime","min":0,"max":"1"},"type":[{"code":"time"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".effectiveTime"}]},{"id":"Location.availabilityExceptions","path":"Location.availabilityExceptions","short":"Description of availability exceptions","definition":"A description of when the locations opening ours are different to normal, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as detailed in the opening hours Times.","min":0,"max":"1","base":{"path":"Location.availabilityExceptions","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Location.endpoint","path":"Location.endpoint","short":"Technical endpoints providing access to services operated for the location","definition":"Technical endpoints providing access to services operated for the location.","requirements":"Organizations may have different systems at different locations that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.","min":0,"max":"*","base":{"path":"Location.endpoint","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Endpoint"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]}]},"differential":{"element":[{"id":"Location","path":"Location","mustSupport":false,"mapping":[{"identity":"servd","map":"Organization"}]},{"id":"Location.status","path":"Location.status","min":0,"max":"1","type":[{"code":"code"}],"mustSupport":true},{"id":"Location.name","path":"Location.name","min":1,"max":"1","type":[{"code":"string"}],"mustSupport":true,"mapping":[{"identity":"servd","map":"./PrimaryAddress and ./OtherAddresses"}]},{"id":"Location.telecom","path":"Location.telecom","min":0,"max":"*","type":[{"code":"ContactPoint"}],"mustSupport":true},{"id":"Location.address","path":"Location.address","min":0,"max":"1","type":[{"code":"Address"}],"mustSupport":true,"mapping":[{"identity":"servd","map":"n/a"}]},{"id":"Location.address.line","path":"Location.address.line","min":0,"max":"*","type":[{"code":"string"}],"mustSupport":true},{"id":"Location.address.city","path":"Location.address.city","min":0,"max":"1","type":[{"code":"string"}],"mustSupport":true},{"id":"Location.address.state","path":"Location.address.state","min":0,"max":"1","type":[{"code":"string"}],"mustSupport":true,"binding":{"strength":"extensible","description":"Two letter USPS alphabetic codes.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state"},"mapping":[{"identity":"servd","map":"./Sites"}]},{"id":"Location.address.postalCode","path":"Location.address.postalCode","short":"US Zip Codes","min":0,"max":"1","type":[{"code":"string"}],"mustSupport":true},{"id":"Location.managingOrganization","path":"Location.managingOrganization","min":0,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"]}],"mustSupport":true}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-medication.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-medication.json
new file mode 100644
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+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-medication.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-medication","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-medication-definitions.html#Medication\" title=\"The US Core Medication Profile is based upon the core FHIR Medication Resource and created to meet the 2015 Edition Common Clinical Data Set 'Medications' requirements.\">Medication</a><a name=\"Medication\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-medication-definitions.html#Medication.code\">code</a><a name=\"Medication.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-medication-codes.html\">US Core Medication Codes (RxNorm)</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication","version":"3.0.1","name":"USCoreMedicationProfile","title":"US Core Medication Profile","status":"active","experimental":false,"date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the Medication resource for the minimal set of data to query and retrieve patient retrieving patient's medication information.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"identity":"script10.6","uri":"http://ncpdp.org/SCRIPT10_6","name":"Mapping to NCPDP SCRIPT 10.6"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"}],"kind":"resource","abstract":false,"type":"Medication","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Medication","derivation":"constraint","snapshot":{"element":[{"id":"Medication","path":"Medication","short":"Definition of a Medication","definition":"The US Core Medication Profile is based upon the core FHIR Medication Resource and created to meet the 2015 Edition Common Clinical Data Set 'Medications' requirements.","min":0,"max":"*","base":{"path":"Medication","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.div.exists()","xpath":"exists(f:text/h:div)","source":"DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"DomainResource"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"script10.6","map":"NewRx/MedicationPrescribed\r-or-\rRxFill/MedicationDispensed\r-or-\rRxHistoryResponse/MedicationDispensed\r-or-\rRxHistoryResponse/MedicationPrescribed"},{"identity":"rim","map":"ManufacturedProduct[classCode=ADMM]"},{"identity":"argonaut-dq-dstu2","map":"Medication"}]},{"id":"Medication.id","path":"Medication.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"code":"id"}],"isModifier":false,"isSummary":true},{"id":"Medication.meta","path":"Medication.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"isModifier":false,"isSummary":true},{"id":"Medication.implicitRules","path":"Medication.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Medication.language","path":"Medication.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"Medication.text","path":"Medication.text","short":"Text summary of the resource, for human interpretation","definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Medication.contained","path":"Medication.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Medication.extension","path":"Medication.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Medication.modifierExtension","path":"Medication.modifierExtension","short":"Extensions that cannot be ignored","definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Medication.identifier","path":"Medication.identifier","short":"Business identifier for this medication","definition":"Business identifier for this medication.","comment":"The serial number could be included as an identifier.","min":0,"max":"*","base":{"path":"Medication.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"rim","map":".id"}]},{"id":"Medication.code","path":"Medication.code","short":"Codes that identify this medication","definition":"A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.","comment":"Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true.  As described in the coding datatype: \"A coding may be marked as a \"userSelected\" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).","min":1,"max":"1","base":{"path":"Medication.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Prescribable medications","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes"},"mapping":[{"identity":"script10.6","map":"coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\r\rcoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\r\rcoding.display = //element(*,MedicationType)/DrugDescription"},{"identity":"w5","map":"FiveWs.class"},{"identity":"v2","map":"RXO-1.1-Requested Give Code.code / RXE-2.1-Give Code.code / RXD-2.1-Dispense/Give Code.code / RXG-4.1-Give Code.code /RXA-5.1-Administered Code.code / RXC-2.1 Component Code"},{"identity":"rim","map":".code"},{"identity":"argonaut-dq-dstu2","map":"Medication.code"}]},{"id":"Medication.status","path":"Medication.status","short":"active | inactive | entered-in-error","definition":"A code to indicate if the medication is in active use.","comment":"This status is intended to identify if the medication in a local system is in active use within a drug database or inventory.  For example, a pharmacy system may create a new drug file record for a compounded product \"ABC Hospital Special Cream\" with an active status.  At some point in the future, it may be determined that the drug record was created with an error and the status is changed to \"entered in error\".   This status is not intended to specify if a medication is part of a particular formulary.  It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.","min":0,"max":"1","base":{"path":"Medication.status","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":true,"isModifierReason":"This element changes the interpretation of all descriptive attributes.","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationStatus"}],"strength":"required","description":"A coded concept defining if the medication is in active use.","valueSet":"http://hl7.org/fhir/ValueSet/medication-status|4.0.0"},"mapping":[{"identity":"rim","map":".statusCode"}]},{"id":"Medication.manufacturer","path":"Medication.manufacturer","short":"Manufacturer of the item","definition":"Describes the details of the manufacturer of the medication product.  This is not intended to represent the distributor of a medication product.","min":0,"max":"1","base":{"path":"Medication.manufacturer","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"script10.6","map":"no mapping"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"RXD-20-Substance Manufacturer Name / RXG-21-Substance Manufacturer Name / RXA-17-Substance Manufacturer Name"},{"identity":"rim","map":".player.scopingRole[typeCode=MANU].scoper"}]},{"id":"Medication.form","path":"Medication.form","short":"powder | tablets | capsule +","definition":"Describes the form of the item.  Powder; tablets; capsule.","comment":"When Medication is referenced from MedicationRequest, this is the ordered form.  When Medication is referenced within MedicationDispense, this is the dispensed form.  When Medication is referenced within MedicationAdministration, this is administered form.","min":0,"max":"1","base":{"path":"Medication.form","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationForm"}],"strength":"example","description":"A coded concept defining the form of a medication.","valueSet":"http://hl7.org/fhir/ValueSet/medication-form-codes"},"mapping":[{"identity":"script10.6","map":"coding.code =  //element(*,DrugCodedType)/FormCode\r\rcoding.system = //element(*,DrugCodedType)/FormSourceCode"},{"identity":"v2","map":"RXO-5-Requested Dosage Form / RXE-6-Give Dosage Form / RXD-6-Actual Dosage Form / RXG-8-Give Dosage Form / RXA-8-Administered Dosage Form"},{"identity":"rim","map":".formCode"}]},{"id":"Medication.amount","path":"Medication.amount","short":"Amount of drug in package","definition":"Specific amount of the drug in the packaged product.  For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.).","min":0,"max":"1","base":{"path":"Medication.amount","min":0,"max":"1"},"type":[{"code":"Ratio"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".quantity"}]},{"id":"Medication.ingredient","path":"Medication.ingredient","short":"Active or inactive ingredient","definition":"Identifies a particular constituent of interest in the product.","comment":"The ingredients need not be a complete list.  If an ingredient is not specified, this does not indicate whether an ingredient is present or absent.  If an ingredient is specified it does not mean that all ingredients are specified.  It is possible to specify both inactive and active ingredients.","min":0,"max":"*","base":{"path":"Medication.ingredient","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".scopesRole[typeCode=INGR]"}]},{"id":"Medication.ingredient.id","path":"Medication.ingredient.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Medication.ingredient.extension","path":"Medication.ingredient.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Medication.ingredient.modifierExtension","path":"Medication.ingredient.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Medication.ingredient.item[x]","path":"Medication.ingredient.item[x]","short":"The actual ingredient or content","definition":"The actual ingredient - either a substance (simple ingredient) or another medication of a medication.","requirements":"The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).","min":1,"max":"1","base":{"path":"Medication.ingredient.item[x]","min":1,"max":"1"},"type":[{"code":"CodeableConcept"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Substance","http://hl7.org/fhir/StructureDefinition/Medication"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"script10.6","map":"coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\r\rcoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\r\rcoding.display = //element(*,MedicationType)/DrugDescription"},{"identity":"v2","map":"RXC-2-Component Code  if medication: RXO-1-Requested Give Code / RXE-2-Give Code / RXD-2-Dispense/Give Code / RXG-4-Give Code / RXA-5-Administered Code"},{"identity":"rim","map":".player"}]},{"id":"Medication.ingredient.isActive","path":"Medication.ingredient.isActive","short":"Active ingredient indicator","definition":"Indication of whether this ingredient affects the therapeutic action of the drug.","requirements":"True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). \rFalse indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).","min":0,"max":"1","base":{"path":"Medication.ingredient.isActive","min":0,"max":"1"},"type":[{"code":"boolean"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"NA"}]},{"id":"Medication.ingredient.strength","path":"Medication.ingredient.strength","short":"Quantity of ingredient present","definition":"Specifies how many (or how much) of the items there are in this Medication.  For example, 250 mg per tablet.  This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.","min":0,"max":"1","base":{"path":"Medication.ingredient.strength","min":0,"max":"1"},"type":[{"code":"Ratio"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"script10.6","map":"//element(*,DrugCodedType)/Strength"},{"identity":"v2","map":"RXC-3-Component Amount & RXC-4-Component Units  if medication: RXO-2-Requested Give Amount - Minimum & RXO-4-Requested Give Units / RXO-3-Requested Give Amount - Maximum & RXO-4-Requested Give Units / RXO-11-Requested Dispense Amount & RXO-12-Requested Dispense Units / RXE-3-Give Amount - Minimum & RXE-5-Give Units / RXE-4-Give Amount - Maximum & RXE-5-Give Units / RXE-10-Dispense Amount & RXE-10-Dispense Units"},{"identity":"rim","map":".quantity"}]},{"id":"Medication.batch","path":"Medication.batch","short":"Details about packaged medications","definition":"Information that only applies to packages (not products).","min":0,"max":"1","base":{"path":"Medication.batch","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"script10.6","map":"no mapping"},{"identity":"rim","map":".player[classCode=CONT]"}]},{"id":"Medication.batch.id","path":"Medication.batch.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Medication.batch.extension","path":"Medication.batch.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Medication.batch.modifierExtension","path":"Medication.batch.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Medication.batch.lotNumber","path":"Medication.batch.lotNumber","short":"Identifier assigned to batch","definition":"The assigned lot number of a batch of the specified product.","min":0,"max":"1","base":{"path":"Medication.batch.lotNumber","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"script10.6","map":"no mapping"},{"identity":"v2","map":"RXA-15 Substance Lot Number / RXG-19 Substance Lot Number"},{"identity":"rim","map":".id"}]},{"id":"Medication.batch.expirationDate","path":"Medication.batch.expirationDate","short":"When batch will expire","definition":"When this specific batch of product will expire.","min":0,"max":"1","base":{"path":"Medication.batch.expirationDate","min":0,"max":"1"},"type":[{"code":"dateTime"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"script10.6","map":"no mapping"},{"identity":"v2","map":"RXA-16 Substance Expiration Date / RXG-20 Substance Expiration Date"},{"identity":"rim","map":"participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"}]}]},"differential":{"element":[{"id":"Medication","path":"Medication","definition":"The US Core Medication Profile is based upon the core FHIR Medication Resource and created to meet the 2015 Edition Common Clinical Data Set 'Medications' requirements.","mustSupport":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Medication"}]},{"id":"Medication.code","path":"Medication.code","min":1,"max":"1","mustSupport":true,"binding":{"strength":"extensible","description":"Prescribable medications","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Medication.code"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-medicationrequest.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-medicationrequest.json
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+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-medicationrequest.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-medicationrequest","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-medicationrequest-definitions.html#MedicationRequest\" title=\"The US Core Medication Request (Order) Profile is based upon the core FHIR MedicationRequest Resource and created to meet the 2015 Edition Common Clinical Data Set 'Medications' requirements.\">MedicationRequest</a><a name=\"MedicationRequest\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-medicationrequest-definitions.html#MedicationRequest.status\">status</a><a name=\"MedicationRequest.status\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-medicationrequest-status.html\">medicationrequest Status</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-medicationrequest-definitions.html#MedicationRequest.intent\">intent</a><a name=\"MedicationRequest.intent\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-medicationrequest-intent.html\">medicationRequest Intent</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_choice.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Choice of Types\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-medicationrequest-definitions.html#MedicationRequest.reported[x]\">reported[x]</a><a name=\"MedicationRequest.reported_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span title=\"Base StructureDefinition for boolean Type: Value of &quot;true&quot; or &quot;false&quot;\">reportedBoolean</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> reportedReference</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html#Reference\">Reference</a>(<a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a> | <a href=\"StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a> | <a href=\"StructureDefinition-us-core-practitionerrole.html\">US Core PractitionerRole Profile</a> | <a href=\"StructureDefinition-us-core-organization.html\">US Core Organization Profile</a> | <a href=\"http://hl7.org/fhir/R4/relatedperson.html\">RelatedPerson</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_choice.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Choice of Types\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-medicationrequest-definitions.html#MedicationRequest.medication[x]\">medication[x]</a><a name=\"MedicationRequest.medication_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-medication-codes.html\">US Core Medication Codes (RxNorm)</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span title=\"Base StructureDefinition for CodeableConcept Type: A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.\">medicationCodeableConcept</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> medicationReference</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html#Reference\">Reference</a>(<a href=\"StructureDefinition-us-core-medication.html\">US Core Medication Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-medicationrequest-definitions.html#MedicationRequest.subject\">subject</a><a name=\"MedicationRequest.subject\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-medicationrequest-definitions.html#MedicationRequest.encounter\">encounter</a><a name=\"MedicationRequest.encounter\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/encounter.html\">Encounter</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-medicationrequest-definitions.html#MedicationRequest.authoredOn\">authoredOn</a><a name=\"MedicationRequest.authoredOn\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-medicationrequest-definitions.html#MedicationRequest.requester\">requester</a><a name=\"MedicationRequest.requester\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a> | <a href=\"StructureDefinition-us-core-practitionerrole.html\">US Core PractitionerRole Profile</a> | <a href=\"StructureDefinition-us-core-organization.html\">US Core Organization Profile</a> | <a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a> | <a href=\"StructureDefinition-us-core-implantable-device.html\">US Core Implantable Device Profile</a> | <a href=\"http://hl7.org/fhir/R4/relatedperson.html\">RelatedPerson</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-medicationrequest-definitions.html#MedicationRequest.dosageInstruction\">dosageInstruction</a><a name=\"MedicationRequest.dosageInstruction\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#Dosage\">Dosage</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-medicationrequest-definitions.html#MedicationRequest.dosageInstruction.text\">text</a><a name=\"MedicationRequest.dosageInstruction.text\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest","version":"3.0.1","name":"USCoreMedicationRequestProfile","title":"US Core MedicationRequest Profile","status":"active","experimental":false,"date":"2019-08-19T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the MedicationRequest resource for the minimal set of data to query and retrieve prescription information.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"script10.6","uri":"http://ncpdp.org/SCRIPT10_6","name":"Mapping to NCPDP SCRIPT 10.6"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"}],"kind":"resource","abstract":false,"type":"MedicationRequest","baseDefinition":"http://hl7.org/fhir/StructureDefinition/MedicationRequest","derivation":"constraint","snapshot":{"element":[{"id":"MedicationRequest","path":"MedicationRequest","short":"Ordering of medication for patient or group","definition":"The US Core Medication Request (Order) Profile is based upon the core FHIR MedicationRequest Resource and created to meet the 2015 Edition Common Clinical Data Set 'Medications' requirements.","alias":["Prescription","Order"],"min":0,"max":"*","base":{"path":"MedicationRequest","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.div.exists()","xpath":"exists(f:text/h:div)","source":"DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"DomainResource"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Request"},{"identity":"script10.6","map":"Message/Body/NewRx"},{"identity":"rim","map":"CombinedMedicationRequest"},{"identity":"argonaut-dq-dstu2","map":"MedicationOrder"}]},{"id":"MedicationRequest.id","path":"MedicationRequest.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"code":"id"}],"isModifier":false,"isSummary":true},{"id":"MedicationRequest.meta","path":"MedicationRequest.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"isModifier":false,"isSummary":true},{"id":"MedicationRequest.implicitRules","path":"MedicationRequest.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"MedicationRequest.language","path":"MedicationRequest.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"MedicationRequest.text","path":"MedicationRequest.text","short":"Text summary of the resource, for human interpretation","definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"MedicationRequest.contained","path":"MedicationRequest.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationRequest.extension","path":"MedicationRequest.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationRequest.modifierExtension","path":"MedicationRequest.modifierExtension","short":"Extensions that cannot be ignored","definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationRequest.identifier","path":"MedicationRequest.identifier","short":"External ids for this request","definition":"Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.","comment":"This is a business identifier, not a resource identifier.","min":0,"max":"*","base":{"path":"MedicationRequest.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.identifier"},{"identity":"script10.6","map":"Message/Header/PrescriberOrderNumber"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"ORC-2-Placer Order Number / ORC-3-Filler Order Number"},{"identity":"rim","map":".id"}]},{"id":"MedicationRequest.status","path":"MedicationRequest.status","short":"active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown","definition":"A code specifying the current state of the order.  Generally, this will be active or completed state.","comment":"This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","min":1,"max":"1","base":{"path":"MedicationRequest.status","min":1,"max":"1"},"type":[{"code":"code"}],"mustSupport":true,"isModifier":true,"isModifierReason":"This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"strength":"required","description":"A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.","valueSet":"http://hl7.org/fhir/ValueSet/medicationrequest-status"},"mapping":[{"identity":"workflow","map":"Request.status"},{"identity":"script10.6","map":"no mapping"},{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":".statusCode"},{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.status"}]},{"id":"MedicationRequest.statusReason","path":"MedicationRequest.statusReason","short":"Reason for current status","definition":"Captures the reason for the current state of the MedicationRequest.","comment":"This is generally only used for \"exception\" statuses such as \"suspended\" or \"cancelled\". The reason why the MedicationRequest was created at all is captured in reasonCode, not here.","min":0,"max":"1","base":{"path":"MedicationRequest.statusReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationRequestStatusReason"}],"strength":"example","description":"Identifies the reasons for a given status.","valueSet":"http://hl7.org/fhir/ValueSet/medicationrequest-status-reason"},"mapping":[{"identity":"workflow","map":"Request.statusReason"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"}]},{"id":"MedicationRequest.intent","path":"MedicationRequest.intent","short":"proposal | plan | order | original-order | instance-order | option","definition":"Whether the request is a proposal, plan, or an original order.","comment":"It is expected that the type of requester will be restricted for different stages of a MedicationRequest.  For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device.  Plans can be created by Practitioners, Patients, RelatedPersons and Devices.  Original orders can be created by a Practitioner only.\r\rAn instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record.\r\rThis element is labeled as a modifier because the intent alters when and how the resource is actually applicable.","min":1,"max":"1","base":{"path":"MedicationRequest.intent","min":1,"max":"1"},"type":[{"code":"code"}],"mustSupport":true,"isModifier":true,"isModifierReason":"This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request","isSummary":true,"binding":{"strength":"required","description":"The kind of medication order.","valueSet":"http://hl7.org/fhir/ValueSet/medicationrequest-intent"},"mapping":[{"identity":"workflow","map":"Request.intent"},{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)"},{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.status"}]},{"id":"MedicationRequest.category","path":"MedicationRequest.category","short":"Type of medication usage","definition":"Indicates the type of medication request (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).","comment":"The category can be used to include where the medication is expected to be consumed or other types of requests.","min":0,"max":"*","base":{"path":"MedicationRequest.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationRequestCategory"}],"strength":"example","description":"A coded concept identifying the category of medication request.  For example, where the medication is to be consumed or administered, or the type of medication treatment.","valueSet":"http://hl7.org/fhir/ValueSet/medicationrequest-category"},"mapping":[{"identity":"script10.6","map":"Message/Body/NewRx/MedicationPrescribed/Directions\r\ror \r\rMessage/Body/NewRx/MedicationPrescribed/StructuredSIG"},{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication usage\"].value"}]},{"id":"MedicationRequest.priority","path":"MedicationRequest.priority","short":"routine | urgent | asap | stat","definition":"Indicates how quickly the Medication Request should be addressed with respect to other requests.","min":0,"max":"1","base":{"path":"MedicationRequest.priority","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationRequestPriority"}],"strength":"required","description":"Identifies the level of importance to be assigned to actioning the request.","valueSet":"http://hl7.org/fhir/ValueSet/request-priority|4.0.0"},"mapping":[{"identity":"workflow","map":"Request.priority"},{"identity":"w5","map":"FiveWs.grade"},{"identity":"rim","map":".priorityCode"}]},{"id":"MedicationRequest.doNotPerform","path":"MedicationRequest.doNotPerform","short":"True if request is prohibiting action","definition":"If true indicates that the provider is asking for the medication request not to occur.","comment":"If do not perform is not specified, the request is a positive request e.g. \"do perform\".","min":0,"max":"1","base":{"path":"MedicationRequest.doNotPerform","min":0,"max":"1"},"type":[{"code":"boolean"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc)","isSummary":true,"mapping":[{"identity":"rim","map":"SubstanceAdministration.actionNegationInd"}]},{"id":"MedicationRequest.reported[x]","path":"MedicationRequest.reported[x]","short":"Reported rather than primary record","definition":"Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record.  It may also indicate the source of the report.","min":0,"max":"1","base":{"path":"MedicationRequest.reported[x]","min":0,"max":"1"},"type":[{"code":"boolean"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient","http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole","http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".participation[typeCode=INF].role"},{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.status"}]},{"id":"MedicationRequest.medication[x]","path":"MedicationRequest.medication[x]","short":"Medication to be taken","definition":"Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.","comment":"If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended.  For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.","min":1,"max":"1","base":{"path":"MedicationRequest.medication[x]","min":1,"max":"1"},"type":[{"code":"CodeableConcept"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Prescribable medications","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes"},"mapping":[{"identity":"workflow","map":"Request.code"},{"identity":"script10.6","map":"Message/Body/NewRx/MedicationPrescribed\r\rMedication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode\r\rMedication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifier\r\rMedication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code"},{"identity":"rim","map":"consumable.administrableMedication"},{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.medication[x]"}]},{"id":"MedicationRequest.subject","path":"MedicationRequest.subject","short":"Who or group medication request is for","definition":"A link to a resource representing the person or set of individuals to whom the medication will be given.","comment":"The subject on a medication request is mandatory.  For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified.","min":1,"max":"1","base":{"path":"MedicationRequest.subject","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.subject"},{"identity":"script10.6","map":"Message/Body/NewRx/Patient\r\r(need detail to link to specific patient … Patient.Identification in SCRIPT)"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3-Patient ID List"},{"identity":"rim","map":".participation[typeCode=AUT].role"},{"identity":"w5","map":"FiveWs.subject"},{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.patient"}]},{"id":"MedicationRequest.encounter","path":"MedicationRequest.encounter","short":"Encounter created as part of encounter/admission/stay","definition":"The Encounter during which this [x] was created or to which the creation of this record is tightly associated.","comment":"This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.\"    If there is a need to link to episodes of care they will be handled with an extension.","min":0,"max":"1","base":{"path":"MedicationRequest.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter"]}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.context"},{"identity":"script10.6","map":"no mapping"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1-19-Visit Number"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"},{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.patient"}]},{"id":"MedicationRequest.supportingInformation","path":"MedicationRequest.supportingInformation","short":"Information to support ordering of the medication","definition":"Include additional information (for example, patient height and weight) that supports the ordering of the medication.","min":0,"max":"*","base":{"path":"MedicationRequest.supportingInformation","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.supportingInfo"},{"identity":"w5","map":"FiveWs.context"},{"identity":"rim","map":".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]"}]},{"id":"MedicationRequest.authoredOn","path":"MedicationRequest.authoredOn","short":"When request was initially authored","definition":"The date (and perhaps time) when the prescription was initially written or authored on.","min":1,"max":"1","base":{"path":"MedicationRequest.authoredOn","min":0,"max":"1"},"type":[{"code":"dateTime"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.authoredOn"},{"identity":"script10.6","map":"Message/Body/NewRx/MedicationPrescribed/WrittenDate"},{"identity":"w5","map":"FiveWs.recorded"},{"identity":"v2","map":"RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction"},{"identity":"rim","map":"author.time"},{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.dateWritten"}]},{"id":"MedicationRequest.requester","path":"MedicationRequest.requester","short":"Who/What requested the Request","definition":"The individual, organization, or device that initiated the request and has responsibility for its activation.","min":1,"max":"1","base":{"path":"MedicationRequest.requester","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole","http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization","http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient","http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.requester"},{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=AUT].role"},{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.prescriber"}]},{"id":"MedicationRequest.performer","path":"MedicationRequest.performer","short":"Intended performer of administration","definition":"The specified desired performer of the medication treatment (e.g. the performer of the medication administration).","min":0,"max":"1","base":{"path":"MedicationRequest.performer","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/StructureDefinition/CareTeam"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.performer"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"rim","map":".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"}]},{"id":"MedicationRequest.performerType","path":"MedicationRequest.performerType","short":"Desired kind of performer of the medication administration","definition":"Indicates the type of performer of the administration of the medication.","comment":"If specified without indicating a performer, this indicates that the performer must be of the specified type. If specified with a performer then it indicates the requirements of the performer if the designated performer is not available.","min":0,"max":"1","base":{"path":"MedicationRequest.performerType","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationRequestPerformerType"}],"strength":"example","description":"Identifies the type of individual that is desired to administer the medication.","valueSet":"http://hl7.org/fhir/ValueSet/performer-role"},"mapping":[{"identity":"workflow","map":"Request.performerType"},{"identity":"rim","map":".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code"}]},{"id":"MedicationRequest.recorder","path":"MedicationRequest.recorder","short":"Person who entered the request","definition":"The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.","min":0,"max":"1","base":{"path":"MedicationRequest.recorder","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.who"},{"identity":"rim","map":".participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)"}]},{"id":"MedicationRequest.reasonCode","path":"MedicationRequest.reasonCode","short":"Reason or indication for ordering or not ordering the medication","definition":"The reason or the indication for ordering or not ordering the medication.","comment":"This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference.","min":0,"max":"*","base":{"path":"MedicationRequest.reasonCode","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationRequestReason"}],"strength":"example","description":"A coded concept indicating why the medication was ordered.","valueSet":"http://hl7.org/fhir/ValueSet/condition-code"},"mapping":[{"identity":"workflow","map":"Request.reasonCode"},{"identity":"script10.6","map":"Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"v2","map":"ORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication"},{"identity":"rim","map":"reason.observation.reasonCode"}]},{"id":"MedicationRequest.reasonReference","path":"MedicationRequest.reasonReference","short":"Condition or observation that supports why the prescription is being written","definition":"Condition or observation that supports why the medication was ordered.","comment":"This is a reference to a condition or observation that is the reason for the medication order.  If only a code exists, use reasonCode.","min":0,"max":"*","base":{"path":"MedicationRequest.reasonReference","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition","http://hl7.org/fhir/StructureDefinition/Observation"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.reasonReference"},{"identity":"script10.6","map":"no mapping"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"rim","map":"reason.observation[code=ASSERTION].value"}]},{"id":"MedicationRequest.instantiatesCanonical","path":"MedicationRequest.instantiatesCanonical","short":"Instantiates FHIR protocol or definition","definition":"The URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest.","min":0,"max":"*","base":{"path":"MedicationRequest.instantiatesCanonical","min":0,"max":"*"},"type":[{"code":"canonical"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.instantiates"},{"identity":"rim","map":".outboundRelationship[typeCode=DEFN].target"}]},{"id":"MedicationRequest.instantiatesUri","path":"MedicationRequest.instantiatesUri","short":"Instantiates external protocol or definition","definition":"The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this MedicationRequest.","min":0,"max":"*","base":{"path":"MedicationRequest.instantiatesUri","min":0,"max":"*"},"type":[{"code":"uri"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=DEFN].target"}]},{"id":"MedicationRequest.basedOn","path":"MedicationRequest.basedOn","short":"What request fulfills","definition":"A plan or request that is fulfilled in whole or in part by this medication request.","min":0,"max":"*","base":{"path":"MedicationRequest.basedOn","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan","http://hl7.org/fhir/StructureDefinition/MedicationRequest","http://hl7.org/fhir/StructureDefinition/ServiceRequest","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.basedOn"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]"}]},{"id":"MedicationRequest.groupIdentifier","path":"MedicationRequest.groupIdentifier","short":"Composite request this is part of","definition":"A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition or prescription.","requirements":"Requests are linked either by a \"basedOn\" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.","min":0,"max":"1","base":{"path":"MedicationRequest.groupIdentifier","min":0,"max":"1"},"type":[{"code":"Identifier"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.groupIdentifier"},{"identity":"rim","map":".outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id"}]},{"id":"MedicationRequest.courseOfTherapyType","path":"MedicationRequest.courseOfTherapyType","short":"Overall pattern of medication administration","definition":"The description of the overall patte3rn of the administration of the medication to the patient.","comment":"This attribute should not be confused with the protocol of the medication.","min":0,"max":"1","base":{"path":"MedicationRequest.courseOfTherapyType","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationRequestCourseOfTherapy"}],"strength":"example","description":"Identifies the overall pattern of medication administratio.","valueSet":"http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy"},"mapping":[{"identity":"rim","map":"Act.code where classCode = LIST and moodCode = EVN"}]},{"id":"MedicationRequest.insurance","path":"MedicationRequest.insurance","short":"Associated insurance coverage","definition":"Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service.","min":0,"max":"*","base":{"path":"MedicationRequest.insurance","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Coverage","http://hl7.org/fhir/StructureDefinition/ClaimResponse"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.insurance"},{"identity":"rim","map":".outboundRelationship[typeCode=COVBY].target"}]},{"id":"MedicationRequest.note","path":"MedicationRequest.note","short":"Information about the prescription","definition":"Extra information about the prescription that could not be conveyed by the other attributes.","min":0,"max":"*","base":{"path":"MedicationRequest.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.note"},{"identity":"script10.6","map":"Message/Body/NewRx/MedicationPrescribed/Note"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=\"annotation\"].value"}]},{"id":"MedicationRequest.dosageInstruction","path":"MedicationRequest.dosageInstruction","short":"How the medication should be taken","definition":"Indicates how the medication is to be used by the patient.","comment":"There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose.  For example, \"Ondansetron 8mg orally or IV twice a day as needed for nausea\" or \"Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting\".  In these cases, two medication requests would be created that could be grouped together.  The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed.","min":0,"max":"*","base":{"path":"MedicationRequest.dosageInstruction","min":0,"max":"*"},"type":[{"code":"Dosage"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.occurrence[x]"},{"identity":"rim","map":"see dosageInstruction mapping"}]},{"id":"MedicationRequest.dosageInstruction.id","path":"MedicationRequest.dosageInstruction.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"MedicationRequest.dosageInstruction.extension","path":"MedicationRequest.dosageInstruction.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"MedicationRequest.dosageInstruction.modifierExtension","path":"MedicationRequest.dosageInstruction.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationRequest.dosageInstruction.sequence","path":"MedicationRequest.dosageInstruction.sequence","short":"The order of the dosage instructions","definition":"Indicates the order in which the dosage instructions should be applied or interpreted.","requirements":"If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent.  If the sequence number is different, then the Dosages are intended to be sequential.","min":0,"max":"1","base":{"path":"Dosage.sequence","min":0,"max":"1"},"type":[{"code":"integer"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"TQ1-1"},{"identity":"rim","map":".text"}]},{"id":"MedicationRequest.dosageInstruction.text","path":"MedicationRequest.dosageInstruction.text","short":"Free text dosage instructions e.g. SIG","definition":"Free text dosage instructions e.g. SIG.","requirements":"Free text dosage instructions can be used for cases where the instructions are too complex to code.  The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated.  If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing.  Additional information about administration or preparation of the medication should be included as text.","min":0,"max":"1","base":{"path":"Dosage.text","min":0,"max":"1"},"type":[{"code":"string"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"RXO-6; RXE-21"},{"identity":"rim","map":".text"}]},{"id":"MedicationRequest.dosageInstruction.additionalInstruction","path":"MedicationRequest.dosageInstruction.additionalInstruction","short":"Supplemental instruction or warnings to the patient - e.g. \"with meals\", \"may cause drowsiness\"","definition":"Supplemental instructions to the patient on how to take the medication  (e.g. \"with meals\" or\"take half to one hour before food\") or warnings for the patient about the medication (e.g. \"may cause drowsiness\" or \"avoid exposure of skin to direct sunlight or sunlamps\").","comment":"Information about administration or preparation of the medication (e.g. \"infuse as rapidly as possibly via intraperitoneal port\" or \"immediately following drug x\") should be populated in dosage.text.","requirements":"Additional instruction is intended to be coded, but where no code exists, the element could include text.  For example, \"Swallow with plenty of water\" which might or might not be coded.","min":0,"max":"*","base":{"path":"Dosage.additionalInstruction","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AdditionalInstruction"}],"strength":"example","description":"A coded concept identifying additional instructions such as \"take with water\" or \"avoid operating heavy machinery\".","valueSet":"http://hl7.org/fhir/ValueSet/additional-instruction-codes"},"mapping":[{"identity":"v2","map":"RXO-7"},{"identity":"rim","map":".text"}]},{"id":"MedicationRequest.dosageInstruction.patientInstruction","path":"MedicationRequest.dosageInstruction.patientInstruction","short":"Patient or consumer oriented instructions","definition":"Instructions in terms that are understood by the patient or consumer.","min":0,"max":"1","base":{"path":"Dosage.patientInstruction","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"RXO-7"},{"identity":"rim","map":".text"}]},{"id":"MedicationRequest.dosageInstruction.timing","path":"MedicationRequest.dosageInstruction.timing","short":"When medication should be administered","definition":"When medication should be administered.","comment":"This attribute might not always be populated while the Dosage.text is expected to be populated.  If both are populated, then the Dosage.text should reflect the content of the Dosage.timing.","requirements":"The timing schedule for giving the medication to the patient. This  data type allows many different expressions. For example: \"Every 8 hours\"; \"Three times a day\"; \"1/2 an hour before breakfast for 10 days from 23-Dec 2011:\"; \"15 Oct 2013, 17 Oct 2013 and 1 Nov 2013\".  Sometimes, a rate can imply duration when expressed as total volume / duration (e.g.  500mL/2 hours implies a duration of 2 hours).  However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.","min":0,"max":"1","base":{"path":"Dosage.timing","min":0,"max":"1"},"type":[{"code":"Timing"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".effectiveTime"}]},{"id":"MedicationRequest.dosageInstruction.asNeeded[x]","path":"MedicationRequest.dosageInstruction.asNeeded[x]","short":"Take \"as needed\" (for x)","definition":"Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept).","comment":"Can express \"as needed\" without a reason by setting the Boolean = True.  In this case the CodeableConcept is not populated.  Or you can express \"as needed\" with a reason by including the CodeableConcept.  In this case the Boolean is assumed to be True.  If you set the Boolean to False, then the dose is given according to the schedule and is not \"prn\" or \"as needed\".","min":0,"max":"1","base":{"path":"Dosage.asNeeded[x]","min":0,"max":"1"},"type":[{"code":"boolean"},{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationAsNeededReason"}],"strength":"example","description":"A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose.  For example \"pain\", \"30 minutes prior to sexual intercourse\", \"on flare-up\" etc.","valueSet":"http://hl7.org/fhir/ValueSet/medication-as-needed-reason"},"mapping":[{"identity":"v2","map":"TQ1-9"},{"identity":"rim","map":".outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code=\"as needed\"].value=boolean or codable concept"}]},{"id":"MedicationRequest.dosageInstruction.site","path":"MedicationRequest.dosageInstruction.site","short":"Body site to administer to","definition":"Body site to administer to.","comment":"If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).  May be a summary code, or a reference to a very precise definition of the location, or both.","requirements":"A coded specification of the anatomic site where the medication first enters the body.","min":0,"max":"1","base":{"path":"Dosage.site","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationAdministrationSite"}],"strength":"example","description":"A coded concept describing the site location the medicine enters into or onto the body.","valueSet":"http://hl7.org/fhir/ValueSet/approach-site-codes"},"mapping":[{"identity":"v2","map":"RXR-2"},{"identity":"rim","map":".approachSiteCode"}]},{"id":"MedicationRequest.dosageInstruction.route","path":"MedicationRequest.dosageInstruction.route","short":"How drug should enter body","definition":"How drug should enter body.","requirements":"A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body.","min":0,"max":"1","base":{"path":"Dosage.route","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"RouteOfAdministration"}],"strength":"example","description":"A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.","valueSet":"http://hl7.org/fhir/ValueSet/route-codes"},"mapping":[{"identity":"v2","map":"RXR-1"},{"identity":"rim","map":".routeCode"}]},{"id":"MedicationRequest.dosageInstruction.method","path":"MedicationRequest.dosageInstruction.method","short":"Technique for administering medication","definition":"Technique for administering medication.","comment":"Terminologies used often pre-coordinate this term with the route and or form of administration.","requirements":"A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections.  For examples, Slow Push; Deep IV.","min":0,"max":"1","base":{"path":"Dosage.method","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationAdministrationMethod"}],"strength":"example","description":"A coded concept describing the technique by which the medicine is administered.","valueSet":"http://hl7.org/fhir/ValueSet/administration-method-codes"},"mapping":[{"identity":"v2","map":"RXR-4"},{"identity":"rim","map":".doseQuantity"}]},{"id":"MedicationRequest.dosageInstruction.doseAndRate","path":"MedicationRequest.dosageInstruction.doseAndRate","short":"Amount of medication administered","definition":"The amount of medication administered.","min":0,"max":"*","base":{"path":"Dosage.doseAndRate","min":0,"max":"*"},"type":[{"code":"Element"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"TQ1-2"}]},{"id":"MedicationRequest.dosageInstruction.doseAndRate.id","path":"MedicationRequest.dosageInstruction.doseAndRate.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"MedicationRequest.dosageInstruction.doseAndRate.extension","path":"MedicationRequest.dosageInstruction.doseAndRate.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"MedicationRequest.dosageInstruction.doseAndRate.type","path":"MedicationRequest.dosageInstruction.doseAndRate.type","short":"The kind of dose or rate specified","definition":"The kind of dose or rate specified, for example, ordered or calculated.","requirements":"If the type is not populated, assume to be \"ordered\".","min":0,"max":"1","base":{"path":"Dosage.doseAndRate.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DoseAndRateType"}],"strength":"example","description":"The kind of dose or rate specified.","valueSet":"http://hl7.org/fhir/ValueSet/dose-rate-type"},"mapping":[{"identity":"v2","map":"RXO-21; RXE-23"}]},{"id":"MedicationRequest.dosageInstruction.doseAndRate.dose[x]","path":"MedicationRequest.dosageInstruction.doseAndRate.dose[x]","short":"Amount of medication per dose","definition":"Amount of medication per dose.","comment":"Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.","requirements":"The amount of therapeutic or other substance given at one administration event.","min":0,"max":"1","base":{"path":"Dosage.doseAndRate.dose[x]","min":0,"max":"1"},"type":[{"code":"Range"},{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"RXO-2, RXE-3"},{"identity":"rim","map":".doseQuantity"}]},{"id":"MedicationRequest.dosageInstruction.doseAndRate.rate[x]","path":"MedicationRequest.dosageInstruction.doseAndRate.rate[x]","short":"Amount of medication per unit of time","definition":"Amount of medication per unit of time.","comment":"It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate.\r\rIt is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity.  The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator.  Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour.","requirements":"Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr.  May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours.   Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.  Sometimes, a rate can imply duration when expressed as total volume / duration (e.g.  500mL/2 hours implies a duration of 2 hours).  However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.","min":0,"max":"1","base":{"path":"Dosage.doseAndRate.rate[x]","min":0,"max":"1"},"type":[{"code":"Ratio"},{"code":"Range"},{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"RXE22, RXE23, RXE-24"},{"identity":"rim","map":".rateQuantity"}]},{"id":"MedicationRequest.dosageInstruction.maxDosePerPeriod","path":"MedicationRequest.dosageInstruction.maxDosePerPeriod","short":"Upper limit on medication per unit of time","definition":"Upper limit on medication per unit of time.","comment":"This is intended for use as an adjunct to the dosage when there is an upper cap.  For example \"2 tablets every 4 hours to a maximum of 8/day\".","requirements":"The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time.  For example, 1000mg in 24 hours.","min":0,"max":"1","base":{"path":"Dosage.maxDosePerPeriod","min":0,"max":"1"},"type":[{"code":"Ratio"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"RXO-23, RXE-19"},{"identity":"rim","map":".maxDoseQuantity"}]},{"id":"MedicationRequest.dosageInstruction.maxDosePerAdministration","path":"MedicationRequest.dosageInstruction.maxDosePerAdministration","short":"Upper limit on medication per administration","definition":"Upper limit on medication per administration.","comment":"This is intended for use as an adjunct to the dosage when there is an upper cap.  For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg.","requirements":"The maximum total quantity of a therapeutic substance that may be administered to a subject per administration.","min":0,"max":"1","base":{"path":"Dosage.maxDosePerAdministration","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"not supported"}]},{"id":"MedicationRequest.dosageInstruction.maxDosePerLifetime","path":"MedicationRequest.dosageInstruction.maxDosePerLifetime","short":"Upper limit on medication per lifetime of the patient","definition":"Upper limit on medication per lifetime of the patient.","requirements":"The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject.","min":0,"max":"1","base":{"path":"Dosage.maxDosePerLifetime","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"not supported"}]},{"id":"MedicationRequest.dispenseRequest","path":"MedicationRequest.dispenseRequest","short":"Medication supply authorization","definition":"Indicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order).  Note that this information is not always sent with the order.  There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department.","min":0,"max":"1","base":{"path":"MedicationRequest.dispenseRequest","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"script10.6","map":"Message/Body/NewRx/MedicationPrescribed/ExpirationDate"},{"identity":"rim","map":"component.supplyEvent"}]},{"id":"MedicationRequest.dispenseRequest.id","path":"MedicationRequest.dispenseRequest.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"MedicationRequest.dispenseRequest.extension","path":"MedicationRequest.dispenseRequest.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"MedicationRequest.dispenseRequest.modifierExtension","path":"MedicationRequest.dispenseRequest.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationRequest.dispenseRequest.initialFill","path":"MedicationRequest.dispenseRequest.initialFill","short":"First fill details","definition":"Indicates the quantity or duration for the first dispense of the medication.","comment":"If populating this element, either the quantity or the duration must be included.","min":0,"max":"1","base":{"path":"MedicationRequest.dispenseRequest.initialFill","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"SubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply"}]},{"id":"MedicationRequest.dispenseRequest.initialFill.id","path":"MedicationRequest.dispenseRequest.initialFill.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"MedicationRequest.dispenseRequest.initialFill.extension","path":"MedicationRequest.dispenseRequest.initialFill.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"MedicationRequest.dispenseRequest.initialFill.modifierExtension","path":"MedicationRequest.dispenseRequest.initialFill.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationRequest.dispenseRequest.initialFill.quantity","path":"MedicationRequest.dispenseRequest.initialFill.quantity","short":"First fill quantity","definition":"The amount or quantity to provide as part of the first dispense.","min":0,"max":"1","base":{"path":"MedicationRequest.dispenseRequest.initialFill.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Supply.quantity[moodCode=RQO]"}]},{"id":"MedicationRequest.dispenseRequest.initialFill.duration","path":"MedicationRequest.dispenseRequest.initialFill.duration","short":"First fill duration","definition":"The length of time that the first dispense is expected to last.","min":0,"max":"1","base":{"path":"MedicationRequest.dispenseRequest.initialFill.duration","min":0,"max":"1"},"type":[{"code":"Duration"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Supply.effectivetime[moodCode=RQO]"}]},{"id":"MedicationRequest.dispenseRequest.dispenseInterval","path":"MedicationRequest.dispenseRequest.dispenseInterval","short":"Minimum period of time between dispenses","definition":"The minimum period of time that must occur between dispenses of the medication.","min":0,"max":"1","base":{"path":"MedicationRequest.dispenseRequest.dispenseInterval","min":0,"max":"1"},"type":[{"code":"Duration"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Supply.effectivetime[moodCode=RQO]"}]},{"id":"MedicationRequest.dispenseRequest.validityPeriod","path":"MedicationRequest.dispenseRequest.validityPeriod","short":"Time period supply is authorized for","definition":"This indicates the validity period of a prescription (stale dating the Prescription).","comment":"It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations.","requirements":"Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription.","min":0,"max":"1","base":{"path":"MedicationRequest.dispenseRequest.validityPeriod","min":0,"max":"1"},"type":[{"code":"Period"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"script10.6","map":"Message/Body/NewRx/MedicationPrescribed/Refills"},{"identity":"rim","map":"effectiveTime"}]},{"id":"MedicationRequest.dispenseRequest.numberOfRepeatsAllowed","path":"MedicationRequest.dispenseRequest.numberOfRepeatsAllowed","short":"Number of refills authorized","definition":"An integer indicating the number of times, in addition to the original dispense, (aka refills or repeats) that the patient can receive the prescribed medication. Usage Notes: This integer does not include the original order dispense. This means that if an order indicates dispense 30 tablets plus \"3 repeats\", then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets.  A prescriber may explicitly say that zero refills are permitted after the initial dispense.","comment":"If displaying \"number of authorized fills\", add 1 to this number.","min":0,"max":"1","base":{"path":"MedicationRequest.dispenseRequest.numberOfRepeatsAllowed","min":0,"max":"1"},"type":[{"code":"unsignedInt"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"script10.6","map":"Message/Body/NewRx/MedicationPrescribed/Quantity"},{"identity":"v2","map":"RXE-12-Number of Refills"},{"identity":"rim","map":"repeatNumber"}]},{"id":"MedicationRequest.dispenseRequest.quantity","path":"MedicationRequest.dispenseRequest.quantity","short":"Amount of medication to supply per dispense","definition":"The amount that is to be dispensed for one fill.","min":0,"max":"1","base":{"path":"MedicationRequest.dispenseRequest.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"script10.6","map":"Message/Body/NewRx/MedicationPrescribed/DaysSupply"},{"identity":"v2","map":"RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system"},{"identity":"rim","map":"quantity"}]},{"id":"MedicationRequest.dispenseRequest.expectedSupplyDuration","path":"MedicationRequest.dispenseRequest.expectedSupplyDuration","short":"Number of days supply per dispense","definition":"Identifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last.","comment":"In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage). When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors.","min":0,"max":"1","base":{"path":"MedicationRequest.dispenseRequest.expectedSupplyDuration","min":0,"max":"1"},"type":[{"code":"Duration"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"script10.6","map":"Message/Body/NewRx/MedicationPrescribed/Substitutions"},{"identity":"rim","map":"expectedUseTime"}]},{"id":"MedicationRequest.dispenseRequest.performer","path":"MedicationRequest.dispenseRequest.performer","short":"Intended dispenser","definition":"Indicates the intended dispensing Organization specified by the prescriber.","min":0,"max":"1","base":{"path":"MedicationRequest.dispenseRequest.performer","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.who"},{"identity":"rim","map":".outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"}]},{"id":"MedicationRequest.substitution","path":"MedicationRequest.substitution","short":"Any restrictions on medication substitution","definition":"Indicates whether or not substitution can or should be part of the dispense. In some cases, substitution must happen, in other cases substitution must not happen. This block explains the prescriber's intent. If nothing is specified substitution may be done.","min":0,"max":"1","base":{"path":"MedicationRequest.substitution","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"script10.6","map":"specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions"},{"identity":"rim","map":"subjectOf.substitutionPersmission"}]},{"id":"MedicationRequest.substitution.id","path":"MedicationRequest.substitution.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"MedicationRequest.substitution.extension","path":"MedicationRequest.substitution.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"MedicationRequest.substitution.modifierExtension","path":"MedicationRequest.substitution.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationRequest.substitution.allowed[x]","path":"MedicationRequest.substitution.allowed[x]","short":"Whether substitution is allowed or not","definition":"True if the prescriber allows a different drug to be dispensed from what was prescribed.","comment":"This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored.","min":1,"max":"1","base":{"path":"MedicationRequest.substitution.allowed[x]","min":1,"max":"1"},"type":[{"code":"boolean"},{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationRequestSubstitution"}],"strength":"example","description":"Identifies the type of substitution allowed.","valueSet":"http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode"},"mapping":[{"identity":"script10.6","map":"specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions"},{"identity":"v2","map":"RXO-9-Allow Substitutions / RXE-9-Substitution Status"},{"identity":"rim","map":"code"}]},{"id":"MedicationRequest.substitution.reason","path":"MedicationRequest.substitution.reason","short":"Why should (not) substitution be made","definition":"Indicates the reason for the substitution, or why substitution must or must not be performed.","min":0,"max":"1","base":{"path":"MedicationRequest.substitution.reason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationIntendedSubstitutionReason"}],"strength":"example","description":"A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.","valueSet":"http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason"},"mapping":[{"identity":"script10.6","map":"not mapped"},{"identity":"v2","map":"RXE-9 Substition status"},{"identity":"rim","map":"reasonCode"}]},{"id":"MedicationRequest.priorPrescription","path":"MedicationRequest.priorPrescription","short":"An order/prescription that is being replaced","definition":"A link to a resource representing an earlier order related order or prescription.","min":0,"max":"1","base":{"path":"MedicationRequest.priorPrescription","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationRequest"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.replaces"},{"identity":"script10.6","map":"not mapped"},{"identity":"rim","map":".outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO]"}]},{"id":"MedicationRequest.detectedIssue","path":"MedicationRequest.detectedIssue","short":"Clinical Issue with action","definition":"Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc.","comment":"This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.","alias":["Contraindication","Drug Utilization Review (DUR)","Alert"],"min":0,"max":"*","base":{"path":"MedicationRequest.detectedIssue","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DetectedIssue"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value"}]},{"id":"MedicationRequest.eventHistory","path":"MedicationRequest.eventHistory","short":"A list of events of interest in the lifecycle","definition":"Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource.","comment":"This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).","min":0,"max":"*","base":{"path":"MedicationRequest.eventHistory","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Provenance"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.relevantHistory"},{"identity":"rim","map":".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"}]}]},"differential":{"element":[{"id":"MedicationRequest","path":"MedicationRequest","definition":"The US Core Medication Request (Order) Profile is based upon the core FHIR MedicationRequest Resource and created to meet the 2015 Edition Common Clinical Data Set 'Medications' requirements.","mustSupport":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"MedicationOrder"}]},{"id":"MedicationRequest.status","path":"MedicationRequest.status","min":1,"max":"1","type":[{"code":"code"}],"mustSupport":true,"binding":{"strength":"required","description":"A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.","valueSet":"http://hl7.org/fhir/ValueSet/medicationrequest-status"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.status"}]},{"id":"MedicationRequest.intent","path":"MedicationRequest.intent","min":1,"max":"1","mustSupport":true,"binding":{"strength":"required","description":"The kind of medication order.","valueSet":"http://hl7.org/fhir/ValueSet/medicationrequest-intent"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.status"}]},{"id":"MedicationRequest.reported[x]","path":"MedicationRequest.reported[x]","min":0,"max":"1","type":[{"code":"boolean"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient","http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole","http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.status"}]},{"id":"MedicationRequest.medication[x]","path":"MedicationRequest.medication[x]","min":1,"max":"1","type":[{"code":"CodeableConcept"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication"]}],"mustSupport":true,"binding":{"strength":"extensible","description":"Prescribable medications","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.medication[x]"}]},{"id":"MedicationRequest.subject","path":"MedicationRequest.subject","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.patient"}]},{"id":"MedicationRequest.encounter","path":"MedicationRequest.encounter","min":0,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.patient"}]},{"id":"MedicationRequest.authoredOn","path":"MedicationRequest.authoredOn","min":1,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.dateWritten"}]},{"id":"MedicationRequest.requester","path":"MedicationRequest.requester","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole","http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization","http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient","http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.prescriber"}]},{"id":"MedicationRequest.dosageInstruction","path":"MedicationRequest.dosageInstruction","mustSupport":true},{"id":"MedicationRequest.dosageInstruction.text","path":"MedicationRequest.dosageInstruction.text","mustSupport":true}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-observation-lab.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-observation-lab.json
new file mode 100644
index 000000000..a8ffd4891
--- /dev/null
+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-observation-lab.json
@@ -0,0 +1,2573 @@
+{
+  "resourceType": "StructureDefinition",
+  "id": "us-core-observation-lab",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-observation-lab-definitions.html#Observation\" title=\"This profile is  created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements.\">Observation</a><a name=\"Observation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">us-core-2: </span>If there is no component or related element then either a value[x] or a data absent reason must be present</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-observation-lab-definitions.html#Observation.status\">status</a><a name=\"Observation.status\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-observation-status.html\">ObservationStatus</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-us-core-observation-lab-definitions.html#Observation.category\">category</a><a name=\"Observation.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"font-style: italic\">1</span><span style=\"font-style: italic\">..</span><span style=\"font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/profiling.html#slicing\">(Slice Definition)</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by pattern:$this</span><br style=\"font-style: italic\"/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-observation-lab-definitions.html#Observation.category:Laboratory\" title=\"Slice Laboratory: \">category:Laboratory</a><a name=\"Observation.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1241.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12410.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"http://hl7.org/fhir/R4/codesystem-observation-category.html\">http://terminology.hl7.org/CodeSystem/observation-category</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12400.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">laboratory</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-observation-lab-definitions.html#Observation.code\" title=\"The test that was performed.  A LOINC **SHALL** be used if the concept is present in LOINC.\">code</a><a name=\"Observation.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Laboratory Test Name<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-observation-codes.html\">LOINCCodes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-observation-lab-definitions.html#Observation.subject\">subject</a><a name=\"Observation.subject\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_choice.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Choice of Types\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-observation-lab-definitions.html#Observation.effective[x]\" title=\"For lab tests this is the specimen collection date.  For Ask at Order Entry Questions (AOE)'s this is the date the question was asked.\">effective[x]</a><a name=\"Observation.effective_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">us-core-1: </span>Datetime must be at least to day.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span title=\"Base StructureDefinition for dateTime Type: A date, date-time or partial date (e.g. just year or year + month).  If hours and minutes are specified, a time zone SHALL be populated. The format is a union of the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints but may be zero-filled and may be ignored.                 Dates SHALL be valid dates.\">effectiveDateTime</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span title=\"Base StructureDefinition for Period Type: A time period defined by a start and end date and optionally time.\">effectivePeriod</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Period\">Period</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-observation-lab-definitions.html#Observation.value[x]\" title=\"The Laboratory result value.  If a coded value,  the valueCodeableConcept.code **SHOULD**  be selected from [SNOMED CT](http://hl7.org/fhir/ValueSet/uslab-obs-codedresults).  If a numeric value, valueQuantity.code **SHALL** be selected from [UCUM](http://unitsofmeasure.org).  A FHIR [UCUM Codes value set](http://hl7.org/fhir/STU3/valueset-ucum-units.html) that defines all UCUM codes is in the FHIR specification.\">value[x]</a><a name=\"Observation.value_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#Quantity\">Quantity</a><span style=\"opacity: 0.4\">, </span><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a><span style=\"opacity: 0.4\">, </span><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a><span style=\"opacity: 0.4\">, </span><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a><span style=\"opacity: 0.4\">, </span><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#integer\">integer</a><span style=\"opacity: 0.4\">, </span><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#Range\">Range</a><span style=\"opacity: 0.4\">, </span><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#Ratio\">Ratio</a><span style=\"opacity: 0.4\">, </span><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#SampledData\">SampledData</a><span style=\"opacity: 0.4\">, </span><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#time\">time</a><span style=\"opacity: 0.4\">, </span><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a><span style=\"opacity: 0.4\">, </span><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#Period\">Period</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Result Value<br/><span style=\"font-weight:bold\">us-core-4: </span>SHOULD use Snomed CT for coded Results<br/><span style=\"font-weight:bold\">us-core-3: </span>SHALL use UCUM for coded quantity units.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-observation-lab-definitions.html#Observation.dataAbsentReason\">dataAbsentReason</a><a name=\"Observation.dataAbsentReason\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-data-absent-reason.html\">DataAbsentReason</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab",
+  "version": "3.0.1",
+  "name": "USCoreLaboratoryResultObservationProfile",
+  "title": "US Core Laboratory Result Observation Profile",
+  "status": "active",
+  "experimental": false,
+  "date": "2019-08-19T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "url",
+          "value": "http://www.healthit.gov"
+        }
+      ]
+    }
+  ],
+  "description": "Defines constraints and extensions on the Observation resource for the minimal set of data to query and retrieve laboratory test results",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "fhirVersion": "4.0.0",
+  "mapping": [
+    {
+      "identity": "argonaut-dq-dstu2",
+      "uri": "http://unknown.org/Argonaut-DQ-DSTU2",
+      "name": "Argonaut-DQ-DSTU2"
+    },
+    {
+      "identity": "workflow",
+      "uri": "http://hl7.org/fhir/workflow",
+      "name": "Workflow Pattern"
+    },
+    {
+      "identity": "sct-concept",
+      "uri": "http://snomed.info/conceptdomain",
+      "name": "SNOMED CT Concept Domain Binding"
+    },
+    {
+      "identity": "v2",
+      "uri": "http://hl7.org/v2",
+      "name": "HL7 v2 Mapping"
+    },
+    {
+      "identity": "rim",
+      "uri": "http://hl7.org/v3",
+      "name": "RIM Mapping"
+    },
+    {
+      "identity": "w5",
+      "uri": "http://hl7.org/fhir/fivews",
+      "name": "FiveWs Pattern Mapping"
+    },
+    {
+      "identity": "sct-attr",
+      "uri": "http://snomed.org/attributebinding",
+      "name": "SNOMED CT Attribute Binding"
+    }
+  ],
+  "kind": "resource",
+  "abstract": false,
+  "type": "Observation",
+  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
+  "derivation": "constraint",
+  "snapshot": {
+    "element": [
+      {
+        "id": "Observation",
+        "path": "Observation",
+        "short": "Measurements and simple assertions",
+        "definition": "This profile is  created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements.",
+        "comment": "Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc.",
+        "alias": [
+          "Vital Signs",
+          "Measurement",
+          "Results",
+          "Tests"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "Observation",
+          "min": 0,
+          "max": "*"
+        },
+        "constraint": [
+          {
+            "key": "dom-2",
+            "severity": "error",
+            "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
+            "expression": "contained.contained.empty()",
+            "xpath": "not(parent::f:contained and f:contained)",
+            "source": "DomainResource"
+          },
+          {
+            "key": "dom-4",
+            "severity": "error",
+            "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
+            "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
+            "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
+            "source": "DomainResource"
+          },
+          {
+            "key": "dom-3",
+            "severity": "error",
+            "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
+            "expression": "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
+            "xpath": "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
+            "source": "DomainResource"
+          },
+          {
+            "extension": [
+              {
+                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
+                "valueBoolean": true
+              },
+              {
+                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
+                "valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
+              }
+            ],
+            "key": "dom-6",
+            "severity": "warning",
+            "human": "A resource should have narrative for robust management",
+            "expression": "text.div.exists()",
+            "xpath": "exists(f:text/h:div)",
+            "source": "DomainResource"
+          },
+          {
+            "key": "dom-5",
+            "severity": "error",
+            "human": "If a resource is contained in another resource, it SHALL NOT have a security label",
+            "expression": "contained.meta.security.empty()",
+            "xpath": "not(exists(f:contained/*/f:meta/f:security))",
+            "source": "DomainResource"
+          },
+          {
+            "key": "obs-7",
+            "severity": "error",
+            "human": "If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present",
+            "expression": "value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()",
+            "xpath": "not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))",
+            "source": "Observation"
+          },
+          {
+            "key": "obs-6",
+            "severity": "error",
+            "human": "dataAbsentReason SHALL only be present if Observation.value[x] is not present",
+            "expression": "dataAbsentReason.empty() or value.empty()",
+            "xpath": "not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))",
+            "source": "Observation"
+          },
+          {
+            "key": "us-core-2",
+            "severity": "error",
+            "human": "If there is no component or related element then either a value[x] or a data absent reason must be present",
+            "expression": "(component.empty() and related.empty()) implies (dataAbsentReason or value)",
+            "xpath": "exists(f:component) or exists(f:related) or exists(f:*[starts-with(local-name(.), 'value)]) or exists(f:dataAbsentReason)"
+          }
+        ],
+        "mustSupport": false,
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "Entity. Role, or Act"
+          },
+          {
+            "identity": "workflow",
+            "map": "Event"
+          },
+          {
+            "identity": "sct-concept",
+            "map": "< 363787002 |Observable entity|"
+          },
+          {
+            "identity": "v2",
+            "map": "OBX"
+          },
+          {
+            "identity": "rim",
+            "map": "Observation[classCode=OBS, moodCode=EVN]"
+          },
+          {
+            "identity": "argonaut-dq-dstu2",
+            "map": "Observation"
+          }
+        ]
+      },
+      {
+        "id": "Observation.id",
+        "path": "Observation.id",
+        "short": "Logical id of this artifact",
+        "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
+        "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Resource.id",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "id"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": true
+      },
+      {
+        "id": "Observation.meta",
+        "path": "Observation.meta",
+        "short": "Metadata about the resource",
+        "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Resource.meta",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "Meta"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": true
+      },
+      {
+        "id": "Observation.implicitRules",
+        "path": "Observation.implicitRules",
+        "short": "A set of rules under which this content was created",
+        "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
+        "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Resource.implicitRules",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "uri"
+          }
+        ],
+        "isModifier": true,
+        "isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
+        "isSummary": true
+      },
+      {
+        "id": "Observation.language",
+        "path": "Observation.language",
+        "short": "Language of the resource content",
+        "definition": "The base language in which the resource is written.",
+        "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Resource.language",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "code"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "binding": {
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
+              "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
+            },
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
+              "valueString": "Language"
+            },
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
+              "valueBoolean": true
+            }
+          ],
+          "strength": "preferred",
+          "description": "A human language.",
+          "valueSet": "http://hl7.org/fhir/ValueSet/languages"
+        }
+      },
+      {
+        "id": "Observation.text",
+        "path": "Observation.text",
+        "short": "Text summary of the resource, for human interpretation",
+        "definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
+        "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
+        "alias": [
+          "narrative",
+          "html",
+          "xhtml",
+          "display"
+        ],
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "DomainResource.text",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "Narrative"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "Act.text?"
+          }
+        ]
+      },
+      {
+        "id": "Observation.contained",
+        "path": "Observation.contained",
+        "short": "Contained, inline Resources",
+        "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
+        "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
+        "alias": [
+          "inline resources",
+          "anonymous resources",
+          "contained resources"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "DomainResource.contained",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Resource"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "N/A"
+          }
+        ]
+      },
+      {
+        "id": "Observation.extension",
+        "path": "Observation.extension",
+        "short": "Additional content defined by implementations",
+        "definition": "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
+        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
+        "alias": [
+          "extensions",
+          "user content"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "DomainResource.extension",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Extension"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "N/A"
+          }
+        ]
+      },
+      {
+        "id": "Observation.modifierExtension",
+        "path": "Observation.modifierExtension",
+        "short": "Extensions that cannot be ignored",
+        "definition": "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
+        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
+        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
+        "alias": [
+          "extensions",
+          "user content"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "DomainResource.modifierExtension",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Extension"
+          }
+        ],
+        "isModifier": true,
+        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "N/A"
+          }
+        ]
+      },
+      {
+        "id": "Observation.identifier",
+        "path": "Observation.identifier",
+        "short": "Business Identifier for observation",
+        "definition": "A unique identifier assigned to this observation.",
+        "requirements": "Allows observations to be distinguished and referenced.",
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "Observation.identifier",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Identifier"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "workflow",
+            "map": "Event.identifier"
+          },
+          {
+            "identity": "w5",
+            "map": "FiveWs.identifier"
+          },
+          {
+            "identity": "v2",
+            "map": "OBX.21  For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4."
+          },
+          {
+            "identity": "rim",
+            "map": "id"
+          }
+        ]
+      },
+      {
+        "id": "Observation.basedOn",
+        "path": "Observation.basedOn",
+        "short": "Fulfills plan, proposal or order",
+        "definition": "A plan, proposal or order that is fulfilled in whole or in part by this event.  For example, a MedicationRequest may require a patient to have laboratory test performed before  it is dispensed.",
+        "requirements": "Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.",
+        "alias": [
+          "Fulfills"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "Observation.basedOn",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": [
+              "http://hl7.org/fhir/StructureDefinition/CarePlan",
+              "http://hl7.org/fhir/StructureDefinition/DeviceRequest",
+              "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation",
+              "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
+              "http://hl7.org/fhir/StructureDefinition/NutritionOrder",
+              "http://hl7.org/fhir/StructureDefinition/ServiceRequest"
+            ]
+          }
+        ],
+        "isModifier": false,
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "workflow",
+            "map": "Event.basedOn"
+          },
+          {
+            "identity": "v2",
+            "map": "ORC"
+          },
+          {
+            "identity": "rim",
+            "map": ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"
+          }
+        ]
+      },
+      {
+        "id": "Observation.partOf",
+        "path": "Observation.partOf",
+        "short": "Part of referenced event",
+        "definition": "A larger event of which this particular Observation is a component or step.  For example,  an observation as part of a procedure.",
+        "comment": "To link an Observation to an Encounter use `encounter`.  See the  [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below for guidance on referencing another Observation.",
+        "alias": [
+          "Container"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "Observation.partOf",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": [
+              "http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
+              "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
+              "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
+              "http://hl7.org/fhir/StructureDefinition/Procedure",
+              "http://hl7.org/fhir/StructureDefinition/Immunization",
+              "http://hl7.org/fhir/StructureDefinition/ImagingStudy"
+            ]
+          }
+        ],
+        "isModifier": false,
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "workflow",
+            "map": "Event.partOf"
+          },
+          {
+            "identity": "v2",
+            "map": "Varies by domain"
+          },
+          {
+            "identity": "rim",
+            "map": ".outboundRelationship[typeCode=FLFS].target"
+          }
+        ]
+      },
+      {
+        "id": "Observation.status",
+        "extension": [
+          {
+            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
+            "valueString": "default: final"
+          }
+        ],
+        "path": "Observation.status",
+        "short": "registered | preliminary | final | amended +",
+        "definition": "The status of the result value.",
+        "comment": "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
+        "requirements": "Need to track the status of individual results. Some results are finalized before the whole report is finalized.",
+        "min": 1,
+        "max": "1",
+        "base": {
+          "path": "Observation.status",
+          "min": 1,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "code"
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": true,
+        "isModifierReason": "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
+        "isSummary": true,
+        "binding": {
+          "strength": "required",
+          "valueSet": "http://hl7.org/fhir/ValueSet/observation-status"
+        },
+        "mapping": [
+          {
+            "identity": "workflow",
+            "map": "Event.status"
+          },
+          {
+            "identity": "w5",
+            "map": "FiveWs.status"
+          },
+          {
+            "identity": "sct-concept",
+            "map": "< 445584004 |Report by finality status|"
+          },
+          {
+            "identity": "v2",
+            "map": "OBX-11"
+          },
+          {
+            "identity": "rim",
+            "map": "status  Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\""
+          },
+          {
+            "identity": "argonaut-dq-dstu2",
+            "map": "Observation.status"
+          }
+        ]
+      },
+      {
+        "id": "Observation.category",
+        "path": "Observation.category",
+        "slicing": {
+          "discriminator": [
+            {
+              "type": "pattern",
+              "path": "$this"
+            }
+          ],
+          "rules": "open"
+        },
+        "short": "Classification of  type of observation",
+        "definition": "A code that classifies the general type of observation being made.",
+        "comment": "In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once.  The level of granularity is defined by the category concepts in the value set.",
+        "requirements": "Used for filtering what observations are retrieved and displayed.",
+        "min": 1,
+        "max": "*",
+        "base": {
+          "path": "Observation.category",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": false,
+        "isSummary": false,
+        "binding": {
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
+              "valueString": "ObservationCategory"
+            }
+          ],
+          "strength": "preferred",
+          "description": "Codes for high level observation categories.",
+          "valueSet": "http://hl7.org/fhir/ValueSet/observation-category"
+        },
+        "mapping": [
+          {
+            "identity": "w5",
+            "map": "FiveWs.class"
+          },
+          {
+            "identity": "rim",
+            "map": ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
+          },
+          {
+            "identity": "argonaut-dq-dstu2",
+            "map": "Observation.category"
+          }
+        ]
+      },
+      {
+        "id": "Observation.category:Laboratory",
+        "path": "Observation.category",
+        "sliceName": "Laboratory",
+        "short": "Classification of  type of observation",
+        "definition": "A code that classifies the general type of observation being made.",
+        "comment": "In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once.  The level of granularity is defined by the category concepts in the value set.",
+        "requirements": "Used for filtering what observations are retrieved and displayed.",
+        "min": 1,
+        "max": "1",
+        "base": {
+          "path": "Observation.category",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "patternCodeableConcept": {
+          "coding": [
+            {
+              "system": "http://terminology.hl7.org/CodeSystem/observation-category",
+              "code": "laboratory"
+            }
+          ]
+        },
+        "mustSupport": true,
+        "isModifier": false,
+        "isSummary": false,
+        "binding": {
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
+              "valueString": "ObservationCategory"
+            }
+          ],
+          "strength": "preferred",
+          "description": "Codes for high level observation categories.",
+          "valueSet": "http://hl7.org/fhir/ValueSet/observation-category"
+        },
+        "mapping": [
+          {
+            "identity": "w5",
+            "map": "FiveWs.class"
+          },
+          {
+            "identity": "rim",
+            "map": ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
+          },
+          {
+            "identity": "argonaut-dq-dstu2",
+            "map": "Observation.category"
+          }
+        ]
+      },
+      {
+        "id": "Observation.code",
+        "path": "Observation.code",
+        "short": "Laboratory Test Name",
+        "definition": "The test that was performed.  A LOINC **SHALL** be used if the concept is present in LOINC.",
+        "comment": "The typical patterns for codes are:  1)  a LOINC code either as a  translation from a \"local\" code or as a primary code, or 2)  a local code only if no suitable LOINC exists,  or 3)  both the local and the LOINC translation.   Systems SHALL be capable of sending the local code if one exists.  When using LOINC , Use either the SHORTNAME or LONG_COMMON_NAME field for the display.",
+        "requirements": "Knowing what kind of observation is being made is essential to understanding the observation.",
+        "alias": [
+          "Name",
+          "Test Name",
+          "Observation Identifer"
+        ],
+        "min": 1,
+        "max": "1",
+        "base": {
+          "path": "Observation.code",
+          "min": 1,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": false,
+        "isSummary": true,
+        "binding": {
+          "strength": "extensible",
+          "description": "LOINC codes",
+          "valueSet": "http://hl7.org/fhir/ValueSet/observation-codes"
+        },
+        "mapping": [
+          {
+            "identity": "workflow",
+            "map": "Event.code"
+          },
+          {
+            "identity": "w5",
+            "map": "FiveWs.what[x]"
+          },
+          {
+            "identity": "sct-concept",
+            "map": "< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|"
+          },
+          {
+            "identity": "v2",
+            "map": "OBX-3"
+          },
+          {
+            "identity": "rim",
+            "map": "code"
+          },
+          {
+            "identity": "sct-attr",
+            "map": "116680003 |Is a|"
+          },
+          {
+            "identity": "argonaut-dq-dstu2",
+            "map": "Observation.code"
+          }
+        ]
+      },
+      {
+        "id": "Observation.subject",
+        "path": "Observation.subject",
+        "short": "Who and/or what the observation is about",
+        "definition": "The patient, or group of patients, location, or device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.",
+        "comment": "One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.",
+        "requirements": "Observations have no value if you don't know who or what they're about.",
+        "min": 1,
+        "max": "1",
+        "base": {
+          "path": "Observation.subject",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": [
+              "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
+            ]
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": false,
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "workflow",
+            "map": "Event.subject"
+          },
+          {
+            "identity": "w5",
+            "map": "FiveWs.subject[x]"
+          },
+          {
+            "identity": "v2",
+            "map": "PID-3"
+          },
+          {
+            "identity": "rim",
+            "map": "participation[typeCode=RTGT] "
+          },
+          {
+            "identity": "w5",
+            "map": "FiveWs.subject"
+          },
+          {
+            "identity": "argonaut-dq-dstu2",
+            "map": "Observation.subject"
+          }
+        ]
+      },
+      {
+        "id": "Observation.focus",
+        "extension": [
+          {
+            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
+            "valueCode": "trial-use"
+          }
+        ],
+        "path": "Observation.focus",
+        "short": "What the observation is about, when it is not about the subject of record",
+        "definition": "The actual focus of an observation when it is not the patient of record representing something or someone associated with the patient such as a spouse, parent, fetus, or donor. For example, fetus observations in a mother's record.  The focus of an observation could also be an existing condition,  an intervention, the subject's diet,  another observation of the subject,  or a body structure such as tumor or implanted device.   An example use case would be using the Observation resource to capture whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus.",
+        "comment": "Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., \"Blood Glucose\") and does not need to be represented separately using this element.  Use `specimen` if a reference to a specimen is required.  If a code is required instead of a resource use either  `bodysite` for bodysites or the standard extension [focusCode](http://hl7.org/fhir/R4/extension-observation-focuscode.html).",
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "Observation.focus",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": [
+              "http://hl7.org/fhir/StructureDefinition/Resource"
+            ]
+          }
+        ],
+        "isModifier": false,
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "w5",
+            "map": "FiveWs.subject[x]"
+          },
+          {
+            "identity": "v2",
+            "map": "OBX-3"
+          },
+          {
+            "identity": "rim",
+            "map": "participation[typeCode=SBJ]"
+          },
+          {
+            "identity": "w5",
+            "map": "FiveWs.subject"
+          }
+        ]
+      },
+      {
+        "id": "Observation.encounter",
+        "path": "Observation.encounter",
+        "short": "Healthcare event during which this observation is made",
+        "definition": "The healthcare event  (e.g. a patient and healthcare provider interaction) during which this observation is made.",
+        "comment": "This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).",
+        "requirements": "For some observations it may be important to know the link between an observation and a particular encounter.",
+        "alias": [
+          "Context"
+        ],
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Observation.encounter",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": [
+              "http://hl7.org/fhir/StructureDefinition/Encounter"
+            ]
+          }
+        ],
+        "isModifier": false,
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "workflow",
+            "map": "Event.context"
+          },
+          {
+            "identity": "w5",
+            "map": "FiveWs.context"
+          },
+          {
+            "identity": "v2",
+            "map": "PV1"
+          },
+          {
+            "identity": "rim",
+            "map": "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
+          }
+        ]
+      },
+      {
+        "id": "Observation.effective[x]",
+        "path": "Observation.effective[x]",
+        "short": "Clinically relevant time/time-period for observation",
+        "definition": "For lab tests this is the specimen collection date.  For Ask at Order Entry Questions (AOE)'s this is the date the question was asked.",
+        "comment": "At least a date should be present unless this observation is a historical report.  For recording imprecise or \"fuzzy\" times (For example, a blood glucose measurement taken \"after breakfast\") use the [Timing](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.",
+        "requirements": "Knowing when an observation was deemed true is important to its relevance as well as determining trends.",
+        "alias": [
+          "Occurrence"
+        ],
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Observation.effective[x]",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "dateTime"
+          },
+          {
+            "code": "Period"
+          }
+        ],
+        "constraint": [
+          {
+            "key": "us-core-1",
+            "severity": "error",
+            "human": "Datetime must be at least to day.",
+            "expression": "($this as dateTime).toString().length() >= 8",
+            "xpath": "f:matches(effectiveDateTime,/\\d{4}-[01]\\d-[0-3]\\dT[0-2]\\d:[0-5]\\d([+-][0-2]\\d:[0-5]\\d|Z)/)"
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": false,
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "workflow",
+            "map": "Event.occurrence[x]"
+          },
+          {
+            "identity": "w5",
+            "map": "FiveWs.done[x]"
+          },
+          {
+            "identity": "v2",
+            "map": "OBX-14, and/or OBX-19 after v2.4  (depends on who observation made)"
+          },
+          {
+            "identity": "rim",
+            "map": "effectiveTime"
+          },
+          {
+            "identity": "argonaut-dq-dstu2",
+            "map": "Observation.effective[x]"
+          }
+        ]
+      },
+      {
+        "id": "Observation.issued",
+        "path": "Observation.issued",
+        "short": "Date/Time this version was made available",
+        "definition": "The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified.",
+        "comment": "For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](http://hl7.org/fhir/R4/resource-definitions.html#Meta.lastUpdated) time of the resource itself.  For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Observation.issued",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "instant"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "w5",
+            "map": "FiveWs.recorded"
+          },
+          {
+            "identity": "v2",
+            "map": "OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"
+          },
+          {
+            "identity": "rim",
+            "map": "participation[typeCode=AUT].time"
+          }
+        ]
+      },
+      {
+        "id": "Observation.performer",
+        "path": "Observation.performer",
+        "short": "Who is responsible for the observation",
+        "definition": "Who was responsible for asserting the observed value as \"true\".",
+        "requirements": "May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.",
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "Observation.performer",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": [
+              "http://hl7.org/fhir/StructureDefinition/Practitioner",
+              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
+              "http://hl7.org/fhir/StructureDefinition/Organization",
+              "http://hl7.org/fhir/StructureDefinition/CareTeam",
+              "http://hl7.org/fhir/StructureDefinition/Patient",
+              "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
+            ]
+          }
+        ],
+        "isModifier": false,
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "workflow",
+            "map": "Event.performer.actor"
+          },
+          {
+            "identity": "w5",
+            "map": "FiveWs.actor"
+          },
+          {
+            "identity": "v2",
+            "map": "OBX.15 / (Practitioner)  OBX-16,  PRT-5:PRT-4='RO' /  (Device)  OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization)  OBX-23,  PRT-8:PRT-4='PO'"
+          },
+          {
+            "identity": "rim",
+            "map": "participation[typeCode=PRF]"
+          }
+        ]
+      },
+      {
+        "id": "Observation.value[x]",
+        "path": "Observation.value[x]",
+        "short": "Result Value",
+        "definition": "The Laboratory result value.  If a coded value,  the valueCodeableConcept.code **SHOULD**  be selected from [SNOMED CT](http://hl7.org/fhir/ValueSet/uslab-obs-codedresults).  If a numeric value, valueQuantity.code **SHALL** be selected from [UCUM](http://unitsofmeasure.org).  A FHIR [UCUM Codes value set](http://hl7.org/fhir/STU3/valueset-ucum-units.html) that defines all UCUM codes is in the FHIR specification.",
+        "comment": "An observation may have; 1)  a single value here, 2)  both a value and a set of related or component values,  or 3)  only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code.  A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.  For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.",
+        "requirements": "An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Observation.value[x]",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "Quantity"
+          },
+          {
+            "code": "CodeableConcept"
+          },
+          {
+            "code": "string"
+          },
+          {
+            "code": "boolean"
+          },
+          {
+            "code": "integer"
+          },
+          {
+            "code": "Range"
+          },
+          {
+            "code": "Ratio"
+          },
+          {
+            "code": "SampledData"
+          },
+          {
+            "code": "time"
+          },
+          {
+            "code": "dateTime"
+          },
+          {
+            "code": "Period"
+          }
+        ],
+        "condition": [
+          "obs-7"
+        ],
+        "constraint": [
+          {
+            "extension": [
+              {
+                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
+                "valueBoolean": true
+              }
+            ],
+            "key": "us-core-4",
+            "severity": "warning",
+            "human": "SHOULD use Snomed CT for coded Results",
+            "expression": "valueCodeableConcept.coding.system.empty() or valueCodeableConcept.coding.system = 'http://snomed.info/sct'",
+            "xpath": "not(exists(f:valueCodeableConcept/f:coding/f:system) ) or  f:valueCodeableConcept/f:coding/f:system[@value='http://snomed.info/sct']"
+          },
+          {
+            "key": "us-core-3",
+            "severity": "error",
+            "human": "SHALL use UCUM for coded quantity units.",
+            "expression": "valueQuantity.system.empty() or valueQuantity.system = 'http://unitsofmeasure.org'",
+            "xpath": "not(exists(f:valueQuantity/f:system) ) or  f:valueQuantity/f:system[@value='http://unitsofmeasure.org']"
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": false,
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "sct-concept",
+            "map": "< 441742003 |Evaluation finding|"
+          },
+          {
+            "identity": "v2",
+            "map": "OBX.2, OBX.5, OBX.6"
+          },
+          {
+            "identity": "rim",
+            "map": "value"
+          },
+          {
+            "identity": "sct-attr",
+            "map": "363714003 |Interprets|"
+          },
+          {
+            "identity": "argonaut-dq-dstu2",
+            "map": "Observation.value[x]"
+          }
+        ]
+      },
+      {
+        "id": "Observation.dataAbsentReason",
+        "path": "Observation.dataAbsentReason",
+        "short": "Why the result is missing",
+        "definition": "Provides a reason why the expected value in the element Observation.value[x] is missing.",
+        "comment": "Null or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  \"detected\", \"not detected\", \"inconclusive\", or  \"specimen unsatisfactory\".   \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0.  Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.",
+        "requirements": "For many results it is necessary to handle exceptional values in measurements.",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Observation.dataAbsentReason",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "condition": [
+          "obs-6"
+        ],
+        "mustSupport": true,
+        "isModifier": false,
+        "isSummary": false,
+        "binding": {
+          "strength": "extensible",
+          "valueSet": "http://hl7.org/fhir/ValueSet/data-absent-reason"
+        },
+        "mapping": [
+          {
+            "identity": "v2",
+            "map": "N/A"
+          },
+          {
+            "identity": "rim",
+            "map": "value.nullFlavor"
+          },
+          {
+            "identity": "argonaut-dq-dstu2",
+            "map": "Observation.dataAbsentReason"
+          }
+        ]
+      },
+      {
+        "id": "Observation.interpretation",
+        "path": "Observation.interpretation",
+        "short": "High, low, normal, etc.",
+        "definition": "A categorical assessment of an observation value.  For example, high, low, normal.",
+        "comment": "Historically used for laboratory results (known as 'abnormal flag' ),  its use extends to other use cases where coded interpretations  are relevant.  Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.",
+        "requirements": "For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.",
+        "alias": [
+          "Abnormal Flag"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "Observation.interpretation",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "binding": {
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
+              "valueString": "ObservationInterpretation"
+            }
+          ],
+          "strength": "extensible",
+          "description": "Codes identifying interpretations of observations.",
+          "valueSet": "http://hl7.org/fhir/ValueSet/observation-interpretation"
+        },
+        "mapping": [
+          {
+            "identity": "sct-concept",
+            "map": "< 260245000 |Findings values|"
+          },
+          {
+            "identity": "v2",
+            "map": "OBX-8"
+          },
+          {
+            "identity": "rim",
+            "map": "interpretationCode"
+          },
+          {
+            "identity": "sct-attr",
+            "map": "363713009 |Has interpretation|"
+          }
+        ]
+      },
+      {
+        "id": "Observation.note",
+        "path": "Observation.note",
+        "short": "Comments about the observation",
+        "definition": "Comments about the observation or the results.",
+        "comment": "May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.",
+        "requirements": "Need to be able to provide free text additional information.",
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "Observation.note",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Annotation"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "v2",
+            "map": "NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"
+          },
+          {
+            "identity": "rim",
+            "map": "subjectOf.observationEvent[code=\"annotation\"].value"
+          }
+        ]
+      },
+      {
+        "id": "Observation.bodySite",
+        "path": "Observation.bodySite",
+        "short": "Observed body part",
+        "definition": "Indicates the site on the subject's body where the observation was made (i.e. the target site).",
+        "comment": "Only used if not implicit in code found in Observation.code.  In many systems, this may be represented as a related observation instead of an inline component.   \n\nIf the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Observation.bodySite",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "binding": {
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
+              "valueString": "BodySite"
+            }
+          ],
+          "strength": "example",
+          "description": "Codes describing anatomical locations. May include laterality.",
+          "valueSet": "http://hl7.org/fhir/ValueSet/body-site"
+        },
+        "mapping": [
+          {
+            "identity": "sct-concept",
+            "map": "< 123037004 |Body structure|"
+          },
+          {
+            "identity": "v2",
+            "map": "OBX-20"
+          },
+          {
+            "identity": "rim",
+            "map": "targetSiteCode"
+          },
+          {
+            "identity": "sct-attr",
+            "map": "718497002 |Inherent location|"
+          }
+        ]
+      },
+      {
+        "id": "Observation.method",
+        "path": "Observation.method",
+        "short": "How it was done",
+        "definition": "Indicates the mechanism used to perform the observation.",
+        "comment": "Only used if not implicit in code for Observation.code.",
+        "requirements": "In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Observation.method",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "binding": {
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
+              "valueString": "ObservationMethod"
+            }
+          ],
+          "strength": "example",
+          "description": "Methods for simple observations.",
+          "valueSet": "http://hl7.org/fhir/ValueSet/observation-methods"
+        },
+        "mapping": [
+          {
+            "identity": "v2",
+            "map": "OBX-17"
+          },
+          {
+            "identity": "rim",
+            "map": "methodCode"
+          }
+        ]
+      },
+      {
+        "id": "Observation.specimen",
+        "path": "Observation.specimen",
+        "short": "Specimen used for this observation",
+        "definition": "The specimen that was used when this observation was made.",
+        "comment": "Should only be used if not implicit in code found in `Observation.code`.  Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Observation.specimen",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": [
+              "http://hl7.org/fhir/StructureDefinition/Specimen"
+            ]
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "sct-concept",
+            "map": "< 123038009 |Specimen|"
+          },
+          {
+            "identity": "v2",
+            "map": "SPM segment"
+          },
+          {
+            "identity": "rim",
+            "map": "participation[typeCode=SPC].specimen"
+          },
+          {
+            "identity": "sct-attr",
+            "map": "704319004 |Inherent in|"
+          }
+        ]
+      },
+      {
+        "id": "Observation.device",
+        "path": "Observation.device",
+        "short": "(Measurement) Device",
+        "definition": "The device used to generate the observation data.",
+        "comment": "Note that this is not meant to represent a device involved in the transmission of the result, e.g., a gateway.  Such devices may be documented using the Provenance resource where relevant.",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Observation.device",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": [
+              "http://hl7.org/fhir/StructureDefinition/Device",
+              "http://hl7.org/fhir/StructureDefinition/DeviceMetric"
+            ]
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "sct-concept",
+            "map": "< 49062001 |Device|"
+          },
+          {
+            "identity": "v2",
+            "map": "OBX-17 / PRT -10"
+          },
+          {
+            "identity": "rim",
+            "map": "participation[typeCode=DEV]"
+          },
+          {
+            "identity": "sct-attr",
+            "map": "424226004 |Using device|"
+          }
+        ]
+      },
+      {
+        "id": "Observation.referenceRange",
+        "path": "Observation.referenceRange",
+        "short": "Provides guide for interpretation",
+        "definition": "Guidance on how to interpret the value by comparison to a normal or recommended range.  Multiple reference ranges are interpreted as an \"OR\".   In other words, to represent two distinct target populations, two `referenceRange` elements would be used.",
+        "comment": "Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.",
+        "requirements": "Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.",
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "Observation.referenceRange",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "BackboneElement"
+          }
+        ],
+        "constraint": [
+          {
+            "key": "ele-1",
+            "severity": "error",
+            "human": "All FHIR elements must have a @value or children",
+            "expression": "hasValue() or (children().count() > id.count())",
+            "xpath": "@value|f:*|h:div",
+            "source": "Element"
+          },
+          {
+            "key": "obs-3",
+            "severity": "error",
+            "human": "Must have at least a low or a high or text",
+            "expression": "low.exists() or high.exists() or text.exists()",
+            "xpath": "(exists(f:low) or exists(f:high)or exists(f:text))"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "v2",
+            "map": "OBX.7"
+          },
+          {
+            "identity": "rim",
+            "map": "outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"
+          }
+        ]
+      },
+      {
+        "id": "Observation.referenceRange.id",
+        "path": "Observation.referenceRange.id",
+        "representation": [
+          "xmlAttr"
+        ],
+        "short": "Unique id for inter-element referencing",
+        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Element.id",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "string"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "n/a"
+          }
+        ]
+      },
+      {
+        "id": "Observation.referenceRange.extension",
+        "path": "Observation.referenceRange.extension",
+        "short": "Additional content defined by implementations",
+        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
+        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
+        "alias": [
+          "extensions",
+          "user content"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "Element.extension",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Extension"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "n/a"
+          }
+        ]
+      },
+      {
+        "id": "Observation.referenceRange.modifierExtension",
+        "path": "Observation.referenceRange.modifierExtension",
+        "short": "Extensions that cannot be ignored even if unrecognized",
+        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
+        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
+        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
+        "alias": [
+          "extensions",
+          "user content",
+          "modifiers"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "BackboneElement.modifierExtension",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Extension"
+          }
+        ],
+        "isModifier": true,
+        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "N/A"
+          }
+        ]
+      },
+      {
+        "id": "Observation.referenceRange.low",
+        "path": "Observation.referenceRange.low",
+        "short": "Low Range, if relevant",
+        "definition": "The value of the low bound of the reference range.  The low bound of the reference range endpoint is inclusive of the value (e.g.  reference range is >=5 - <=9). If the low bound is omitted,  it is assumed to be meaningless (e.g. reference range is <=2.3).",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Observation.referenceRange.low",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "Quantity",
+            "profile": [
+              "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
+            ]
+          }
+        ],
+        "condition": [
+          "obs-3"
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "v2",
+            "map": "OBX-7"
+          },
+          {
+            "identity": "rim",
+            "map": "value:IVL_PQ.low"
+          }
+        ]
+      },
+      {
+        "id": "Observation.referenceRange.high",
+        "path": "Observation.referenceRange.high",
+        "short": "High Range, if relevant",
+        "definition": "The value of the high bound of the reference range.  The high bound of the reference range endpoint is inclusive of the value (e.g.  reference range is >=5 - <=9). If the high bound is omitted,  it is assumed to be meaningless (e.g. reference range is >= 2.3).",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Observation.referenceRange.high",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "Quantity",
+            "profile": [
+              "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
+            ]
+          }
+        ],
+        "condition": [
+          "obs-3"
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "v2",
+            "map": "OBX-7"
+          },
+          {
+            "identity": "rim",
+            "map": "value:IVL_PQ.high"
+          }
+        ]
+      },
+      {
+        "id": "Observation.referenceRange.type",
+        "path": "Observation.referenceRange.type",
+        "short": "Reference range qualifier",
+        "definition": "Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.",
+        "comment": "This SHOULD be populated if there is more than one range.  If this element is not present then the normal range is assumed.",
+        "requirements": "Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc.,  - for proper interpretation.",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Observation.referenceRange.type",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "binding": {
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
+              "valueString": "ObservationRangeMeaning"
+            }
+          ],
+          "strength": "preferred",
+          "description": "Code for the meaning of a reference range.",
+          "valueSet": "http://hl7.org/fhir/ValueSet/referencerange-meaning"
+        },
+        "mapping": [
+          {
+            "identity": "sct-concept",
+            "map": "< 260245000 |Findings values| OR  \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR  \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"
+          },
+          {
+            "identity": "v2",
+            "map": "OBX-10"
+          },
+          {
+            "identity": "rim",
+            "map": "interpretationCode"
+          }
+        ]
+      },
+      {
+        "id": "Observation.referenceRange.appliesTo",
+        "path": "Observation.referenceRange.appliesTo",
+        "short": "Reference range population",
+        "definition": "Codes to indicate the target population this reference range applies to.  For example, a reference range may be based on the normal population or a particular sex or race.  Multiple `appliesTo`  are interpreted as an \"AND\" of the target populations.  For example, to represent a target population of African American females, both a code of female and a code for African American would be used.",
+        "comment": "This SHOULD be populated if there is more than one range.  If this element is not present then the normal population is assumed.",
+        "requirements": "Need to be able to identify the target population for proper interpretation.",
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "Observation.referenceRange.appliesTo",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "binding": {
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
+              "valueString": "ObservationRangeType"
+            }
+          ],
+          "strength": "example",
+          "description": "Codes identifying the population the reference range applies to.",
+          "valueSet": "http://hl7.org/fhir/ValueSet/referencerange-appliesto"
+        },
+        "mapping": [
+          {
+            "identity": "sct-concept",
+            "map": "< 260245000 |Findings values| OR  \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR  \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"
+          },
+          {
+            "identity": "v2",
+            "map": "OBX-10"
+          },
+          {
+            "identity": "rim",
+            "map": "interpretationCode"
+          }
+        ]
+      },
+      {
+        "id": "Observation.referenceRange.age",
+        "path": "Observation.referenceRange.age",
+        "short": "Applicable age range, if relevant",
+        "definition": "The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so.",
+        "requirements": "Some analytes vary greatly over age.",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Observation.referenceRange.age",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "Range"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value"
+          }
+        ]
+      },
+      {
+        "id": "Observation.referenceRange.text",
+        "path": "Observation.referenceRange.text",
+        "short": "Text based reference range in an observation",
+        "definition": "Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation.  An example would be a reference value of \"Negative\" or a list or table of \"normals\".",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Observation.referenceRange.text",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "string"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "v2",
+            "map": "OBX-7"
+          },
+          {
+            "identity": "rim",
+            "map": "value:ST"
+          }
+        ]
+      },
+      {
+        "id": "Observation.hasMember",
+        "path": "Observation.hasMember",
+        "short": "Related resource that belongs to the Observation group",
+        "definition": "This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.",
+        "comment": "When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases.  For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below.  Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html)  into a final score and represent the score as an Observation.",
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "Observation.hasMember",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": [
+              "http://hl7.org/fhir/StructureDefinition/Observation",
+              "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
+              "http://hl7.org/fhir/StructureDefinition/MolecularSequence"
+            ]
+          }
+        ],
+        "isModifier": false,
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "v2",
+            "map": "Relationships established by OBX-4 usage"
+          },
+          {
+            "identity": "rim",
+            "map": "outBoundRelationship"
+          }
+        ]
+      },
+      {
+        "id": "Observation.derivedFrom",
+        "path": "Observation.derivedFrom",
+        "short": "Related measurements the observation is made from",
+        "definition": "The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.",
+        "comment": "All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value.  The most common reference will be another Observation.  For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below.",
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "Observation.derivedFrom",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": [
+              "http://hl7.org/fhir/StructureDefinition/DocumentReference",
+              "http://hl7.org/fhir/StructureDefinition/ImagingStudy",
+              "http://hl7.org/fhir/StructureDefinition/Media",
+              "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
+              "http://hl7.org/fhir/StructureDefinition/Observation",
+              "http://hl7.org/fhir/StructureDefinition/MolecularSequence"
+            ]
+          }
+        ],
+        "isModifier": false,
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "v2",
+            "map": "Relationships established by OBX-4 usage"
+          },
+          {
+            "identity": "rim",
+            "map": ".targetObservation"
+          }
+        ]
+      },
+      {
+        "id": "Observation.component",
+        "path": "Observation.component",
+        "short": "Component results",
+        "definition": "Some observations have multiple component observations.  These component observations are expressed as separate code value pairs that share the same attributes.  Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations.",
+        "comment": "For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/R4/observation.html#notes) below.",
+        "requirements": "Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable).   However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.",
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "Observation.component",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "BackboneElement"
+          }
+        ],
+        "constraint": [
+          {
+            "key": "ele-1",
+            "severity": "error",
+            "human": "All FHIR elements must have a @value or children",
+            "expression": "hasValue() or (children().count() > id.count())",
+            "xpath": "@value|f:*|h:div",
+            "source": "Element"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "v2",
+            "map": "containment by OBX-4?"
+          },
+          {
+            "identity": "rim",
+            "map": "outBoundRelationship[typeCode=COMP]"
+          }
+        ]
+      },
+      {
+        "id": "Observation.component.id",
+        "path": "Observation.component.id",
+        "representation": [
+          "xmlAttr"
+        ],
+        "short": "Unique id for inter-element referencing",
+        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Element.id",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "string"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "n/a"
+          }
+        ]
+      },
+      {
+        "id": "Observation.component.extension",
+        "path": "Observation.component.extension",
+        "short": "Additional content defined by implementations",
+        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
+        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
+        "alias": [
+          "extensions",
+          "user content"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "Element.extension",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Extension"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "n/a"
+          }
+        ]
+      },
+      {
+        "id": "Observation.component.modifierExtension",
+        "path": "Observation.component.modifierExtension",
+        "short": "Extensions that cannot be ignored even if unrecognized",
+        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
+        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
+        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
+        "alias": [
+          "extensions",
+          "user content",
+          "modifiers"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "BackboneElement.modifierExtension",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Extension"
+          }
+        ],
+        "isModifier": true,
+        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "N/A"
+          }
+        ]
+      },
+      {
+        "id": "Observation.component.code",
+        "path": "Observation.component.code",
+        "short": "Type of component observation (code / type)",
+        "definition": "Describes what was observed. Sometimes this is called the observation \"code\".",
+        "comment": "*All* code-value and  component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.",
+        "requirements": "Knowing what kind of observation is being made is essential to understanding the observation.",
+        "min": 1,
+        "max": "1",
+        "base": {
+          "path": "Observation.component.code",
+          "min": 1,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": true,
+        "binding": {
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
+              "valueString": "ObservationCode"
+            }
+          ],
+          "strength": "example",
+          "description": "Codes identifying names of simple observations.",
+          "valueSet": "http://hl7.org/fhir/ValueSet/observation-codes"
+        },
+        "mapping": [
+          {
+            "identity": "w5",
+            "map": "FiveWs.what[x]"
+          },
+          {
+            "identity": "sct-concept",
+            "map": "< 363787002 |Observable entity| OR \r< 386053000 |Evaluation procedure|"
+          },
+          {
+            "identity": "v2",
+            "map": "OBX-3"
+          },
+          {
+            "identity": "rim",
+            "map": "code"
+          }
+        ]
+      },
+      {
+        "id": "Observation.component.value[x]",
+        "path": "Observation.component.value[x]",
+        "short": "Actual component result",
+        "definition": "The information determined as a result of making the observation, if the information has a simple value.",
+        "comment": "Used when observation has a set of component observations. An observation may have both a value (e.g. an  Apgar score)  and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.  For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.",
+        "requirements": "An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Observation.component.value[x]",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "Quantity"
+          },
+          {
+            "code": "CodeableConcept"
+          },
+          {
+            "code": "string"
+          },
+          {
+            "code": "boolean"
+          },
+          {
+            "code": "integer"
+          },
+          {
+            "code": "Range"
+          },
+          {
+            "code": "Ratio"
+          },
+          {
+            "code": "SampledData"
+          },
+          {
+            "code": "time"
+          },
+          {
+            "code": "dateTime"
+          },
+          {
+            "code": "Period"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "sct-concept",
+            "map": "363714003 |Interprets| < 441742003 |Evaluation finding|"
+          },
+          {
+            "identity": "v2",
+            "map": "OBX.2, OBX.5, OBX.6"
+          },
+          {
+            "identity": "rim",
+            "map": "value"
+          },
+          {
+            "identity": "sct-attr",
+            "map": "363714003 |Interprets|"
+          }
+        ]
+      },
+      {
+        "id": "Observation.component.dataAbsentReason",
+        "path": "Observation.component.dataAbsentReason",
+        "short": "Why the component result is missing",
+        "definition": "Provides a reason why the expected value in the element Observation.component.value[x] is missing.",
+        "comment": "\"Null\" or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  \"detected\", \"not detected\", \"inconclusive\", or  \"test not done\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed.  Because of these options, use-case agreements are required to interpret general observations for exceptional values.",
+        "requirements": "For many results it is necessary to handle exceptional values in measurements.",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Observation.component.dataAbsentReason",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "condition": [
+          "obs-6"
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "binding": {
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
+              "valueString": "ObservationValueAbsentReason"
+            }
+          ],
+          "strength": "extensible",
+          "description": "Codes specifying why the result (`Observation.value[x]`) is missing.",
+          "valueSet": "http://hl7.org/fhir/ValueSet/data-absent-reason"
+        },
+        "mapping": [
+          {
+            "identity": "v2",
+            "map": "N/A"
+          },
+          {
+            "identity": "rim",
+            "map": "value.nullFlavor"
+          }
+        ]
+      },
+      {
+        "id": "Observation.component.interpretation",
+        "path": "Observation.component.interpretation",
+        "short": "High, low, normal, etc.",
+        "definition": "A categorical assessment of an observation value.  For example, high, low, normal.",
+        "comment": "Historically used for laboratory results (known as 'abnormal flag' ),  its use extends to other use cases where coded interpretations  are relevant.  Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.",
+        "requirements": "For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.",
+        "alias": [
+          "Abnormal Flag"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "Observation.component.interpretation",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "isModifier": false,
+        "isSummary": false,
+        "binding": {
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
+              "valueString": "ObservationInterpretation"
+            }
+          ],
+          "strength": "extensible",
+          "description": "Codes identifying interpretations of observations.",
+          "valueSet": "http://hl7.org/fhir/ValueSet/observation-interpretation"
+        },
+        "mapping": [
+          {
+            "identity": "sct-concept",
+            "map": "< 260245000 |Findings values|"
+          },
+          {
+            "identity": "v2",
+            "map": "OBX-8"
+          },
+          {
+            "identity": "rim",
+            "map": "interpretationCode"
+          },
+          {
+            "identity": "sct-attr",
+            "map": "363713009 |Has interpretation|"
+          }
+        ]
+      },
+      {
+        "id": "Observation.component.referenceRange",
+        "path": "Observation.component.referenceRange",
+        "short": "Provides guide for interpretation of component result",
+        "definition": "Guidance on how to interpret the value by comparison to a normal or recommended range.",
+        "comment": "Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.",
+        "requirements": "Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.",
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "Observation.component.referenceRange",
+          "min": 0,
+          "max": "*"
+        },
+        "contentReference": "#Observation.referenceRange",
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "v2",
+            "map": "OBX.7"
+          },
+          {
+            "identity": "rim",
+            "map": "outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"
+          }
+        ]
+      }
+    ]
+  },
+  "differential": {
+    "element": [
+      {
+        "id": "Observation",
+        "path": "Observation",
+        "definition": "This profile is  created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements.",
+        "constraint": [
+          {
+            "key": "us-core-2",
+            "severity": "error",
+            "human": "If there is no component or related element then either a value[x] or a data absent reason must be present",
+            "expression": "(component.empty() and related.empty()) implies (dataAbsentReason or value)",
+            "xpath": "exists(f:component) or exists(f:related) or exists(f:*[starts-with(local-name(.), 'value)]) or exists(f:dataAbsentReason)"
+          }
+        ],
+        "mustSupport": false,
+        "mapping": [
+          {
+            "identity": "argonaut-dq-dstu2",
+            "map": "Observation"
+          }
+        ]
+      },
+      {
+        "id": "Observation.status",
+        "path": "Observation.status",
+        "min": 1,
+        "max": "1",
+        "type": [
+          {
+            "code": "code"
+          }
+        ],
+        "mustSupport": true,
+        "binding": {
+          "strength": "required",
+          "valueSet": "http://hl7.org/fhir/ValueSet/observation-status"
+        },
+        "mapping": [
+          {
+            "identity": "argonaut-dq-dstu2",
+            "map": "Observation.status"
+          }
+        ]
+      },
+      {
+        "id": "Observation.category",
+        "path": "Observation.category",
+        "slicing": {
+          "discriminator": [
+            {
+              "type": "pattern",
+              "path": "$this"
+            }
+          ],
+          "rules": "open"
+        },
+        "min": 1,
+        "max": "*",
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "mustSupport": true,
+        "mapping": [
+          {
+            "identity": "argonaut-dq-dstu2",
+            "map": "Observation.category"
+          }
+        ]
+      },
+      {
+        "id": "Observation.category:Laboratory",
+        "path": "Observation.category",
+        "sliceName": "Laboratory",
+        "min": 1,
+        "max": "1",
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "patternCodeableConcept": {
+          "coding": [
+            {
+              "system": "http://terminology.hl7.org/CodeSystem/observation-category",
+              "code": "laboratory"
+            }
+          ]
+        },
+        "mustSupport": true,
+        "mapping": [
+          {
+            "identity": "argonaut-dq-dstu2",
+            "map": "Observation.category"
+          }
+        ]
+      },
+      {
+        "id": "Observation.code",
+        "path": "Observation.code",
+        "short": "Laboratory Test Name",
+        "definition": "The test that was performed.  A LOINC **SHALL** be used if the concept is present in LOINC.",
+        "comment": "The typical patterns for codes are:  1)  a LOINC code either as a  translation from a \"local\" code or as a primary code, or 2)  a local code only if no suitable LOINC exists,  or 3)  both the local and the LOINC translation.   Systems SHALL be capable of sending the local code if one exists.  When using LOINC , Use either the SHORTNAME or LONG_COMMON_NAME field for the display.",
+        "alias": [
+          "Test Name",
+          "Observation Identifer"
+        ],
+        "min": 1,
+        "max": "1",
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "mustSupport": true,
+        "binding": {
+          "strength": "extensible",
+          "description": "LOINC codes",
+          "valueSet": "http://hl7.org/fhir/ValueSet/observation-codes"
+        },
+        "mapping": [
+          {
+            "identity": "argonaut-dq-dstu2",
+            "map": "Observation.code"
+          }
+        ]
+      },
+      {
+        "id": "Observation.subject",
+        "path": "Observation.subject",
+        "min": 1,
+        "max": "1",
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": [
+              "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
+            ]
+          }
+        ],
+        "mustSupport": true,
+        "mapping": [
+          {
+            "identity": "argonaut-dq-dstu2",
+            "map": "Observation.subject"
+          }
+        ]
+      },
+      {
+        "id": "Observation.effective[x]",
+        "path": "Observation.effective[x]",
+        "definition": "For lab tests this is the specimen collection date.  For Ask at Order Entry Questions (AOE)'s this is the date the question was asked.",
+        "min": 0,
+        "max": "1",
+        "type": [
+          {
+            "code": "dateTime"
+          },
+          {
+            "code": "Period"
+          }
+        ],
+        "constraint": [
+          {
+            "key": "us-core-1",
+            "severity": "error",
+            "human": "Datetime must be at least to day.",
+            "expression": "($this as dateTime).toString().length() >= 8",
+            "xpath": "f:matches(effectiveDateTime,/\\d{4}-[01]\\d-[0-3]\\dT[0-2]\\d:[0-5]\\d([+-][0-2]\\d:[0-5]\\d|Z)/)"
+          }
+        ],
+        "mustSupport": true,
+        "mapping": [
+          {
+            "identity": "argonaut-dq-dstu2",
+            "map": "Observation.effective[x]"
+          }
+        ]
+      },
+      {
+        "id": "Observation.value[x]",
+        "path": "Observation.value[x]",
+        "short": "Result Value",
+        "definition": "The Laboratory result value.  If a coded value,  the valueCodeableConcept.code **SHOULD**  be selected from [SNOMED CT](http://hl7.org/fhir/ValueSet/uslab-obs-codedresults).  If a numeric value, valueQuantity.code **SHALL** be selected from [UCUM](http://unitsofmeasure.org).  A FHIR [UCUM Codes value set](http://hl7.org/fhir/STU3/valueset-ucum-units.html) that defines all UCUM codes is in the FHIR specification.",
+        "min": 0,
+        "max": "1",
+        "constraint": [
+          {
+            "extension": [
+              {
+                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
+                "valueBoolean": true
+              }
+            ],
+            "key": "us-core-4",
+            "severity": "warning",
+            "human": "SHOULD use Snomed CT for coded Results",
+            "expression": "valueCodeableConcept.coding.system.empty() or valueCodeableConcept.coding.system = 'http://snomed.info/sct'",
+            "xpath": "not(exists(f:valueCodeableConcept/f:coding/f:system) ) or  f:valueCodeableConcept/f:coding/f:system[@value='http://snomed.info/sct']"
+          },
+          {
+            "key": "us-core-3",
+            "severity": "error",
+            "human": "SHALL use UCUM for coded quantity units.",
+            "expression": "valueQuantity.system.empty() or valueQuantity.system = 'http://unitsofmeasure.org'",
+            "xpath": "not(exists(f:valueQuantity/f:system) ) or  f:valueQuantity/f:system[@value='http://unitsofmeasure.org']"
+          }
+        ],
+        "mustSupport": true,
+        "mapping": [
+          {
+            "identity": "argonaut-dq-dstu2",
+            "map": "Observation.value[x]"
+          }
+        ]
+      },
+      {
+        "id": "Observation.dataAbsentReason",
+        "path": "Observation.dataAbsentReason",
+        "min": 0,
+        "max": "1",
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "mustSupport": true,
+        "binding": {
+          "strength": "extensible",
+          "valueSet": "http://hl7.org/fhir/ValueSet/data-absent-reason"
+        },
+        "mapping": [
+          {
+            "identity": "argonaut-dq-dstu2",
+            "map": "Observation.dataAbsentReason"
+          }
+        ]
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-organization.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-organization.json
new file mode 100644
index 000000000..a700aa48e
--- /dev/null
+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-organization.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-organization","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-organization-definitions.html#Organization\">Organization</a><a name=\"Organization\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-us-core-organization-definitions.html#Organization.identifier\">identifier</a><a name=\"Organization.identifier\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"font-style: italic\">0</span><span style=\"font-style: italic\">..</span><span style=\"font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/profiling.html#slicing\">(Slice Definition)</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by pattern:$this</span><br style=\"font-style: italic\"/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck133.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> identifier:All Slices<a name=\"Organization.identifier\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Content/Rules for all slices</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1330.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-organization-definitions.html#Organization.identifier.system\">system</a><a name=\"Organization.identifier.system\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1320.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-organization-definitions.html#Organization.identifier.value\">value</a><a name=\"Organization.identifier.value\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-organization-definitions.html#Organization.identifier:NPI\" title=\"Slice NPI: \">identifier:NPI</a><a name=\"Organization.identifier\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">National Provider Identifier (NPI)<br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Identifier.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The namespace for the identifier value<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">http://hl7.org/fhir/sid/us-npi</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-organization-definitions.html#Organization.identifier:CLIA\" title=\"Slice CLIA: \">identifier:CLIA</a><a name=\"Organization.identifier\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories<br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Identifier.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The namespace for the identifier value<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">urn:oid:2.16.840.1.113883.4.7</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-organization-definitions.html#Organization.active\">active</a><a name=\"Organization.active\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-organization-definitions.html#Organization.name\">name</a><a name=\"Organization.name\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-organization-definitions.html#Organization.telecom\">telecom</a><a name=\"Organization.telecom\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#ContactPoint\">ContactPoint</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-organization-definitions.html#Organization.address\">address</a><a name=\"Organization.address\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Address\">Address</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-organization-definitions.html#Organization.address.line\">line</a><a name=\"Organization.address.line\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..4</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-organization-definitions.html#Organization.address.city\">city</a><a name=\"Organization.address.city\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-organization-definitions.html#Organization.address.state\">state</a><a name=\"Organization.address.state\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-usps-state.html\">USPS Two Letter Alphabetic Codes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-organization-definitions.html#Organization.address.postalCode\">postalCode</a><a name=\"Organization.address.postalCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">US Zip Codes</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-organization-definitions.html#Organization.address.country\">country</a><a name=\"Organization.address.country\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-organization-definitions.html#Organization.endpoint\">endpoint</a><a name=\"Organization.endpoint\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"http://hl7.org/fhir/R4/endpoint.html\">Endpoint</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization","name":"USCoreOrganizationProfile","title":"US Core Organization Profile","status":"active","experimental":false,"date":"2019-08-31T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines basic constraints and extensions on the Organization resource for use with other US Core resources","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"servd","uri":"http://www.omg.org/spec/ServD/1.0/","name":"ServD"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"}],"kind":"resource","abstract":false,"type":"Organization","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Organization","derivation":"constraint","snapshot":{"element":[{"id":"Organization","path":"Organization","short":"A grouping of people or organizations with a common purpose","definition":"A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action.  Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc.","min":0,"max":"*","base":{"path":"Organization","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.div.exists()","xpath":"exists(f:text/h:div)","source":"DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"DomainResource"},{"key":"org-1","severity":"error","human":"The organization SHALL at least have a name or an identifier, and possibly more than one","expression":"(identifier.count() + name.count()) > 0","xpath":"count(f:identifier | f:name) > 0","source":"Organization"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"v2","map":"(also see master files messages)"},{"identity":"rim","map":"Organization(classCode=ORG, determinerCode=INST)"},{"identity":"servd","map":"Organization"}]},{"id":"Organization.id","path":"Organization.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"code":"id"}],"isModifier":false,"isSummary":true},{"id":"Organization.meta","path":"Organization.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"isModifier":false,"isSummary":true},{"id":"Organization.implicitRules","path":"Organization.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Organization.language","path":"Organization.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"Organization.text","path":"Organization.text","short":"Text summary of the resource, for human interpretation","definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Organization.contained","path":"Organization.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Organization.extension","path":"Organization.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Organization.modifierExtension","path":"Organization.modifierExtension","short":"Extensions that cannot be ignored","definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Organization.identifier","path":"Organization.identifier","slicing":{"discriminator":[{"type":"pattern","path":"$this"}],"rules":"open"},"short":"Identifies this organization  across multiple systems","definition":"Identifier for the organization that is used to identify the organization across multiple disparate systems.","comment":"NPI preferred.","requirements":"Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.","min":0,"max":"*","base":{"path":"Organization.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"condition":["org-1"],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"XON.10 / XON.3"},{"identity":"rim","map":".scopes[Role](classCode=IDENT)"},{"identity":"servd","map":"./Identifiers"},{"identity":"servd","map":"n/a"}]},{"id":"Organization.identifier.id","path":"Organization.identifier.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Organization.identifier.extension","path":"Organization.identifier.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Organization.identifier.use","path":"Organization.identifier.use","short":"usual | official | temp | secondary | old (If known)","definition":"The purpose of this identifier.","comment":"Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","requirements":"Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","min":0,"max":"1","base":{"path":"Identifier.use","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierUse"}],"strength":"required","description":"Identifies the purpose for this identifier, if known .","valueSet":"http://hl7.org/fhir/ValueSet/identifier-use|4.0.0"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Organization.identifier.type","path":"Organization.identifier.type","short":"Description of identifier","definition":"A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","comment":"This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","requirements":"Allows users to make use of identifiers when the identifier system is not known.","min":0,"max":"1","base":{"path":"Identifier.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierType"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"extensible","description":"A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","valueSet":"http://hl7.org/fhir/ValueSet/identifier-type"},"mapping":[{"identity":"v2","map":"CX.5"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Organization.identifier.system","path":"Organization.identifier.system","short":"The namespace for the identifier value","definition":"Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","comment":"Identifier.system is always case sensitive.","requirements":"There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","min":0,"max":"1","base":{"path":"Identifier.system","min":0,"max":"1"},"type":[{"code":"uri"}],"example":[{"label":"General","valueUri":"http://www.acme.com/identifiers/patient"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / EI-2-4"},{"identity":"rim","map":"II.root or Role.id.root"},{"identity":"servd","map":"./IdentifierType"}]},{"id":"Organization.identifier.value","path":"Organization.identifier.value","short":"The value that is unique","definition":"The portion of the identifier typically relevant to the user and which is unique within the context of the system.","comment":"If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","min":0,"max":"1","base":{"path":"Identifier.value","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"123456"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.1 / EI.1"},{"identity":"rim","map":"II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"},{"identity":"servd","map":"./Value"}]},{"id":"Organization.identifier.period","path":"Organization.identifier.period","short":"Time period when id is/was valid for use","definition":"Time period during which identifier is/was valid for use.","min":0,"max":"1","base":{"path":"Identifier.period","min":0,"max":"1"},"type":[{"code":"Period"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.7 + CX.8"},{"identity":"rim","map":"Role.effectiveTime or implied by context"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Organization.identifier.assigner","path":"Organization.identifier.assigner","short":"Organization that issued id (may be just text)","definition":"Organization that issued/manages the identifier.","comment":"The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","min":0,"max":"1","base":{"path":"Identifier.assigner","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / (CX.4,CX.9,CX.10)"},{"identity":"rim","map":"II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper"},{"identity":"servd","map":"./IdentifierIssuingAuthority"}]},{"id":"Organization.identifier:NPI","path":"Organization.identifier","sliceName":"NPI","short":"National Provider Identifier (NPI)","definition":"Identifier for the organization that is used to identify the organization across multiple disparate systems.","requirements":"Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.","min":0,"max":"1","base":{"path":"Organization.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"patternIdentifier":{"system":"http://hl7.org/fhir/sid/us-npi"},"condition":["org-1"],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"XON.10 / XON.3"},{"identity":"rim","map":".scopes[Role](classCode=IDENT)"},{"identity":"servd","map":"./Identifiers"},{"identity":"servd","map":"n/a"}]},{"id":"Organization.identifier:CLIA","path":"Organization.identifier","sliceName":"CLIA","short":"Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories","definition":"Identifier for the organization that is used to identify the organization across multiple disparate systems.","requirements":"Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.","min":0,"max":"1","base":{"path":"Organization.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"patternIdentifier":{"system":"urn:oid:2.16.840.1.113883.4.7"},"condition":["org-1"],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"XON.10 / XON.3"},{"identity":"rim","map":".scopes[Role](classCode=IDENT)"},{"identity":"servd","map":"./Identifiers"},{"identity":"servd","map":"n/a"}]},{"id":"Organization.active","path":"Organization.active","short":"Whether the organization's record is still in active use","definition":"Whether the organization's record is still in active use.","comment":"This active flag is not intended to be used to mark an organization as temporarily closed or under construction. Instead the Location(s) within the Organization should have the suspended status. If further details of the reason for the suspension are required, then an extension on this element should be used.\n\nThis element is labeled as a modifier because it may be used to mark that the resource was created in error.","requirements":"Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI.","min":1,"max":"1","base":{"path":"Organization.active","min":0,"max":"1"},"type":[{"code":"boolean"}],"meaningWhenMissing":"This resource is generally assumed to be active if no value is provided for the active element","mustSupport":true,"isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid","isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"No equivalent in HL7 v2"},{"identity":"rim","map":".status"},{"identity":"servd","map":"./Status (however this concept in ServD more covers why the organization is active or not, could be delisted, deregistered, not operational yet) this could alternatively be derived from ./StartDate and ./EndDate and given a context date."}]},{"id":"Organization.type","path":"Organization.type","short":"Kind of organization","definition":"The kind(s) of organization that this is.","comment":"Organizations can be corporations, wards, sections, clinical teams, government departments, etc. Note that code is generally a classifier of the type of organization; in many applications, codes are used to identity a particular organization (say, ward) as opposed to another of the same type - these are identifiers, not codes\n\nWhen considering if multiple types are appropriate, you should evaluate if child organizations would be a more appropriate use of the concept, as different types likely are in different sub-areas of the organization. This is most likely to be used where type values have orthogonal values, such as a religious, academic and medical center.\n\nWe expect that some jurisdictions will profile this optionality to be a single cardinality.","requirements":"Need to be able to track the kind of organization that this is - different organization types have different uses.","min":0,"max":"*","base":{"path":"Organization.type","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"OrganizationType"}],"strength":"example","description":"Used to categorize the organization.","valueSet":"http://hl7.org/fhir/ValueSet/organization-type"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"v2","map":"No equivalent in v2"},{"identity":"rim","map":".code"},{"identity":"servd","map":"n/a"}]},{"id":"Organization.name","path":"Organization.name","short":"Name used for the organization","definition":"A name associated with the organization.","comment":"If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches.","requirements":"Need to use the name as the label of the organization.","min":1,"max":"1","base":{"path":"Organization.name","min":0,"max":"1"},"type":[{"code":"string"}],"condition":["org-1"],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XON.1"},{"identity":"rim","map":".name"},{"identity":"servd","map":".PreferredName/Name"},{"identity":"servd","map":"./PrimaryAddress and ./OtherAddresses"}]},{"id":"Organization.alias","path":"Organization.alias","short":"A list of alternate names that the organization is known as, or was known as in the past","definition":"A list of alternate names that the organization is known as, or was known as in the past.","comment":"There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the organization.","requirements":"Over time locations and organizations go through many changes and can be known by different names.\n\nFor searching knowing previous names that the organization was known by can be very useful.","min":0,"max":"*","base":{"path":"Organization.alias","min":0,"max":"*"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".name"}]},{"id":"Organization.telecom","path":"Organization.telecom","short":"A contact detail for the organization","definition":"A contact detail for the organization.","comment":"The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself.","requirements":"Human contact for the organization.","min":0,"max":"*","base":{"path":"Organization.telecom","min":0,"max":"*"},"type":[{"code":"ContactPoint"}],"condition":["org-3"],"constraint":[{"key":"org-3","severity":"error","human":"The telecom of an organization can never be of use 'home'","expression":"where(use = 'home').empty()","xpath":"count(f:use[@value='home']) = 0","source":"Organization.telecom"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"ORC-22?"},{"identity":"rim","map":".telecom"},{"identity":"servd","map":"./ContactPoints"}]},{"id":"Organization.address","path":"Organization.address","short":"An address for the organization","definition":"An address for the organization.","comment":"Organization may have multiple addresses with different uses or applicable periods. The use code 'home' is not to be used.","requirements":"May need to keep track of the organization's addresses for contacting, billing or reporting requirements.","min":0,"max":"*","base":{"path":"Organization.address","min":0,"max":"*"},"type":[{"code":"Address"}],"condition":["org-2"],"constraint":[{"key":"org-2","severity":"error","human":"An address of an organization can never be of use 'home'","expression":"where(use = 'home').empty()","xpath":"count(f:use[@value='home']) = 0","source":"Organization.address"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"ORC-23?"},{"identity":"rim","map":".address"},{"identity":"servd","map":"./PrimaryAddress and ./OtherAddresses"},{"identity":"servd","map":"n/a"}]},{"id":"Organization.address.id","path":"Organization.address.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Organization.address.extension","path":"Organization.address.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Organization.address.use","path":"Organization.address.use","short":"home | work | temp | old | billing - purpose of this address","definition":"The purpose of this address.","comment":"Applications can assume that an address is current unless it explicitly says that it is temporary or old.","requirements":"Allows an appropriate address to be chosen from a list of many.","min":0,"max":"1","base":{"path":"Address.use","min":0,"max":"1"},"type":[{"code":"code"}],"example":[{"label":"General","valueCode":"home"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old address etc.for a current/permanent one","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AddressUse"}],"strength":"required","description":"The use of an address.","valueSet":"http://hl7.org/fhir/ValueSet/address-use|4.0.0"},"mapping":[{"identity":"v2","map":"XAD.7"},{"identity":"rim","map":"unique(./use)"},{"identity":"servd","map":"./AddressPurpose"}]},{"id":"Organization.address.type","path":"Organization.address.type","short":"postal | physical | both","definition":"Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.","comment":"The definition of Address states that \"address is intended to describe postal addresses, not physical locations\". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the [Location](http://hl7.org/fhir/R4/location.html#) resource).","min":0,"max":"1","base":{"path":"Address.type","min":0,"max":"1"},"type":[{"code":"code"}],"example":[{"label":"General","valueCode":"both"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AddressType"}],"strength":"required","description":"The type of an address (physical / postal).","valueSet":"http://hl7.org/fhir/ValueSet/address-type|4.0.0"},"mapping":[{"identity":"v2","map":"XAD.18"},{"identity":"rim","map":"unique(./use)"},{"identity":"vcard","map":"address type parameter"}]},{"id":"Organization.address.text","path":"Organization.address.text","short":"Text representation of the address","definition":"Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.","comment":"Can provide both a text representation and parts. Applications updating an address SHALL ensure that  when both text and parts are present,  no content is included in the text that isn't found in a part.","requirements":"A renderable, unencoded form.","min":0,"max":"1","base":{"path":"Address.text","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"137 Nowhere Street, Erewhon 9132"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6"},{"identity":"rim","map":"./formatted"},{"identity":"vcard","map":"address label parameter"}]},{"id":"Organization.address.line","path":"Organization.address.line","short":"Street name, number, direction & P.O. Box etc.","definition":"This component contains the house number, apartment number, street name, street direction,  P.O. Box number, delivery hints, and similar address information.","min":0,"max":"4","base":{"path":"Address.line","min":0,"max":"*"},"type":[{"code":"string"}],"orderMeaning":"The order in which lines should appear in an address label","example":[{"label":"General","valueString":"137 Nowhere Street"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)"},{"identity":"rim","map":"AD.part[parttype = AL]"},{"identity":"vcard","map":"street"},{"identity":"servd","map":"./StreetAddress (newline delimitted)"}]},{"id":"Organization.address.city","path":"Organization.address.city","short":"Name of city, town etc.","definition":"The name of the city, town, suburb, village or other community or delivery center.","alias":["Municpality"],"min":0,"max":"1","base":{"path":"Address.city","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"Erewhon"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.3"},{"identity":"rim","map":"AD.part[parttype = CTY]"},{"identity":"vcard","map":"locality"},{"identity":"servd","map":"./Jurisdiction"}]},{"id":"Organization.address.district","path":"Organization.address.district","short":"District name (aka county)","definition":"The name of the administrative area (county).","comment":"District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.","alias":["County"],"min":0,"max":"1","base":{"path":"Address.district","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"Madison"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.9"},{"identity":"rim","map":"AD.part[parttype = CNT | CPA]"}]},{"id":"Organization.address.state","path":"Organization.address.state","short":"Sub-unit of country (abbreviations ok)","definition":"Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).","alias":["Province","Territory"],"min":0,"max":"1","base":{"path":"Address.state","min":0,"max":"1"},"type":[{"code":"string"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Two letter USPS alphabetic codes.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state"},"mapping":[{"identity":"v2","map":"XAD.4"},{"identity":"rim","map":"AD.part[parttype = STA]"},{"identity":"vcard","map":"region"},{"identity":"servd","map":"./Region"},{"identity":"servd","map":"./Sites"}]},{"id":"Organization.address.postalCode","path":"Organization.address.postalCode","short":"US Zip Codes","definition":"A postal code designating a region defined by the postal service.","alias":["Zip"],"min":0,"max":"1","base":{"path":"Address.postalCode","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"9132"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.5"},{"identity":"rim","map":"AD.part[parttype = ZIP]"},{"identity":"vcard","map":"code"},{"identity":"servd","map":"./PostalIdentificationCode"}]},{"id":"Organization.address.country","path":"Organization.address.country","short":"Country (e.g. can be ISO 3166 2 or 3 letter code)","definition":"Country - a nation as commonly understood or generally accepted.","comment":"ISO 3166 3 letter codes can be used in place of a human readable country name.","min":0,"max":"1","base":{"path":"Address.country","min":0,"max":"1"},"type":[{"code":"string"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.6"},{"identity":"rim","map":"AD.part[parttype = CNT]"},{"identity":"vcard","map":"country"},{"identity":"servd","map":"./Country"}]},{"id":"Organization.address.period","path":"Organization.address.period","short":"Time period when address was/is in use","definition":"Time period when address was/is in use.","requirements":"Allows addresses to be placed in historical context.","min":0,"max":"1","base":{"path":"Address.period","min":0,"max":"1"},"type":[{"code":"Period"}],"example":[{"label":"General","valuePeriod":{"start":"2010-03-23T00:00:00+00:00","end":"2010-07-01T00:00:00+00:00"}}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.12 / XAD.13 + XAD.14"},{"identity":"rim","map":"./usablePeriod[type=\"IVL<TS>\"]"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Organization.partOf","path":"Organization.partOf","short":"The organization of which this organization forms a part","definition":"The organization of which this organization forms a part.","requirements":"Need to be able to track the hierarchy of organizations within an organization.","min":0,"max":"1","base":{"path":"Organization.partOf","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy","valueBoolean":true}],"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"No equivalent in HL7 v2"},{"identity":"rim","map":".playedBy[classCode=Part].scoper"},{"identity":"servd","map":"n/a"}]},{"id":"Organization.contact","path":"Organization.contact","short":"Contact for the organization for a certain purpose","definition":"Contact for the organization for a certain purpose.","comment":"Where multiple contacts for the same purpose are provided there is a standard extension that can be used to determine which one is the preferred contact to use.","requirements":"Need to keep track of assigned contact points within bigger organization.","min":0,"max":"*","base":{"path":"Organization.contact","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".contactParty"}]},{"id":"Organization.contact.id","path":"Organization.contact.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Organization.contact.extension","path":"Organization.contact.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Organization.contact.modifierExtension","path":"Organization.contact.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Organization.contact.purpose","path":"Organization.contact.purpose","short":"The type of contact","definition":"Indicates a purpose for which the contact can be reached.","requirements":"Need to distinguish between multiple contact persons.","min":0,"max":"1","base":{"path":"Organization.contact.purpose","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ContactPartyType"}],"strength":"extensible","description":"The purpose for which you would contact a contact party.","valueSet":"http://hl7.org/fhir/ValueSet/contactentity-type"},"mapping":[{"identity":"rim","map":"./type"}]},{"id":"Organization.contact.name","path":"Organization.contact.name","short":"A name associated with the contact","definition":"A name associated with the contact.","requirements":"Need to be able to track the person by name.","min":0,"max":"1","base":{"path":"Organization.contact.name","min":0,"max":"1"},"type":[{"code":"HumanName"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"PID-5, PID-9"},{"identity":"rim","map":"./name"}]},{"id":"Organization.contact.telecom","path":"Organization.contact.telecom","short":"Contact details (telephone, email, etc.)  for a contact","definition":"A contact detail (e.g. a telephone number or an email address) by which the party may be contacted.","requirements":"People have (primary) ways to contact them in some way such as phone, email.","min":0,"max":"*","base":{"path":"Organization.contact.telecom","min":0,"max":"*"},"type":[{"code":"ContactPoint"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"PID-13, PID-14"},{"identity":"rim","map":"./telecom"}]},{"id":"Organization.contact.address","path":"Organization.contact.address","short":"Visiting or postal addresses for the contact","definition":"Visiting or postal addresses for the contact.","requirements":"May need to keep track of a contact party's address for contacting, billing or reporting requirements.","min":0,"max":"1","base":{"path":"Organization.contact.address","min":0,"max":"1"},"type":[{"code":"Address"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"PID-11"},{"identity":"rim","map":"./addr"}]},{"id":"Organization.endpoint","path":"Organization.endpoint","short":"Technical endpoints providing access to services operated for the organization","definition":"Technical endpoints providing access to services operated for the organization.","requirements":"Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.","min":0,"max":"*","base":{"path":"Organization.endpoint","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Endpoint"]}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]}]},"differential":{"element":[{"id":"Organization","path":"Organization","mustSupport":false,"mapping":[{"identity":"servd","map":"Organization"}]},{"id":"Organization.identifier","path":"Organization.identifier","slicing":{"discriminator":[{"type":"pattern","path":"$this"}],"rules":"open"},"comment":"NPI preferred.","min":0,"max":"*","type":[{"code":"Identifier"}],"mustSupport":true,"mapping":[{"identity":"servd","map":"n/a"}]},{"id":"Organization.identifier.system","path":"Organization.identifier.system","min":0,"max":"1","type":[{"code":"uri"}],"mustSupport":true},{"id":"Organization.identifier.value","path":"Organization.identifier.value","min":0,"max":"1","type":[{"code":"string"}],"mustSupport":true},{"id":"Organization.identifier:NPI","path":"Organization.identifier","sliceName":"NPI","short":"National Provider Identifier (NPI)","min":0,"max":"1","type":[{"code":"Identifier"}],"patternIdentifier":{"system":"http://hl7.org/fhir/sid/us-npi"},"mustSupport":true,"mapping":[{"identity":"servd","map":"n/a"}]},{"id":"Organization.identifier:CLIA","path":"Organization.identifier","sliceName":"CLIA","short":"Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories","min":0,"max":"1","type":[{"code":"Identifier"}],"patternIdentifier":{"system":"urn:oid:2.16.840.1.113883.4.7"},"mustSupport":true,"mapping":[{"identity":"servd","map":"n/a"}]},{"id":"Organization.active","path":"Organization.active","min":1,"max":"1","type":[{"code":"boolean"}],"mustSupport":true},{"id":"Organization.name","path":"Organization.name","min":1,"max":"1","type":[{"code":"string"}],"mustSupport":true,"mapping":[{"identity":"servd","map":"./PrimaryAddress and ./OtherAddresses"}]},{"id":"Organization.telecom","path":"Organization.telecom","min":0,"max":"*","type":[{"code":"ContactPoint"}],"mustSupport":true},{"id":"Organization.address","path":"Organization.address","min":0,"max":"*","type":[{"code":"Address"}],"mustSupport":true,"mapping":[{"identity":"servd","map":"n/a"}]},{"id":"Organization.address.line","path":"Organization.address.line","min":0,"max":"4","type":[{"code":"string"}],"mustSupport":true},{"id":"Organization.address.city","path":"Organization.address.city","min":0,"max":"1","type":[{"code":"string"}],"mustSupport":true},{"id":"Organization.address.state","path":"Organization.address.state","min":0,"max":"1","type":[{"code":"string"}],"mustSupport":true,"binding":{"strength":"extensible","description":"Two letter USPS alphabetic codes.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state"},"mapping":[{"identity":"servd","map":"./Sites"}]},{"id":"Organization.address.postalCode","path":"Organization.address.postalCode","short":"US Zip Codes","min":0,"max":"1","type":[{"code":"string"}],"mustSupport":true},{"id":"Organization.address.country","path":"Organization.address.country","min":0,"max":"1","type":[{"code":"string"}],"mustSupport":true},{"id":"Organization.endpoint","path":"Organization.endpoint","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Endpoint"]}],"mustSupport":true}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-patient.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-patient.json
new file mode 100644
index 000000000..38d5ff696
--- /dev/null
+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-patient.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-patient","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-patient-definitions.html#Patient\" title=\"The US Core Patient Profile is based upon the core FHIR Patient Resource and designed to meet the applicable patient demographic data elements from the 2015 Edition Common Clinical Data Set.\">Patient</a><a name=\"Patient\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-patient-definitions.html#Patient.extension:race\" title=\"Extension URL = http://hl7.org/fhir/us/core/StructureDefinition/us-core-race\">us-core-race</a><a name=\"Patient.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">(Complex)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">US Core Race Extension<br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/R4/StructureDefinition-us-core-race.html\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-race</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-patient-definitions.html#Patient.extension:ethnicity\" title=\"Extension URL = http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity\">us-core-ethnicity</a><a name=\"Patient.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">(Complex)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">US Core ethnicity Extension<br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/R4/StructureDefinition-us-core-ethnicity.html\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-patient-definitions.html#Patient.extension:birthsex\" title=\"Extension URL = http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex\">us-core-birthsex</a><a name=\"Patient.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Extension<br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/R4/StructureDefinition-us-core-birthsex.html\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex</a><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-birthsex.html\">Birth Sex</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-patient-definitions.html#Patient.identifier\">identifier</a><a name=\"Patient.identifier\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-patient-definitions.html#Patient.identifier.system\">system</a><a name=\"Patient.identifier.system\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-patient-definitions.html#Patient.identifier.value\">value</a><a name=\"Patient.identifier.value\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The value that is unique within the system.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-patient-definitions.html#Patient.name\">name</a><a name=\"Patient.name\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#HumanName\">HumanName</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">us-core-8: </span>Patient.name.given or Patient.name.family or both SHALL be present<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-patient-definitions.html#Patient.name.family\">family</a><a name=\"Patient.name.family\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-patient-definitions.html#Patient.name.given\">given</a><a name=\"Patient.name.given\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-patient-definitions.html#Patient.telecom\">telecom</a><a name=\"Patient.telecom\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#ContactPoint\">ContactPoint</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-patient-definitions.html#Patient.telecom.system\">system</a><a name=\"Patient.telecom.system\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-contact-point-system.html\">ContactPointSystem</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-patient-definitions.html#Patient.telecom.value\">value</a><a name=\"Patient.telecom.value\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-patient-definitions.html#Patient.telecom.use\">use</a><a name=\"Patient.telecom.use\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-contact-point-use.html\">ContactPointUse</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-patient-definitions.html#Patient.gender\">gender</a><a name=\"Patient.gender\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-administrative-gender.html\">AdministrativeGender</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-patient-definitions.html#Patient.birthDate\">birthDate</a><a name=\"Patient.birthDate\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-patient-definitions.html#Patient.address\">address</a><a name=\"Patient.address\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#Address\">Address</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-patient-definitions.html#Patient.address.line\">line</a><a name=\"Patient.address.line\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-patient-definitions.html#Patient.address.city\">city</a><a name=\"Patient.address.city\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-patient-definitions.html#Patient.address.state\">state</a><a name=\"Patient.address.state\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-usps-state.html\">USPS Two Letter Alphabetic Codes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-patient-definitions.html#Patient.address.postalCode\">postalCode</a><a name=\"Patient.address.postalCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">US Zip Codes</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-patient-definitions.html#Patient.address.period\">period</a><a name=\"Patient.address.period\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#Period\">Period</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-patient-definitions.html#Patient.communication\">communication</a><a name=\"Patient.communication\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-patient-definitions.html#Patient.communication.language\">language</a><a name=\"Patient.communication.language\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-simple-language.html\">Language codes with language and optionally a region modifier</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient","version":"3.0.1","name":"USCorePatientProfile","title":"US Core Patient Profile","status":"active","experimental":false,"date":"2019-08-26T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the patient resource for the minimal set of data to query and retrieve patient demographic information.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"cda","uri":"http://hl7.org/v3/cda","name":"CDA (R2)"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"loinc","uri":"http://loinc.org","name":"LOINC code for the element"}],"kind":"resource","abstract":false,"type":"Patient","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Patient","derivation":"constraint","snapshot":{"element":[{"id":"Patient","path":"Patient","short":"Information about an individual or animal receiving health care services","definition":"The US Core Patient Profile is based upon the core FHIR Patient Resource and designed to meet the applicable patient demographic data elements from the 2015 Edition Common Clinical Data Set.","alias":["SubjectOfCare Client Resident"],"min":0,"max":"*","base":{"path":"Patient","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.div.exists()","xpath":"exists(f:text/h:div)","source":"DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"DomainResource"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"rim","map":"Patient[classCode=PAT]"},{"identity":"cda","map":"ClinicalDocument.recordTarget.patientRole"},{"identity":"argonaut-dq-dstu2","map":"Patient"}]},{"id":"Patient.id","path":"Patient.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"code":"id"}],"isModifier":false,"isSummary":true},{"id":"Patient.meta","path":"Patient.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"isModifier":false,"isSummary":true},{"id":"Patient.implicitRules","path":"Patient.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Patient.language","path":"Patient.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"Patient.text","path":"Patient.text","short":"Text summary of the resource, for human interpretation","definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Patient.contained","path":"Patient.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Patient.extension","path":"Patient.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"ordered":false,"rules":"open"},"short":"Extension","definition":"An Extension","min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false},{"id":"Patient.extension:race","path":"Patient.extension","sliceName":"race","short":"US Core Race Extension","definition":"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories: - American Indian or Alaska Native - Asian - Black or African American - Native Hawaiian or Other Pacific Islander - White.","min":0,"max":"1","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"]}],"condition":["ele-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"children().count() > id.count()","xpath":"@value|f:*|h:div","source":"Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])","source":"Extension"}],"mustSupport":true,"isModifier":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.extension"}]},{"id":"Patient.extension:ethnicity","path":"Patient.extension","sliceName":"ethnicity","short":"US Core ethnicity Extension","definition":"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.","min":0,"max":"1","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"]}],"condition":["ele-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"children().count() > id.count()","xpath":"@value|f:*|h:div","source":"Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])","source":"Extension"}],"mustSupport":true,"isModifier":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.extension"}]},{"id":"Patient.extension:birthsex","path":"Patient.extension","sliceName":"birthsex","short":"Extension","definition":"A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc).","comment":"The codes required are intended to present birth sex (i.e., the sex recorded on the patient’s birth certificate) and not gender identity or reassigned sex.","min":0,"max":"1","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex"]}],"condition":["ele-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"children().count() > id.count()","xpath":"@value|f:*|h:div","source":"Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])","source":"Extension"}],"mustSupport":true,"isModifier":false,"mapping":[{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"},{"identity":"iso11179","map":".patient.administrativeGenderCode"},{"identity":"argonaut-dq-dstu2","map":"Patient.extension"}]},{"id":"Patient.modifierExtension","path":"Patient.modifierExtension","short":"Extensions that cannot be ignored","definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Patient.identifier","path":"Patient.identifier","short":"An identifier for this patient","definition":"An identifier for this patient.","requirements":"Patients are almost always assigned specific numerical identifiers.","min":1,"max":"*","base":{"path":"Patient.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":"id"},{"identity":"cda","map":".id"},{"identity":"argonaut-dq-dstu2","map":"Patient.identifier"}]},{"id":"Patient.identifier.id","path":"Patient.identifier.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.identifier.extension","path":"Patient.identifier.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.identifier.use","path":"Patient.identifier.use","short":"usual | official | temp | secondary | old (If known)","definition":"The purpose of this identifier.","comment":"Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","requirements":"Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","min":0,"max":"1","base":{"path":"Identifier.use","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierUse"}],"strength":"required","description":"Identifies the purpose for this identifier, if known .","valueSet":"http://hl7.org/fhir/ValueSet/identifier-use|4.0.0"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Patient.identifier.type","path":"Patient.identifier.type","short":"Description of identifier","definition":"A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","comment":"This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","requirements":"Allows users to make use of identifiers when the identifier system is not known.","min":0,"max":"1","base":{"path":"Identifier.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierType"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"extensible","description":"A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","valueSet":"http://hl7.org/fhir/ValueSet/identifier-type"},"mapping":[{"identity":"v2","map":"CX.5"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Patient.identifier.system","path":"Patient.identifier.system","short":"The namespace for the identifier value","definition":"Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","comment":"Identifier.system is always case sensitive.","requirements":"There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","min":1,"max":"1","base":{"path":"Identifier.system","min":0,"max":"1"},"type":[{"code":"uri"}],"example":[{"label":"General","valueUri":"http://www.acme.com/identifiers/patient"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / EI-2-4"},{"identity":"rim","map":"II.root or Role.id.root"},{"identity":"servd","map":"./IdentifierType"},{"identity":"argonaut-dq-dstu2","map":"Patient.identifier.system"}]},{"id":"Patient.identifier.value","path":"Patient.identifier.value","short":"The value that is unique within the system.","definition":"The portion of the identifier typically relevant to the user and which is unique within the context of the system.","comment":"If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","min":1,"max":"1","base":{"path":"Identifier.value","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"123456"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.1 / EI.1"},{"identity":"rim","map":"II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"},{"identity":"servd","map":"./Value"},{"identity":"argonaut-dq-dstu2","map":"Patient.identifier.value"}]},{"id":"Patient.identifier.period","path":"Patient.identifier.period","short":"Time period when id is/was valid for use","definition":"Time period during which identifier is/was valid for use.","min":0,"max":"1","base":{"path":"Identifier.period","min":0,"max":"1"},"type":[{"code":"Period"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.7 + CX.8"},{"identity":"rim","map":"Role.effectiveTime or implied by context"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Patient.identifier.assigner","path":"Patient.identifier.assigner","short":"Organization that issued id (may be just text)","definition":"Organization that issued/manages the identifier.","comment":"The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","min":0,"max":"1","base":{"path":"Identifier.assigner","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / (CX.4,CX.9,CX.10)"},{"identity":"rim","map":"II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper"},{"identity":"servd","map":"./IdentifierIssuingAuthority"}]},{"id":"Patient.active","path":"Patient.active","short":"Whether this patient's record is in active use","definition":"Whether this patient record is in active use. \nMany systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.\n\nIt is often used to filter patient lists to exclude inactive patients\n\nDeceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.","comment":"If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.","requirements":"Need to be able to mark a patient record as not to be used because it was created in error.","min":0,"max":"1","base":{"path":"Patient.active","min":0,"max":"1"},"type":[{"code":"boolean"}],"meaningWhenMissing":"This resource is generally assumed to be active if no value is provided for the active element","isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid","isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":"statusCode"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.name","path":"Patient.name","short":"A name associated with the patient","definition":"A name associated with the individual.","comment":"A patient may have multiple names with different uses or applicable periods. For animals, the name is a \"HumanName\" in the sense that is assigned and used by humans and has the same patterns.","requirements":"Need to be able to track the patient by multiple names. Examples are your official name and a partner name.","min":1,"max":"*","base":{"path":"Patient.name","min":0,"max":"*"},"type":[{"code":"HumanName"}],"constraint":[{"key":"us-core-8","severity":"error","human":"Patient.name.given or Patient.name.family or both SHALL be present","expression":"family.exists() or given.exists()","xpath":"f:given or f:family"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"PID-5, PID-9"},{"identity":"rim","map":"name"},{"identity":"cda","map":".patient.name"},{"identity":"argonaut-dq-dstu2","map":"Patient.name"}]},{"id":"Patient.name.id","path":"Patient.name.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.name.extension","path":"Patient.name.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.name.use","path":"Patient.name.use","short":"usual | official | temp | nickname | anonymous | old | maiden","definition":"Identifies the purpose for this name.","comment":"Applications can assume that a name is current unless it explicitly says that it is temporary or old.","requirements":"Allows the appropriate name for a particular context of use to be selected from among a set of names.","min":0,"max":"1","base":{"path":"HumanName.use","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old name etc.for a current/permanent one","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"NameUse"}],"strength":"required","description":"The use of a human name.","valueSet":"http://hl7.org/fhir/ValueSet/name-use|4.0.0"},"mapping":[{"identity":"v2","map":"XPN.7, but often indicated by which field contains the name"},{"identity":"rim","map":"unique(./use)"},{"identity":"servd","map":"./NamePurpose"}]},{"id":"Patient.name.text","path":"Patient.name.text","short":"Text representation of the full name","definition":"Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.","comment":"Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present,  no content is included in the text that isn't found in a part.","requirements":"A renderable, unencoded form.","min":0,"max":"1","base":{"path":"HumanName.text","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"implied by XPN.11"},{"identity":"rim","map":"./formatted"}]},{"id":"Patient.name.family","path":"Patient.name.family","short":"Family name (often called 'Surname')","definition":"The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.","comment":"Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).","alias":["surname"],"min":0,"max":"1","base":{"path":"HumanName.family","min":0,"max":"1"},"type":[{"code":"string"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XPN.1/FN.1"},{"identity":"rim","map":"./part[partType = FAM]"},{"identity":"servd","map":"./FamilyName"},{"identity":"argonaut-dq-dstu2","map":"Patient.name.family"}]},{"id":"Patient.name.given","path":"Patient.name.given","short":"Given names (not always 'first'). Includes middle names","definition":"Given name.","comment":"If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations.  This element is not called \"first name\" since given names do not always come first.","alias":["first name","middle name"],"min":0,"max":"*","base":{"path":"HumanName.given","min":0,"max":"*"},"type":[{"code":"string"}],"orderMeaning":"Given Names appear in the correct order for presenting the name","mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XPN.2 + XPN.3"},{"identity":"rim","map":"./part[partType = GIV]"},{"identity":"servd","map":"./GivenNames"},{"identity":"argonaut-dq-dstu2","map":"Patient.name.given"}]},{"id":"Patient.name.prefix","path":"Patient.name.prefix","short":"Parts that come before the name","definition":"Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.","min":0,"max":"*","base":{"path":"HumanName.prefix","min":0,"max":"*"},"type":[{"code":"string"}],"orderMeaning":"Prefixes appear in the correct order for presenting the name","isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XPN.5"},{"identity":"rim","map":"./part[partType = PFX]"},{"identity":"servd","map":"./TitleCode"}]},{"id":"Patient.name.suffix","path":"Patient.name.suffix","short":"Parts that come after the name","definition":"Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.","min":0,"max":"*","base":{"path":"HumanName.suffix","min":0,"max":"*"},"type":[{"code":"string"}],"orderMeaning":"Suffixes appear in the correct order for presenting the name","isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XPN/4"},{"identity":"rim","map":"./part[partType = SFX]"}]},{"id":"Patient.name.period","path":"Patient.name.period","short":"Time period when name was/is in use","definition":"Indicates the period of time when this name was valid for the named person.","requirements":"Allows names to be placed in historical context.","min":0,"max":"1","base":{"path":"HumanName.period","min":0,"max":"1"},"type":[{"code":"Period"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XPN.13 + XPN.14"},{"identity":"rim","map":"./usablePeriod[type=\"IVL<TS>\"]"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Patient.telecom","path":"Patient.telecom","short":"A contact detail for the individual","definition":"A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.","comment":"A Patient may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).","requirements":"People have (primary) ways to contact them in some way such as phone, email.","min":0,"max":"*","base":{"path":"Patient.telecom","min":0,"max":"*"},"type":[{"code":"ContactPoint"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"PID-13, PID-14, PID-40"},{"identity":"rim","map":"telecom"},{"identity":"cda","map":".telecom"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.telecom.id","path":"Patient.telecom.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.telecom.extension","path":"Patient.telecom.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.telecom.system","path":"Patient.telecom.system","short":"phone | fax | email | pager | url | sms | other","definition":"Telecommunications form for contact point - what communications system is required to make use of the contact.","min":1,"max":"1","base":{"path":"ContactPoint.system","min":0,"max":"1"},"type":[{"code":"code"}],"condition":["cpt-2"],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"required","description":"Telecommunications form for contact point.","valueSet":"http://hl7.org/fhir/ValueSet/contact-point-system"},"mapping":[{"identity":"v2","map":"XTN.3"},{"identity":"rim","map":"./scheme"},{"identity":"servd","map":"./ContactPointType"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.telecom.value","path":"Patient.telecom.value","short":"The actual contact point details","definition":"The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).","comment":"Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.","requirements":"Need to support legacy numbers that are not in a tightly controlled format.","min":1,"max":"1","base":{"path":"ContactPoint.value","min":0,"max":"1"},"type":[{"code":"string"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XTN.1 (or XTN.12)"},{"identity":"rim","map":"./url"},{"identity":"servd","map":"./Value"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.telecom.use","path":"Patient.telecom.use","short":"home | work | temp | old | mobile - purpose of this contact point","definition":"Identifies the purpose for the contact point.","comment":"Applications can assume that a contact is current unless it explicitly says that it is temporary or old.","requirements":"Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.","min":0,"max":"1","base":{"path":"ContactPoint.use","min":0,"max":"1"},"type":[{"code":"code"}],"mustSupport":true,"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old contact etc.for a current/permanent one","isSummary":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/contact-point-use"},"mapping":[{"identity":"v2","map":"XTN.2 - but often indicated by field"},{"identity":"rim","map":"unique(./use)"},{"identity":"servd","map":"./ContactPointPurpose"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.telecom.rank","path":"Patient.telecom.rank","short":"Specify preferred order of use (1 = highest)","definition":"Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.","comment":"Note that rank does not necessarily follow the order in which the contacts are represented in the instance.","min":0,"max":"1","base":{"path":"ContactPoint.rank","min":0,"max":"1"},"type":[{"code":"positiveInt"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"n/a"},{"identity":"rim","map":"n/a"}]},{"id":"Patient.telecom.period","path":"Patient.telecom.period","short":"Time period when the contact point was/is in use","definition":"Time period when the contact point was/is in use.","min":0,"max":"1","base":{"path":"ContactPoint.period","min":0,"max":"1"},"type":[{"code":"Period"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"./usablePeriod[type=\"IVL<TS>\"]"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Patient.gender","path":"Patient.gender","short":"male | female | other | unknown","definition":"Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.","comment":"The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female.  Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.)  However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice.  Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects.  For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a \"hard\" error.  See the Patient Gender and Sex section for additional information about communicating patient gender and sex.","requirements":"Needed for identification of the individual, in combination with (at least) name and birth date.","min":1,"max":"1","base":{"path":"Patient.gender","min":0,"max":"1"},"type":[{"code":"code"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/administrative-gender"},"mapping":[{"identity":"v2","map":"PID-8"},{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"},{"identity":"cda","map":".patient.administrativeGenderCode"},{"identity":"argonaut-dq-dstu2","map":"Patient.gender"}]},{"id":"Patient.birthDate","path":"Patient.birthDate","short":"The date of birth for the individual","definition":"The date of birth for the individual.","comment":"At least an estimated year should be provided as a guess if the real DOB is unknown  There is a standard extension \"patient-birthTime\" available that should be used where Time is required (such as in maternity/infant care systems).","requirements":"Age of the individual drives many clinical processes.","min":0,"max":"1","base":{"path":"Patient.birthDate","min":0,"max":"1"},"type":[{"code":"date"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"PID-7"},{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime"},{"identity":"cda","map":".patient.birthTime"},{"identity":"loinc","map":"21112-8"},{"identity":"argonaut-dq-dstu2","map":"Patient.birthDate"}]},{"id":"Patient.deceased[x]","path":"Patient.deceased[x]","short":"Indicates if the individual is deceased or not","definition":"Indicates if the individual is deceased or not.","comment":"If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.","requirements":"The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.","min":0,"max":"1","base":{"path":"Patient.deceased[x]","min":0,"max":"1"},"type":[{"code":"boolean"},{"code":"dateTime"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.","isSummary":true,"mapping":[{"identity":"v2","map":"PID-30  (bool) and PID-29 (datetime)"},{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.address","path":"Patient.address","short":"An address for the individual","definition":"An address for the individual.","comment":"Patient may have multiple addresses with different uses or applicable periods.","requirements":"May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.","min":0,"max":"*","base":{"path":"Patient.address","min":0,"max":"*"},"type":[{"code":"Address"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"PID-11"},{"identity":"rim","map":"addr"},{"identity":"cda","map":".addr"},{"identity":"argonaut-dq-dstu2","map":"Patient.birthDate"}]},{"id":"Patient.address.id","path":"Patient.address.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.address.extension","path":"Patient.address.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.address.use","path":"Patient.address.use","short":"home | work | temp | old | billing - purpose of this address","definition":"The purpose of this address.","comment":"Applications can assume that an address is current unless it explicitly says that it is temporary or old.","requirements":"Allows an appropriate address to be chosen from a list of many.","min":0,"max":"1","base":{"path":"Address.use","min":0,"max":"1"},"type":[{"code":"code"}],"example":[{"label":"General","valueCode":"home"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old address etc.for a current/permanent one","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AddressUse"}],"strength":"required","description":"The use of an address.","valueSet":"http://hl7.org/fhir/ValueSet/address-use|4.0.0"},"mapping":[{"identity":"v2","map":"XAD.7"},{"identity":"rim","map":"unique(./use)"},{"identity":"servd","map":"./AddressPurpose"}]},{"id":"Patient.address.type","path":"Patient.address.type","short":"postal | physical | both","definition":"Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.","comment":"The definition of Address states that \"address is intended to describe postal addresses, not physical locations\". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the [Location](http://hl7.org/fhir/R4/location.html#) resource).","min":0,"max":"1","base":{"path":"Address.type","min":0,"max":"1"},"type":[{"code":"code"}],"example":[{"label":"General","valueCode":"both"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AddressType"}],"strength":"required","description":"The type of an address (physical / postal).","valueSet":"http://hl7.org/fhir/ValueSet/address-type|4.0.0"},"mapping":[{"identity":"v2","map":"XAD.18"},{"identity":"rim","map":"unique(./use)"},{"identity":"vcard","map":"address type parameter"}]},{"id":"Patient.address.text","path":"Patient.address.text","short":"Text representation of the address","definition":"Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.","comment":"Can provide both a text representation and parts. Applications updating an address SHALL ensure that  when both text and parts are present,  no content is included in the text that isn't found in a part.","requirements":"A renderable, unencoded form.","min":0,"max":"1","base":{"path":"Address.text","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"137 Nowhere Street, Erewhon 9132"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6"},{"identity":"rim","map":"./formatted"},{"identity":"vcard","map":"address label parameter"}]},{"id":"Patient.address.line","path":"Patient.address.line","short":"Street name, number, direction & P.O. Box etc.","definition":"This component contains the house number, apartment number, street name, street direction,  P.O. Box number, delivery hints, and similar address information.","min":0,"max":"*","base":{"path":"Address.line","min":0,"max":"*"},"type":[{"code":"string"}],"orderMeaning":"The order in which lines should appear in an address label","example":[{"label":"General","valueString":"137 Nowhere Street"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)"},{"identity":"rim","map":"AD.part[parttype = AL]"},{"identity":"vcard","map":"street"},{"identity":"servd","map":"./StreetAddress (newline delimitted)"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.address.city","path":"Patient.address.city","short":"Name of city, town etc.","definition":"The name of the city, town, suburb, village or other community or delivery center.","alias":["Municpality"],"min":0,"max":"1","base":{"path":"Address.city","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"Erewhon"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.3"},{"identity":"rim","map":"AD.part[parttype = CTY]"},{"identity":"vcard","map":"locality"},{"identity":"servd","map":"./Jurisdiction"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.address.district","path":"Patient.address.district","short":"District name (aka county)","definition":"The name of the administrative area (county).","comment":"District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.","alias":["County"],"min":0,"max":"1","base":{"path":"Address.district","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"Madison"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.9"},{"identity":"rim","map":"AD.part[parttype = CNT | CPA]"}]},{"id":"Patient.address.state","path":"Patient.address.state","short":"Sub-unit of country (abbreviations ok)","definition":"Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).","alias":["Province","Territory"],"min":0,"max":"1","base":{"path":"Address.state","min":0,"max":"1"},"type":[{"code":"string"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Two Letter USPS alphabetic codes.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state"},"mapping":[{"identity":"v2","map":"XAD.4"},{"identity":"rim","map":"AD.part[parttype = STA]"},{"identity":"vcard","map":"region"},{"identity":"servd","map":"./Region"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.address.postalCode","path":"Patient.address.postalCode","short":"US Zip Codes","definition":"A postal code designating a region defined by the postal service.","alias":["Zip","Zip Code"],"min":0,"max":"1","base":{"path":"Address.postalCode","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"9132"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.5"},{"identity":"rim","map":"AD.part[parttype = ZIP]"},{"identity":"vcard","map":"code"},{"identity":"servd","map":"./PostalIdentificationCode"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.address.country","path":"Patient.address.country","short":"Country (e.g. can be ISO 3166 2 or 3 letter code)","definition":"Country - a nation as commonly understood or generally accepted.","comment":"ISO 3166 3 letter codes can be used in place of a human readable country name.","min":0,"max":"1","base":{"path":"Address.country","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.6"},{"identity":"rim","map":"AD.part[parttype = CNT]"},{"identity":"vcard","map":"country"},{"identity":"servd","map":"./Country"}]},{"id":"Patient.address.period","path":"Patient.address.period","short":"Time period when address was/is in use","definition":"Time period when address was/is in use.","requirements":"Allows addresses to be placed in historical context.","min":0,"max":"1","base":{"path":"Address.period","min":0,"max":"1"},"type":[{"code":"Period"}],"example":[{"label":"General","valuePeriod":{"start":"2010-03-23T00:00:00+00:00","end":"2010-07-01T00:00:00+00:00"}}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.12 / XAD.13 + XAD.14"},{"identity":"rim","map":"./usablePeriod[type=\"IVL<TS>\"]"},{"identity":"servd","map":"./StartDate and ./EndDate"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.maritalStatus","path":"Patient.maritalStatus","short":"Marital (civil) status of a patient","definition":"This field contains a patient's most recent marital (civil) status.","requirements":"Most, if not all systems capture it.","min":0,"max":"1","base":{"path":"Patient.maritalStatus","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MaritalStatus"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"extensible","description":"The domestic partnership status of a person.","valueSet":"http://hl7.org/fhir/ValueSet/marital-status"},"mapping":[{"identity":"v2","map":"PID-16"},{"identity":"rim","map":"player[classCode=PSN]/maritalStatusCode"},{"identity":"cda","map":".patient.maritalStatusCode"}]},{"id":"Patient.multipleBirth[x]","path":"Patient.multipleBirth[x]","short":"Whether patient is part of a multiple birth","definition":"Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).","comment":"Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).","requirements":"For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.","min":0,"max":"1","base":{"path":"Patient.multipleBirth[x]","min":0,"max":"1"},"type":[{"code":"boolean"},{"code":"integer"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"PID-24 (bool), PID-25 (integer)"},{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd,  player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.photo","path":"Patient.photo","short":"Image of the patient","definition":"Image of the patient.","comment":"Guidelines:\n* Use id photos, not clinical photos.\n* Limit dimensions to thumbnail.\n* Keep byte count low to ease resource updates.","requirements":"Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.","min":0,"max":"*","base":{"path":"Patient.photo","min":0,"max":"*"},"type":[{"code":"Attachment"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-5 - needs a profile"},{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.contact","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Contact"}],"path":"Patient.contact","short":"A contact party (e.g. guardian, partner, friend) for the patient","definition":"A contact party (e.g. guardian, partner, friend) for the patient.","comment":"Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.","requirements":"Need to track people you can contact about the patient.","min":0,"max":"*","base":{"path":"Patient.contact","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"},{"key":"pat-1","severity":"error","human":"SHALL at least contain a contact's details or a reference to an organization","expression":"name.exists() or telecom.exists() or address.exists() or organization.exists()","xpath":"exists(f:name) or exists(f:telecom) or exists(f:address) or exists(f:organization)"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.contact.id","path":"Patient.contact.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.contact.extension","path":"Patient.contact.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.contact.modifierExtension","path":"Patient.contact.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Patient.contact.relationship","path":"Patient.contact.relationship","short":"The kind of relationship","definition":"The nature of the relationship between the patient and the contact person.","requirements":"Used to determine which contact person is the most relevant to approach, depending on circumstances.","min":0,"max":"*","base":{"path":"Patient.contact.relationship","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ContactRelationship"}],"strength":"extensible","description":"The nature of the relationship between a patient and a contact person for that patient.","valueSet":"http://hl7.org/fhir/ValueSet/patient-contactrelationship"},"mapping":[{"identity":"v2","map":"NK1-7, NK1-3"},{"identity":"rim","map":"code"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.contact.name","path":"Patient.contact.name","short":"A name associated with the contact person","definition":"A name associated with the contact person.","requirements":"Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.","min":0,"max":"1","base":{"path":"Patient.contact.name","min":0,"max":"1"},"type":[{"code":"HumanName"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"NK1-2"},{"identity":"rim","map":"name"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.contact.telecom","path":"Patient.contact.telecom","short":"A contact detail for the person","definition":"A contact detail for the person, e.g. a telephone number or an email address.","comment":"Contact may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently, and also to help with identification.","requirements":"People have (primary) ways to contact them in some way such as phone, email.","min":0,"max":"*","base":{"path":"Patient.contact.telecom","min":0,"max":"*"},"type":[{"code":"ContactPoint"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"NK1-5, NK1-6, NK1-40"},{"identity":"rim","map":"telecom"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.contact.address","path":"Patient.contact.address","short":"Address for the contact person","definition":"Address for the contact person.","requirements":"Need to keep track where the contact person can be contacted per postal mail or visited.","min":0,"max":"1","base":{"path":"Patient.contact.address","min":0,"max":"1"},"type":[{"code":"Address"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"NK1-4"},{"identity":"rim","map":"addr"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.contact.gender","path":"Patient.contact.gender","short":"male | female | other | unknown","definition":"Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.","requirements":"Needed to address the person correctly.","min":0,"max":"1","base":{"path":"Patient.contact.gender","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AdministrativeGender"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"required","description":"The gender of a person used for administrative purposes.","valueSet":"http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0"},"mapping":[{"identity":"v2","map":"NK1-15"},{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.contact.organization","path":"Patient.contact.organization","short":"Organization that is associated with the contact","definition":"Organization on behalf of which the contact is acting or for which the contact is working.","requirements":"For guardians or business related contacts, the organization is relevant.","min":0,"max":"1","base":{"path":"Patient.contact.organization","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"condition":["pat-1"],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"NK1-13, NK1-30, NK1-31, NK1-32, NK1-41"},{"identity":"rim","map":"scoper"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.contact.period","path":"Patient.contact.period","short":"The period during which this contact person or organization is valid to be contacted relating to this patient","definition":"The period during which this contact person or organization is valid to be contacted relating to this patient.","min":0,"max":"1","base":{"path":"Patient.contact.period","min":0,"max":"1"},"type":[{"code":"Period"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"effectiveTime"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.communication","path":"Patient.communication","short":"A language which may be used to communicate with the patient about his or her health","definition":"A language which may be used to communicate with the patient about his or her health.","comment":"If no language is specified, this *implies* that the default local language is spoken.  If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations.   For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.","requirements":"If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.","min":0,"max":"*","base":{"path":"Patient.communication","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"LanguageCommunication"},{"identity":"cda","map":"patient.languageCommunication"},{"identity":"argonaut-dq-dstu2","map":"Patient.communication"}]},{"id":"Patient.communication.id","path":"Patient.communication.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.communication.extension","path":"Patient.communication.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.communication.modifierExtension","path":"Patient.communication.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Patient.communication.language","path":"Patient.communication.language","short":"The language which can be used to communicate with the patient about his or her health","definition":"The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. \"en\" for English, or \"en-US\" for American English versus \"en-EN\" for England English.","comment":"The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.","requirements":"Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.","min":1,"max":"1","base":{"path":"Patient.communication.language","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/simple-language"},"mapping":[{"identity":"v2","map":"PID-15, LAN-2"},{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code"},{"identity":"cda","map":".languageCode"},{"identity":"argonaut-dq-dstu2","map":"Patient.communication.language"}]},{"id":"Patient.communication.preferred","path":"Patient.communication.preferred","short":"Language preference indicator","definition":"Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).","comment":"This language is specifically identified for communicating healthcare information.","requirements":"People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.","min":0,"max":"1","base":{"path":"Patient.communication.preferred","min":0,"max":"1"},"type":[{"code":"boolean"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"PID-15"},{"identity":"rim","map":"preferenceInd"},{"identity":"cda","map":".preferenceInd"}]},{"id":"Patient.generalPractitioner","path":"Patient.generalPractitioner","short":"Patient's nominated primary care provider","definition":"Patient's nominated care provider.","comment":"This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles.  It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources.\nMultiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a \"fly-in/fly-out\" worker that has the onsite GP also included with his home GP to remain aware of medical issues.\n\nJurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.","alias":["careProvider"],"min":0,"max":"*","base":{"path":"Patient.generalPractitioner","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"PD1-4"},{"identity":"rim","map":"subjectOf.CareEvent.performer.AssignedEntity"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.managingOrganization","path":"Patient.managingOrganization","short":"Organization that is the custodian of the patient record","definition":"Organization that is the custodian of the patient record.","comment":"There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).","requirements":"Need to know who recognizes this patient record, manages and updates it.","min":0,"max":"1","base":{"path":"Patient.managingOrganization","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"scoper"},{"identity":"cda","map":".providerOrganization"}]},{"id":"Patient.link","path":"Patient.link","short":"Link to another patient resource that concerns the same actual person","definition":"Link to another patient resource that concerns the same actual patient.","comment":"There is no assumption that linked patient records have mutual links.","requirements":"There are multiple use cases:   \n\n* Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and \n* Distribution of patient information across multiple servers.","min":0,"max":"*","base":{"path":"Patient.link","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'","isSummary":true,"mapping":[{"identity":"rim","map":"outboundLink"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.link.id","path":"Patient.link.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.link.extension","path":"Patient.link.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.link.modifierExtension","path":"Patient.link.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Patient.link.other","path":"Patient.link.other","short":"The other patient or related person resource that the link refers to","definition":"The other patient resource that the link refers to.","comment":"Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.","min":1,"max":"1","base":{"path":"Patient.link.other","min":1,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy","valueBoolean":false}],"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"PID-3, MRG-1"},{"identity":"rim","map":"id"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.link.type","path":"Patient.link.type","short":"replaced-by | replaces | refer | seealso","definition":"The type of link between this patient resource and another patient resource.","min":1,"max":"1","base":{"path":"Patient.link.type","min":1,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"LinkType"}],"strength":"required","description":"The type of link between this patient resource and another patient resource.","valueSet":"http://hl7.org/fhir/ValueSet/link-type|4.0.0"},"mapping":[{"identity":"rim","map":"typeCode"},{"identity":"cda","map":"n/a"}]}]},"differential":{"element":[{"id":"Patient","path":"Patient","definition":"The US Core Patient Profile is based upon the core FHIR Patient Resource and designed to meet the applicable patient demographic data elements from the 2015 Edition Common Clinical Data Set.","mustSupport":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient"}]},{"id":"Patient.extension:race","path":"Patient.extension","sliceName":"race","min":0,"max":"1","type":[{"code":"Extension","profile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.extension"}]},{"id":"Patient.extension:ethnicity","path":"Patient.extension","sliceName":"ethnicity","min":0,"max":"1","type":[{"code":"Extension","profile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.extension"}]},{"id":"Patient.extension:birthsex","path":"Patient.extension","sliceName":"birthsex","min":0,"max":"1","type":[{"code":"Extension","profile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex"]}],"mustSupport":true,"binding":{"strength":"required","description":"Code for sex assigned at birth","valueSet":"http://hl7.org/fhir/us/core/ValueSet/birthsex"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.extension"}]},{"id":"Patient.identifier","path":"Patient.identifier","min":1,"max":"*","type":[{"code":"Identifier"}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.identifier"}]},{"id":"Patient.identifier.system","path":"Patient.identifier.system","min":1,"max":"1","type":[{"code":"uri"}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.identifier.system"}]},{"id":"Patient.identifier.value","path":"Patient.identifier.value","short":"The value that is unique within the system.","min":1,"max":"1","type":[{"code":"string"}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.identifier.value"}]},{"id":"Patient.name","path":"Patient.name","min":1,"max":"*","type":[{"code":"HumanName"}],"constraint":[{"key":"us-core-8","severity":"error","human":"Patient.name.given or Patient.name.family or both SHALL be present","expression":"family.exists() or given.exists()","xpath":"f:given or f:family"}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.name"}]},{"id":"Patient.name.family","path":"Patient.name.family","min":0,"max":"1","type":[{"code":"string"}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.name.family"}]},{"id":"Patient.name.given","path":"Patient.name.given","min":0,"max":"*","type":[{"code":"string"}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.name.given"}]},{"id":"Patient.telecom","path":"Patient.telecom","min":0,"max":"*","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.telecom.system","path":"Patient.telecom.system","min":1,"max":"1","mustSupport":true,"binding":{"strength":"required","description":"Telecommunications form for contact point.","valueSet":"http://hl7.org/fhir/ValueSet/contact-point-system"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.telecom.value","path":"Patient.telecom.value","min":1,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.telecom.use","path":"Patient.telecom.use","min":0,"max":"1","mustSupport":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/contact-point-use"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.gender","path":"Patient.gender","min":1,"max":"1","type":[{"code":"code"}],"mustSupport":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/administrative-gender"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.gender"}]},{"id":"Patient.birthDate","path":"Patient.birthDate","min":0,"max":"1","type":[{"code":"date"}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.birthDate"}]},{"id":"Patient.address","path":"Patient.address","min":0,"max":"*","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.birthDate"}]},{"id":"Patient.address.line","path":"Patient.address.line","min":0,"max":"*","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.address.city","path":"Patient.address.city","min":0,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.address.state","path":"Patient.address.state","min":0,"max":"1","mustSupport":true,"binding":{"strength":"extensible","description":"Two Letter USPS alphabetic codes.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.address.postalCode","path":"Patient.address.postalCode","short":"US Zip Codes","alias":["Zip Code"],"min":0,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.address.period","path":"Patient.address.period","min":0,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.communication","path":"Patient.communication","min":0,"max":"*","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.communication"}]},{"id":"Patient.communication.language","path":"Patient.communication.language","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/simple-language"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.communication.language"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-practitioner.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-practitioner.json
new file mode 100644
index 000000000..d7f3707f6
--- /dev/null
+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-practitioner.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-practitioner","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-practitioner-definitions.html#Practitioner\" title=\"This is basic constraint on provider for use in US Core resources.\">Practitioner</a><a name=\"Practitioner\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-us-core-practitioner-definitions.html#Practitioner.identifier\">identifier</a><a name=\"Practitioner.identifier\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"font-style: italic\">1</span><span style=\"font-style: italic\">..</span><span style=\"font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/profiling.html#slicing\">(Slice Definition)</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by pattern:$this</span><br style=\"font-style: italic\"/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck133.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> identifier:All Slices<a name=\"Practitioner.identifier\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Content/Rules for all slices</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1330.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-practitioner-definitions.html#Practitioner.identifier.system\">system</a><a name=\"Practitioner.identifier.system\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1320.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-practitioner-definitions.html#Practitioner.identifier.value\">value</a><a name=\"Practitioner.identifier.value\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-practitioner-definitions.html#Practitioner.identifier:NPI\" title=\"Slice NPI: \">identifier:NPI</a><a name=\"Practitioner.identifier\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Identifier.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The namespace for the identifier value<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">http://hl7.org/fhir/sid/us-npi</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-practitioner-definitions.html#Practitioner.name\">name</a><a name=\"Practitioner.name\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#HumanName\">HumanName</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-practitioner-definitions.html#Practitioner.name.family\">family</a><a name=\"Practitioner.name.family\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","name":"USCorePractitionerProfile","title":"US Core Practitioner Profile","status":"active","experimental":false,"date":"2019-09-02T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"The practitioner(s) referenced in US Core profiles.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"servd","uri":"http://www.omg.org/spec/ServD/1.0/","name":"ServD"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"}],"kind":"resource","abstract":false,"type":"Practitioner","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Practitioner","derivation":"constraint","snapshot":{"element":[{"id":"Practitioner","path":"Practitioner","short":"A person with a  formal responsibility in the provisioning of healthcare or related services","definition":"This is basic constraint on provider for use in US Core resources.","alias":["Provider"],"min":0,"max":"*","base":{"path":"Practitioner","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.div.exists()","xpath":"exists(f:text/h:div)","source":"DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"DomainResource"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"v2","map":"PRD (as one example)"},{"identity":"rim","map":"Role"},{"identity":"servd","map":"Provider"}]},{"id":"Practitioner.id","path":"Practitioner.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"code":"id"}],"isModifier":false,"isSummary":true},{"id":"Practitioner.meta","path":"Practitioner.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"isModifier":false,"isSummary":true},{"id":"Practitioner.implicitRules","path":"Practitioner.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Practitioner.language","path":"Practitioner.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"Practitioner.text","path":"Practitioner.text","short":"Text summary of the resource, for human interpretation","definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Practitioner.contained","path":"Practitioner.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Practitioner.extension","path":"Practitioner.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Practitioner.modifierExtension","path":"Practitioner.modifierExtension","short":"Extensions that cannot be ignored","definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Practitioner.identifier","path":"Practitioner.identifier","slicing":{"discriminator":[{"type":"pattern","path":"$this"}],"rules":"open"},"short":"An identifier for the person as this agent","definition":"An identifier that applies to this person in this role.","comment":"NPI must be supported as the identifier system in the US, Tax id is allowed, Local id is allowed in addition to an another identifier supplied by a jurisdictional authority such as a practitioner's *Drug Enforcement Administration (DEA)* number.","requirements":"Often, specific identities are assigned for the agent.","min":1,"max":"*","base":{"path":"Practitioner.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"PRD-7 (or XCN.1)"},{"identity":"rim","map":"./id"},{"identity":"servd","map":"./Identifiers"}]},{"id":"Practitioner.identifier.id","path":"Practitioner.identifier.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Practitioner.identifier.extension","path":"Practitioner.identifier.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Practitioner.identifier.use","path":"Practitioner.identifier.use","short":"usual | official | temp | secondary | old (If known)","definition":"The purpose of this identifier.","comment":"Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","requirements":"Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","min":0,"max":"1","base":{"path":"Identifier.use","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierUse"}],"strength":"required","description":"Identifies the purpose for this identifier, if known .","valueSet":"http://hl7.org/fhir/ValueSet/identifier-use|4.0.0"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Practitioner.identifier.type","path":"Practitioner.identifier.type","short":"Description of identifier","definition":"A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","comment":"This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","requirements":"Allows users to make use of identifiers when the identifier system is not known.","min":0,"max":"1","base":{"path":"Identifier.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierType"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"extensible","description":"A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","valueSet":"http://hl7.org/fhir/ValueSet/identifier-type"},"mapping":[{"identity":"v2","map":"CX.5"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Practitioner.identifier.system","path":"Practitioner.identifier.system","short":"The namespace for the identifier value","definition":"Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","comment":"Identifier.system is always case sensitive.","requirements":"There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","min":1,"max":"1","base":{"path":"Identifier.system","min":0,"max":"1"},"type":[{"code":"uri"}],"example":[{"label":"General","valueUri":"http://www.acme.com/identifiers/patient"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / EI-2-4"},{"identity":"rim","map":"II.root or Role.id.root"},{"identity":"servd","map":"./IdentifierType"}]},{"id":"Practitioner.identifier.value","path":"Practitioner.identifier.value","short":"The value that is unique","definition":"The portion of the identifier typically relevant to the user and which is unique within the context of the system.","comment":"If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","min":1,"max":"1","base":{"path":"Identifier.value","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"123456"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.1 / EI.1"},{"identity":"rim","map":"II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"},{"identity":"servd","map":"./Value"}]},{"id":"Practitioner.identifier.period","path":"Practitioner.identifier.period","short":"Time period when id is/was valid for use","definition":"Time period during which identifier is/was valid for use.","min":0,"max":"1","base":{"path":"Identifier.period","min":0,"max":"1"},"type":[{"code":"Period"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.7 + CX.8"},{"identity":"rim","map":"Role.effectiveTime or implied by context"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Practitioner.identifier.assigner","path":"Practitioner.identifier.assigner","short":"Organization that issued id (may be just text)","definition":"Organization that issued/manages the identifier.","comment":"The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","min":0,"max":"1","base":{"path":"Identifier.assigner","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / (CX.4,CX.9,CX.10)"},{"identity":"rim","map":"II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper"},{"identity":"servd","map":"./IdentifierIssuingAuthority"}]},{"id":"Practitioner.identifier:NPI","path":"Practitioner.identifier","sliceName":"NPI","short":"An identifier for the person as this agent","definition":"An identifier that applies to this person in this role.","requirements":"Often, specific identities are assigned for the agent.","min":0,"max":"1","base":{"path":"Practitioner.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"patternIdentifier":{"system":"http://hl7.org/fhir/sid/us-npi"},"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"PRD-7 (or XCN.1)"},{"identity":"rim","map":"./id"},{"identity":"servd","map":"./Identifiers"}]},{"id":"Practitioner.active","path":"Practitioner.active","short":"Whether this practitioner's record is in active use","definition":"Whether this practitioner's record is in active use.","comment":"If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.","requirements":"Need to be able to mark a practitioner record as not to be used because it was created in error.","min":0,"max":"1","base":{"path":"Practitioner.active","min":0,"max":"1"},"type":[{"code":"boolean"}],"meaningWhenMissing":"This resource is generally assumed to be active if no value is provided for the active element","isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":"./statusCode"}]},{"id":"Practitioner.name","path":"Practitioner.name","short":"The name(s) associated with the practitioner","definition":"The name(s) associated with the practitioner.","comment":"The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate.  \r\rIn general, select the value to be used in the ResourceReference.display based on this:\r\r1. There is more than 1 name\r2. Use = usual\r3. Period is current to the date of the usage\r4. Use = official\r5. Other order as decided by internal business rules.","requirements":"The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.","min":1,"max":"*","base":{"path":"Practitioner.name","min":0,"max":"*"},"type":[{"code":"HumanName"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XCN Components"},{"identity":"rim","map":"./name"},{"identity":"servd","map":"./PreferredName (GivenNames, FamilyName, TitleCode)"}]},{"id":"Practitioner.name.id","path":"Practitioner.name.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Practitioner.name.extension","path":"Practitioner.name.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Practitioner.name.use","path":"Practitioner.name.use","short":"usual | official | temp | nickname | anonymous | old | maiden","definition":"Identifies the purpose for this name.","comment":"Applications can assume that a name is current unless it explicitly says that it is temporary or old.","requirements":"Allows the appropriate name for a particular context of use to be selected from among a set of names.","min":0,"max":"1","base":{"path":"HumanName.use","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old name etc.for a current/permanent one","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"NameUse"}],"strength":"required","description":"The use of a human name.","valueSet":"http://hl7.org/fhir/ValueSet/name-use|4.0.0"},"mapping":[{"identity":"v2","map":"XPN.7, but often indicated by which field contains the name"},{"identity":"rim","map":"unique(./use)"},{"identity":"servd","map":"./NamePurpose"}]},{"id":"Practitioner.name.text","path":"Practitioner.name.text","short":"Text representation of the full name","definition":"Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.","comment":"Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present,  no content is included in the text that isn't found in a part.","requirements":"A renderable, unencoded form.","min":0,"max":"1","base":{"path":"HumanName.text","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"implied by XPN.11"},{"identity":"rim","map":"./formatted"}]},{"id":"Practitioner.name.family","path":"Practitioner.name.family","short":"Family name (often called 'Surname')","definition":"The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.","comment":"Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).","alias":["surname"],"min":1,"max":"1","base":{"path":"HumanName.family","min":0,"max":"1"},"type":[{"code":"string"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XPN.1/FN.1"},{"identity":"rim","map":"./part[partType = FAM]"},{"identity":"servd","map":"./FamilyName"}]},{"id":"Practitioner.name.given","path":"Practitioner.name.given","short":"Given names (not always 'first'). Includes middle names","definition":"Given name.","comment":"If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations.  This element is not called \"first name\" since given names do not always come first.","alias":["first name","middle name"],"min":0,"max":"*","base":{"path":"HumanName.given","min":0,"max":"*"},"type":[{"code":"string"}],"orderMeaning":"Given Names appear in the correct order for presenting the name","isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XPN.2 + XPN.3"},{"identity":"rim","map":"./part[partType = GIV]"},{"identity":"servd","map":"./GivenNames"}]},{"id":"Practitioner.name.prefix","path":"Practitioner.name.prefix","short":"Parts that come before the name","definition":"Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.","min":0,"max":"*","base":{"path":"HumanName.prefix","min":0,"max":"*"},"type":[{"code":"string"}],"orderMeaning":"Prefixes appear in the correct order for presenting the name","isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XPN.5"},{"identity":"rim","map":"./part[partType = PFX]"},{"identity":"servd","map":"./TitleCode"}]},{"id":"Practitioner.name.suffix","path":"Practitioner.name.suffix","short":"Parts that come after the name","definition":"Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.","min":0,"max":"*","base":{"path":"HumanName.suffix","min":0,"max":"*"},"type":[{"code":"string"}],"orderMeaning":"Suffixes appear in the correct order for presenting the name","isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XPN/4"},{"identity":"rim","map":"./part[partType = SFX]"}]},{"id":"Practitioner.name.period","path":"Practitioner.name.period","short":"Time period when name was/is in use","definition":"Indicates the period of time when this name was valid for the named person.","requirements":"Allows names to be placed in historical context.","min":0,"max":"1","base":{"path":"HumanName.period","min":0,"max":"1"},"type":[{"code":"Period"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XPN.13 + XPN.14"},{"identity":"rim","map":"./usablePeriod[type=\"IVL<TS>\"]"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Practitioner.telecom","path":"Practitioner.telecom","short":"A contact detail for the practitioner (that apply to all roles)","definition":"A contact detail for the practitioner, e.g. a telephone number or an email address.","comment":"Person may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently and to help with identification.  These typically will have home numbers, or mobile numbers that are not role specific.","requirements":"Need to know how to reach a practitioner independent to any roles the practitioner may have.","min":0,"max":"*","base":{"path":"Practitioner.telecom","min":0,"max":"*"},"type":[{"code":"ContactPoint"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"PRT-15, STF-10, ROL-12"},{"identity":"rim","map":"./telecom"},{"identity":"servd","map":"./ContactPoints"}]},{"id":"Practitioner.address","path":"Practitioner.address","short":"Address(es) of the practitioner that are not role specific (typically home address)","definition":"Address(es) of the practitioner that are not role specific (typically home address). \rWork addresses are not typically entered in this property as they are usually role dependent.","comment":"The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address).","requirements":"The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.","min":0,"max":"*","base":{"path":"Practitioner.address","min":0,"max":"*"},"type":[{"code":"Address"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"ORC-24, STF-11, ROL-11, PRT-14"},{"identity":"rim","map":"./addr"},{"identity":"servd","map":"./Addresses"}]},{"id":"Practitioner.gender","path":"Practitioner.gender","short":"male | female | other | unknown","definition":"Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.","requirements":"Needed to address the person correctly.","min":0,"max":"1","base":{"path":"Practitioner.gender","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AdministrativeGender"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"required","description":"The gender of a person used for administrative purposes.","valueSet":"http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0"},"mapping":[{"identity":"v2","map":"STF-5"},{"identity":"rim","map":"./administrativeGender"},{"identity":"servd","map":"./GenderCode"}]},{"id":"Practitioner.birthDate","path":"Practitioner.birthDate","short":"The date  on which the practitioner was born","definition":"The date of birth for the practitioner.","requirements":"Needed for identification.","min":0,"max":"1","base":{"path":"Practitioner.birthDate","min":0,"max":"1"},"type":[{"code":"date"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"STF-6"},{"identity":"rim","map":"./birthTime"},{"identity":"servd","map":"(not represented in ServD)"}]},{"id":"Practitioner.photo","path":"Practitioner.photo","short":"Image of the person","definition":"Image of the person.","requirements":"Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.","min":0,"max":"*","base":{"path":"Practitioner.photo","min":0,"max":"*"},"type":[{"code":"Attachment"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./subjectOf/ObservationEvent[code=\"photo\"]/value"},{"identity":"servd","map":"./ImageURI (only supports the URI reference)"}]},{"id":"Practitioner.qualification","path":"Practitioner.qualification","short":"Certification, licenses, or training pertaining to the provision of care","definition":"The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner.  For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality.","min":0,"max":"*","base":{"path":"Practitioner.qualification","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"CER?"},{"identity":"rim","map":".playingEntity.playingRole[classCode=QUAL].code"},{"identity":"servd","map":"./Qualifications"}]},{"id":"Practitioner.qualification.id","path":"Practitioner.qualification.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Practitioner.qualification.extension","path":"Practitioner.qualification.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Practitioner.qualification.modifierExtension","path":"Practitioner.qualification.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Practitioner.qualification.identifier","path":"Practitioner.qualification.identifier","short":"An identifier for this qualification for the practitioner","definition":"An identifier that applies to this person's qualification in this role.","requirements":"Often, specific identities are assigned for the qualification.","min":0,"max":"*","base":{"path":"Practitioner.qualification.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".playingEntity.playingRole[classCode=QUAL].id"}]},{"id":"Practitioner.qualification.code","path":"Practitioner.qualification.code","short":"Coded representation of the qualification","definition":"Coded representation of the qualification.","min":1,"max":"1","base":{"path":"Practitioner.qualification.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Qualification"}],"strength":"example","description":"Specific qualification the practitioner has to provide a service.","valueSet":"http://terminology.hl7.org/ValueSet/v2-2.7-0360"},"mapping":[{"identity":"rim","map":".playingEntity.playingRole[classCode=QUAL].code"},{"identity":"servd","map":"./Qualifications.Value"}]},{"id":"Practitioner.qualification.period","path":"Practitioner.qualification.period","short":"Period during which the qualification is valid","definition":"Period during which the qualification is valid.","requirements":"Qualifications are often for a limited period of time, and can be revoked.","min":0,"max":"1","base":{"path":"Practitioner.qualification.period","min":0,"max":"1"},"type":[{"code":"Period"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".playingEntity.playingRole[classCode=QUAL].effectiveTime"},{"identity":"servd","map":"./Qualifications.StartDate and ./Qualifications.EndDate"}]},{"id":"Practitioner.qualification.issuer","path":"Practitioner.qualification.issuer","short":"Organization that regulates and issues the qualification","definition":"Organization that regulates and issues the qualification.","min":0,"max":"1","base":{"path":"Practitioner.qualification.issuer","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".playingEntity.playingRole[classCode=QUAL].scoper"}]},{"id":"Practitioner.communication","path":"Practitioner.communication","short":"A language the practitioner can use in patient communication","definition":"A language the practitioner can use in patient communication.","comment":"The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.","requirements":"Knowing which language a practitioner speaks can help in facilitating communication with patients.","min":0,"max":"*","base":{"path":"Practitioner.communication","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"},"mapping":[{"identity":"v2","map":"PID-15, NK1-20, LAN-2"},{"identity":"rim","map":"./languageCommunication"},{"identity":"servd","map":"./Languages.LanguageSpokenCode"}]}]},"differential":{"element":[{"id":"Practitioner","path":"Practitioner","definition":"This is basic constraint on provider for use in US Core resources.","alias":["Provider"],"mustSupport":false},{"id":"Practitioner.identifier","path":"Practitioner.identifier","slicing":{"discriminator":[{"type":"pattern","path":"$this"}],"rules":"open"},"comment":"NPI must be supported as the identifier system in the US, Tax id is allowed, Local id is allowed in addition to an another identifier supplied by a jurisdictional authority such as a practitioner's *Drug Enforcement Administration (DEA)* number.","min":1,"max":"*","type":[{"code":"Identifier"}],"mustSupport":true},{"id":"Practitioner.identifier.system","path":"Practitioner.identifier.system","min":1,"max":"1","type":[{"code":"uri"}],"mustSupport":true},{"id":"Practitioner.identifier.value","path":"Practitioner.identifier.value","min":1,"max":"1","type":[{"code":"string"}],"mustSupport":true},{"id":"Practitioner.identifier:NPI","path":"Practitioner.identifier","sliceName":"NPI","min":0,"max":"1","type":[{"code":"Identifier"}],"patternIdentifier":{"system":"http://hl7.org/fhir/sid/us-npi"},"mustSupport":true},{"id":"Practitioner.name","path":"Practitioner.name","min":1,"max":"*","type":[{"code":"HumanName"}],"mustSupport":true},{"id":"Practitioner.name.family","path":"Practitioner.name.family","min":1,"max":"1","type":[{"code":"string"}],"mustSupport":true}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-practitionerrole.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-practitionerrole.json
new file mode 100644
index 000000000..15b068741
--- /dev/null
+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-practitionerrole.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-practitionerrole","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-practitionerrole-definitions.html#PractitionerRole\" title=\"This is basic constraint on PractitionerRole for use in US Core resources.\">PractitionerRole</a><a name=\"PractitionerRole\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">pd-1: </span>SHALL have contact information or a reference to an Endpoint</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-practitionerrole-definitions.html#PractitionerRole.practitioner\">practitioner</a><a name=\"PractitionerRole.practitioner\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-practitionerrole-definitions.html#PractitionerRole.organization\">organization</a><a name=\"PractitionerRole.organization\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-organization.html\">US Core Organization Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-practitionerrole-definitions.html#PractitionerRole.code\">code</a><a name=\"PractitionerRole.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-provider-role.html\">US Core Provider Role (NUCC)</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-practitionerrole-definitions.html#PractitionerRole.specialty\">specialty</a><a name=\"PractitionerRole.specialty\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-provider-specialty.html\">US Core Provider Speciality (NUCC)</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-practitionerrole-definitions.html#PractitionerRole.location\">location</a><a name=\"PractitionerRole.location\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-location.html\">US Core Location Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-practitionerrole-definitions.html#PractitionerRole.telecom\">telecom</a><a name=\"PractitionerRole.telecom\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#ContactPoint\">ContactPoint</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-practitionerrole-definitions.html#PractitionerRole.telecom.system\">system</a><a name=\"PractitionerRole.telecom.system\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-practitionerrole-definitions.html#PractitionerRole.telecom.value\">value</a><a name=\"PractitionerRole.telecom.value\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-practitionerrole-definitions.html#PractitionerRole.endpoint\">endpoint</a><a name=\"PractitionerRole.endpoint\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/endpoint.html\">Endpoint</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole","name":"USCorePractitionerRoleProfile","title":"US Core PractitionerRole Profile","status":"active","experimental":false,"date":"2019-08-11T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"The practitioner roles referenced in the US Core profiles.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"servd","uri":"http://www.omg.org/spec/ServD/1.0/","name":"ServD"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"}],"kind":"resource","abstract":false,"type":"PractitionerRole","baseDefinition":"http://hl7.org/fhir/StructureDefinition/PractitionerRole","derivation":"constraint","snapshot":{"element":[{"id":"PractitionerRole","path":"PractitionerRole","short":"Roles/organizations the practitioner is associated with","definition":"This is basic constraint on PractitionerRole for use in US Core resources.","min":0,"max":"*","base":{"path":"PractitionerRole","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.div.exists()","xpath":"exists(f:text/h:div)","source":"DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"DomainResource"},{"key":"pd-1","severity":"error","human":"SHALL have contact information or a reference to an Endpoint","expression":"telecom or endpoint","xpath":"exists(f:telecom) or exists(f:endpoint)"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"v2","map":"PRD (as one example)"},{"identity":"rim","map":"Role"},{"identity":"servd","map":"ServiceSiteProvider"}]},{"id":"PractitionerRole.id","path":"PractitionerRole.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"code":"id"}],"isModifier":false,"isSummary":true},{"id":"PractitionerRole.meta","path":"PractitionerRole.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"isModifier":false,"isSummary":true},{"id":"PractitionerRole.implicitRules","path":"PractitionerRole.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"PractitionerRole.language","path":"PractitionerRole.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"PractitionerRole.text","path":"PractitionerRole.text","short":"Text summary of the resource, for human interpretation","definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"PractitionerRole.contained","path":"PractitionerRole.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"PractitionerRole.extension","path":"PractitionerRole.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"PractitionerRole.modifierExtension","path":"PractitionerRole.modifierExtension","short":"Extensions that cannot be ignored","definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"PractitionerRole.identifier","path":"PractitionerRole.identifier","short":"Business Identifiers that are specific to a role/location","definition":"Business Identifiers that are specific to a role/location.","requirements":"Often, specific identities are assigned for the agent.","min":0,"max":"*","base":{"path":"PractitionerRole.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"PRD-7 (or XCN.1)"},{"identity":"rim","map":".id"},{"identity":"servd","map":"./Identifiers"}]},{"id":"PractitionerRole.active","path":"PractitionerRole.active","short":"Whether this practitioner role record is in active use","definition":"Whether this practitioner role record is in active use.","comment":"If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active.","requirements":"Need to be able to mark a practitioner role record as not to be used because it was created in error, or otherwise no longer in active use.","min":0,"max":"1","base":{"path":"PractitionerRole.active","min":0,"max":"1"},"type":[{"code":"boolean"}],"meaningWhenMissing":"This resource is generally assumed to be active if no value is provided for the active element","isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"STF-7"},{"identity":"rim","map":".statusCode"}]},{"id":"PractitionerRole.period","path":"PractitionerRole.period","short":"The period during which the practitioner is authorized to perform in these role(s)","definition":"The period during which the person is authorized to act as a practitioner in these role(s) for the organization.","requirements":"Even after the agencies is revoked, the fact that it existed must still be recorded.","min":0,"max":"1","base":{"path":"PractitionerRole.period","min":0,"max":"1"},"type":[{"code":"Period"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"PRD-8/9 / PRA-5.4"},{"identity":"rim","map":".performance[@typeCode <= 'PPRF'].ActDefinitionOrEvent.effectiveTime"},{"identity":"servd","map":"(ServD maps Practitioners and Organizations via another entity, so this concept is not available)"}]},{"id":"PractitionerRole.practitioner","path":"PractitionerRole.practitioner","short":"Practitioner that is able to provide the defined services for the organization","definition":"Practitioner that is able to provide the defined services for the organization.","min":1,"max":"1","base":{"path":"PractitionerRole.practitioner","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".player"}]},{"id":"PractitionerRole.organization","path":"PractitionerRole.organization","short":"Organization where the roles are available","definition":"The organization where the Practitioner performs the roles associated.","min":1,"max":"1","base":{"path":"PractitionerRole.organization","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".scoper"}]},{"id":"PractitionerRole.code","path":"PractitionerRole.code","short":"Roles which this practitioner may perform","definition":"Roles which this practitioner is authorized to perform for the organization.","comment":"A person may have more than one role.","requirements":"Need to know what authority the practitioner has - what can they do?","min":0,"max":"*","base":{"path":"PractitionerRole.code","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Provider role codes consisting of NUCC Health Care Provider Taxonomy Code Set for providers.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-provider-role"},"mapping":[{"identity":"v2","map":"PRD-1 / STF-18  / PRA-3  / PRT-4  / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17"},{"identity":"rim","map":".code"},{"identity":"servd","map":"(ServD maps Practitioners and Organizations via another entity, so this concept is not available)"}]},{"id":"PractitionerRole.specialty","path":"PractitionerRole.specialty","short":"Specific specialty of the practitioner","definition":"Specific specialty of the practitioner.","min":0,"max":"*","base":{"path":"PractitionerRole.specialty","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Provider specialty codes consist of NUCC Health Care Provider Taxonomy Code Set for providers.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-provider-specialty"},"mapping":[{"identity":"v2","map":"PRA-5"},{"identity":"rim","map":".player.HealthCareProvider[@classCode = 'PROV'].code"},{"identity":"servd","map":"./Specialty"}]},{"id":"PractitionerRole.location","path":"PractitionerRole.location","short":"The location(s) at which this practitioner provides care","definition":"The location(s) at which this practitioner provides care.","min":0,"max":"*","base":{"path":"PractitionerRole.location","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-location"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.where[x]"},{"identity":"rim","map":".performance.ActDefinitionOrEvent.ServiceDeliveryLocation[@classCode = 'SDLOC']"},{"identity":"servd","map":"(ServD maps Practitioners and Organizations via another entity, so this concept is not available)<br/> However these are accessed via the Site.ServiceSite.ServiceSiteProvider record. (The Site has the location)"}]},{"id":"PractitionerRole.healthcareService","path":"PractitionerRole.healthcareService","short":"The list of healthcare services that this worker provides for this role's Organization/Location(s)","definition":"The list of healthcare services that this worker provides for this role's Organization/Location(s).","min":0,"max":"*","base":{"path":"PractitionerRole.healthcareService","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/HealthcareService"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"EDU-2 / AFF-3"},{"identity":"rim","map":".player.QualifiedEntity[@classCode = 'QUAL'].code"}]},{"id":"PractitionerRole.telecom","path":"PractitionerRole.telecom","short":"Contact details that are specific to the role/location/service","definition":"Contact details that are specific to the role/location/service.","requirements":"Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.","min":0,"max":"*","base":{"path":"PractitionerRole.telecom","min":0,"max":"*"},"type":[{"code":"ContactPoint"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".telecom"}]},{"id":"PractitionerRole.telecom.id","path":"PractitionerRole.telecom.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"PractitionerRole.telecom.extension","path":"PractitionerRole.telecom.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"PractitionerRole.telecom.system","path":"PractitionerRole.telecom.system","short":"phone | fax | email | pager | url | sms | other","definition":"Telecommunications form for contact point - what communications system is required to make use of the contact.","min":1,"max":"1","base":{"path":"ContactPoint.system","min":0,"max":"1"},"type":[{"code":"code"}],"condition":["cpt-2"],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ContactPointSystem"}],"strength":"required","description":"Telecommunications form for contact point.","valueSet":"http://hl7.org/fhir/ValueSet/contact-point-system|4.0.0"},"mapping":[{"identity":"v2","map":"XTN.3"},{"identity":"rim","map":"./scheme"},{"identity":"servd","map":"./ContactPointType"}]},{"id":"PractitionerRole.telecom.value","path":"PractitionerRole.telecom.value","short":"The actual contact point details","definition":"The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).","comment":"Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.","requirements":"Need to support legacy numbers that are not in a tightly controlled format.","min":1,"max":"1","base":{"path":"ContactPoint.value","min":0,"max":"1"},"type":[{"code":"string"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XTN.1 (or XTN.12)"},{"identity":"rim","map":"./url"},{"identity":"servd","map":"./Value"}]},{"id":"PractitionerRole.telecom.use","path":"PractitionerRole.telecom.use","short":"home | work | temp | old | mobile - purpose of this contact point","definition":"Identifies the purpose for the contact point.","comment":"Applications can assume that a contact is current unless it explicitly says that it is temporary or old.","requirements":"Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.","min":0,"max":"1","base":{"path":"ContactPoint.use","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old contact etc.for a current/permanent one","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ContactPointUse"}],"strength":"required","description":"Use of contact point.","valueSet":"http://hl7.org/fhir/ValueSet/contact-point-use|4.0.0"},"mapping":[{"identity":"v2","map":"XTN.2 - but often indicated by field"},{"identity":"rim","map":"unique(./use)"},{"identity":"servd","map":"./ContactPointPurpose"}]},{"id":"PractitionerRole.telecom.rank","path":"PractitionerRole.telecom.rank","short":"Specify preferred order of use (1 = highest)","definition":"Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.","comment":"Note that rank does not necessarily follow the order in which the contacts are represented in the instance.","min":0,"max":"1","base":{"path":"ContactPoint.rank","min":0,"max":"1"},"type":[{"code":"positiveInt"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"n/a"},{"identity":"rim","map":"n/a"}]},{"id":"PractitionerRole.telecom.period","path":"PractitionerRole.telecom.period","short":"Time period when the contact point was/is in use","definition":"Time period when the contact point was/is in use.","min":0,"max":"1","base":{"path":"ContactPoint.period","min":0,"max":"1"},"type":[{"code":"Period"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"./usablePeriod[type=\"IVL<TS>\"]"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"PractitionerRole.availableTime","path":"PractitionerRole.availableTime","short":"Times the Service Site is available","definition":"A collection of times the practitioner is available or performing this role at the location and/or healthcareservice.","comment":"More detailed availability information may be provided in associated Schedule/Slot resources.","min":0,"max":"*","base":{"path":"PractitionerRole.availableTime","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".effectiveTime"}]},{"id":"PractitionerRole.availableTime.id","path":"PractitionerRole.availableTime.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"PractitionerRole.availableTime.extension","path":"PractitionerRole.availableTime.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"PractitionerRole.availableTime.modifierExtension","path":"PractitionerRole.availableTime.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"PractitionerRole.availableTime.daysOfWeek","path":"PractitionerRole.availableTime.daysOfWeek","short":"mon | tue | wed | thu | fri | sat | sun","definition":"Indicates which days of the week are available between the start and end Times.","min":0,"max":"*","base":{"path":"PractitionerRole.availableTime.daysOfWeek","min":0,"max":"*"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DaysOfWeek"}],"strength":"required","description":"The days of the week.","valueSet":"http://hl7.org/fhir/ValueSet/days-of-week|4.0.0"},"mapping":[{"identity":"rim","map":".effectiveTime"}]},{"id":"PractitionerRole.availableTime.allDay","path":"PractitionerRole.availableTime.allDay","short":"Always available? e.g. 24 hour service","definition":"Is this always available? (hence times are irrelevant) e.g. 24 hour service.","min":0,"max":"1","base":{"path":"PractitionerRole.availableTime.allDay","min":0,"max":"1"},"type":[{"code":"boolean"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".effectiveTime"}]},{"id":"PractitionerRole.availableTime.availableStartTime","path":"PractitionerRole.availableTime.availableStartTime","short":"Opening time of day (ignored if allDay = true)","definition":"The opening time of day. Note: If the AllDay flag is set, then this time is ignored.","comment":"The timezone is expected to be for where this HealthcareService is provided at.","min":0,"max":"1","base":{"path":"PractitionerRole.availableTime.availableStartTime","min":0,"max":"1"},"type":[{"code":"time"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".effectiveTime"}]},{"id":"PractitionerRole.availableTime.availableEndTime","path":"PractitionerRole.availableTime.availableEndTime","short":"Closing time of day (ignored if allDay = true)","definition":"The closing time of day. Note: If the AllDay flag is set, then this time is ignored.","comment":"The timezone is expected to be for where this HealthcareService is provided at.","min":0,"max":"1","base":{"path":"PractitionerRole.availableTime.availableEndTime","min":0,"max":"1"},"type":[{"code":"time"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".effectiveTime"}]},{"id":"PractitionerRole.notAvailable","path":"PractitionerRole.notAvailable","short":"Not available during this time due to provided reason","definition":"The practitioner is not available or performing this role during this period of time due to the provided reason.","min":0,"max":"*","base":{"path":"PractitionerRole.notAvailable","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".effectiveTime"}]},{"id":"PractitionerRole.notAvailable.id","path":"PractitionerRole.notAvailable.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"PractitionerRole.notAvailable.extension","path":"PractitionerRole.notAvailable.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"PractitionerRole.notAvailable.modifierExtension","path":"PractitionerRole.notAvailable.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"PractitionerRole.notAvailable.description","path":"PractitionerRole.notAvailable.description","short":"Reason presented to the user explaining why time not available","definition":"The reason that can be presented to the user as to why this time is not available.","min":1,"max":"1","base":{"path":"PractitionerRole.notAvailable.description","min":1,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"PractitionerRole.notAvailable.during","path":"PractitionerRole.notAvailable.during","short":"Service not available from this date","definition":"Service is not available (seasonally or for a public holiday) from this date.","min":0,"max":"1","base":{"path":"PractitionerRole.notAvailable.during","min":0,"max":"1"},"type":[{"code":"Period"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".effectiveTime"}]},{"id":"PractitionerRole.availabilityExceptions","path":"PractitionerRole.availabilityExceptions","short":"Description of availability exceptions","definition":"A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.","min":0,"max":"1","base":{"path":"PractitionerRole.availabilityExceptions","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".effectiveTime"}]},{"id":"PractitionerRole.endpoint","path":"PractitionerRole.endpoint","short":"Technical endpoints providing access to services operated for the practitioner with this role","definition":"Technical endpoints providing access to services operated for the practitioner with this role.","requirements":"Organizations have multiple systems that provide various services and ,ay also be different for practitioners too.\r\rSo the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose.","min":0,"max":"*","base":{"path":"PractitionerRole.endpoint","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Endpoint"]}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]}]},"differential":{"element":[{"id":"PractitionerRole","path":"PractitionerRole","definition":"This is basic constraint on PractitionerRole for use in US Core resources.","constraint":[{"key":"pd-1","severity":"error","human":"SHALL have contact information or a reference to an Endpoint","expression":"telecom or endpoint","xpath":"exists(f:telecom) or exists(f:endpoint)"}],"mustSupport":false},{"id":"PractitionerRole.practitioner","path":"PractitionerRole.practitioner","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"]}],"mustSupport":true},{"id":"PractitionerRole.organization","path":"PractitionerRole.organization","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"]}],"mustSupport":true},{"id":"PractitionerRole.code","path":"PractitionerRole.code","min":0,"max":"*","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"extensible","description":"Provider role codes consisting of NUCC Health Care Provider Taxonomy Code Set for providers.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-provider-role"}},{"id":"PractitionerRole.specialty","path":"PractitionerRole.specialty","min":0,"max":"*","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"extensible","description":"Provider specialty codes consist of NUCC Health Care Provider Taxonomy Code Set for providers.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-provider-specialty"}},{"id":"PractitionerRole.location","path":"PractitionerRole.location","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-location"]}],"mustSupport":true},{"id":"PractitionerRole.telecom","path":"PractitionerRole.telecom","min":0,"max":"*","type":[{"code":"ContactPoint"}],"mustSupport":true},{"id":"PractitionerRole.telecom.system","path":"PractitionerRole.telecom.system","min":1,"max":"1","type":[{"code":"code"}],"mustSupport":true},{"id":"PractitionerRole.telecom.value","path":"PractitionerRole.telecom.value","min":1,"max":"1","type":[{"code":"string"}],"mustSupport":true},{"id":"PractitionerRole.endpoint","path":"PractitionerRole.endpoint","min":0,"max":"*","mustSupport":true}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-procedure.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-procedure.json
new file mode 100644
index 000000000..962519ab2
--- /dev/null
+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-procedure.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-procedure","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-procedure-definitions.html#Procedure\" title=\"The US Core Condition Profile is based upon the core FHIR Procedure Resource and created to meet the 2015 Edition Common Clinical Data Set 'Procedures' requirements.\">Procedure</a><a name=\"Procedure\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-procedure-definitions.html#Procedure.status\">status</a><a name=\"Procedure.status\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-event-status.html\">EventStatus</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-procedure-definitions.html#Procedure.code\">code</a><a name=\"Procedure.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Procedure codes from CPT or SNOMED CT<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-procedure-code.html\">US Core Procedure Codes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-procedure-definitions.html#Procedure.subject\">subject</a><a name=\"Procedure.subject\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_choice.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Choice of Types\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-procedure-definitions.html#Procedure.performed[x]\">performed[x]</a><a name=\"Procedure.performed_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span title=\"Base StructureDefinition for dateTime Type: A date, date-time or partial date (e.g. just year or year + month).  If hours and minutes are specified, a time zone SHALL be populated. The format is a union of the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints but may be zero-filled and may be ignored.                 Dates SHALL be valid dates.\">performedDateTime</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span title=\"Base StructureDefinition for Period Type: A time period defined by a start and end date and optionally time.\">performedPeriod</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Period\">Period</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure","version":"3.0.1","name":"USCoreProcedureProfile","title":"US Core Procedure Profile","status":"active","experimental":false,"date":"2019-08-26T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the Procedure resource for the minimal set of data to query and retrieve patient's procedure information.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"}],"kind":"resource","abstract":false,"type":"Procedure","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Procedure","derivation":"constraint","snapshot":{"element":[{"id":"Procedure","path":"Procedure","short":"An action that is being or was performed on a patient","definition":"The US Core Condition Profile is based upon the core FHIR Procedure Resource and created to meet the 2015 Edition Common Clinical Data Set 'Procedures' requirements.","min":0,"max":"*","base":{"path":"Procedure","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.div.exists()","xpath":"exists(f:text/h:div)","source":"DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"DomainResource"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"rim","map":"Procedure[moodCode=EVN]"},{"identity":"argonaut-dq-dstu2","map":"Procedure"}]},{"id":"Procedure.id","path":"Procedure.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"code":"id"}],"isModifier":false,"isSummary":true},{"id":"Procedure.meta","path":"Procedure.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"isModifier":false,"isSummary":true},{"id":"Procedure.implicitRules","path":"Procedure.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Procedure.language","path":"Procedure.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"Procedure.text","path":"Procedure.text","short":"Text summary of the resource, for human interpretation","definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Procedure.contained","path":"Procedure.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Procedure.extension","path":"Procedure.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Procedure.modifierExtension","path":"Procedure.modifierExtension","short":"Extensions that cannot be ignored","definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Procedure.identifier","path":"Procedure.identifier","short":"External Identifiers for this procedure","definition":"Business identifiers assigned to this procedure by the performer or other systems which remain constant as the resource is updated and is propagated from server to server.","comment":"This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and Person resource instances might share the same social insurance number.","requirements":"Allows identification of the procedure as it is known by various participating systems and in a way that remains consistent across servers.","min":0,"max":"*","base":{"path":"Procedure.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"Some combination of ORC-2 / ORC-3 / OBR-2 / OBR-3 / IPC-1 / IPC-2 / IPC-3 / IPC-4"},{"identity":"rim","map":".id"}]},{"id":"Procedure.instantiatesCanonical","path":"Procedure.instantiatesCanonical","short":"Instantiates FHIR protocol or definition","definition":"The URL pointing to a FHIR-defined protocol, guideline, order set or other definition that is adhered to in whole or in part by this Procedure.","min":0,"max":"*","base":{"path":"Procedure.instantiatesCanonical","min":0,"max":"*"},"type":[{"code":"canonical","targetProfile":["http://hl7.org/fhir/StructureDefinition/PlanDefinition","http://hl7.org/fhir/StructureDefinition/ActivityDefinition","http://hl7.org/fhir/StructureDefinition/Measure","http://hl7.org/fhir/StructureDefinition/OperationDefinition","http://hl7.org/fhir/StructureDefinition/Questionnaire"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.instantiatesCanonical"},{"identity":"rim","map":".outboundRelationship[typeCode=DEFN].target"}]},{"id":"Procedure.instantiatesUri","path":"Procedure.instantiatesUri","short":"Instantiates external protocol or definition","definition":"The URL pointing to an externally maintained protocol, guideline, order set or other definition that is adhered to in whole or in part by this Procedure.","comment":"This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.","min":0,"max":"*","base":{"path":"Procedure.instantiatesUri","min":0,"max":"*"},"type":[{"code":"uri"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.instantiatesUri"},{"identity":"rim","map":".outboundRelationship[typeCode=DEFN].target"}]},{"id":"Procedure.basedOn","path":"Procedure.basedOn","short":"A request for this procedure","definition":"A reference to a resource that contains details of the request for this procedure.","alias":["fulfills"],"min":0,"max":"*","base":{"path":"Procedure.basedOn","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan","http://hl7.org/fhir/StructureDefinition/ServiceRequest"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.basedOn"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target[classCode=(various e.g. PROC, OBS, PCPR, ACT,  moodCode=RQO].code"}]},{"id":"Procedure.partOf","path":"Procedure.partOf","short":"Part of referenced event","definition":"A larger event of which this particular procedure is a component or step.","comment":"The MedicationAdministration resource has a partOf reference to Procedure, but this is not a circular reference.   For example, the anesthesia MedicationAdministration is part of the surgical Procedure (MedicationAdministration.partOf = Procedure).  For example, the procedure to insert the IV port for an IV medication administration is part of the medication administration (Procedure.partOf = MedicationAdministration).","alias":["container"],"min":0,"max":"*","base":{"path":"Procedure.partOf","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Procedure","http://hl7.org/fhir/StructureDefinition/Observation","http://hl7.org/fhir/StructureDefinition/MedicationAdministration"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.partOf"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[classCode=SBADM or PROC or OBS, moodCode=EVN]"}]},{"id":"Procedure.status","path":"Procedure.status","short":"preparation | in-progress | not-done | suspended | aborted | completed | entered-in-error | unknown","definition":"A code specifying the state of the procedure. Generally, this will be the in-progress or completed state.","comment":"The \"unknown\" code is not to be used to convey other statuses.  The \"unknown\" code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure.\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","min":1,"max":"1","base":{"path":"Procedure.status","min":1,"max":"1"},"type":[{"code":"code"}],"mustSupport":true,"isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/event-status"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":"statusCode"},{"identity":"argonaut-dq-dstu2","map":"Procedure.status"}]},{"id":"Procedure.statusReason","path":"Procedure.statusReason","short":"Reason for current status","definition":"Captures the reason for the current state of the procedure.","comment":"This is generally only used for \"exception\" statuses such as \"not-done\", \"suspended\" or \"aborted\". The reason for performing the event at all is captured in reasonCode, not here.","alias":["Suspended Reason","Cancelled Reason"],"min":0,"max":"1","base":{"path":"Procedure.statusReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcedureNegationReason"}],"strength":"example","description":"A code that identifies the reason a procedure was not performed.","valueSet":"http://hl7.org/fhir/ValueSet/procedure-not-performed-reason"},"mapping":[{"identity":"workflow","map":"Event.statusReason"},{"identity":"rim","map":".reason.Observation.value"}]},{"id":"Procedure.category","path":"Procedure.category","short":"Classification of the procedure","definition":"A code that classifies the procedure for searching, sorting and display purposes (e.g. \"Surgical Procedure\").","min":0,"max":"1","base":{"path":"Procedure.category","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcedureCategory"}],"strength":"example","description":"A code that classifies a procedure for searching, sorting and display purposes.","valueSet":"http://hl7.org/fhir/ValueSet/procedure-category"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"}]},{"id":"Procedure.code","path":"Procedure.code","short":"Procedure codes from CPT or SNOMED CT","definition":"The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. \"Laparoscopic Appendectomy\").","requirements":"0..1 to account for primarily narrative only resources.","alias":["type"],"min":1,"max":"1","base":{"path":"Procedure.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Codes describing the type of  Procedure","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"OBR-44/OBR-45"},{"identity":"rim","map":".code"},{"identity":"argonaut-dq-dstu2","map":"Procedure.code"}]},{"id":"Procedure.subject","path":"Procedure.subject","short":"Who the procedure was performed on","definition":"The person, animal or group on which the procedure was performed.","alias":["patient"],"min":1,"max":"1","base":{"path":"Procedure.subject","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":".participation[typeCode=SBJ].role"},{"identity":"w5","map":"FiveWs.subject"},{"identity":"argonaut-dq-dstu2","map":"Procedure.subject"}]},{"id":"Procedure.encounter","path":"Procedure.encounter","short":"Encounter created as part of","definition":"The Encounter during which this Procedure was created or performed or to which the creation of this record is tightly associated.","comment":"This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.","min":0,"max":"1","base":{"path":"Procedure.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1-19"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"}]},{"id":"Procedure.performed[x]","path":"Procedure.performed[x]","short":"When the procedure was performed","definition":"Estimated or actual date, date-time, period, or age when the procedure was performed.  Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured.","comment":"Age is generally used when the patient reports an age at which the procedure was performed. Range is generally used when the patient reports an age range when the procedure was performed, such as sometime between 20-25 years old.  dateTime supports a range of precision due to some procedures being reported as past procedures that might not have millisecond precision while other procedures performed and documented during the encounter might have more precise UTC timestamps with timezone.","min":1,"max":"1","base":{"path":"Procedure.performed[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"OBR-7"},{"identity":"rim","map":".effectiveTime"},{"identity":"argonaut-dq-dstu2","map":"Procedure.performed[x]"}]},{"id":"Procedure.recorder","path":"Procedure.recorder","short":"Who recorded the procedure","definition":"Individual who recorded the record and takes responsibility for its content.","min":0,"max":"1","base":{"path":"Procedure.recorder","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=AUT].role"}]},{"id":"Procedure.asserter","path":"Procedure.asserter","short":"Person who asserts this procedure","definition":"Individual who is making the procedure statement.","min":0,"max":"1","base":{"path":"Procedure.asserter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.source"},{"identity":"rim","map":".participation[typeCode=INF].role"}]},{"id":"Procedure.performer","path":"Procedure.performer","short":"The people who performed the procedure","definition":"Limited to \"real\" people rather than equipment.","min":0,"max":"*","base":{"path":"Procedure.performer","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer"},{"identity":"rim","map":".participation[typeCode=PRF]"}]},{"id":"Procedure.performer.id","path":"Procedure.performer.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Procedure.performer.extension","path":"Procedure.performer.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Procedure.performer.modifierExtension","path":"Procedure.performer.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Procedure.performer.function","path":"Procedure.performer.function","short":"Type of performance","definition":"Distinguishes the type of involvement of the performer in the procedure. For example, surgeon, anaesthetist, endoscopist.","requirements":"Allows disambiguation of the types of involvement of different performers.","min":0,"max":"1","base":{"path":"Procedure.performer.function","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcedurePerformerRole"}],"strength":"example","description":"A code that identifies the role of a performer of the procedure.","valueSet":"http://hl7.org/fhir/ValueSet/performer-role"},"mapping":[{"identity":"workflow","map":"Event.performer.function"},{"identity":"v2","map":"Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25"},{"identity":"rim","map":".functionCode"}]},{"id":"Procedure.performer.actor","path":"Procedure.performer.actor","short":"The reference to the practitioner","definition":"The practitioner who was involved in the procedure.","requirements":"A reference to Device supports use cases, such as pacemakers.","min":1,"max":"1","base":{"path":"Procedure.performer.actor","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/StructureDefinition/Device"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"ORC-19/PRT-5"},{"identity":"rim","map":".role"}]},{"id":"Procedure.performer.onBehalfOf","path":"Procedure.performer.onBehalfOf","short":"Organization the device or practitioner was acting for","definition":"The organization the device or practitioner was acting on behalf of.","requirements":"Practitioners and Devices can be associated with multiple organizations.  This element indicates which organization they were acting on behalf of when performing the action.","min":0,"max":"1","base":{"path":"Procedure.performer.onBehalfOf","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".scoper"}]},{"id":"Procedure.location","path":"Procedure.location","short":"Where the procedure happened","definition":"The location where the procedure actually happened.  E.g. a newborn at home, a tracheostomy at a restaurant.","requirements":"Ties a procedure to where the records are likely kept.","min":0,"max":"1","base":{"path":"Procedure.location","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.where[x]"},{"identity":"rim","map":".participation[typeCode=LOC].role[classCode=SDLOC]"}]},{"id":"Procedure.reasonCode","path":"Procedure.reasonCode","short":"Coded reason procedure performed","definition":"The coded reason why the procedure was performed. This may be a coded entity of some type, or may simply be present as text.","comment":"Use Procedure.reasonCode when a code sufficiently describes the reason.  Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative.  For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used.  Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference.  Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure.","min":0,"max":"*","base":{"path":"Procedure.reasonCode","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcedureReason"}],"strength":"example","description":"A code that identifies the reason a procedure is  required.","valueSet":"http://hl7.org/fhir/ValueSet/procedure-reason"},"mapping":[{"identity":"workflow","map":"Event.reasonCode"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"rim","map":".reasonCode"}]},{"id":"Procedure.reasonReference","path":"Procedure.reasonReference","short":"The justification that the procedure was performed","definition":"The justification of why the procedure was performed.","comment":"It is possible for a procedure to be a reason (such as C-Section) for another procedure (such as an epidural). Other examples include endoscopy for dilatation and biopsy (a combination of diagnostic and therapeutic use). \nUse Procedure.reasonCode when a code sufficiently describes the reason.  Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative.  For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used.  Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference.  Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure.","min":0,"max":"*","base":{"path":"Procedure.reasonReference","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition","http://hl7.org/fhir/StructureDefinition/Observation","http://hl7.org/fhir/StructureDefinition/Procedure","http://hl7.org/fhir/StructureDefinition/DiagnosticReport","http://hl7.org/fhir/StructureDefinition/DocumentReference"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.reasonReference"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"rim","map":".reasonCode"}]},{"id":"Procedure.bodySite","path":"Procedure.bodySite","short":"Target body sites","definition":"Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion.","comment":"If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [procedure-targetbodystructure](http://hl7.org/fhir/R4/extension-procedure-targetbodystructure.html).","min":0,"max":"*","base":{"path":"Procedure.bodySite","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"example","description":"Codes describing anatomical locations. May include laterality.","valueSet":"http://hl7.org/fhir/ValueSet/body-site"},"mapping":[{"identity":"v2","map":"OBX-20"},{"identity":"rim","map":".targetSiteCode"}]},{"id":"Procedure.outcome","path":"Procedure.outcome","short":"The result of procedure","definition":"The outcome of the procedure - did it resolve the reasons for the procedure being performed?","comment":"If outcome contains narrative text only, it can be captured using the CodeableConcept.text.","min":0,"max":"1","base":{"path":"Procedure.outcome","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcedureOutcome"}],"strength":"example","description":"An outcome of a procedure - whether it was resolved or otherwise.","valueSet":"http://hl7.org/fhir/ValueSet/procedure-outcome"},"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=OUT].target.text"}]},{"id":"Procedure.report","path":"Procedure.report","short":"Any report resulting from the procedure","definition":"This could be a histology result, pathology report, surgical report, etc.","comment":"There could potentially be multiple reports - e.g. if this was a procedure which took multiple biopsies resulting in a number of anatomical pathology reports.","min":0,"max":"*","base":{"path":"Procedure.report","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DiagnosticReport","http://hl7.org/fhir/StructureDefinition/DocumentReference","http://hl7.org/fhir/StructureDefinition/Composition"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN]"}]},{"id":"Procedure.complication","path":"Procedure.complication","short":"Complication following the procedure","definition":"Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the notes, which will typically describe the procedure itself rather than any 'post procedure' issues.","comment":"If complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text.","min":0,"max":"*","base":{"path":"Procedure.complication","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcedureComplication"}],"strength":"example","description":"Codes describing complications that resulted from a procedure.","valueSet":"http://hl7.org/fhir/ValueSet/condition-code"},"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=\"complication\", moodCode=EVN].value"}]},{"id":"Procedure.complicationDetail","path":"Procedure.complicationDetail","short":"A condition that is a result of the procedure","definition":"Any complications that occurred during the procedure, or in the immediate post-performance period.","requirements":"This is used to document a condition that is a result of the procedure, not the condition that was the reason for the procedure.","min":0,"max":"*","base":{"path":"Procedure.complicationDetail","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=\"complication\", moodCode=EVN].value"}]},{"id":"Procedure.followUp","path":"Procedure.followUp","short":"Instructions for follow up","definition":"If the procedure required specific follow up - e.g. removal of sutures. The follow up may be represented as a simple note or could potentially be more complex, in which case the CarePlan resource can be used.","min":0,"max":"*","base":{"path":"Procedure.followUp","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcedureFollowUp"}],"strength":"example","description":"Specific follow up required for a procedure e.g. removal of sutures.","valueSet":"http://hl7.org/fhir/ValueSet/procedure-followup"},"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP].target[classCode=ACT, moodCode=INT].code"}]},{"id":"Procedure.note","path":"Procedure.note","short":"Additional information about the procedure","definition":"Any other notes and comments about the procedure.","min":0,"max":"*","base":{"path":"Procedure.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.note"},{"identity":"v2","map":"NTE"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"}]},{"id":"Procedure.focalDevice","path":"Procedure.focalDevice","short":"Manipulated, implanted, or removed device","definition":"A device that is implanted, removed or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.","min":0,"max":"*","base":{"path":"Procedure.focalDevice","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".participation[typeCode=DEV].role[classCode=MANU]"}]},{"id":"Procedure.focalDevice.id","path":"Procedure.focalDevice.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Procedure.focalDevice.extension","path":"Procedure.focalDevice.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Procedure.focalDevice.modifierExtension","path":"Procedure.focalDevice.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Procedure.focalDevice.action","path":"Procedure.focalDevice.action","short":"Kind of change to device","definition":"The kind of change that happened to the device during the procedure.","min":0,"max":"1","base":{"path":"Procedure.focalDevice.action","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DeviceActionKind"}],"strength":"preferred","description":"A kind of change that happened to the device during the procedure.","valueSet":"http://hl7.org/fhir/ValueSet/device-action"},"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"procedure device action\"].value=:procedure device action codes"}]},{"id":"Procedure.focalDevice.manipulated","path":"Procedure.focalDevice.manipulated","short":"Device that was changed","definition":"The device that was manipulated (changed) during the procedure.","min":1,"max":"1","base":{"path":"Procedure.focalDevice.manipulated","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".participation[typeCode=DEV].role[classCode=SDLOC]"}]},{"id":"Procedure.usedReference","path":"Procedure.usedReference","short":"Items used during procedure","definition":"Identifies medications, devices and any other substance used as part of the procedure.","comment":"For devices actually implanted or removed, use Procedure.device.","requirements":"Used for tracking contamination, etc.","min":0,"max":"*","base":{"path":"Procedure.usedReference","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/Medication","http://hl7.org/fhir/StructureDefinition/Substance"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".participation[typeCode=DEV].role[classCode=MANU] or\n.participation[typeCode=CSM].role[classCode=ADMM] (for Medication or Substance)"}]},{"id":"Procedure.usedCode","path":"Procedure.usedCode","short":"Coded items used during the procedure","definition":"Identifies coded items that were used as part of the procedure.","comment":"For devices actually implanted or removed, use Procedure.device.","min":0,"max":"*","base":{"path":"Procedure.usedCode","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcedureUsed"}],"strength":"example","description":"Codes describing items used during a procedure.","valueSet":"http://hl7.org/fhir/ValueSet/device-kind"},"mapping":[{"identity":"rim","map":"participation[typeCode=Dev].role[classCode=MANU]"}]}]},"differential":{"element":[{"id":"Procedure","path":"Procedure","definition":"The US Core Condition Profile is based upon the core FHIR Procedure Resource and created to meet the 2015 Edition Common Clinical Data Set 'Procedures' requirements.","mustSupport":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Procedure"}]},{"id":"Procedure.status","path":"Procedure.status","min":1,"max":"1","type":[{"code":"code"}],"mustSupport":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/event-status"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Procedure.status"}]},{"id":"Procedure.code","path":"Procedure.code","short":"Procedure codes from CPT or SNOMED CT","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"extensible","description":"Codes describing the type of  Procedure","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Procedure.code"}]},{"id":"Procedure.subject","path":"Procedure.subject","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Procedure.subject"}]},{"id":"Procedure.performed[x]","path":"Procedure.performed[x]","min":1,"max":"1","type":[{"code":"dateTime"},{"code":"Period"}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Procedure.performed[x]"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-provenance.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-provenance.json
new file mode 100644
index 000000000..b58091e45
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+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-provenance.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-provenance","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-provenance-definitions.html#Provenance\" title=\"The US Core Provenance Profile is based upon the Argonaut Data Query requirements.\">Provenance</a><a name=\"Provenance\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">US Core Provenance</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-provenance-definitions.html#Provenance.target\" title=\"null\">target</a><a name=\"Provenance.target\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"http://hl7.org/fhir/R4/resource.html\">Resource</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The Resource this Provenance record supports<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-provenance-definitions.html#Provenance.recorded\" title=\"The instant of time at which the activity was recorded.\">recorded</a><a name=\"Provenance.recorded\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#instant\">instant</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Timestamp when the activity was recorded / updated</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-us-core-provenance-definitions.html#Provenance.agent\" title=\"null\">agent</a><a name=\"Provenance.agent\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"font-style: italic\">1</span><span style=\"font-style: italic\">..</span><span style=\"font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/profiling.html#slicing\">(Slice Definition)</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by pattern:type</span><br style=\"font-style: italic\"/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck033.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> agent:All Slices<a name=\"Provenance.agent\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Content/Rules for all slices</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0330.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-provenance-definitions.html#Provenance.agent.type\" title=\"null\">type</a><a name=\"Provenance.agent.type\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-provenance-participant-type.html\">US Core Provenance Participant Type Codes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0330.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-provenance-definitions.html#Provenance.agent.who\" title=\"null\">who</a><a name=\"Provenance.agent.who\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a> | <a href=\"StructureDefinition-us-core-practitionerrole.html\">US Core PractitionerRole Profile</a> | <a href=\"http://hl7.org/fhir/R4/relatedperson.html\">RelatedPerson</a> | <a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a> | <a href=\"http://hl7.org/fhir/R4/device.html\">Device</a> | <a href=\"StructureDefinition-us-core-organization.html\">US Core Organization Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0320.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-provenance-definitions.html#Provenance.agent.onBehalfOf\" title=\"null\">onBehalfOf</a><a name=\"Provenance.agent.onBehalfOf\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-organization.html\">US Core Organization Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">provenance-1: </span>onBehalfOf SHALL be present when Provenance.agent.who is a Practitioner or Device</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-provenance-definitions.html#Provenance.agent:ProvenanceAuthor\" title=\"Slice ProvenanceAuthor: null\">agent:ProvenanceAuthor</a><a name=\"Provenance.agent\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0341.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-provenance-definitions.html#Provenance.agent:ProvenanceAuthor.type\" title=\"null\">type</a><a name=\"Provenance.agent.type\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03401.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"http://hl7.org/fhir/R4/codesystem-provenance-agent-type.html\">http://terminology.hl7.org/CodeSystem/provenance-participant-type</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">author</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck025.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-provenance-definitions.html#Provenance.agent:ProvenanceTransmitter\" title=\"Slice ProvenanceTransmitter: null\">agent:ProvenanceTransmitter</a><a name=\"Provenance.agent\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0241.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-provenance-definitions.html#Provenance.agent:ProvenanceTransmitter.type\" title=\"null\">type</a><a name=\"Provenance.agent.type\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck02401.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck024010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"CodeSystem-us-core-provenance-participant-type.html\">http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck024000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">transmitter</span></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-provenance","version":"3.0.1","name":"USCoreProvenance","title":"US Core Provenance Profile","status":"active","date":"2019-08-05T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Draft set of requirements to satisfy Basic Provenance Requirements.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w3c.prov","uri":"http://www.w3.org/ns/prov","name":"W3C PROV"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"fhirauditevent","uri":"http://hl7.org/fhir/auditevent","name":"FHIR AuditEvent Mapping"}],"kind":"resource","abstract":false,"type":"Provenance","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Provenance","derivation":"constraint","snapshot":{"element":[{"id":"Provenance","path":"Provenance","short":"US Core Provenance","definition":"The US Core Provenance Profile is based upon the Argonaut Data Query requirements.","comment":"Some parties may be duplicated between the target resource and its provenance.  For instance, the prescriber is usually (but not always) the author of the prescription resource. This resource is defined with close consideration for W3C Provenance.","alias":["History","Event","Activity","Basic Provenance"],"min":0,"max":"*","base":{"path":"Provenance","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.div.exists()","xpath":"exists(f:text/h:div)","source":"DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"DomainResource"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"rim","map":"ControlAct[isNormalAct() and subsumes(CACT, classCode) and moodCode=EVN]"},{"identity":"w3c.prov","map":"Activity"}]},{"id":"Provenance.id","path":"Provenance.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"code":"id"}],"isModifier":false,"isSummary":true},{"id":"Provenance.meta","path":"Provenance.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"isModifier":false,"isSummary":true},{"id":"Provenance.implicitRules","path":"Provenance.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Provenance.language","path":"Provenance.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"Provenance.text","path":"Provenance.text","short":"Text summary of the resource, for human interpretation","definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Provenance.contained","path":"Provenance.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Provenance.extension","path":"Provenance.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Provenance.modifierExtension","path":"Provenance.modifierExtension","short":"Extensions that cannot be ignored","definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Provenance.target","path":"Provenance.target","short":"The Resource this Provenance record supports","definition":"The Reference(s) that were generated or updated by  the activity described in this resource. A provenance can point to more than one target if multiple resources were created/updated by the same activity.","comment":"Target references are usually version specific, but might not be, if a version has not been assigned or if the provenance information is part of the set of resources being maintained (i.e. a document). When using the RESTful API, the identity of the resource might not be known (especially not the version specific one); the client may either submit the resource first, and then the provenance, or it may submit both using a single transaction. See the notes on transaction for further discussion.","min":1,"max":"*","base":{"path":"Provenance.target","min":1,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":"./outboundRelationship[isNormalActRelationship() and typeCode=SUBJ]/target  OR  ./participation[isNormalParticipation() and typeCode=SBJ]/role  OR  ./participation[isNormalParticipation() and typeCode=SBJ]/role[isNormalRole()]/player"},{"identity":"fhirauditevent","map":"AuditEvent.entity.reference"},{"identity":"w3c.prov","map":"Entity Created/Updated"}]},{"id":"Provenance.occurred[x]","path":"Provenance.occurred[x]","short":"When the activity occurred","definition":"The period during which the activity occurred.","comment":"The period can be a little arbitrary; where possible, the time should correspond to human assessment of the activity time.","min":0,"max":"1","base":{"path":"Provenance.occurred[x]","min":0,"max":"1"},"type":[{"code":"Period"},{"code":"dateTime"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.occurred[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"rim","map":"./effectiveTime[type=IVL_TS]"},{"identity":"w3c.prov","map":"Activity.startTime & Activity.endTime"}]},{"id":"Provenance.recorded","path":"Provenance.recorded","short":"Timestamp when the activity was recorded / updated","definition":"The instant of time at which the activity was recorded.","comment":"This can be a little different from the time stamp on the resource if there is a delay between recording the event and updating the provenance and target resource.","min":1,"max":"1","base":{"path":"Provenance.recorded","min":1,"max":"1"},"type":[{"code":"instant"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"rim","map":"unique(./participation[isNormalParticipation() and typeCode=AUT]/time[type=TS])"},{"identity":"fhirauditevent","map":"AuditEvent.recorded"},{"identity":"w3c.prov","map":"Activity.when"}]},{"id":"Provenance.policy","path":"Provenance.policy","short":"Policy or plan the activity was defined by","definition":"Policy or plan the activity was defined by. Typically, a single activity may have multiple applicable policy documents, such as patient consent, guarantor funding, etc.","comment":"For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","min":0,"max":"*","base":{"path":"Provenance.policy","min":0,"max":"*"},"type":[{"code":"uri"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./inboundRelationship[isNormalActRelationship() and typeCode=\"SUBJ\"]/source[isNormalAct and subsumes(POLICY, classCode) and moodCode=EVN]/text[typeCode='ED'/tel"},{"identity":"fhirauditevent","map":"AuditEvent.agent.policy"}]},{"id":"Provenance.location","path":"Provenance.location","short":"Where the activity occurred, if relevant","definition":"Where the activity occurred, if relevant.","min":0,"max":"1","base":{"path":"Provenance.location","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.location"},{"identity":"w5","map":"FiveWs.where[x]"},{"identity":"rim","map":"unique(./participation[isNormalParticipation() and typeCode=LOC]/role[isNormalRole() and subsumes(SDLOC, classCode)]/player[isNormalEntity and classCode=\"LOC\" and determinerCode=\"INST\"]"},{"identity":"fhirauditevent","map":"AuditEvent.agent.location"},{"identity":"w3c.prov","map":"Activity.location"}]},{"id":"Provenance.reason","path":"Provenance.reason","short":"Reason the activity is occurring","definition":"The reason that the activity was taking place.","min":0,"max":"*","base":{"path":"Provenance.reason","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProvenanceReason"}],"strength":"extensible","description":"The reason the activity took place.","valueSet":"http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"},"mapping":[{"identity":"workflow","map":"Event.reasonCode"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"rim","map":"unique(./reasonCode)"},{"identity":"fhirauditevent","map":"AuditEvent.purposeOfEvent"},{"identity":"w3c.prov","map":"Activity.Activity"}]},{"id":"Provenance.activity","path":"Provenance.activity","short":"Activity that occurred","definition":"An activity is something that occurs over a period of time and acts upon or with entities; it may include consuming, processing, transforming, modifying, relocating, using, or generating entities.","min":0,"max":"1","base":{"path":"Provenance.activity","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProvenanceActivity"}],"strength":"extensible","description":"The activity that took place.","valueSet":"http://hl7.org/fhir/ValueSet/provenance-activity-type"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"rim","map":"Act.code"},{"identity":"w3c.prov","map":"Activity.Activity"}]},{"id":"Provenance.agent","path":"Provenance.agent","slicing":{"discriminator":[{"type":"pattern","path":"type"}],"rules":"open"},"short":"Actor involved","definition":"An actor taking a role in an activity  for which it can be assigned some degree of responsibility for the activity taking place.","comment":"Several agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa.","requirements":"An agent can be a person, an organization, software, device, or other entities that may be ascribed responsibility.","min":1,"max":"*","base":{"path":"Provenance.agent","min":1,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.performer"},{"identity":"w5","map":"FiveWs.who"},{"identity":"rim","map":"./participation[isNormalParticipation()]  OR  ./outboundRelationship[isNormalActRelationship() and typeCode='DRIV']"},{"identity":"fhirauditevent","map":"AuditEvent.agent"},{"identity":"w3c.prov","map":"Agent"}]},{"id":"Provenance.agent.id","path":"Provenance.agent.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Provenance.agent.extension","path":"Provenance.agent.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Provenance.agent.modifierExtension","path":"Provenance.agent.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Provenance.agent.type","path":"Provenance.agent.type","short":"How the agent participated","definition":"The participation the agent had with respect to the activity.","comment":"For example: author, performer, enterer, attester, etc.","min":0,"max":"1","base":{"path":"Provenance.agent.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-provenance-participant-type"},"mapping":[{"identity":"workflow","map":"Event.performer.function"},{"identity":"rim","map":".role"},{"identity":"fhirauditevent","map":"AuditEvent.agent.type"},{"identity":"w3c.prov","map":"Agent.Attribution"}]},{"id":"Provenance.agent.role","path":"Provenance.agent.role","short":"What the agents role was","definition":"The function of the agent with respect to the activity. The security role enabling the agent with respect to the activity.","comment":"For example: doctor, nurse, clerk, etc.","min":0,"max":"*","base":{"path":"Provenance.agent.role","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProvenanceAgentRole"}],"strength":"example","description":"The role that a provenance agent played with respect to the activity.","valueSet":"http://hl7.org/fhir/ValueSet/security-role-type"},"mapping":[{"identity":"rim","map":".typecode"},{"identity":"fhirauditevent","map":"AuditEvent.agent.role"}]},{"id":"Provenance.agent.who","path":"Provenance.agent.who","short":"Who participated","definition":"The individual, device or organization that participated in the event.","comment":"whoIdentity should be used when the agent is not a Resource type.","min":1,"max":"1","base":{"path":"Provenance.agent.who","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"rim","map":".id"}]},{"id":"Provenance.agent.onBehalfOf","path":"Provenance.agent.onBehalfOf","short":"Who the agent is representing","definition":"The individual, device, or organization for whom the change was made.","comment":"onBehalfOfIdentity should be used when the agent is not a Resource type.","min":0,"max":"1","base":{"path":"Provenance.agent.onBehalfOf","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"]}],"constraint":[{"key":"provenance-1","severity":"error","human":"onBehalfOf SHALL be present when Provenance.agent.who is a Practitioner or Device","expression":"($this.agent.who.resolve().is Practitioner or Device) implies exists()"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Person, Practitioner, Organization, Device :* .role [classCode = RoleClassMutualRelationship; role.code and * .scopes[Role](classCode=IDENT) and *.plays [Role.Code]"}]},{"id":"Provenance.agent:ProvenanceAuthor","path":"Provenance.agent","sliceName":"ProvenanceAuthor","short":"Actor involved","definition":"An actor taking a role in an activity  for which it can be assigned some degree of responsibility for the activity taking place.","comment":"Several agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa.","requirements":"An agent can be a person, an organization, software, device, or other entities that may be ascribed responsibility.","min":0,"max":"*","base":{"path":"Provenance.agent","min":1,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.performer"},{"identity":"w5","map":"FiveWs.who"},{"identity":"rim","map":"./participation[isNormalParticipation()]  OR  ./outboundRelationship[isNormalActRelationship() and typeCode='DRIV']"},{"identity":"fhirauditevent","map":"AuditEvent.agent"},{"identity":"w3c.prov","map":"Agent"}]},{"id":"Provenance.agent:ProvenanceAuthor.id","path":"Provenance.agent.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Provenance.agent:ProvenanceAuthor.extension","path":"Provenance.agent.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Provenance.agent:ProvenanceAuthor.modifierExtension","path":"Provenance.agent.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Provenance.agent:ProvenanceAuthor.type","path":"Provenance.agent.type","short":"How the agent participated","definition":"The participation the agent had with respect to the activity.","comment":"For example: author, performer, enterer, attester, etc.","min":1,"max":"1","base":{"path":"Provenance.agent.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/provenance-participant-type","code":"author"}]},"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProvenanceAgentType"}],"strength":"extensible","description":"The type of participation that a provenance agent played with respect to the activity.","valueSet":"http://hl7.org/fhir/ValueSet/provenance-agent-type"},"mapping":[{"identity":"workflow","map":"Event.performer.function"},{"identity":"rim","map":".role"},{"identity":"fhirauditevent","map":"AuditEvent.agent.type"},{"identity":"w3c.prov","map":"Agent.Attribution"}]},{"id":"Provenance.agent:ProvenanceAuthor.role","path":"Provenance.agent.role","short":"What the agents role was","definition":"The function of the agent with respect to the activity. The security role enabling the agent with respect to the activity.","comment":"For example: doctor, nurse, clerk, etc.","min":0,"max":"*","base":{"path":"Provenance.agent.role","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProvenanceAgentRole"}],"strength":"example","description":"The role that a provenance agent played with respect to the activity.","valueSet":"http://hl7.org/fhir/ValueSet/security-role-type"},"mapping":[{"identity":"rim","map":".typecode"},{"identity":"fhirauditevent","map":"AuditEvent.agent.role"}]},{"id":"Provenance.agent:ProvenanceAuthor.who","path":"Provenance.agent.who","short":"Who participated","definition":"The individual, device or organization that participated in the event.","comment":"whoIdentity should be used when the agent is not a Resource type.","min":1,"max":"1","base":{"path":"Provenance.agent.who","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/Organization"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"rim","map":".id"}]},{"id":"Provenance.agent:ProvenanceAuthor.onBehalfOf","path":"Provenance.agent.onBehalfOf","short":"Who the agent is representing","definition":"The individual, device, or organization for whom the change was made.","comment":"onBehalfOfIdentity should be used when the agent is not a Resource type.","min":0,"max":"1","base":{"path":"Provenance.agent.onBehalfOf","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/Organization"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Person, Practitioner, Organization, Device :* .role [classCode = RoleClassMutualRelationship; role.code and * .scopes[Role](classCode=IDENT) and *.plays [Role.Code]"}]},{"id":"Provenance.agent:ProvenanceTransmitter","path":"Provenance.agent","sliceName":"ProvenanceTransmitter","short":"Actor involved","definition":"An actor taking a role in an activity  for which it can be assigned some degree of responsibility for the activity taking place.","comment":"Several agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa.","requirements":"An agent can be a person, an organization, software, device, or other entities that may be ascribed responsibility.","min":0,"max":"1","base":{"path":"Provenance.agent","min":1,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.performer"},{"identity":"w5","map":"FiveWs.who"},{"identity":"rim","map":"./participation[isNormalParticipation()]  OR  ./outboundRelationship[isNormalActRelationship() and typeCode='DRIV']"},{"identity":"fhirauditevent","map":"AuditEvent.agent"},{"identity":"w3c.prov","map":"Agent"}]},{"id":"Provenance.agent:ProvenanceTransmitter.id","path":"Provenance.agent.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Provenance.agent:ProvenanceTransmitter.extension","path":"Provenance.agent.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Provenance.agent:ProvenanceTransmitter.modifierExtension","path":"Provenance.agent.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Provenance.agent:ProvenanceTransmitter.type","path":"Provenance.agent.type","short":"How the agent participated","definition":"The participation the agent had with respect to the activity.","comment":"For example: author, performer, enterer, attester, etc.","min":1,"max":"1","base":{"path":"Provenance.agent.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type","code":"transmitter"}]},"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProvenanceAgentType"}],"strength":"extensible","description":"The type of participation that a provenance agent played with respect to the activity.","valueSet":"http://hl7.org/fhir/ValueSet/provenance-agent-type"},"mapping":[{"identity":"workflow","map":"Event.performer.function"},{"identity":"rim","map":".role"},{"identity":"fhirauditevent","map":"AuditEvent.agent.type"},{"identity":"w3c.prov","map":"Agent.Attribution"}]},{"id":"Provenance.agent:ProvenanceTransmitter.role","path":"Provenance.agent.role","short":"What the agents role was","definition":"The function of the agent with respect to the activity. The security role enabling the agent with respect to the activity.","comment":"For example: doctor, nurse, clerk, etc.","min":0,"max":"*","base":{"path":"Provenance.agent.role","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProvenanceAgentRole"}],"strength":"example","description":"The role that a provenance agent played with respect to the activity.","valueSet":"http://hl7.org/fhir/ValueSet/security-role-type"},"mapping":[{"identity":"rim","map":".typecode"},{"identity":"fhirauditevent","map":"AuditEvent.agent.role"}]},{"id":"Provenance.agent:ProvenanceTransmitter.who","path":"Provenance.agent.who","short":"Who participated","definition":"The individual, device or organization that participated in the event.","comment":"whoIdentity should be used when the agent is not a Resource type.","min":1,"max":"1","base":{"path":"Provenance.agent.who","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/Organization"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"rim","map":".id"}]},{"id":"Provenance.agent:ProvenanceTransmitter.onBehalfOf","path":"Provenance.agent.onBehalfOf","short":"Who the agent is representing","definition":"The individual, device, or organization for whom the change was made.","comment":"onBehalfOfIdentity should be used when the agent is not a Resource type.","min":0,"max":"1","base":{"path":"Provenance.agent.onBehalfOf","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/Organization"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Person, Practitioner, Organization, Device :* .role [classCode = RoleClassMutualRelationship; role.code and * .scopes[Role](classCode=IDENT) and *.plays [Role.Code]"}]},{"id":"Provenance.entity","path":"Provenance.entity","short":"An entity used in this activity","definition":"An entity used in this activity.","min":0,"max":"*","base":{"path":"Provenance.entity","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./subjectOf"},{"identity":"fhirauditevent","map":"AuditEvent.entity"},{"identity":"w3c.prov","map":"Entity"}]},{"id":"Provenance.entity.id","path":"Provenance.entity.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Provenance.entity.extension","path":"Provenance.entity.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Provenance.entity.modifierExtension","path":"Provenance.entity.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Provenance.entity.role","path":"Provenance.entity.role","short":"derivation | revision | quotation | source | removal","definition":"How the entity was used during the activity.","min":1,"max":"1","base":{"path":"Provenance.entity.role","min":1,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProvenanceEntityRole"}],"strength":"required","description":"How an entity was used in an activity.","valueSet":"http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.0"},"mapping":[{"identity":"rim","map":"./typeCode"},{"identity":"fhirauditevent","map":"AuditEvent.entity.lifecycle"},{"identity":"w3c.prov","map":"Entity.role"}]},{"id":"Provenance.entity.what","path":"Provenance.entity.what","short":"Identity of entity","definition":"Identity of the  Entity used. May be a logical or physical uri and maybe absolute or relative.","comment":"whatIdentity should be used for entities that are not a Resource type.","min":1,"max":"1","base":{"path":"Provenance.entity.what","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"./text/reference"},{"identity":"fhirauditevent","map":"AuditEvent.entity.reference"},{"identity":"w3c.prov","map":"Entity.Identity"}]},{"id":"Provenance.entity.agent","path":"Provenance.entity.agent","short":"Entity is attributed to this agent","definition":"The entity is attributed to an agent to express the agent's responsibility for that entity, possibly along with other agents. This description can be understood as shorthand for saying that the agent was responsible for the activity which generated the entity.","comment":"A usecase where one Provenance.entity.agent is used where the Entity that was used in the creation/updating of the Target, is not in the context of the same custodianship as the Target, and thus the meaning of Provenance.entity.agent is to say that the entity referenced is managed elsewhere and that this Agent provided access to it.  This would be similar to where the Entity being referenced is managed outside FHIR, such as through HL7 v2, v3, or XDS. This might be where the Entity being referenced is managed in another FHIR resource server. Thus it explains the Provenance of that Entity's use in the context of this Provenance activity.","min":0,"max":"*","base":{"path":"Provenance.entity.agent","min":0,"max":"*"},"contentReference":"#Provenance.agent:ProvenanceTransmitter","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./author/role"}]},{"id":"Provenance.signature","path":"Provenance.signature","short":"Signature on target","definition":"A digital signature on the target Reference(s). The signer should match a Provenance.agent. The purpose of the signature is indicated.","min":0,"max":"*","base":{"path":"Provenance.signature","min":0,"max":"*"},"type":[{"code":"Signature"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./signatureText"}]}]},"differential":{"element":[{"id":"Provenance","path":"Provenance","short":"US Core Provenance","definition":"The US Core Provenance Profile is based upon the Argonaut Data Query requirements.","alias":["Basic Provenance"],"mustSupport":false,"isModifier":false},{"id":"Provenance.target","path":"Provenance.target","short":"The Resource this Provenance record supports","min":1,"max":"*","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"mustSupport":true,"isModifier":false},{"id":"Provenance.recorded","path":"Provenance.recorded","short":"Timestamp when the activity was recorded / updated","definition":"The instant of time at which the activity was recorded.","min":1,"max":"1","type":[{"code":"instant"}],"mustSupport":true,"isModifier":false},{"id":"Provenance.agent","path":"Provenance.agent","slicing":{"discriminator":[{"type":"pattern","path":"type"}],"rules":"open"},"min":1,"max":"*","mustSupport":true,"isModifier":false},{"id":"Provenance.agent.type","path":"Provenance.agent.type","min":0,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-provenance-participant-type"}},{"id":"Provenance.agent.who","path":"Provenance.agent.who","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"]}],"mustSupport":true,"isModifier":false},{"id":"Provenance.agent.onBehalfOf","path":"Provenance.agent.onBehalfOf","min":0,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"]}],"constraint":[{"key":"provenance-1","severity":"error","human":"onBehalfOf SHALL be present when Provenance.agent.who is a Practitioner or Device","expression":"($this.agent.who.resolve().is Practitioner or Device) implies exists()"}],"mustSupport":true,"isModifier":false},{"id":"Provenance.agent:ProvenanceAuthor","path":"Provenance.agent","sliceName":"ProvenanceAuthor","min":0,"max":"*","mustSupport":true,"isModifier":false},{"id":"Provenance.agent:ProvenanceAuthor.type","path":"Provenance.agent.type","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/provenance-participant-type","code":"author"}]},"mustSupport":true,"isModifier":false},{"id":"Provenance.agent:ProvenanceTransmitter","path":"Provenance.agent","sliceName":"ProvenanceTransmitter","min":0,"max":"1","mustSupport":true,"isModifier":false},{"id":"Provenance.agent:ProvenanceTransmitter.type","path":"Provenance.agent.type","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type","code":"transmitter"}]},"mustSupport":true,"isModifier":false}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-pulse-oximetry.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-pulse-oximetry.json
new file mode 100644
index 000000000..bde51d2cf
--- /dev/null
+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-pulse-oximetry.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-pulse-oximetry","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-pulse-oximetry-definitions.html#Observation\" title=\"This profile defines how to represent pulse oximetry and inspired oxygen concentration based on the FHIR Core Vitals Profile.\nINSPIRED OXYGEN CONCENTRATION observations in FHIR using a standard LOINC code and UCUM units of measure.\">Observation</a><a name=\"Observation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-pulse-oximetry-definitions.html#Observation.code\">code</a><a name=\"Observation.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Oxygen Saturation by Pulse Oximetry</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck103.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-us-core-pulse-oximetry-definitions.html#Observation.code.coding\">coding</a><a name=\"Observation.code.coding\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.4; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.4; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/profiling.html#slicing\">(Slice Definition)</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by value:code, value:system</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1025.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-pulse-oximetry-definitions.html#Observation.code.coding:PulseOx\" title=\"Slice PulseOx: \">coding:PulseOx</a><a name=\"Observation.code.coding\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10250.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-pulse-oximetry-definitions.html#Observation.code.coding:PulseOx.system\">system</a><a name=\"Observation.code.coding.system\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"http://hl7.org/fhir/R4/loinc.html\">http://loinc.org</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-pulse-oximetry-definitions.html#Observation.code.coding:PulseOx.code\">code</a><a name=\"Observation.code.coding.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">59408-5</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-us-core-pulse-oximetry-definitions.html#Observation.component\">component</a><a name=\"Observation.component\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.4; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.4; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/profiling.html#slicing\">(Slice Definition)</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by pattern:code</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-pulse-oximetry-definitions.html#Observation.component:FlowRate\" title=\"Slice FlowRate: \">component:FlowRate</a><a name=\"Observation.component\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Inhaled oxygen flow rate</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0351.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-pulse-oximetry-definitions.html#Observation.component:FlowRate.code\">code</a><a name=\"Observation.component.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03501.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"http://hl7.org/fhir/R4/loinc.html\">http://loinc.org</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">3151-8</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0341.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-pulse-oximetry-definitions.html#Observation.component:FlowRate.valueQuantity\">valueQuantity</a><a name=\"Observation.component.valueQuantity\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#Quantity\">Quantity</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03410.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-pulse-oximetry-definitions.html#Observation.component:FlowRate.valueQuantity.value\">value</a><a name=\"Observation.component.valueQuantity.value\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03410.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-pulse-oximetry-definitions.html#Observation.component:FlowRate.valueQuantity.unit\">unit</a><a name=\"Observation.component.valueQuantity.unit\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03410.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-pulse-oximetry-definitions.html#Observation.component:FlowRate.valueQuantity.system\">system</a><a name=\"Observation.component.valueQuantity.system\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"http://hl7.org/fhir/R4/ucum.html\">http://unitsofmeasure.org</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03400.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-pulse-oximetry-definitions.html#Observation.component:FlowRate.valueQuantity.code\">code</a><a name=\"Observation.component.valueQuantity.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">l/min</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck025.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-pulse-oximetry-definitions.html#Observation.component:Concentration\" title=\"Slice Concentration: \">component:Concentration</a><a name=\"Observation.component\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Inhaled oxygen concentration</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0251.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-pulse-oximetry-definitions.html#Observation.component:Concentration.code\">code</a><a name=\"Observation.component.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck02501.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck025010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"http://hl7.org/fhir/R4/loinc.html\">http://loinc.org</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck025000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">3150-0</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0241.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-pulse-oximetry-definitions.html#Observation.component:Concentration.valueQuantity\">valueQuantity</a><a name=\"Observation.component.valueQuantity\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#Quantity\">Quantity</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck02410.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-pulse-oximetry-definitions.html#Observation.component:Concentration.valueQuantity.value\">value</a><a name=\"Observation.component.valueQuantity.value\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck02410.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-pulse-oximetry-definitions.html#Observation.component:Concentration.valueQuantity.unit\">unit</a><a name=\"Observation.component.valueQuantity.unit\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck02410.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-pulse-oximetry-definitions.html#Observation.component:Concentration.valueQuantity.system\">system</a><a name=\"Observation.component.valueQuantity.system\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"http://hl7.org/fhir/R4/ucum.html\">http://unitsofmeasure.org</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck02400.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-pulse-oximetry-definitions.html#Observation.component:Concentration.valueQuantity.code\">code</a><a name=\"Observation.component.valueQuantity.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Fixed Value: </span><span style=\"color: darkgreen\">%</span></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry","name":"USCorePulseOximetryProfile","title":"US Core Pulse Oximetry Profile","status":"active","experimental":false,"date":"2019-08-20T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the Observation resource for use in querying and retrieving inspired O2 by pulse oximetry observations.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"sct-concept","uri":"http://snomed.info/conceptdomain","name":"SNOMED CT Concept Domain Binding"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"sct-attr","uri":"http://snomed.org/attributebinding","name":"SNOMED CT Attribute Binding"}],"kind":"resource","abstract":false,"type":"Observation","baseDefinition":"http://hl7.org/fhir/StructureDefinition/oxygensat","derivation":"constraint","snapshot":{"element":[{"id":"Observation","path":"Observation","short":"FHIR Oxygen Saturation Profile","definition":"This profile defines how to represent pulse oximetry and inspired oxygen concentration based on the FHIR Core Vitals Profile.\nINSPIRED OXYGEN CONCENTRATION observations in FHIR using a standard LOINC code and UCUM units of measure.","comment":"Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc.","alias":["Vital Signs","Measurement","Results","Tests"],"min":0,"max":"*","base":{"path":"Observation","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.div.exists()","xpath":"exists(f:text/h:div)","source":"DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"DomainResource"},{"key":"obs-7","severity":"error","human":"If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present","expression":"value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()","xpath":"not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))","source":"Observation"},{"key":"obs-6","severity":"error","human":"dataAbsentReason SHALL only be present if Observation.value[x] is not present","expression":"dataAbsentReason.empty() or value.empty()","xpath":"not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))","source":"Observation"},{"key":"vs-2","severity":"error","human":"If there is no component or hasMember element then either a value[x] or a data absent reason must be present.","expression":"(component.empty() and hasMember.empty()) implies (dataAbsentReason or value)","xpath":"f:component or f:memberOF or f:*[starts-with(local-name(.), 'value')] or f:dataAbsentReason","source":"Observation"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"sct-concept","map":"< 363787002 |Observable entity|"},{"identity":"v2","map":"OBX"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.id","path":"Observation.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"code":"id"}],"isModifier":false,"isSummary":true},{"id":"Observation.meta","path":"Observation.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"isModifier":false,"isSummary":true},{"id":"Observation.implicitRules","path":"Observation.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Observation.language","path":"Observation.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"Observation.text","path":"Observation.text","short":"Text summary of the resource, for human interpretation","definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Observation.contained","path":"Observation.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.extension","path":"Observation.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.modifierExtension","path":"Observation.modifierExtension","short":"Extensions that cannot be ignored","definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.identifier","path":"Observation.identifier","short":"Business Identifier for observation","definition":"A unique identifier assigned to this observation.","requirements":"Allows observations to be distinguished and referenced.","min":0,"max":"*","base":{"path":"Observation.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"OBX.21  For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4."},{"identity":"rim","map":"id"}]},{"id":"Observation.basedOn","path":"Observation.basedOn","short":"Fulfills plan, proposal or order","definition":"A plan, proposal or order that is fulfilled in whole or in part by this event.  For example, a MedicationRequest may require a patient to have laboratory test performed before  it is dispensed.","requirements":"Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.","alias":["Fulfills"],"min":0,"max":"*","base":{"path":"Observation.basedOn","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan","http://hl7.org/fhir/StructureDefinition/DeviceRequest","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation","http://hl7.org/fhir/StructureDefinition/MedicationRequest","http://hl7.org/fhir/StructureDefinition/NutritionOrder","http://hl7.org/fhir/StructureDefinition/ServiceRequest"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.basedOn"},{"identity":"v2","map":"ORC"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"}]},{"id":"Observation.partOf","path":"Observation.partOf","short":"Part of referenced event","definition":"A larger event of which this particular Observation is a component or step.  For example,  an observation as part of a procedure.","comment":"To link an Observation to an Encounter use `encounter`.  See the  [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below for guidance on referencing another Observation.","alias":["Container"],"min":0,"max":"*","base":{"path":"Observation.partOf","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationAdministration","http://hl7.org/fhir/StructureDefinition/MedicationDispense","http://hl7.org/fhir/StructureDefinition/MedicationStatement","http://hl7.org/fhir/StructureDefinition/Procedure","http://hl7.org/fhir/StructureDefinition/Immunization","http://hl7.org/fhir/StructureDefinition/ImagingStudy"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.partOf"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target"}]},{"id":"Observation.status","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"default: final"}],"path":"Observation.status","short":"registered | preliminary | final | amended +","definition":"The status of the result value.","comment":"This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","requirements":"Need to track the status of individual results. Some results are finalized before the whole report is finalized.","min":1,"max":"1","base":{"path":"Observation.status","min":1,"max":"1"},"type":[{"code":"code"}],"mustSupport":true,"isModifier":true,"isModifierReason":"This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Status"}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/observation-status|4.0.0"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"sct-concept","map":"< 445584004 |Report by finality status|"},{"identity":"v2","map":"OBX-11"},{"identity":"rim","map":"status  Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\""}]},{"id":"Observation.category","path":"Observation.category","slicing":{"discriminator":[{"type":"value","path":"coding.code"},{"type":"value","path":"coding.system"}],"ordered":false,"rules":"open"},"short":"Classification of  type of observation","definition":"A code that classifies the general type of observation being made.","comment":"In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once.  The level of granularity is defined by the category concepts in the value set.","requirements":"Used for filtering what observations are retrieved and displayed.","min":1,"max":"*","base":{"path":"Observation.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCategory"}],"strength":"preferred","description":"Codes for high level observation categories.","valueSet":"http://hl7.org/fhir/ValueSet/observation-category"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"}]},{"id":"Observation.category:VSCat","path":"Observation.category","sliceName":"VSCat","short":"Classification of  type of observation","definition":"A code that classifies the general type of observation being made.","comment":"In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once.  The level of granularity is defined by the category concepts in the value set.","requirements":"Used for filtering what observations are retrieved and displayed.","min":1,"max":"1","base":{"path":"Observation.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCategory"}],"strength":"preferred","description":"Codes for high level observation categories.","valueSet":"http://hl7.org/fhir/ValueSet/observation-category"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"}]},{"id":"Observation.category:VSCat.id","path":"Observation.category.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.category:VSCat.extension","path":"Observation.category.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.category:VSCat.coding","path":"Observation.category.coding","short":"Code defined by a terminology system","definition":"A reference to a code defined by a terminology system.","comment":"Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","requirements":"Allows for alternative encodings within a code system, and translations to other code systems.","min":1,"max":"*","base":{"path":"CodeableConcept.coding","min":0,"max":"*"},"type":[{"code":"Coding"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.1-8, C*E.10-22"},{"identity":"rim","map":"union(., ./translation)"},{"identity":"orim","map":"fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"}]},{"id":"Observation.category:VSCat.coding.id","path":"Observation.category.coding.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.category:VSCat.coding.extension","path":"Observation.category.coding.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.category:VSCat.coding.system","path":"Observation.category.coding.system","short":"Identity of the terminology system","definition":"The identification of the code system that defines the meaning of the symbol in the code.","comment":"The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.","requirements":"Need to be unambiguous about the source of the definition of the symbol.","min":1,"max":"1","base":{"path":"Coding.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"http://terminology.hl7.org/CodeSystem/observation-category","mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.3"},{"identity":"rim","map":"./codeSystem"},{"identity":"orim","map":"fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"}]},{"id":"Observation.category:VSCat.coding.version","path":"Observation.category.coding.version","short":"Version of the system - if relevant","definition":"The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","comment":"Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","min":0,"max":"1","base":{"path":"Coding.version","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.7"},{"identity":"rim","map":"./codeSystemVersion"},{"identity":"orim","map":"fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"}]},{"id":"Observation.category:VSCat.coding.code","path":"Observation.category.coding.code","short":"Symbol in syntax defined by the system","definition":"A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","requirements":"Need to refer to a particular code in the system.","min":1,"max":"1","base":{"path":"Coding.code","min":0,"max":"1"},"type":[{"code":"code"}],"fixedCode":"vital-signs","mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.1"},{"identity":"rim","map":"./code"},{"identity":"orim","map":"fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"}]},{"id":"Observation.category:VSCat.coding.display","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Observation.category.coding.display","short":"Representation defined by the system","definition":"A representation of the meaning of the code in the system, following the rules of the system.","requirements":"Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","min":0,"max":"1","base":{"path":"Coding.display","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.2 - but note this is not well followed"},{"identity":"rim","map":"CV.displayName"},{"identity":"orim","map":"fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"}]},{"id":"Observation.category:VSCat.coding.userSelected","path":"Observation.category.coding.userSelected","short":"If this coding was chosen directly by the user","definition":"Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).","comment":"Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","requirements":"This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","min":0,"max":"1","base":{"path":"Coding.userSelected","min":0,"max":"1"},"type":[{"code":"boolean"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Sometimes implied by being first"},{"identity":"rim","map":"CD.codingRationale"},{"identity":"orim","map":"fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]"}]},{"id":"Observation.category:VSCat.text","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Observation.category.text","short":"Plain text representation of the concept","definition":"A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","comment":"Very often the text is the same as a displayName of one of the codings.","requirements":"The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","min":0,"max":"1","base":{"path":"CodeableConcept.text","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.9. But note many systems use C*E.2 for this"},{"identity":"rim","map":"./originalText[mediaType/code=\"text/plain\"]/data"},{"identity":"orim","map":"fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"}]},{"id":"Observation.code","path":"Observation.code","short":"Oxygen Saturation by Pulse Oximetry","definition":"Oxygen Saturation.","comment":"The code (59408-5 Oxygen saturation in Arterial blood by Pulse oximetry) is included as an additional observation code to FHIR Core vital Oxygen Saturation code (2708-6 Oxygen saturation in Arterial blood -).","requirements":"5. SHALL contain exactly one [1..1] code, where the @code SHOULD be selected from ValueSet HITSP Vital Sign Result Type 2.16.840.1.113883.3.88.12.80.62 DYNAMIC (CONF:7301).","alias":["Name","Test"],"min":1,"max":"1","base":{"path":"Observation.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSigns"}],"strength":"extensible","description":"This identifies the vital sign result type.","valueSet":"http://hl7.org/fhir/ValueSet/observation-vitalsignresult"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"},{"identity":"sct-attr","map":"116680003 |Is a|"}]},{"id":"Observation.code.id","path":"Observation.code.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.code.extension","path":"Observation.code.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.code.coding","path":"Observation.code.coding","slicing":{"discriminator":[{"type":"value","path":"code"},{"type":"value","path":"system"}],"ordered":false,"rules":"open"},"short":"Code defined by a terminology system","definition":"A reference to a code defined by a terminology system.","comment":"Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","requirements":"Allows for alternative encodings within a code system, and translations to other code systems.","min":0,"max":"*","base":{"path":"CodeableConcept.coding","min":0,"max":"*"},"type":[{"code":"Coding"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.1-8, C*E.10-22"},{"identity":"rim","map":"union(., ./translation)"},{"identity":"orim","map":"fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"}]},{"id":"Observation.code.coding:OxygenSatCode","path":"Observation.code.coding","sliceName":"OxygenSatCode","short":"Code defined by a terminology system","definition":"A reference to a code defined by a terminology system.","comment":"Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","requirements":"Allows for alternative encodings within a code system, and translations to other code systems.","min":1,"max":"1","base":{"path":"CodeableConcept.coding","min":0,"max":"*"},"type":[{"code":"Coding"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.1-8, C*E.10-22"},{"identity":"rim","map":"union(., ./translation)"},{"identity":"orim","map":"fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"}]},{"id":"Observation.code.coding:OxygenSatCode.id","path":"Observation.code.coding.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.code.coding:OxygenSatCode.extension","path":"Observation.code.coding.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.code.coding:OxygenSatCode.system","path":"Observation.code.coding.system","short":"Identity of the terminology system","definition":"The identification of the code system that defines the meaning of the symbol in the code.","comment":"The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.","requirements":"Need to be unambiguous about the source of the definition of the symbol.","min":1,"max":"1","base":{"path":"Coding.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"http://loinc.org","isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.3"},{"identity":"rim","map":"./codeSystem"},{"identity":"orim","map":"fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"}]},{"id":"Observation.code.coding:OxygenSatCode.version","path":"Observation.code.coding.version","short":"Version of the system - if relevant","definition":"The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","comment":"Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","min":0,"max":"1","base":{"path":"Coding.version","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.7"},{"identity":"rim","map":"./codeSystemVersion"},{"identity":"orim","map":"fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"}]},{"id":"Observation.code.coding:OxygenSatCode.code","path":"Observation.code.coding.code","short":"Symbol in syntax defined by the system","definition":"A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","requirements":"Need to refer to a particular code in the system.","min":1,"max":"1","base":{"path":"Coding.code","min":0,"max":"1"},"type":[{"code":"code"}],"fixedCode":"2708-6","isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.1"},{"identity":"rim","map":"./code"},{"identity":"orim","map":"fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"}]},{"id":"Observation.code.coding:OxygenSatCode.display","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Observation.code.coding.display","short":"Representation defined by the system","definition":"A representation of the meaning of the code in the system, following the rules of the system.","requirements":"Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","min":0,"max":"1","base":{"path":"Coding.display","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.2 - but note this is not well followed"},{"identity":"rim","map":"CV.displayName"},{"identity":"orim","map":"fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"}]},{"id":"Observation.code.coding:OxygenSatCode.userSelected","path":"Observation.code.coding.userSelected","short":"If this coding was chosen directly by the user","definition":"Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).","comment":"Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","requirements":"This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","min":0,"max":"1","base":{"path":"Coding.userSelected","min":0,"max":"1"},"type":[{"code":"boolean"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Sometimes implied by being first"},{"identity":"rim","map":"CD.codingRationale"},{"identity":"orim","map":"fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]"}]},{"id":"Observation.code.coding:PulseOx","path":"Observation.code.coding","sliceName":"PulseOx","short":"Code defined by a terminology system","definition":"A reference to a code defined by a terminology system.","comment":"Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","requirements":"Allows for alternative encodings within a code system, and translations to other code systems.","min":1,"max":"1","base":{"path":"CodeableConcept.coding","min":0,"max":"*"},"type":[{"code":"Coding"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.1-8, C*E.10-22"},{"identity":"rim","map":"union(., ./translation)"},{"identity":"orim","map":"fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"}]},{"id":"Observation.code.coding:PulseOx.id","path":"Observation.code.coding.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.code.coding:PulseOx.extension","path":"Observation.code.coding.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.code.coding:PulseOx.system","path":"Observation.code.coding.system","short":"Identity of the terminology system","definition":"The identification of the code system that defines the meaning of the symbol in the code.","comment":"The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.","requirements":"Need to be unambiguous about the source of the definition of the symbol.","min":1,"max":"1","base":{"path":"Coding.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"http://loinc.org","mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.3"},{"identity":"rim","map":"./codeSystem"},{"identity":"orim","map":"fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"}]},{"id":"Observation.code.coding:PulseOx.version","path":"Observation.code.coding.version","short":"Version of the system - if relevant","definition":"The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","comment":"Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","min":0,"max":"1","base":{"path":"Coding.version","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.7"},{"identity":"rim","map":"./codeSystemVersion"},{"identity":"orim","map":"fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"}]},{"id":"Observation.code.coding:PulseOx.code","path":"Observation.code.coding.code","short":"Symbol in syntax defined by the system","definition":"A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","requirements":"Need to refer to a particular code in the system.","min":1,"max":"1","base":{"path":"Coding.code","min":0,"max":"1"},"type":[{"code":"code"}],"fixedCode":"59408-5","mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.1"},{"identity":"rim","map":"./code"},{"identity":"orim","map":"fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"}]},{"id":"Observation.code.coding:PulseOx.display","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Observation.code.coding.display","short":"Representation defined by the system","definition":"A representation of the meaning of the code in the system, following the rules of the system.","requirements":"Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","min":0,"max":"1","base":{"path":"Coding.display","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.2 - but note this is not well followed"},{"identity":"rim","map":"CV.displayName"},{"identity":"orim","map":"fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"}]},{"id":"Observation.code.coding:PulseOx.userSelected","path":"Observation.code.coding.userSelected","short":"If this coding was chosen directly by the user","definition":"Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).","comment":"Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","requirements":"This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","min":0,"max":"1","base":{"path":"Coding.userSelected","min":0,"max":"1"},"type":[{"code":"boolean"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Sometimes implied by being first"},{"identity":"rim","map":"CD.codingRationale"},{"identity":"orim","map":"fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]"}]},{"id":"Observation.code.text","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Observation.code.text","short":"Plain text representation of the concept","definition":"A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","comment":"Very often the text is the same as a displayName of one of the codings.","requirements":"The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","min":0,"max":"1","base":{"path":"CodeableConcept.text","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.9. But note many systems use C*E.2 for this"},{"identity":"rim","map":"./originalText[mediaType/code=\"text/plain\"]/data"},{"identity":"orim","map":"fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"}]},{"id":"Observation.subject","path":"Observation.subject","short":"Who and/or what the observation is about","definition":"The patient, or group of patients, location, or device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.","comment":"One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.","requirements":"Observations have no value if you don't know who or what they're about.","min":1,"max":"1","base":{"path":"Observation.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":"participation[typeCode=RTGT] "},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.focus","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"trial-use"}],"path":"Observation.focus","short":"What the observation is about, when it is not about the subject of record","definition":"The actual focus of an observation when it is not the patient of record representing something or someone associated with the patient such as a spouse, parent, fetus, or donor. For example, fetus observations in a mother's record.  The focus of an observation could also be an existing condition,  an intervention, the subject's diet,  another observation of the subject,  or a body structure such as tumor or implanted device.   An example use case would be using the Observation resource to capture whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus.","comment":"Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., \"Blood Glucose\") and does not need to be represented separately using this element.  Use `specimen` if a reference to a specimen is required.  If a code is required instead of a resource use either  `bodysite` for bodysites or the standard extension [focusCode](http://hl7.org/fhir/R4/extension-observation-focuscode.html).","min":0,"max":"*","base":{"path":"Observation.focus","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"participation[typeCode=SBJ]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.encounter","path":"Observation.encounter","short":"Healthcare event during which this observation is made","definition":"The healthcare event  (e.g. a patient and healthcare provider interaction) during which this observation is made.","comment":"This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).","requirements":"For some observations it may be important to know the link between an observation and a particular encounter.","alias":["Context"],"min":0,"max":"1","base":{"path":"Observation.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1"},{"identity":"rim","map":"inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"}]},{"id":"Observation.effective[x]","path":"Observation.effective[x]","short":"Often just a dateTime for Vital Signs","definition":"Often just a dateTime for Vital Signs.","comment":"At least a date should be present unless this observation is a historical report.  For recording imprecise or \"fuzzy\" times (For example, a blood glucose measurement taken \"after breakfast\") use the [Timing](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.","requirements":"Knowing when an observation was deemed true is important to its relevance as well as determining trends.","alias":["Occurrence"],"min":1,"max":"1","base":{"path":"Observation.effective[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"}],"constraint":[{"key":"vs-1","severity":"error","human":"if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day","expression":"($this as dateTime).toString().length() >= 8","xpath":"f:effectiveDateTime[matches(@value, '^\\d{4}-\\d{2}-\\d{2}')]"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"OBX-14, and/or OBX-19 after v2.4  (depends on who observation made)"},{"identity":"rim","map":"effectiveTime"}]},{"id":"Observation.issued","path":"Observation.issued","short":"Date/Time this version was made available","definition":"The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified.","comment":"For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](http://hl7.org/fhir/R4/resource-definitions.html#Meta.lastUpdated) time of the resource itself.  For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.","min":0,"max":"1","base":{"path":"Observation.issued","min":0,"max":"1"},"type":[{"code":"instant"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"v2","map":"OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"},{"identity":"rim","map":"participation[typeCode=AUT].time"}]},{"id":"Observation.performer","path":"Observation.performer","short":"Who is responsible for the observation","definition":"Who was responsible for asserting the observed value as \"true\".","requirements":"May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.","min":0,"max":"*","base":{"path":"Observation.performer","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/CareTeam","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"OBX.15 / (Practitioner)  OBX-16,  PRT-5:PRT-4='RO' /  (Device)  OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization)  OBX-23,  PRT-8:PRT-4='PO'"},{"identity":"rim","map":"participation[typeCode=PRF]"}]},{"id":"Observation.value[x]","path":"Observation.value[x]","short":"Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.","definition":"Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.","comment":"An observation may have; 1)  a single value here, 2)  both a value and a set of related or component values,  or 3)  only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code.  A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.  For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"9. SHALL contain exactly one [1..1] value with @xsi:type=\"PQ\" (CONF:7305).","min":0,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"}],"condition":["obs-7"],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"< 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.value[x].id","path":"Observation.value[x].id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.value[x].extension","path":"Observation.value[x].extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.value[x].value","path":"Observation.value[x].value","short":"Numerical value (with implicit precision)","definition":"The value of the measured amount. The value includes an implicit precision in the presentation of the value.","comment":"The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).","requirements":"Precision is handled implicitly in almost all cases of measurement.","min":1,"max":"1","base":{"path":"Quantity.value","min":0,"max":"1"},"type":[{"code":"decimal"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"SN.2  / CQ - N/A"},{"identity":"rim","map":"PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"}]},{"id":"Observation.value[x].comparator","path":"Observation.value[x].comparator","short":"< | <= | >= | > - how to understand the value","definition":"How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is \"<\" , then the real value is < stated value.","requirements":"Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","min":0,"max":"1","base":{"path":"Quantity.comparator","min":0,"max":"1"},"type":[{"code":"code"}],"meaningWhenMissing":"If there is no comparator, then there is no modification of the value","isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"QuantityComparator"}],"strength":"required","description":"How the Quantity should be understood and represented.","valueSet":"http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.0"},"mapping":[{"identity":"v2","map":"SN.1  / CQ.1"},{"identity":"rim","map":"IVL properties"}]},{"id":"Observation.value[x].unit","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Observation.value[x].unit","short":"Unit representation","definition":"A human-readable form of the unit.","requirements":"There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","min":1,"max":"1","base":{"path":"Quantity.unit","min":0,"max":"1"},"type":[{"code":"string"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"PQ.unit"}]},{"id":"Observation.value[x].system","path":"Observation.value[x].system","short":"System that defines coded unit form","definition":"The identification of the system that provides the coded form of the unit.","requirements":"Need to know the system that defines the coded form of the unit.","min":1,"max":"1","base":{"path":"Quantity.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"http://unitsofmeasure.org","condition":["qty-3"],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"CO.codeSystem, PQ.translation.codeSystem"}]},{"id":"Observation.value[x].code","path":"Observation.value[x].code","short":"Coded responses from the common UCUM units for vital signs value set.","definition":"Coded responses from the common UCUM units for vital signs value set.","comment":"The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency.  The context of use may additionally require a code from a particular system.","requirements":"Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.","min":1,"max":"1","base":{"path":"Quantity.code","min":0,"max":"1"},"type":[{"code":"code"}],"fixedCode":"%","mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"PQ.code, MO.currency, PQ.translation.code"}]},{"id":"Observation.dataAbsentReason","path":"Observation.dataAbsentReason","short":"Why the result is missing","definition":"Provides a reason why the expected value in the element Observation.value[x] is missing.","comment":"Null or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  \"detected\", \"not detected\", \"inconclusive\", or  \"specimen unsatisfactory\".   \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0.  Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.interpretation","path":"Observation.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value.  For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ),  its use extends to other use cases where coded interpretations  are relevant.  Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.note","path":"Observation.note","short":"Comments about the observation","definition":"Comments about the observation or the results.","comment":"May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.","requirements":"Need to be able to provide free text additional information.","min":0,"max":"*","base":{"path":"Observation.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"},{"identity":"rim","map":"subjectOf.observationEvent[code=\"annotation\"].value"}]},{"id":"Observation.bodySite","path":"Observation.bodySite","short":"Observed body part","definition":"Indicates the site on the subject's body where the observation was made (i.e. the target site).","comment":"Only used if not implicit in code found in Observation.code.  In many systems, this may be represented as a related observation instead of an inline component.   \n\nIf the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).","min":0,"max":"1","base":{"path":"Observation.bodySite","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"example","description":"Codes describing anatomical locations. May include laterality.","valueSet":"http://hl7.org/fhir/ValueSet/body-site"},"mapping":[{"identity":"sct-concept","map":"< 123037004 |Body structure|"},{"identity":"v2","map":"OBX-20"},{"identity":"rim","map":"targetSiteCode"},{"identity":"sct-attr","map":"718497002 |Inherent location|"}]},{"id":"Observation.method","path":"Observation.method","short":"How it was done","definition":"Indicates the mechanism used to perform the observation.","comment":"Only used if not implicit in code for Observation.code.","requirements":"In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.","min":0,"max":"1","base":{"path":"Observation.method","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationMethod"}],"strength":"example","description":"Methods for simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-methods"},"mapping":[{"identity":"v2","map":"OBX-17"},{"identity":"rim","map":"methodCode"}]},{"id":"Observation.specimen","path":"Observation.specimen","short":"Specimen used for this observation","definition":"The specimen that was used when this observation was made.","comment":"Should only be used if not implicit in code found in `Observation.code`.  Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).","min":0,"max":"1","base":{"path":"Observation.specimen","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Specimen"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 123038009 |Specimen|"},{"identity":"v2","map":"SPM segment"},{"identity":"rim","map":"participation[typeCode=SPC].specimen"},{"identity":"sct-attr","map":"704319004 |Inherent in|"}]},{"id":"Observation.device","path":"Observation.device","short":"(Measurement) Device","definition":"The device used to generate the observation data.","comment":"Note that this is not meant to represent a device involved in the transmission of the result, e.g., a gateway.  Such devices may be documented using the Provenance resource where relevant.","min":0,"max":"1","base":{"path":"Observation.device","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/DeviceMetric"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 49062001 |Device|"},{"identity":"v2","map":"OBX-17 / PRT -10"},{"identity":"rim","map":"participation[typeCode=DEV]"},{"identity":"sct-attr","map":"424226004 |Using device|"}]},{"id":"Observation.referenceRange","path":"Observation.referenceRange","short":"Provides guide for interpretation","definition":"Guidance on how to interpret the value by comparison to a normal or recommended range.  Multiple reference ranges are interpreted as an \"OR\".   In other words, to represent two distinct target populations, two `referenceRange` elements would be used.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.referenceRange","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"},{"key":"obs-3","severity":"error","human":"Must have at least a low or a high or text","expression":"low.exists() or high.exists() or text.exists()","xpath":"(exists(f:low) or exists(f:high)or exists(f:text))"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.referenceRange.id","path":"Observation.referenceRange.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.extension","path":"Observation.referenceRange.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.modifierExtension","path":"Observation.referenceRange.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.referenceRange.low","path":"Observation.referenceRange.low","short":"Low Range, if relevant","definition":"The value of the low bound of the reference range.  The low bound of the reference range endpoint is inclusive of the value (e.g.  reference range is >=5 - <=9). If the low bound is omitted,  it is assumed to be meaningless (e.g. reference range is <=2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.low","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"condition":["obs-3"],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.low"}]},{"id":"Observation.referenceRange.high","path":"Observation.referenceRange.high","short":"High Range, if relevant","definition":"The value of the high bound of the reference range.  The high bound of the reference range endpoint is inclusive of the value (e.g.  reference range is >=5 - <=9). If the high bound is omitted,  it is assumed to be meaningless (e.g. reference range is >= 2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.high","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"condition":["obs-3"],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.high"}]},{"id":"Observation.referenceRange.type","path":"Observation.referenceRange.type","short":"Reference range qualifier","definition":"Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.","comment":"This SHOULD be populated if there is more than one range.  If this element is not present then the normal range is assumed.","requirements":"Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc.,  - for proper interpretation.","min":0,"max":"1","base":{"path":"Observation.referenceRange.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeMeaning"}],"strength":"preferred","description":"Code for the meaning of a reference range.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-meaning"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR  \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR  \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.appliesTo","path":"Observation.referenceRange.appliesTo","short":"Reference range population","definition":"Codes to indicate the target population this reference range applies to.  For example, a reference range may be based on the normal population or a particular sex or race.  Multiple `appliesTo`  are interpreted as an \"AND\" of the target populations.  For example, to represent a target population of African American females, both a code of female and a code for African American would be used.","comment":"This SHOULD be populated if there is more than one range.  If this element is not present then the normal population is assumed.","requirements":"Need to be able to identify the target population for proper interpretation.","min":0,"max":"*","base":{"path":"Observation.referenceRange.appliesTo","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeType"}],"strength":"example","description":"Codes identifying the population the reference range applies to.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-appliesto"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR  \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR  \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.age","path":"Observation.referenceRange.age","short":"Applicable age range, if relevant","definition":"The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so.","requirements":"Some analytes vary greatly over age.","min":0,"max":"1","base":{"path":"Observation.referenceRange.age","min":0,"max":"1"},"type":[{"code":"Range"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value"}]},{"id":"Observation.referenceRange.text","path":"Observation.referenceRange.text","short":"Text based reference range in an observation","definition":"Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation.  An example would be a reference value of \"Negative\" or a list or table of \"normals\".","min":0,"max":"1","base":{"path":"Observation.referenceRange.text","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:ST"}]},{"id":"Observation.hasMember","path":"Observation.hasMember","short":"Used when reporting vital signs panel components","definition":"Used when reporting vital signs panel components.","comment":"When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases.  For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below.  Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html)  into a final score and represent the score as an Observation.","min":0,"max":"*","base":{"path":"Observation.hasMember","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse","http://hl7.org/fhir/StructureDefinition/MolecularSequence","http://hl7.org/fhir/StructureDefinition/vitalsigns"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":"outBoundRelationship"}]},{"id":"Observation.derivedFrom","path":"Observation.derivedFrom","short":"Related measurements the observation is made from","definition":"The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.","comment":"All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value.  The most common reference will be another Observation.  For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below.","min":0,"max":"*","base":{"path":"Observation.derivedFrom","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DocumentReference","http://hl7.org/fhir/StructureDefinition/ImagingStudy","http://hl7.org/fhir/StructureDefinition/Media","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse","http://hl7.org/fhir/StructureDefinition/MolecularSequence","http://hl7.org/fhir/StructureDefinition/vitalsigns"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":".targetObservation"}]},{"id":"Observation.component","path":"Observation.component","slicing":{"discriminator":[{"type":"pattern","path":"code"}],"rules":"open"},"short":"Used when reporting systolic and diastolic blood pressure.","definition":"Used when reporting systolic and diastolic blood pressure.","comment":"For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable).   However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.","min":0,"max":"*","base":{"path":"Observation.component","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"},{"key":"vs-3","severity":"error","human":"If there is no a value a data absent reason must be present","expression":"value.exists() or dataAbsentReason.exists()","xpath":"f:*[starts-with(local-name(.), 'value')] or f:dataAbsentReason","source":"Observation.component"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"containment by OBX-4?"},{"identity":"rim","map":"outBoundRelationship[typeCode=COMP]"}]},{"id":"Observation.component.id","path":"Observation.component.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.extension","path":"Observation.component.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.modifierExtension","path":"Observation.component.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.component.code","path":"Observation.component.code","short":"Type of component observation (code / type)","definition":"Describes what was observed. Sometimes this is called the observation \"code\".","comment":"*All* code-value and  component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","min":1,"max":"1","base":{"path":"Observation.component.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSigns"}],"strength":"extensible","description":"This identifies the vital sign result type.","valueSet":"http://hl7.org/fhir/ValueSet/observation-vitalsignresult"},"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR \r< 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"}]},{"id":"Observation.component.value[x]","path":"Observation.component.value[x]","short":"Vital Sign Value recorded with UCUM","definition":"Vital Sign Value recorded with UCUM.","comment":"Used when observation has a set of component observations. An observation may have both a value (e.g. an  Apgar score)  and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.  For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"9. SHALL contain exactly one [1..1] value with @xsi:type=\"PQ\" (CONF:7305).","min":0,"max":"1","base":{"path":"Observation.component.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"},{"code":"CodeableConcept"},{"code":"string"},{"code":"boolean"},{"code":"integer"},{"code":"Range"},{"code":"Ratio"},{"code":"SampledData"},{"code":"time"},{"code":"dateTime"},{"code":"Period"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSignsUnits"}],"strength":"required","description":"Common UCUM units for recording Vital Signs.","valueSet":"http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.0"},"mapping":[{"identity":"sct-concept","map":"363714003 |Interprets| < 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.component.dataAbsentReason","path":"Observation.component.dataAbsentReason","short":"Why the component result is missing","definition":"Provides a reason why the expected value in the element Observation.component.value[x] is missing.","comment":"\"Null\" or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  \"detected\", \"not detected\", \"inconclusive\", or  \"test not done\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed.  Because of these options, use-case agreements are required to interpret general observations for exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.component.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.component.interpretation","path":"Observation.component.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value.  For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ),  its use extends to other use cases where coded interpretations  are relevant.  Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.component.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.component.referenceRange","path":"Observation.component.referenceRange","short":"Provides guide for interpretation of component result","definition":"Guidance on how to interpret the value by comparison to a normal or recommended range.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.component.referenceRange","min":0,"max":"*"},"contentReference":"#Observation.referenceRange","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.component:FlowRate","path":"Observation.component","sliceName":"FlowRate","short":"Inhaled oxygen flow rate","definition":"Used when reporting systolic and diastolic blood pressure.","comment":"For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable).   However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.","min":0,"max":"1","base":{"path":"Observation.component","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"},{"key":"vs-3","severity":"error","human":"If there is no a value a data absent reason must be present","expression":"value.exists() or dataAbsentReason.exists()","xpath":"f:*[starts-with(local-name(.), 'value')] or f:dataAbsentReason","source":"Observation.component"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"containment by OBX-4?"},{"identity":"rim","map":"outBoundRelationship[typeCode=COMP]"}]},{"id":"Observation.component:FlowRate.id","path":"Observation.component.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component:FlowRate.extension","path":"Observation.component.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component:FlowRate.modifierExtension","path":"Observation.component.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.component:FlowRate.code","path":"Observation.component.code","short":"Type of component observation (code / type)","definition":"Describes what was observed. Sometimes this is called the observation \"code\".","comment":"*All* code-value and  component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","min":1,"max":"1","base":{"path":"Observation.component.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"3151-8"}]},"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSigns"}],"strength":"extensible","description":"This identifies the vital sign result type.","valueSet":"http://hl7.org/fhir/ValueSet/observation-vitalsignresult"},"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR \r< 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"}]},{"id":"Observation.component:FlowRate.value[x]","path":"Observation.component.value[x]","short":"Vital Sign Value recorded with UCUM","definition":"Vital Sign Value recorded with UCUM.","comment":"Used when observation has a set of component observations. An observation may have both a value (e.g. an  Apgar score)  and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.  For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"9. SHALL contain exactly one [1..1] value with @xsi:type=\"PQ\" (CONF:7305).","min":0,"max":"1","base":{"path":"Observation.component.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSignsUnits"}],"strength":"required","description":"Common UCUM units for recording Vital Signs.","valueSet":"http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.0"},"mapping":[{"identity":"sct-concept","map":"363714003 |Interprets| < 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.component:FlowRate.value[x].id","path":"Observation.component.value[x].id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component:FlowRate.value[x].extension","path":"Observation.component.value[x].extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component:FlowRate.value[x].value","path":"Observation.component.value[x].value","short":"Numerical value (with implicit precision)","definition":"The value of the measured amount. The value includes an implicit precision in the presentation of the value.","comment":"The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).","requirements":"Precision is handled implicitly in almost all cases of measurement.","min":0,"max":"1","base":{"path":"Quantity.value","min":0,"max":"1"},"type":[{"code":"decimal"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"SN.2  / CQ - N/A"},{"identity":"rim","map":"PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"}]},{"id":"Observation.component:FlowRate.value[x].comparator","path":"Observation.component.value[x].comparator","short":"< | <= | >= | > - how to understand the value","definition":"How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is \"<\" , then the real value is < stated value.","requirements":"Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","min":0,"max":"1","base":{"path":"Quantity.comparator","min":0,"max":"1"},"type":[{"code":"code"}],"meaningWhenMissing":"If there is no comparator, then there is no modification of the value","isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"QuantityComparator"}],"strength":"required","description":"How the Quantity should be understood and represented.","valueSet":"http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.0"},"mapping":[{"identity":"v2","map":"SN.1  / CQ.1"},{"identity":"rim","map":"IVL properties"}]},{"id":"Observation.component:FlowRate.value[x].unit","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Observation.component.value[x].unit","short":"Unit representation","definition":"A human-readable form of the unit.","requirements":"There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","min":0,"max":"1","base":{"path":"Quantity.unit","min":0,"max":"1"},"type":[{"code":"string"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"PQ.unit"}]},{"id":"Observation.component:FlowRate.value[x].system","path":"Observation.component.value[x].system","short":"System that defines coded unit form","definition":"The identification of the system that provides the coded form of the unit.","requirements":"Need to know the system that defines the coded form of the unit.","min":1,"max":"1","base":{"path":"Quantity.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"http://unitsofmeasure.org","condition":["qty-3"],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"CO.codeSystem, PQ.translation.codeSystem"}]},{"id":"Observation.component:FlowRate.value[x].code","path":"Observation.component.value[x].code","short":"Coded form of the unit","definition":"A computer processable form of the unit in some unit representation system.","comment":"The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency.  The context of use may additionally require a code from a particular system.","requirements":"Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.","min":1,"max":"1","base":{"path":"Quantity.code","min":0,"max":"1"},"type":[{"code":"code"}],"fixedCode":"l/min","mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"PQ.code, MO.currency, PQ.translation.code"}]},{"id":"Observation.component:FlowRate.dataAbsentReason","path":"Observation.component.dataAbsentReason","short":"Why the component result is missing","definition":"Provides a reason why the expected value in the element Observation.component.value[x] is missing.","comment":"\"Null\" or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  \"detected\", \"not detected\", \"inconclusive\", or  \"test not done\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed.  Because of these options, use-case agreements are required to interpret general observations for exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.component.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.component:FlowRate.interpretation","path":"Observation.component.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value.  For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ),  its use extends to other use cases where coded interpretations  are relevant.  Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.component.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.component:FlowRate.referenceRange","path":"Observation.component.referenceRange","short":"Provides guide for interpretation of component result","definition":"Guidance on how to interpret the value by comparison to a normal or recommended range.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.component.referenceRange","min":0,"max":"*"},"contentReference":"#Observation.referenceRange","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.component:Concentration","path":"Observation.component","sliceName":"Concentration","short":"Inhaled oxygen concentration","definition":"Used when reporting systolic and diastolic blood pressure.","comment":"For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable).   However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.","min":0,"max":"1","base":{"path":"Observation.component","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"},{"key":"vs-3","severity":"error","human":"If there is no a value a data absent reason must be present","expression":"value.exists() or dataAbsentReason.exists()","xpath":"f:*[starts-with(local-name(.), 'value')] or f:dataAbsentReason","source":"Observation.component"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"containment by OBX-4?"},{"identity":"rim","map":"outBoundRelationship[typeCode=COMP]"}]},{"id":"Observation.component:Concentration.id","path":"Observation.component.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component:Concentration.extension","path":"Observation.component.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component:Concentration.modifierExtension","path":"Observation.component.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.component:Concentration.code","path":"Observation.component.code","short":"Type of component observation (code / type)","definition":"Describes what was observed. Sometimes this is called the observation \"code\".","comment":"*All* code-value and  component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","min":1,"max":"1","base":{"path":"Observation.component.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"3150-0"}]},"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSigns"}],"strength":"extensible","description":"This identifies the vital sign result type.","valueSet":"http://hl7.org/fhir/ValueSet/observation-vitalsignresult"},"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR \r< 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"}]},{"id":"Observation.component:Concentration.value[x]","path":"Observation.component.value[x]","short":"Vital Sign Value recorded with UCUM","definition":"Vital Sign Value recorded with UCUM.","comment":"Used when observation has a set of component observations. An observation may have both a value (e.g. an  Apgar score)  and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.  For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"9. SHALL contain exactly one [1..1] value with @xsi:type=\"PQ\" (CONF:7305).","min":0,"max":"1","base":{"path":"Observation.component.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSignsUnits"}],"strength":"required","description":"Common UCUM units for recording Vital Signs.","valueSet":"http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.0"},"mapping":[{"identity":"sct-concept","map":"363714003 |Interprets| < 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.component:Concentration.value[x].id","path":"Observation.component.value[x].id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component:Concentration.value[x].extension","path":"Observation.component.value[x].extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component:Concentration.value[x].value","path":"Observation.component.value[x].value","short":"Numerical value (with implicit precision)","definition":"The value of the measured amount. The value includes an implicit precision in the presentation of the value.","comment":"The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).","requirements":"Precision is handled implicitly in almost all cases of measurement.","min":0,"max":"1","base":{"path":"Quantity.value","min":0,"max":"1"},"type":[{"code":"decimal"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"SN.2  / CQ - N/A"},{"identity":"rim","map":"PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"}]},{"id":"Observation.component:Concentration.value[x].comparator","path":"Observation.component.value[x].comparator","short":"< | <= | >= | > - how to understand the value","definition":"How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is \"<\" , then the real value is < stated value.","requirements":"Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","min":0,"max":"1","base":{"path":"Quantity.comparator","min":0,"max":"1"},"type":[{"code":"code"}],"meaningWhenMissing":"If there is no comparator, then there is no modification of the value","isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"QuantityComparator"}],"strength":"required","description":"How the Quantity should be understood and represented.","valueSet":"http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.0"},"mapping":[{"identity":"v2","map":"SN.1  / CQ.1"},{"identity":"rim","map":"IVL properties"}]},{"id":"Observation.component:Concentration.value[x].unit","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Observation.component.value[x].unit","short":"Unit representation","definition":"A human-readable form of the unit.","requirements":"There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","min":0,"max":"1","base":{"path":"Quantity.unit","min":0,"max":"1"},"type":[{"code":"string"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"PQ.unit"}]},{"id":"Observation.component:Concentration.value[x].system","path":"Observation.component.value[x].system","short":"System that defines coded unit form","definition":"The identification of the system that provides the coded form of the unit.","requirements":"Need to know the system that defines the coded form of the unit.","min":1,"max":"1","base":{"path":"Quantity.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"http://unitsofmeasure.org","condition":["qty-3"],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"CO.codeSystem, PQ.translation.codeSystem"}]},{"id":"Observation.component:Concentration.value[x].code","path":"Observation.component.value[x].code","short":"Coded form of the unit","definition":"A computer processable form of the unit in some unit representation system.","comment":"The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency.  The context of use may additionally require a code from a particular system.","requirements":"Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.","min":1,"max":"1","base":{"path":"Quantity.code","min":0,"max":"1"},"type":[{"code":"code"}],"fixedCode":"%","mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"PQ.code, MO.currency, PQ.translation.code"}]},{"id":"Observation.component:Concentration.dataAbsentReason","path":"Observation.component.dataAbsentReason","short":"Why the component result is missing","definition":"Provides a reason why the expected value in the element Observation.component.value[x] is missing.","comment":"\"Null\" or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  \"detected\", \"not detected\", \"inconclusive\", or  \"test not done\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed.  Because of these options, use-case agreements are required to interpret general observations for exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.component.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.component:Concentration.interpretation","path":"Observation.component.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value.  For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ),  its use extends to other use cases where coded interpretations  are relevant.  Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.component.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.component:Concentration.referenceRange","path":"Observation.component.referenceRange","short":"Provides guide for interpretation of component result","definition":"Guidance on how to interpret the value by comparison to a normal or recommended range.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.component.referenceRange","min":0,"max":"*"},"contentReference":"#Observation.referenceRange","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]}]},"differential":{"element":[{"id":"Observation","path":"Observation","definition":"This profile defines how to represent pulse oximetry and inspired oxygen concentration based on the FHIR Core Vitals Profile.\nINSPIRED OXYGEN CONCENTRATION observations in FHIR using a standard LOINC code and UCUM units of measure.","mustSupport":false},{"id":"Observation.code","path":"Observation.code","short":"Oxygen Saturation by Pulse Oximetry","comment":"The code (59408-5 Oxygen saturation in Arterial blood by Pulse oximetry) is included as an additional observation code to FHIR Core vital Oxygen Saturation code (2708-6 Oxygen saturation in Arterial blood -).","mustSupport":true},{"id":"Observation.code.coding","path":"Observation.code.coding","slicing":{"discriminator":[{"type":"value","path":"code"},{"type":"value","path":"system"}],"rules":"open"},"mustSupport":true},{"id":"Observation.code.coding:PulseOx","path":"Observation.code.coding","sliceName":"PulseOx","min":1,"max":"1","mustSupport":true},{"id":"Observation.code.coding:PulseOx.system","path":"Observation.code.coding.system","min":1,"max":"1","type":[{"code":"uri"}],"fixedUri":"http://loinc.org","mustSupport":true},{"id":"Observation.code.coding:PulseOx.code","path":"Observation.code.coding.code","min":1,"max":"1","type":[{"code":"code"}],"fixedCode":"59408-5","mustSupport":true},{"id":"Observation.component","path":"Observation.component","slicing":{"discriminator":[{"type":"pattern","path":"code"}],"rules":"open"},"mustSupport":true},{"id":"Observation.component:FlowRate","path":"Observation.component","sliceName":"FlowRate","short":"Inhaled oxygen flow rate","min":0,"max":"1","mustSupport":true},{"id":"Observation.component:FlowRate.code","path":"Observation.component.code","type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"3151-8"}]},"mustSupport":true},{"id":"Observation.component:FlowRate.valueQuantity","path":"Observation.component.valueQuantity","mustSupport":true},{"id":"Observation.component:FlowRate.valueQuantity.value","path":"Observation.component.valueQuantity.value","mustSupport":true},{"id":"Observation.component:FlowRate.valueQuantity.unit","path":"Observation.component.valueQuantity.unit","mustSupport":true},{"id":"Observation.component:FlowRate.valueQuantity.system","path":"Observation.component.valueQuantity.system","min":1,"max":"1","type":[{"code":"uri"}],"fixedUri":"http://unitsofmeasure.org","mustSupport":true},{"id":"Observation.component:FlowRate.valueQuantity.code","path":"Observation.component.valueQuantity.code","min":1,"max":"1","type":[{"code":"code"}],"fixedCode":"l/min","mustSupport":true},{"id":"Observation.component:Concentration","path":"Observation.component","sliceName":"Concentration","short":"Inhaled oxygen concentration","min":0,"max":"1","mustSupport":true},{"id":"Observation.component:Concentration.code","path":"Observation.component.code","type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"3150-0"}]},"mustSupport":true},{"id":"Observation.component:Concentration.valueQuantity","path":"Observation.component.valueQuantity","mustSupport":true},{"id":"Observation.component:Concentration.valueQuantity.value","path":"Observation.component.valueQuantity.value","mustSupport":true},{"id":"Observation.component:Concentration.valueQuantity.unit","path":"Observation.component.valueQuantity.unit","mustSupport":true},{"id":"Observation.component:Concentration.valueQuantity.system","path":"Observation.component.valueQuantity.system","min":1,"max":"1","type":[{"code":"uri"}],"fixedUri":"http://unitsofmeasure.org","mustSupport":true},{"id":"Observation.component:Concentration.valueQuantity.code","path":"Observation.component.valueQuantity.code","min":1,"max":"1","type":[{"code":"code"}],"fixedCode":"%","mustSupport":true}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-race.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-race.json
new file mode 100644
index 000000000..171b3eae5
--- /dev/null
+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-race.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-race","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-race-definitions.html#Extension:race\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories: - American Indian or Alaska Native - Asian - Black or African American - Native Hawaiian or Other Pacific Islander - White.\">Extension</a><a name=\"Extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">US Core Race Extension</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck15.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-race-definitions.html#Extension:race.extension:ombcategory\" title=\"Slice ombCategory: The 5 race category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards).\">extension:ombCategory</a><a name=\"Extension.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..5</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/extensibility.html#Extension\">Extension</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">American Indian or Alaska Native|Asian|Black or African American|Native Hawaiian or Other Pacific Islander|White</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck150.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-race-definitions.html#Extension:race.extension:ombcategory.url\" title=\"null\">url</a><a name=\"Extension.extension.url\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"color: darkgreen\">&quot;ombCategory&quot;</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck140.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-race-definitions.html#Extension:race.extension:ombcategory.valueCoding\" title=\"null\">valueCoding</a><a name=\"Extension.extension.valueCoding\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-omb-race-category.html\">OMB Race Categories</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck15.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-race-definitions.html#Extension:race.extension:detailed\" title=\"Slice detailed: The 900+ CDC race codes that are grouped under one of the 5 OMB race category codes:.\">extension:detailed</a><a name=\"Extension.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/extensibility.html#Extension\">Extension</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Extended race codes<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck150.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-race-definitions.html#Extension:race.extension:detailed.url\" title=\"null\">url</a><a name=\"Extension.extension.url\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"color: darkgreen\">&quot;detailed&quot;</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck140.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-race-definitions.html#Extension:race.extension:detailed.valueCoding\" title=\"null\">valueCoding</a><a name=\"Extension.extension.valueCoding\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-detailed-race.html\">Detailed Race</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck15.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-race-definitions.html#Extension:race.extension:text\" title=\"Slice text: Plain text representation of the race concept(s).\">extension:text</a><a name=\"Extension.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/extensibility.html#Extension\">Extension</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Race Text</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck150.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-race-definitions.html#Extension:race.extension:text.url\" title=\"null\">url</a><a name=\"Extension.extension.url\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"color: darkgreen\">&quot;text&quot;</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck140.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-race-definitions.html#Extension:race.extension:text.valueString\" title=\"null\">valueString</a><a name=\"Extension.extension.valueString\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-race-definitions.html#Extension:race.url\" title=\"null\">url</a><a name=\"Extension.url\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"color: darkgreen\">&quot;http://hl7.org/fhir/us/core/StructureDefinition/us-core-race&quot;</span></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-race","version":"3.0.1","name":"USCoreRaceExtension","title":"US Core Race Extension","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories: - American Indian or Alaska Native - Asian - Black or African American - Native Hawaiian or Other Pacific Islander - White.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"purpose":"Complies with 2015 Edition Common Clinical Data Set for patient race.","fhirVersion":"4.0.0","mapping":[{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"}],"kind":"complex-type","abstract":false,"context":[{"type":"element","expression":"Patient"}],"type":"Extension","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Extension","derivation":"constraint","snapshot":{"element":[{"id":"Extension:race","path":"Extension","short":"US Core Race Extension","definition":"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories: - American Indian or Alaska Native - Asian - Black or African American - Native Hawaiian or Other Pacific Islander - White.","min":0,"max":"1","base":{"path":"Extension","min":0,"max":"*"},"condition":["ele-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"children().count() > id.count()","xpath":"@value|f:*|h:div","source":"Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])","source":"Extension"}],"isModifier":false},{"id":"Extension:race.id","path":"Extension.id","representation":["xmlAttr"],"short":"xml:id (or equivalent in JSON)","definition":"unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Extension:race.extension","path":"Extension.extension","slicing":{"id":"1","discriminator":[{"type":"value","path":"url"}],"ordered":false,"rules":"open"},"short":"Extension","definition":"An Extension","min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}]},{"id":"Extension:race.extension:ombcategory","path":"Extension.extension","sliceName":"ombCategory","short":"American Indian or Alaska Native|Asian|Black or African American|Native Hawaiian or Other Pacific Islander|White","definition":"The 5 race category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards).","min":0,"max":"5","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"mustSupport":true,"isModifier":false,"mapping":[{"identity":"iso11179","map":"/ClinicalDocument/recordTarget/patientRole/patient/raceCode"}]},{"id":"Extension:race.extension:ombcategory.id","path":"Extension.extension.id","representation":["xmlAttr"],"short":"xml:id (or equivalent in JSON)","definition":"unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Extension:race.extension:ombcategory.extension","path":"Extension.extension.extension","short":"Additional Content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"0","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Extension:race.extension:ombcategory.url","path":"Extension.extension.url","representation":["xmlAttr"],"short":"identifies the meaning of the extension","definition":"Source of the definition for the extension code - a logical name or a URL.","comment":"The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","min":1,"max":"1","base":{"path":"Extension.url","min":1,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"ombCategory","mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Extension:race.extension:ombcategory.valueCoding","path":"Extension.extension.valueCoding","short":"Value of extension","definition":"Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","min":1,"max":"1","base":{"path":"Extension.value[x]","min":0,"max":"1"},"type":[{"code":"Coding"}],"binding":{"strength":"required","description":"The 5 race category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards).","valueSet":"http://hl7.org/fhir/us/core/ValueSet/omb-race-category"},"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Extension:race.extension:detailed","path":"Extension.extension","sliceName":"detailed","short":"Extended race codes","definition":"The 900+ CDC race codes that are grouped under one of the 5 OMB race category codes:.","min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"mapping":[{"identity":"iso11179","map":"/ClinicalDocument/recordTarget/patientRole/patient/sdtc:raceCode"}]},{"id":"Extension:race.extension:detailed.id","path":"Extension.extension.id","representation":["xmlAttr"],"short":"xml:id (or equivalent in JSON)","definition":"unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Extension:race.extension:detailed.extension","path":"Extension.extension.extension","short":"Additional Content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"0","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Extension:race.extension:detailed.url","path":"Extension.extension.url","representation":["xmlAttr"],"short":"identifies the meaning of the extension","definition":"Source of the definition for the extension code - a logical name or a URL.","comment":"The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","min":1,"max":"1","base":{"path":"Extension.url","min":1,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"detailed","mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Extension:race.extension:detailed.valueCoding","path":"Extension.extension.valueCoding","short":"Value of extension","definition":"Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","min":1,"max":"1","base":{"path":"Extension.value[x]","min":0,"max":"1"},"type":[{"code":"Coding"}],"binding":{"strength":"required","description":"The [900+ CDC Race codes](http://www.cdc.gov/phin/resources/vocabulary/index.html) that are grouped under one of the 5 OMB race category codes.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/detailed-race"},"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Extension:race.extension:text","path":"Extension.extension","sliceName":"text","short":"Race Text","definition":"Plain text representation of the race concept(s).","min":1,"max":"1","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"mustSupport":true,"isModifier":false},{"id":"Extension:race.extension:text.id","path":"Extension.extension.id","representation":["xmlAttr"],"short":"xml:id (or equivalent in JSON)","definition":"unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Extension:race.extension:text.extension","path":"Extension.extension.extension","short":"Additional Content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"0","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Extension:race.extension:text.url","path":"Extension.extension.url","representation":["xmlAttr"],"short":"identifies the meaning of the extension","definition":"Source of the definition for the extension code - a logical name or a URL.","comment":"The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","min":1,"max":"1","base":{"path":"Extension.url","min":1,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"text","mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Extension:race.extension:text.valueString","path":"Extension.extension.valueString","short":"Value of extension","definition":"Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","min":1,"max":"1","base":{"path":"Extension.value[x]","min":0,"max":"1"},"type":[{"code":"string"}],"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Extension:race.url","path":"Extension.url","representation":["xmlAttr"],"short":"identifies the meaning of the extension","definition":"Source of the definition for the extension code - a logical name or a URL.","comment":"The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","min":1,"max":"1","base":{"path":"Extension.url","min":1,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-race","mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Extension:race.value[x]","path":"Extension.value[x]","short":"Value of extension","definition":"Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","min":0,"max":"0","base":{"path":"Extension.value[x]","min":0,"max":"1"},"type":[{"code":"base64Binary"},{"code":"boolean"},{"code":"code"},{"code":"date"},{"code":"dateTime"},{"code":"decimal"},{"code":"id"},{"code":"instant"},{"code":"integer"},{"code":"markdown"},{"code":"oid"},{"code":"positiveInt"},{"code":"string"},{"code":"time"},{"code":"unsignedInt"},{"code":"uri"},{"code":"Address"},{"code":"Age"},{"code":"Annotation"},{"code":"Attachment"},{"code":"CodeableConcept"},{"code":"Coding"},{"code":"ContactPoint"},{"code":"Count"},{"code":"Distance"},{"code":"Duration"},{"code":"HumanName"},{"code":"Identifier"},{"code":"Money"},{"code":"Period"},{"code":"Quantity"},{"code":"Range"},{"code":"Ratio"},{"code":"Reference"},{"code":"SampledData"},{"code":"Signature"},{"code":"Timing"},{"code":"Meta"}],"mapping":[{"identity":"rim","map":"N/A"}]}]},"differential":{"element":[{"id":"Extension:race","path":"Extension","short":"US Core Race Extension","definition":"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories: - American Indian or Alaska Native - Asian - Black or African American - Native Hawaiian or Other Pacific Islander - White.","min":0,"max":"1","isModifier":false},{"id":"Extension:race.extension:ombcategory","path":"Extension.extension","sliceName":"ombCategory","short":"American Indian or Alaska Native|Asian|Black or African American|Native Hawaiian or Other Pacific Islander|White","definition":"The 5 race category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards).","min":0,"max":"5","type":[{"code":"Extension"}],"mustSupport":true,"isModifier":false,"mapping":[{"identity":"iso11179","map":"/ClinicalDocument/recordTarget/patientRole/patient/raceCode"}]},{"id":"Extension:race.extension:ombcategory.url","path":"Extension.extension.url","min":1,"max":"1","type":[{"code":"uri"}],"fixedUri":"ombCategory"},{"id":"Extension:race.extension:ombcategory.valueCoding","path":"Extension.extension.valueCoding","min":1,"max":"1","type":[{"code":"Coding"}],"binding":{"strength":"required","description":"The 5 race category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards).","valueSet":"http://hl7.org/fhir/us/core/ValueSet/omb-race-category"}},{"id":"Extension:race.extension:detailed","path":"Extension.extension","sliceName":"detailed","short":"Extended race codes","definition":"The 900+ CDC race codes that are grouped under one of the 5 OMB race category codes:.","min":0,"max":"*","type":[{"code":"Extension"}],"isModifier":false,"mapping":[{"identity":"iso11179","map":"/ClinicalDocument/recordTarget/patientRole/patient/sdtc:raceCode"}]},{"id":"Extension:race.extension:detailed.url","path":"Extension.extension.url","min":1,"max":"1","type":[{"code":"uri"}],"fixedUri":"detailed"},{"id":"Extension:race.extension:detailed.valueCoding","path":"Extension.extension.valueCoding","min":1,"max":"1","type":[{"code":"Coding"}],"binding":{"strength":"required","description":"The [900+ CDC Race codes](http://www.cdc.gov/phin/resources/vocabulary/index.html) that are grouped under one of the 5 OMB race category codes.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/detailed-race"}},{"id":"Extension:race.extension:text","path":"Extension.extension","sliceName":"text","short":"Race Text","definition":"Plain text representation of the race concept(s).","min":1,"max":"1","type":[{"code":"Extension"}],"mustSupport":true,"isModifier":false},{"id":"Extension:race.extension:text.url","path":"Extension.extension.url","min":1,"max":"1","type":[{"code":"uri"}],"fixedUri":"text"},{"id":"Extension:race.extension:text.valueString","path":"Extension.extension.valueString","min":1,"max":"1","type":[{"code":"string"}]},{"id":"Extension:race.url","path":"Extension.url","min":1,"max":"1","fixedUri":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/StructureDefinition-us-core-smokingstatus.json b/resources/uscore_v3.0.1/StructureDefinition-us-core-smokingstatus.json
new file mode 100644
index 000000000..5a4009e2e
--- /dev/null
+++ b/resources/uscore_v3.0.1/StructureDefinition-us-core-smokingstatus.json
@@ -0,0 +1 @@
+{"resourceType":"StructureDefinition","id":"us-core-smokingstatus","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-smokingstatus-definitions.html#Observation\" title=\"The US Core Smoking Status Observation Profile is based upon the core FHIR Observation Resource and created to meet the 2015 Edition Common Clinical Data Set 'Smoking status' requirements.\">Observation</a><a name=\"Observation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-smokingstatus-definitions.html#Observation.status\">status</a><a name=\"Observation.status\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-observation-smoking-status-status.html\">US Core Status for Smoking Status Observation</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-smokingstatus-definitions.html#Observation.code\">code</a><a name=\"Observation.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Smoking Status<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-smoking-status-observation-codes.html\">US Core Smoking Status Observation Codes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-smokingstatus-definitions.html#Observation.subject\">subject</a><a name=\"Observation.subject\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-smokingstatus-definitions.html#Observation.issued\">issued</a><a name=\"Observation.issued\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/R4/datatypes.html#instant\">instant</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-us-core-smokingstatus-definitions.html#Observation.valueCodeableConcept\">valueCodeableConcept</a><a name=\"Observation.valueCodeableConcept\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Coded Responses from Smoking Status Value Set<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-observation-smokingstatus.html\">US Core Smoking Status</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus","version":"3.0.1","name":"USCoreSmokingStatusProfile","title":"US Core Smoking Status Observation Profile","status":"active","experimental":false,"date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the Observation  resource for the minimal set of data to query and retrieve patient's Smoking Status information.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.0","mapping":[{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"sct-concept","uri":"http://snomed.info/conceptdomain","name":"SNOMED CT Concept Domain Binding"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"sct-attr","uri":"http://snomed.org/attributebinding","name":"SNOMED CT Attribute Binding"}],"kind":"resource","abstract":false,"type":"Observation","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Observation","derivation":"constraint","snapshot":{"element":[{"id":"Observation","path":"Observation","short":"Measurements and simple assertions","definition":"The US Core Smoking Status Observation Profile is based upon the core FHIR Observation Resource and created to meet the 2015 Edition Common Clinical Data Set 'Smoking status' requirements.","comment":"Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc.","alias":["Vital Signs","Measurement","Results","Tests","Obs"],"min":0,"max":"*","base":{"path":"Observation","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.div.exists()","xpath":"exists(f:text/h:div)","source":"DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"DomainResource"},{"key":"obs-7","severity":"error","human":"If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present","expression":"value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()","xpath":"not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))","source":"Observation"},{"key":"obs-6","severity":"error","human":"dataAbsentReason SHALL only be present if Observation.value[x] is not present","expression":"dataAbsentReason.empty() or value.empty()","xpath":"not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))","source":"Observation"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"sct-concept","map":"< 363787002 |Observable entity|"},{"identity":"v2","map":"OBX"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"},{"identity":"argonaut-dq-dstu2","map":"Observation"}]},{"id":"Observation.id","path":"Observation.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"code":"id"}],"isModifier":false,"isSummary":true},{"id":"Observation.meta","path":"Observation.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"isModifier":false,"isSummary":true},{"id":"Observation.implicitRules","path":"Observation.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Observation.language","path":"Observation.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"Observation.text","path":"Observation.text","short":"Text summary of the resource, for human interpretation","definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Observation.contained","path":"Observation.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.extension","path":"Observation.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.modifierExtension","path":"Observation.modifierExtension","short":"Extensions that cannot be ignored","definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.identifier","path":"Observation.identifier","short":"Business Identifier for observation","definition":"A unique identifier assigned to this observation.","requirements":"Allows observations to be distinguished and referenced.","min":0,"max":"*","base":{"path":"Observation.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"OBX.21  For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4."},{"identity":"rim","map":"id"}]},{"id":"Observation.basedOn","path":"Observation.basedOn","short":"Fulfills plan, proposal or order","definition":"A plan, proposal or order that is fulfilled in whole or in part by this event.  For example, a MedicationRequest may require a patient to have laboratory test performed before  it is dispensed.","requirements":"Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.","alias":["Fulfills"],"min":0,"max":"*","base":{"path":"Observation.basedOn","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan","http://hl7.org/fhir/StructureDefinition/DeviceRequest","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation","http://hl7.org/fhir/StructureDefinition/MedicationRequest","http://hl7.org/fhir/StructureDefinition/NutritionOrder","http://hl7.org/fhir/StructureDefinition/ServiceRequest"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.basedOn"},{"identity":"v2","map":"ORC"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"}]},{"id":"Observation.partOf","path":"Observation.partOf","short":"Part of referenced event","definition":"A larger event of which this particular Observation is a component or step.  For example,  an observation as part of a procedure.","comment":"To link an Observation to an Encounter use `encounter`.  See the  [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below for guidance on referencing another Observation.","alias":["Container"],"min":0,"max":"*","base":{"path":"Observation.partOf","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationAdministration","http://hl7.org/fhir/StructureDefinition/MedicationDispense","http://hl7.org/fhir/StructureDefinition/MedicationStatement","http://hl7.org/fhir/StructureDefinition/Procedure","http://hl7.org/fhir/StructureDefinition/Immunization","http://hl7.org/fhir/StructureDefinition/ImagingStudy"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.partOf"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target"}]},{"id":"Observation.status","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"default: final"}],"path":"Observation.status","short":"registered | preliminary | final | amended +","definition":"The status of the result value.","comment":"This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","requirements":"Need to track the status of individual results. Some results are finalized before the whole report is finalized.","min":1,"max":"1","base":{"path":"Observation.status","min":1,"max":"1"},"type":[{"code":"code"}],"mustSupport":true,"isModifier":true,"isModifierReason":"This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-observation-smoking-status-status"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"sct-concept","map":"< 445584004 |Report by finality status|"},{"identity":"v2","map":"OBX-11"},{"identity":"rim","map":"status  Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\""},{"identity":"argonaut-dq-dstu2","map":"Observation.status"}]},{"id":"Observation.category","path":"Observation.category","short":"Classification of  type of observation","definition":"A code that classifies the general type of observation being made.","comment":"In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once.  The level of granularity is defined by the category concepts in the value set.","requirements":"Used for filtering what observations are retrieved and displayed.","min":0,"max":"*","base":{"path":"Observation.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCategory"}],"strength":"preferred","description":"Codes for high level observation categories.","valueSet":"http://hl7.org/fhir/ValueSet/observation-category"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"}]},{"id":"Observation.code","path":"Observation.code","short":"Smoking Status","definition":"Describes what was observed. Sometimes this is called the observation \"name\".","comment":"*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","alias":["Name"],"min":1,"max":"1","base":{"path":"Observation.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-smoking-status-observation-codes"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"},{"identity":"sct-attr","map":"116680003 |Is a|"},{"identity":"argonaut-dq-dstu2","map":"Observation.code"}]},{"id":"Observation.subject","path":"Observation.subject","short":"Who and/or what the observation is about","definition":"The patient, or group of patients, location, or device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.","comment":"One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.","requirements":"Observations have no value if you don't know who or what they're about.","min":1,"max":"1","base":{"path":"Observation.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":"participation[typeCode=RTGT] "},{"identity":"w5","map":"FiveWs.subject"},{"identity":"argonaut-dq-dstu2","map":"Observation.subject"}]},{"id":"Observation.focus","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"trial-use"}],"path":"Observation.focus","short":"What the observation is about, when it is not about the subject of record","definition":"The actual focus of an observation when it is not the patient of record representing something or someone associated with the patient such as a spouse, parent, fetus, or donor. For example, fetus observations in a mother's record.  The focus of an observation could also be an existing condition,  an intervention, the subject's diet,  another observation of the subject,  or a body structure such as tumor or implanted device.   An example use case would be using the Observation resource to capture whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus.","comment":"Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., \"Blood Glucose\") and does not need to be represented separately using this element.  Use `specimen` if a reference to a specimen is required.  If a code is required instead of a resource use either  `bodysite` for bodysites or the standard extension [focusCode](http://hl7.org/fhir/R4/extension-observation-focuscode.html).","min":0,"max":"*","base":{"path":"Observation.focus","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"participation[typeCode=SBJ]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.encounter","path":"Observation.encounter","short":"Healthcare event during which this observation is made","definition":"The healthcare event  (e.g. a patient and healthcare provider interaction) during which this observation is made.","comment":"This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).","requirements":"For some observations it may be important to know the link between an observation and a particular encounter.","alias":["Context"],"min":0,"max":"1","base":{"path":"Observation.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1"},{"identity":"rim","map":"inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"}]},{"id":"Observation.effective[x]","path":"Observation.effective[x]","short":"Clinically relevant time/time-period for observation","definition":"The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the \"physiologically relevant time\". This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.","comment":"At least a date should be present unless this observation is a historical report.  For recording imprecise or \"fuzzy\" times (For example, a blood glucose measurement taken \"after breakfast\") use the [Timing](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.","requirements":"Knowing when an observation was deemed true is important to its relevance as well as determining trends.","alias":["Occurrence"],"min":0,"max":"1","base":{"path":"Observation.effective[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"},{"code":"Timing"},{"code":"instant"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"OBX-14, and/or OBX-19 after v2.4  (depends on who observation made)"},{"identity":"rim","map":"effectiveTime"}]},{"id":"Observation.issued","path":"Observation.issued","short":"Date/Time this version was made available","definition":"The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified.","comment":"For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](http://hl7.org/fhir/R4/resource-definitions.html#Meta.lastUpdated) time of the resource itself.  For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.","min":1,"max":"1","base":{"path":"Observation.issued","min":0,"max":"1"},"type":[{"code":"instant"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"v2","map":"OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"},{"identity":"rim","map":"participation[typeCode=AUT].time"},{"identity":"argonaut-dq-dstu2","map":"Observation.issued"}]},{"id":"Observation.performer","path":"Observation.performer","short":"Who is responsible for the observation","definition":"Who was responsible for asserting the observed value as \"true\".","requirements":"May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.","min":0,"max":"*","base":{"path":"Observation.performer","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/CareTeam","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"OBX.15 / (Practitioner)  OBX-16,  PRT-5:PRT-4='RO' /  (Device)  OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization)  OBX-23,  PRT-8:PRT-4='PO'"},{"identity":"rim","map":"participation[typeCode=PRF]"}]},{"id":"Observation.value[x]","path":"Observation.value[x]","slicing":{"discriminator":[{"type":"type","path":"$this"}],"ordered":false,"rules":"closed"},"short":"Actual result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"An observation may have; 1)  a single value here, 2)  both a value and a set of related or component values,  or 3)  only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code.  A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.  For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-7"],"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"< 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.value[x]:valueCodeableConcept","path":"Observation.value[x]","sliceName":"valueCodeableConcept","short":"Coded Responses from Smoking Status Value Set","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"An observation may have; 1)  a single value here, 2)  both a value and a set of related or component values,  or 3)  only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code.  A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.  For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":1,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-7"],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"This value set indicates the current smoking status of a patient","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-observation-smokingstatus"},"mapping":[{"identity":"sct-concept","map":"< 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"},{"identity":"argonaut-dq-dstu2","map":"Observation.valueCodeableConcept"}]},{"id":"Observation.dataAbsentReason","path":"Observation.dataAbsentReason","short":"Why the result is missing","definition":"Provides a reason why the expected value in the element Observation.value[x] is missing.","comment":"Null or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  \"detected\", \"not detected\", \"inconclusive\", or  \"specimen unsatisfactory\".   \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0.  Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.interpretation","path":"Observation.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value.  For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ),  its use extends to other use cases where coded interpretations  are relevant.  Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.note","path":"Observation.note","short":"Comments about the observation","definition":"Comments about the observation or the results.","comment":"May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.","requirements":"Need to be able to provide free text additional information.","min":0,"max":"*","base":{"path":"Observation.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"},{"identity":"rim","map":"subjectOf.observationEvent[code=\"annotation\"].value"}]},{"id":"Observation.bodySite","path":"Observation.bodySite","short":"Observed body part","definition":"Indicates the site on the subject's body where the observation was made (i.e. the target site).","comment":"Only used if not implicit in code found in Observation.code.  In many systems, this may be represented as a related observation instead of an inline component.   \n\nIf the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).","min":0,"max":"1","base":{"path":"Observation.bodySite","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"example","description":"Codes describing anatomical locations. May include laterality.","valueSet":"http://hl7.org/fhir/ValueSet/body-site"},"mapping":[{"identity":"sct-concept","map":"< 123037004 |Body structure|"},{"identity":"v2","map":"OBX-20"},{"identity":"rim","map":"targetSiteCode"},{"identity":"sct-attr","map":"718497002 |Inherent location|"}]},{"id":"Observation.method","path":"Observation.method","short":"How it was done","definition":"Indicates the mechanism used to perform the observation.","comment":"Only used if not implicit in code for Observation.code.","requirements":"In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.","min":0,"max":"1","base":{"path":"Observation.method","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationMethod"}],"strength":"example","description":"Methods for simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-methods"},"mapping":[{"identity":"v2","map":"OBX-17"},{"identity":"rim","map":"methodCode"}]},{"id":"Observation.specimen","path":"Observation.specimen","short":"Specimen used for this observation","definition":"The specimen that was used when this observation was made.","comment":"Should only be used if not implicit in code found in `Observation.code`.  Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).","min":0,"max":"1","base":{"path":"Observation.specimen","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Specimen"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 123038009 |Specimen|"},{"identity":"v2","map":"SPM segment"},{"identity":"rim","map":"participation[typeCode=SPC].specimen"},{"identity":"sct-attr","map":"704319004 |Inherent in|"}]},{"id":"Observation.device","path":"Observation.device","short":"(Measurement) Device","definition":"The device used to generate the observation data.","comment":"Note that this is not meant to represent a device involved in the transmission of the result, e.g., a gateway.  Such devices may be documented using the Provenance resource where relevant.","min":0,"max":"1","base":{"path":"Observation.device","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/DeviceMetric"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 49062001 |Device|"},{"identity":"v2","map":"OBX-17 / PRT -10"},{"identity":"rim","map":"participation[typeCode=DEV]"},{"identity":"sct-attr","map":"424226004 |Using device|"}]},{"id":"Observation.referenceRange","path":"Observation.referenceRange","short":"Provides guide for interpretation","definition":"Guidance on how to interpret the value by comparison to a normal or recommended range.  Multiple reference ranges are interpreted as an \"OR\".   In other words, to represent two distinct target populations, two `referenceRange` elements would be used.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.referenceRange","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"},{"key":"obs-3","severity":"error","human":"Must have at least a low or a high or text","expression":"low.exists() or high.exists() or text.exists()","xpath":"(exists(f:low) or exists(f:high)or exists(f:text))"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.referenceRange.id","path":"Observation.referenceRange.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.extension","path":"Observation.referenceRange.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.modifierExtension","path":"Observation.referenceRange.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.referenceRange.low","path":"Observation.referenceRange.low","short":"Low Range, if relevant","definition":"The value of the low bound of the reference range.  The low bound of the reference range endpoint is inclusive of the value (e.g.  reference range is >=5 - <=9). If the low bound is omitted,  it is assumed to be meaningless (e.g. reference range is <=2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.low","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"condition":["obs-3"],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.low"}]},{"id":"Observation.referenceRange.high","path":"Observation.referenceRange.high","short":"High Range, if relevant","definition":"The value of the high bound of the reference range.  The high bound of the reference range endpoint is inclusive of the value (e.g.  reference range is >=5 - <=9). If the high bound is omitted,  it is assumed to be meaningless (e.g. reference range is >= 2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.high","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"condition":["obs-3"],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.high"}]},{"id":"Observation.referenceRange.type","path":"Observation.referenceRange.type","short":"Reference range qualifier","definition":"Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.","comment":"This SHOULD be populated if there is more than one range.  If this element is not present then the normal range is assumed.","requirements":"Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc.,  - for proper interpretation.","min":0,"max":"1","base":{"path":"Observation.referenceRange.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeMeaning"}],"strength":"preferred","description":"Code for the meaning of a reference range.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-meaning"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR  \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR  \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.appliesTo","path":"Observation.referenceRange.appliesTo","short":"Reference range population","definition":"Codes to indicate the target population this reference range applies to.  For example, a reference range may be based on the normal population or a particular sex or race.  Multiple `appliesTo`  are interpreted as an \"AND\" of the target populations.  For example, to represent a target population of African American females, both a code of female and a code for African American would be used.","comment":"This SHOULD be populated if there is more than one range.  If this element is not present then the normal population is assumed.","requirements":"Need to be able to identify the target population for proper interpretation.","min":0,"max":"*","base":{"path":"Observation.referenceRange.appliesTo","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeType"}],"strength":"example","description":"Codes identifying the population the reference range applies to.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-appliesto"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR  \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR  \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.age","path":"Observation.referenceRange.age","short":"Applicable age range, if relevant","definition":"The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so.","requirements":"Some analytes vary greatly over age.","min":0,"max":"1","base":{"path":"Observation.referenceRange.age","min":0,"max":"1"},"type":[{"code":"Range"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value"}]},{"id":"Observation.referenceRange.text","path":"Observation.referenceRange.text","short":"Text based reference range in an observation","definition":"Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation.  An example would be a reference value of \"Negative\" or a list or table of \"normals\".","min":0,"max":"1","base":{"path":"Observation.referenceRange.text","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:ST"}]},{"id":"Observation.hasMember","path":"Observation.hasMember","short":"Related resource that belongs to the Observation group","definition":"This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.","comment":"When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases.  For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below.  Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html)  into a final score and represent the score as an Observation.","min":0,"max":"*","base":{"path":"Observation.hasMember","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Observation","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse","http://hl7.org/fhir/StructureDefinition/MolecularSequence"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":"outBoundRelationship"}]},{"id":"Observation.derivedFrom","path":"Observation.derivedFrom","short":"Related measurements the observation is made from","definition":"The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.","comment":"All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value.  The most common reference will be another Observation.  For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below.","min":0,"max":"*","base":{"path":"Observation.derivedFrom","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DocumentReference","http://hl7.org/fhir/StructureDefinition/ImagingStudy","http://hl7.org/fhir/StructureDefinition/Media","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse","http://hl7.org/fhir/StructureDefinition/Observation","http://hl7.org/fhir/StructureDefinition/MolecularSequence"]}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":".targetObservation"}]},{"id":"Observation.component","path":"Observation.component","short":"Component results","definition":"Some observations have multiple component observations.  These component observations are expressed as separate code value pairs that share the same attributes.  Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations.","comment":"For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable).   However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.","min":0,"max":"*","base":{"path":"Observation.component","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"containment by OBX-4?"},{"identity":"rim","map":"outBoundRelationship[typeCode=COMP]"}]},{"id":"Observation.component.id","path":"Observation.component.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"code":"string"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.extension","path":"Observation.component.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.modifierExtension","path":"Observation.component.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.component.code","path":"Observation.component.code","short":"Type of component observation (code / type)","definition":"Describes what was observed. Sometimes this is called the observation \"code\".","comment":"*All* code-value and  component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","min":1,"max":"1","base":{"path":"Observation.component.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCode"}],"strength":"example","description":"Codes identifying names of simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-codes"},"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR \r< 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"}]},{"id":"Observation.component.value[x]","path":"Observation.component.value[x]","short":"Actual component result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"Used when observation has a set of component observations. An observation may have both a value (e.g. an  Apgar score)  and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.  For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.component.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"},{"code":"CodeableConcept"},{"code":"string"},{"code":"boolean"},{"code":"integer"},{"code":"Range"},{"code":"Ratio"},{"code":"SampledData"},{"code":"time"},{"code":"dateTime"},{"code":"Period"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"363714003 |Interprets| < 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.component.dataAbsentReason","path":"Observation.component.dataAbsentReason","short":"Why the component result is missing","definition":"Provides a reason why the expected value in the element Observation.component.value[x] is missing.","comment":"\"Null\" or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  \"detected\", \"not detected\", \"inconclusive\", or  \"test not done\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed.  Because of these options, use-case agreements are required to interpret general observations for exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.component.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.component.interpretation","path":"Observation.component.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value.  For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ),  its use extends to other use cases where coded interpretations  are relevant.  Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.component.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.component.referenceRange","path":"Observation.component.referenceRange","short":"Provides guide for interpretation of component result","definition":"Guidance on how to interpret the value by comparison to a normal or recommended range.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.component.referenceRange","min":0,"max":"*"},"contentReference":"#Observation.referenceRange","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]}]},"differential":{"element":[{"id":"Observation","path":"Observation","definition":"The US Core Smoking Status Observation Profile is based upon the core FHIR Observation Resource and created to meet the 2015 Edition Common Clinical Data Set 'Smoking status' requirements.","alias":["Obs"],"mustSupport":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Observation"}]},{"id":"Observation.status","path":"Observation.status","min":1,"max":"1","mustSupport":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-observation-smoking-status-status"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Observation.status"}]},{"id":"Observation.code","path":"Observation.code","short":"Smoking Status","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-smoking-status-observation-codes"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Observation.code"}]},{"id":"Observation.subject","path":"Observation.subject","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Observation.subject"}]},{"id":"Observation.issued","path":"Observation.issued","min":1,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Observation.issued"}]},{"id":"Observation.valueCodeableConcept","path":"Observation.valueCodeableConcept","short":"Coded Responses from Smoking Status Value Set","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"extensible","description":"This value set indicates the current smoking status of a patient","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-observation-smokingstatus"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Observation.valueCodeableConcept"}]}]}}
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diff --git a/resources/uscore_v3.0.1/ValueSet-birthsex.json b/resources/uscore_v3.0.1/ValueSet-birthsex.json
new file mode 100644
index 000000000..94e5c0910
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-birthsex.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"birthsex","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Birth Sex</h2><div><p>Codes for assigning sex at birth as specified by the <a href=\"https://www.healthit.gov/newsroom/about-onc\">Office of the National Coordinator for Health IT (ONC)</a></p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href=\"http://hl7.org/fhir/R4/v3/AdministrativeGender/cs.html\"><code>http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/v3/AdministrativeGender/cs.html#v3-AdministrativeGender-F\">F</a></td><td>Female</td><td>Female</td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/v3/AdministrativeGender/cs.html#v3-AdministrativeGender-M\">M</a></td><td>Male</td><td>Male</td></tr></table></li><li>Include these codes as defined in <a href=\"http://hl7.org/fhir/R4/v3/NullFlavor/cs.html\"><code>http://terminology.hl7.org/CodeSystem/v3-NullFlavor</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/v3/NullFlavor/cs.html#v3-NullFlavor-UNK\">UNK</a></td><td>Unknown</td><td>Description:A proper value is applicable, but not known.<br/>\n                        \n                           Usage Notes: This means the actual value is not known.  If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used.  No properties should be included for a datatype with this property unless:<br/>\n                        \n                           Those properties themselves directly translate to a semantic of &quot;unknown&quot;.  (E.g. a local code sent as a translation that conveys 'unknown')\n                           Those properties further qualify the nature of what is unknown.  (E.g. specifying a use code of &quot;H&quot; and a URL prefix of &quot;tel:&quot; to convey that it is the home phone number that is unknown.)</td></tr></table></li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/birthsex","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113762.1.4.1021.24"}],"version":"3.0.1","name":"BirthSex","title":"Birth Sex","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"Codes for assigning sex at birth as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc)","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"compose":{"include":[{"system":"http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender","concept":[{"code":"F","display":"Female"},{"code":"M","display":"Male"}]},{"system":"http://terminology.hl7.org/CodeSystem/v3-NullFlavor","concept":[{"code":"UNK","display":"Unknown"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-detailed-ethnicity.json b/resources/uscore_v3.0.1/ValueSet-detailed-ethnicity.json
new file mode 100644
index 000000000..f458d6801
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-detailed-ethnicity.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"detailed-ethnicity","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Detailed ethnicity</h2><div><p>The 41 <a href=\"http://www.cdc.gov/phin/resources/vocabulary/index.html\">CDC ethnicity codes</a> that are grouped under one of the 2 OMB ethnicity category codes.</p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include codes from <a href=\"CodeSystem-cdcrec.html\"><code>urn:oid:2.16.840.1.113883.6.238</code></a> where concept  is-a  <a href=\"CodeSystem-cdcrec.html#cdcrec-2133-7\">2133-7</a></li><li>Exclude these codes as defined in <a href=\"CodeSystem-cdcrec.html\"><code>urn:oid:2.16.840.1.113883.6.238</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-2135-2\">2135-2</a></td><td>Hispanic or Latino</td><td>Hispanic or Latino</td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-2186-5\">2186-5</a></td><td>Not Hispanic or Latino</td><td>Note that this term remains in the table for completeness, even though within HL7, the notion of &quot;not otherwise coded&quot; term is deprecated.</td></tr></table></li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity","version":"3.0.1","name":"DetailedEthnicity","title":"Detailed ethnicity","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","description":"The 41 [CDC ethnicity codes](http://www.cdc.gov/phin/resources/vocabulary/index.html) that are grouped under one of the 2 OMB ethnicity category codes.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"compose":{"include":[{"system":"urn:oid:2.16.840.1.113883.6.238","filter":[{"property":"concept","op":"is-a","value":"2133-7"}]}],"exclude":[{"system":"urn:oid:2.16.840.1.113883.6.238","concept":[{"code":"2135-2"},{"code":"2186-5"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-detailed-race.json b/resources/uscore_v3.0.1/ValueSet-detailed-race.json
new file mode 100644
index 000000000..ceb0ee07b
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-detailed-race.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"detailed-race","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Detailed Race</h2><div><p>The 900+ <a href=\"http://www.cdc.gov/phin/resources/vocabulary/index.html\">CDC Race codes</a> that are grouped under one of the 5 OMB race category codes.</p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include codes from <a href=\"CodeSystem-cdcrec.html\"><code>urn:oid:2.16.840.1.113883.6.238</code></a> where concept  is-a  <a href=\"CodeSystem-cdcrec.html#cdcrec-1000-9\">1000-9</a></li><li>Exclude these codes as defined in <a href=\"CodeSystem-cdcrec.html\"><code>urn:oid:2.16.840.1.113883.6.238</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-1002-5\">1002-5</a></td><td>American Indian or Alaska Native</td><td>American Indian or Alaska Native</td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-2028-9\">2028-9</a></td><td>Asian</td><td>Asian</td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-2054-5\">2054-5</a></td><td>Black or African American</td><td>Black or African American</td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-2076-8\">2076-8</a></td><td>Native Hawaiian or Other Pacific Islander</td><td>Native Hawaiian or Other Pacific Islander</td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-2106-3\">2106-3</a></td><td>White</td><td>White</td></tr></table></li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/detailed-race","version":"3.0.1","name":"DetailedRace","title":"Detailed Race","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","description":"The 900+ [CDC Race codes](http://www.cdc.gov/phin/resources/vocabulary/index.html) that are grouped under one of the 5 OMB race category codes.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"compose":{"include":[{"system":"urn:oid:2.16.840.1.113883.6.238","filter":[{"property":"concept","op":"is-a","value":"1000-9"}]}],"exclude":[{"system":"urn:oid:2.16.840.1.113883.6.238","concept":[{"code":"1002-5"},{"code":"2028-9"},{"code":"2054-5"},{"code":"2076-8"},{"code":"2106-3"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-omb-ethnicity-category.json b/resources/uscore_v3.0.1/ValueSet-omb-ethnicity-category.json
new file mode 100644
index 000000000..cbf1e232d
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-omb-ethnicity-category.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"omb-ethnicity-category","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>OMB Ethnicity Categories</h2><div><p>The codes for the ethnicity categories - 'Hispanic or Latino' and 'Non Hispanic or Latino' - as defined by the <a href=\"https://www.whitehouse.gov/omb/fedreg_1997standards\">OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997</a>.</p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href=\"CodeSystem-cdcrec.html\"><code>urn:oid:2.16.840.1.113883.6.238</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-2135-2\">2135-2</a></td><td>Hispanic or Latino</td><td>Hispanic or Latino</td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-2186-5\">2186-5</a></td><td>Non Hispanic or Latino</td><td>Note that this term remains in the table for completeness, even though within HL7, the notion of &quot;not otherwise coded&quot; term is deprecated.</td></tr></table></li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/omb-ethnicity-category","version":"3.0.1","name":"OmbEthnicityCategories","title":"OMB Ethnicity Categories","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","description":"The codes for the ethnicity categories - 'Hispanic or Latino' and 'Non Hispanic or Latino' - as defined by the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards).","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"compose":{"include":[{"system":"urn:oid:2.16.840.1.113883.6.238","concept":[{"code":"2135-2","display":"Hispanic or Latino"},{"code":"2186-5","display":"Non Hispanic or Latino"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-omb-race-category.json b/resources/uscore_v3.0.1/ValueSet-omb-race-category.json
new file mode 100644
index 000000000..9ab012362
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-omb-race-category.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"omb-race-category","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>OMB Race Categories</h2><div><p>The codes for the concepts 'Unknown' and  'Asked but no answer' and the the codes for the five race categories - 'American Indian' or 'Alaska Native', 'Asian', 'Black or African American', 'Native Hawaiian or Other Pacific Islander', and 'White' - as defined by the <a href=\"https://www.whitehouse.gov/omb/fedreg_1997standards\">OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997</a> .</p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href=\"CodeSystem-cdcrec.html\"><code>urn:oid:2.16.840.1.113883.6.238</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-1002-5\">1002-5</a></td><td>American Indian or Alaska Native</td><td>American Indian or Alaska Native</td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-2028-9\">2028-9</a></td><td>Asian</td><td>Asian</td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-2054-5\">2054-5</a></td><td>Black or African American</td><td>Black or African American</td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-2076-8\">2076-8</a></td><td>Native Hawaiian or Other Pacific Islander</td><td>Native Hawaiian or Other Pacific Islander</td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-2106-3\">2106-3</a></td><td>White</td><td>White</td></tr></table></li><li>Include these codes as defined in <a href=\"http://hl7.org/fhir/R4/v3/NullFlavor/cs.html\"><code>http://terminology.hl7.org/CodeSystem/v3-NullFlavor</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/v3/NullFlavor/cs.html#v3-NullFlavor-UNK\">UNK</a></td><td>Unknown</td><td>Description:A proper value is applicable, but not known.<br/>\n                        \n                           Usage Notes: This means the actual value is not known.  If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used.  No properties should be included for a datatype with this property unless:<br/>\n                        \n                           Those properties themselves directly translate to a semantic of &quot;unknown&quot;.  (E.g. a local code sent as a translation that conveys 'unknown')\n                           Those properties further qualify the nature of what is unknown.  (E.g. specifying a use code of &quot;H&quot; and a URL prefix of &quot;tel:&quot; to convey that it is the home phone number that is unknown.)</td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/v3/NullFlavor/cs.html#v3-NullFlavor-ASKU\">ASKU</a></td><td>Asked but no answer</td><td>Information was sought but not found (e.g., patient was asked but didn't know)</td></tr></table></li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/omb-race-category","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.2.575"}],"version":"3.0.1","name":"OmbRaceCategories","title":"OMB Race Categories","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]},{"telecom":[{"system":"other","value":"http://wiki.siframework.org/Data+Access+Framework+Homepage"}]}],"description":"The codes for the concepts 'Unknown' and  'Asked but no answer' and the the codes for the five race categories - 'American Indian' or 'Alaska Native', 'Asian', 'Black or African American', 'Native Hawaiian or Other Pacific Islander', and 'White' - as defined by the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards) .","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"compose":{"include":[{"system":"urn:oid:2.16.840.1.113883.6.238","concept":[{"code":"1002-5","display":"American Indian or Alaska Native"},{"code":"2028-9","display":"Asian"},{"code":"2054-5","display":"Black or African American"},{"code":"2076-8","display":"Native Hawaiian or Other Pacific Islander"},{"code":"2106-3","display":"White"}]},{"system":"http://terminology.hl7.org/CodeSystem/v3-NullFlavor","concept":[{"code":"UNK","display":"Unknown"},{"code":"ASKU","display":"Asked but no answer"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-simple-language.json b/resources/uscore_v3.0.1/ValueSet-simple-language.json
new file mode 100644
index 000000000..4c186e320
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-simple-language.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"simple-language","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Language codes with language and optionally a region modifier</h2><div><p>This value set includes codes from <a href=\"http://tools.ietf.org/html/bcp47\">BCP-47</a>. This value set matches the ONC 2015 Edition LanguageCommunication data element value set within C-CDA to use a 2 character language code if one exists,   and a 3 character code if a 2 character code does not exist. It points back to <a href=\"https://tools.ietf.org/html/rfc5646\">RFC 5646</a>, however only the language codes are required, all other elements are optional.</p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include codes from <code>urn:ietf:bcp:47</code> where ext-lang doesn't exist, script doesn't exist, variant doesn't exist, extension doesn't exist and private-use doesn't exist</li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/simple-language","version":"3.0.1","name":"LanguageCodesWithLanguageAndOptionallyARegionModifier","title":"Language codes with language and optionally a region modifier","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"}]}],"description":"This value set includes codes from [BCP-47](http://tools.ietf.org/html/bcp47). This value set matches the ONC 2015 Edition LanguageCommunication data element value set within C-CDA to use a 2 character language code if one exists,   and a 3 character code if a 2 character code does not exist. It points back to [RFC 5646](https://tools.ietf.org/html/rfc5646), however only the language codes are required, all other elements are optional.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"compose":{"include":[{"system":"urn:ietf:bcp:47","filter":[{"property":"ext-lang","op":"exists","value":"false"},{"property":"script","op":"exists","value":"false"},{"property":"variant","op":"exists","value":"false"},{"property":"extension","op":"exists","value":"false"},{"property":"private-use","op":"exists","value":"false"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-allergy-substance.json b/resources/uscore_v3.0.1/ValueSet-us-core-allergy-substance.json
new file mode 100644
index 000000000..10f7a8297
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-allergy-substance.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-allergy-substance","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Common substances for allergy and intolerance documentation including refutations</h2><div><p>Documentation of substances suspected of (or not suspected of) causing an allergy or intolerance reaction in an individual. <strong>Inclusion Criteria:</strong> specific or general substances to which a patient may be exposed and which may be suspected of causing an adverse reaction; assertions refuting these suspicions. This includes:  1. Common dietary substances for allergy and intolerance documentation (SNOMEDCT) 2. Common drug classes for allergy and intolerance documentation (SNOMEDCT) 3. Common drug substances for allergy and intolerance documentation (RXNORM) 4. Common environmental substances for allergy and intolerance documentation (SNOMEDCT) 5. Common refutations and null values for substance causes for allergy and intolerance documentation (SNOMEDCT)  <strong>Exclusion Criteria:</strong> actual conditions caused by exposure (reactions, allergies)</p>\n</div><p><b>Copyright Statement:</b> This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href=\"http://www.nlm.nih.gov/research/umls/rxnorm\"><code>http://www.nlm.nih.gov/research/umls/rxnorm</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>1002293</td><td>formoterol / Mometasone</td><td/></tr><tr><td>1007388</td><td>Lactase / rennet</td><td/></tr><tr><td>1008298</td><td>Acetaminophen / Caffeine / Chlorpheniramine / Hydrocodone / Phenylephrine</td><td/></tr><tr><td>1008519</td><td>guaiacolsulfonate / Hydrocodone</td><td/></tr><tr><td>1009148</td><td>Ampicillin / Sulbactam</td><td/></tr><tr><td>10109</td><td>Streptomycin</td><td/></tr><tr><td>10154</td><td>Succinylcholine</td><td/></tr><tr><td>10156</td><td>Sucralfate</td><td/></tr><tr><td>10169</td><td>Sulfacetamide</td><td/></tr><tr><td>10171</td><td>Sulfadiazine</td><td/></tr><tr><td>10180</td><td>Sulfamethoxazole</td><td/></tr><tr><td>10207</td><td>Sulfisoxazole</td><td/></tr><tr><td>10223</td><td>Sulfur</td><td/></tr><tr><td>10237</td><td>Sulindac</td><td/></tr><tr><td>10324</td><td>Tamoxifen</td><td/></tr><tr><td>10355</td><td>Temazepam</td><td/></tr><tr><td>10368</td><td>Terbutaline</td><td/></tr><tr><td>1037042</td><td>dabigatran etexilate</td><td/></tr><tr><td>10379</td><td>Testosterone</td><td/></tr><tr><td>10395</td><td>Tetracycline</td><td/></tr><tr><td>103990</td><td>Carbidopa / Levodopa</td><td/></tr><tr><td>1040028</td><td>lurasidone</td><td/></tr><tr><td>10438</td><td>Theophylline</td><td/></tr><tr><td>10472</td><td>Thimerosal</td><td/></tr><tr><td>10493</td><td>Thiopental</td><td/></tr><tr><td>10502</td><td>Thioridazine</td><td/></tr><tr><td>10510</td><td>Thiothixene</td><td/></tr><tr><td>10582</td><td>levothyroxine</td><td/></tr><tr><td>10594</td><td>Ticlopidine</td><td/></tr><tr><td>10600</td><td>Timolol</td><td/></tr><tr><td>10627</td><td>Tobramycin</td><td/></tr><tr><td>10636</td><td>Tolmetin</td><td/></tr><tr><td>10689</td><td>Tramadol</td><td/></tr><tr><td>10737</td><td>Trazodone</td><td/></tr><tr><td>10759</td><td>Triamcinolone</td><td/></tr><tr><td>107602</td><td>Epinephrine / Lidocaine</td><td/></tr><tr><td>10763</td><td>Triamterene</td><td/></tr><tr><td>10767</td><td>Triazolam</td><td/></tr><tr><td>10800</td><td>Trifluoperazine</td><td/></tr><tr><td>108118</td><td>Mometasone</td><td/></tr><tr><td>10829</td><td>Trimethoprim</td><td/></tr><tr><td>10831</td><td>Sulfamethoxazole / Trimethoprim</td><td/></tr><tr><td>11124</td><td>Vancomycin</td><td/></tr><tr><td>1114195</td><td>rivaroxaban</td><td/></tr><tr><td>1116632</td><td>Ticagrelor</td><td/></tr><tr><td>11170</td><td>Verapamil</td><td/></tr><tr><td>11248</td><td>Vitamin B 12</td><td/></tr><tr><td>11253</td><td>Vitamin D</td><td/></tr><tr><td>11256</td><td>Vitamin E</td><td/></tr><tr><td>11289</td><td>Warfarin</td><td/></tr><tr><td>113588</td><td>Erythromycin / Sulfisoxazole</td><td/></tr><tr><td>11416</td><td>Zinc</td><td/></tr><tr><td>11423</td><td>Zinc Oxide</td><td/></tr><tr><td>114477</td><td>Levetiracetam</td><td/></tr><tr><td>114970</td><td>zafirlukast</td><td/></tr><tr><td>114979</td><td>rabeprazole</td><td/></tr><tr><td>1151</td><td>Ascorbic Acid</td><td/></tr><tr><td>115264</td><td>Ibandronate</td><td/></tr><tr><td>115552</td><td>trovafloxacin</td><td/></tr><tr><td>115698</td><td>ziprasidone</td><td/></tr><tr><td>1191</td><td>Aspirin</td><td/></tr><tr><td>119565</td><td>tolterodine</td><td/></tr><tr><td>1202</td><td>Atenolol</td><td/></tr><tr><td>121191</td><td>rituximab</td><td/></tr><tr><td>1223</td><td>Atropine</td><td/></tr><tr><td>1256</td><td>Azathioprine</td><td/></tr><tr><td>1272</td><td>Aztreonam</td><td/></tr><tr><td>1291</td><td>Bacitracin</td><td/></tr><tr><td>1292</td><td>Baclofen</td><td/></tr><tr><td>1310171</td><td>Gadolinium</td><td/></tr><tr><td>1311085</td><td>xanthine</td><td/></tr><tr><td>1311524</td><td>Aspartame</td><td/></tr><tr><td>1311629</td><td>nickel</td><td/></tr><tr><td>1314891</td><td>Latex</td><td/></tr><tr><td>1331</td><td>Barium Sulfate</td><td/></tr><tr><td>134615</td><td>brimonidine</td><td/></tr><tr><td>1347</td><td>Beclomethasone</td><td/></tr><tr><td>135447</td><td>donepezil</td><td/></tr><tr><td>135775</td><td>zolmitriptan</td><td/></tr><tr><td>1359</td><td>Belladonna Alkaloids</td><td/></tr><tr><td>1362879</td><td>Sulfur Dioxide</td><td/></tr><tr><td>1363043</td><td>ethyl ether</td><td/></tr><tr><td>136411</td><td>sildenafil</td><td/></tr><tr><td>1364430</td><td>apixaban</td><td/></tr><tr><td>138099</td><td>gemifloxacin</td><td/></tr><tr><td>139462</td><td>moxifloxacin</td><td/></tr><tr><td>1399</td><td>Benzocaine</td><td/></tr><tr><td>140587</td><td>celecoxib</td><td/></tr><tr><td>1406</td><td>benzoin resin</td><td/></tr><tr><td>141626</td><td>colesevelam</td><td/></tr><tr><td>1418</td><td>Benzoyl Peroxide</td><td/></tr><tr><td>1424</td><td>Benztropine</td><td/></tr><tr><td>1514</td><td>Betamethasone</td><td/></tr><tr><td>153970</td><td>Hyoscyamine</td><td/></tr><tr><td>1596450</td><td>Gentamicin</td><td/></tr><tr><td>15996</td><td>Mirtazapine</td><td/></tr><tr><td>161</td><td>Acetaminophen</td><td/></tr><tr><td>16681</td><td>Acarbose</td><td/></tr><tr><td>167</td><td>Acetazolamide</td><td/></tr><tr><td>17128</td><td>lansoprazole</td><td/></tr><tr><td>1727875</td><td>Tetanus immune globulin</td><td/></tr><tr><td>17300</td><td>alfuzosin</td><td/></tr><tr><td>17767</td><td>Amlodipine</td><td/></tr><tr><td>1827</td><td>Buspirone</td><td/></tr><tr><td>183379</td><td>rivastigmine</td><td/></tr><tr><td>1841</td><td>Butorphanol</td><td/></tr><tr><td>18631</td><td>Azithromycin</td><td/></tr><tr><td>187832</td><td>pregabalin</td><td/></tr><tr><td>1886</td><td>Caffeine</td><td/></tr><tr><td>18867</td><td>benazepril</td><td/></tr><tr><td>1895</td><td>Calcium</td><td/></tr><tr><td>1897</td><td>Calcium Carbonate</td><td/></tr><tr><td>18993</td><td>benzonatate</td><td/></tr><tr><td>190376</td><td>linezolid</td><td/></tr><tr><td>191831</td><td>infliximab</td><td/></tr><tr><td>19478</td><td>bismuth subsalicylate</td><td/></tr><tr><td>19552</td><td>cefprozil</td><td/></tr><tr><td>19711</td><td>Amoxicillin / Clavulanate</td><td/></tr><tr><td>19831</td><td>Budesonide</td><td/></tr><tr><td>1998</td><td>Captopril</td><td/></tr><tr><td>2002</td><td>Carbamazepine</td><td/></tr><tr><td>20352</td><td>carvedilol</td><td/></tr><tr><td>20481</td><td>cefepime</td><td/></tr><tr><td>20489</td><td>cefpodoxime</td><td/></tr><tr><td>20610</td><td>Cetirizine</td><td/></tr><tr><td>2101</td><td>Carisoprodol</td><td/></tr><tr><td>21107</td><td>cilostazol</td><td/></tr><tr><td>21183</td><td>Citric Acid</td><td/></tr><tr><td>21212</td><td>Clarithromycin</td><td/></tr><tr><td>214130</td><td>Acetaminophen / butalbital / Caffeine</td><td/></tr><tr><td>214153</td><td>Acetaminophen / dichloralphenazone / isometheptene</td><td/></tr><tr><td>214159</td><td>Aspirin / butalbital / Caffeine</td><td/></tr><tr><td>214160</td><td>Aspirin / butalbital / Caffeine / Codeine</td><td/></tr><tr><td>214181</td><td>Acetaminophen / Diphenhydramine</td><td/></tr><tr><td>214182</td><td>Acetaminophen / Hydrocodone</td><td/></tr><tr><td>214183</td><td>Acetaminophen / Oxycodone</td><td/></tr><tr><td>214199</td><td>Albuterol / Ipratropium</td><td/></tr><tr><td>214223</td><td>Amlodipine / benazepril</td><td/></tr><tr><td>214250</td><td>Aspirin / Caffeine</td><td/></tr><tr><td>214256</td><td>Aspirin / Oxycodone</td><td/></tr><tr><td>214257</td><td>Aspirin / Pentazocine</td><td/></tr><tr><td>214317</td><td>Bisoprolol / Hydrochlorothiazide</td><td/></tr><tr><td>214336</td><td>Caffeine / Ergotamine</td><td/></tr><tr><td>214354</td><td>candesartan</td><td/></tr><tr><td>214364</td><td>carbinoxamine / Pseudoephedrine</td><td/></tr><tr><td>214392</td><td>Chlorpheniramine / Hydrocodone</td><td/></tr><tr><td>214442</td><td>Codeine / Guaifenesin</td><td/></tr><tr><td>214445</td><td>Codeine / Pseudoephedrine</td><td/></tr><tr><td>214488</td><td>Dextromethorphan / Guaifenesin</td><td/></tr><tr><td>214502</td><td>Diclofenac / Misoprostol</td><td/></tr><tr><td>214555</td><td>Etanercept</td><td/></tr><tr><td>214558</td><td>Ethinyl Estradiol / Levonorgestrel</td><td/></tr><tr><td>214565</td><td>fexofenadine / Pseudoephedrine</td><td/></tr><tr><td>214599</td><td>Guaifenesin / Pseudoephedrine</td><td/></tr><tr><td>214614</td><td>homatropine / Hydrocodone</td><td/></tr><tr><td>214617</td><td>Hydrochlorothiazide / irbesartan</td><td/></tr><tr><td>214618</td><td>Hydrochlorothiazide / Lisinopril</td><td/></tr><tr><td>214619</td><td>Hydrochlorothiazide / Losartan</td><td/></tr><tr><td>214626</td><td>Hydrochlorothiazide / valsartan</td><td/></tr><tr><td>214627</td><td>Hydrocodone / Ibuprofen</td><td/></tr><tr><td>214631</td><td>Hydrocodone / Pseudoephedrine</td><td/></tr><tr><td>214682</td><td>Loratadine / Pseudoephedrine</td><td/></tr><tr><td>214721</td><td>Naloxone / Pentazocine</td><td/></tr><tr><td>214807</td><td>Pseudoephedrine / Triprolidine</td><td/></tr><tr><td>2176</td><td>Cefaclor</td><td/></tr><tr><td>217627</td><td>Hydrocortisone / Neomycin / Polymyxin B</td><td/></tr><tr><td>2177</td><td>Cefadroxil</td><td/></tr><tr><td>2180</td><td>Cefazolin</td><td/></tr><tr><td>2189</td><td>Cefoxitin</td><td/></tr><tr><td>2191</td><td>Ceftazidime</td><td/></tr><tr><td>2193</td><td>Ceftriaxone</td><td/></tr><tr><td>219314</td><td>Polymyxin B / Trimethoprim</td><td/></tr><tr><td>219315</td><td>Iron polysaccharide</td><td/></tr><tr><td>2194</td><td>Cefuroxime</td><td/></tr><tr><td>21949</td><td>cyclobenzaprine</td><td/></tr><tr><td>221147</td><td>POLYETHYLENE GLYCOL 3350</td><td/></tr><tr><td>22299</td><td>Daptomycin</td><td/></tr><tr><td>2231</td><td>Cephalexin</td><td/></tr><tr><td>226716</td><td>Aspirin / Dipyridamole</td><td/></tr><tr><td>228476</td><td>gatifloxacin</td><td/></tr><tr><td>228790</td><td>Dutasteride</td><td/></tr><tr><td>232158</td><td>rofecoxib</td><td/></tr><tr><td>233698</td><td>dronedarone</td><td/></tr><tr><td>2348</td><td>Chloramphenicol</td><td/></tr><tr><td>2356</td><td>Chlordiazepoxide</td><td/></tr><tr><td>2358</td><td>Chlorhexidine</td><td/></tr><tr><td>236778</td><td>Trospium</td><td/></tr><tr><td>237159</td><td>Levalbuterol</td><td/></tr><tr><td>2393</td><td>Chloroquine</td><td/></tr><tr><td>2400</td><td>Chlorpheniramine</td><td/></tr><tr><td>2403</td><td>Chlorpromazine</td><td/></tr><tr><td>2409</td><td>Chlorthalidone</td><td/></tr><tr><td>2410</td><td>Chlorzoxazone</td><td/></tr><tr><td>2418</td><td>Cholecalciferol</td><td/></tr><tr><td>2447</td><td>Cholestyramine Resin</td><td/></tr><tr><td>24605</td><td>Etodolac</td><td/></tr><tr><td>24947</td><td>ferrous sulfate</td><td/></tr><tr><td>25025</td><td>Finasteride</td><td/></tr><tr><td>25033</td><td>Cefixime</td><td/></tr><tr><td>25037</td><td>cefdinir</td><td/></tr><tr><td>25120</td><td>flunisolide</td><td/></tr><tr><td>25255</td><td>formoterol</td><td/></tr><tr><td>253157</td><td>Bee pollen</td><td/></tr><tr><td>2541</td><td>Cimetidine</td><td/></tr><tr><td>25480</td><td>gabapentin</td><td/></tr><tr><td>2551</td><td>Ciprofloxacin</td><td/></tr><tr><td>2556</td><td>Citalopram</td><td/></tr><tr><td>25789</td><td>glimepiride</td><td/></tr><tr><td>2582</td><td>Clindamycin</td><td/></tr><tr><td>258337</td><td>Hydrochlorothiazide / Triamterene</td><td/></tr><tr><td>2598</td><td>Clonazepam</td><td/></tr><tr><td>2599</td><td>Clonidine</td><td/></tr><tr><td>260101</td><td>Oseltamivir</td><td/></tr><tr><td>26225</td><td>Ondansetron</td><td/></tr><tr><td>2623</td><td>Clotrimazole</td><td/></tr><tr><td>2670</td><td>Codeine</td><td/></tr><tr><td>2683</td><td>Colchicine</td><td/></tr><tr><td>2685</td><td>Colestipol</td><td/></tr><tr><td>27169</td><td>leflunomide</td><td/></tr><tr><td>274783</td><td>Insulin Glargine</td><td/></tr><tr><td>274786</td><td>telithromycin</td><td/></tr><tr><td>27723</td><td>iodinated glycerol</td><td/></tr><tr><td>278567</td><td>valdecoxib</td><td/></tr><tr><td>28031</td><td>Itraconazole</td><td/></tr><tr><td>281</td><td>Acyclovir</td><td/></tr><tr><td>283742</td><td>Esomeprazole</td><td/></tr><tr><td>283809</td><td>travoprost</td><td/></tr><tr><td>28439</td><td>lamotrigine</td><td/></tr><tr><td>284635</td><td>fluticasone / salmeterol</td><td/></tr><tr><td>2878</td><td>Cortisone</td><td/></tr><tr><td>28889</td><td>Loratadine</td><td/></tr><tr><td>28981</td><td>loracarbef</td><td/></tr><tr><td>29046</td><td>Lisinopril</td><td/></tr><tr><td>29542</td><td>Mercury, Ammoniated</td><td/></tr><tr><td>29561</td><td>meropenem</td><td/></tr><tr><td>296</td><td>Adenosine</td><td/></tr><tr><td>3008</td><td>Cyclosporine</td><td/></tr><tr><td>301542</td><td>rosuvastatin</td><td/></tr><tr><td>306674</td><td>vardenafil</td><td/></tr><tr><td>3108</td><td>Dapsone</td><td/></tr><tr><td>3143</td><td>prasterone</td><td/></tr><tr><td>31448</td><td>nabumetone</td><td/></tr><tr><td>31555</td><td>nebivolol</td><td/></tr><tr><td>31565</td><td>nefazodone</td><td/></tr><tr><td>31738</td><td>nickel sulfate</td><td/></tr><tr><td>318340</td><td>Aloe vera preparation</td><td/></tr><tr><td>321064</td><td>olmesartan</td><td/></tr><tr><td>321988</td><td>Escitalopram</td><td/></tr><tr><td>322167</td><td>Solifenacin</td><td/></tr><tr><td>3247</td><td>Desipramine</td><td/></tr><tr><td>325642</td><td>ertapenem</td><td/></tr><tr><td>32592</td><td>oxaliplatin</td><td/></tr><tr><td>32613</td><td>oxaprozin</td><td/></tr><tr><td>32624</td><td>oxcarbazepine</td><td/></tr><tr><td>3264</td><td>Dexamethasone</td><td/></tr><tr><td>32675</td><td>oxybutynin</td><td/></tr><tr><td>327361</td><td>adalimumab</td><td/></tr><tr><td>3289</td><td>Dextromethorphan</td><td/></tr><tr><td>32937</td><td>Paroxetine</td><td/></tr><tr><td>32968</td><td>clopidogrel</td><td/></tr><tr><td>3322</td><td>Diazepam</td><td/></tr><tr><td>33408</td><td>phenyltoloxamine</td><td/></tr><tr><td>3355</td><td>Diclofenac</td><td/></tr><tr><td>3356</td><td>Dicloxacillin</td><td/></tr><tr><td>3361</td><td>Dicyclomine</td><td/></tr><tr><td>33738</td><td>pioglitazone</td><td/></tr><tr><td>3393</td><td>Diflunisal</td><td/></tr><tr><td>3407</td><td>Digoxin</td><td/></tr><tr><td>341248</td><td>ezetimibe</td><td/></tr><tr><td>3418</td><td>Dihydroergotamine</td><td/></tr><tr><td>3423</td><td>Hydromorphone</td><td/></tr><tr><td>3443</td><td>Diltiazem</td><td/></tr><tr><td>3444</td><td>Dimenhydrinate</td><td/></tr><tr><td>3498</td><td>Diphenhydramine</td><td/></tr><tr><td>35208</td><td>quinapril</td><td/></tr><tr><td>3521</td><td>Dipyridamole</td><td/></tr><tr><td>352362</td><td>Acetaminophen / Tramadol</td><td/></tr><tr><td>35296</td><td>Ramipril</td><td/></tr><tr><td>35382</td><td>resorcinol</td><td/></tr><tr><td>35636</td><td>Risperidone</td><td/></tr><tr><td>358263</td><td>tadalafil</td><td/></tr><tr><td>35827</td><td>Ketorolac</td><td/></tr><tr><td>35829</td><td>ranolazine</td><td/></tr><tr><td>36108</td><td>Salsalate</td><td/></tr><tr><td>36117</td><td>salmeterol</td><td/></tr><tr><td>3616</td><td>Dobutamine</td><td/></tr><tr><td>3638</td><td>Doxepin</td><td/></tr><tr><td>3640</td><td>Doxycycline</td><td/></tr><tr><td>36437</td><td>Sertraline</td><td/></tr><tr><td>3648</td><td>Droperidol</td><td/></tr><tr><td>36567</td><td>Simvastatin</td><td/></tr><tr><td>37418</td><td>Sumatriptan</td><td/></tr><tr><td>37617</td><td>tazobactam</td><td/></tr><tr><td>37798</td><td>Terazosin</td><td/></tr><tr><td>37801</td><td>terbinafine</td><td/></tr><tr><td>3827</td><td>Enalapril</td><td/></tr><tr><td>3829</td><td>Enalaprilat</td><td/></tr><tr><td>38400</td><td>atomoxetine</td><td/></tr><tr><td>38404</td><td>topiramate</td><td/></tr><tr><td>38413</td><td>torsemide</td><td/></tr><tr><td>38574</td><td>trichloroacetaldehyde</td><td/></tr><tr><td>38685</td><td>trimethobenzamide</td><td/></tr><tr><td>389132</td><td>Budesonide / formoterol</td><td/></tr><tr><td>3966</td><td>Ephedrine</td><td/></tr><tr><td>39786</td><td>venlafaxine</td><td/></tr><tr><td>3992</td><td>Epinephrine</td><td/></tr><tr><td>39993</td><td>zolpidem</td><td/></tr><tr><td>39998</td><td>zonisamide</td><td/></tr><tr><td>40048</td><td>Carboplatin</td><td/></tr><tr><td>400674</td><td>dexbrompheniramine / Pseudoephedrine</td><td/></tr><tr><td>4025</td><td>Ergotamine</td><td/></tr><tr><td>40254</td><td>Valproate</td><td/></tr><tr><td>4053</td><td>Erythromycin</td><td/></tr><tr><td>40575</td><td>zileuton</td><td/></tr><tr><td>40790</td><td>pantoprazole</td><td/></tr><tr><td>4083</td><td>Estradiol</td><td/></tr><tr><td>4099</td><td>Estrogens, Conjugated (USP)</td><td/></tr><tr><td>41126</td><td>fluticasone</td><td/></tr><tr><td>41127</td><td>fluvastatin</td><td/></tr><tr><td>4124</td><td>Ethinyl Estradiol</td><td/></tr><tr><td>41397</td><td>Lactase</td><td/></tr><tr><td>41493</td><td>meloxicam</td><td/></tr><tr><td>42330</td><td>Terfenadine</td><td/></tr><tr><td>42331</td><td>Misoprostol</td><td/></tr><tr><td>42347</td><td>Bupropion</td><td/></tr><tr><td>42351</td><td>Lithium Carbonate</td><td/></tr><tr><td>42372</td><td>Mupirocin</td><td/></tr><tr><td>42463</td><td>Pravastatin</td><td/></tr><tr><td>4278</td><td>Famotidine</td><td/></tr><tr><td>4316</td><td>Felodipine</td><td/></tr><tr><td>4337</td><td>Fentanyl</td><td/></tr><tr><td>435</td><td>Albuterol</td><td/></tr><tr><td>43611</td><td>latanoprost</td><td/></tr><tr><td>4419</td><td>Fish Oils</td><td/></tr><tr><td>4441</td><td>Flecainide</td><td/></tr><tr><td>4450</td><td>Fluconazole</td><td/></tr><tr><td>448</td><td>Ethanol</td><td/></tr><tr><td>4492</td><td>Fluorouracil</td><td/></tr><tr><td>4493</td><td>Fluoxetine</td><td/></tr><tr><td>4496</td><td>Fluphenazine</td><td/></tr><tr><td>4500</td><td>Flurandrenolide</td><td/></tr><tr><td>4530</td><td>Formaldehyde</td><td/></tr><tr><td>4603</td><td>Furosemide</td><td/></tr><tr><td>46041</td><td>Alendronate</td><td/></tr><tr><td>461016</td><td>Eszopiclone</td><td/></tr><tr><td>4637</td><td>Galantamine</td><td/></tr><tr><td>465397</td><td>Ciprofloxacin / Dexamethasone</td><td/></tr><tr><td>466522</td><td>Diphenhydramine / Zinc Acetate</td><td/></tr><tr><td>466541</td><td>Neomycin / Polymyxin B</td><td/></tr><tr><td>466549</td><td>Aspirin / Caffeine / Orphenadrine</td><td/></tr><tr><td>466553</td><td>penicillin G benzathine / penicillin G procaine</td><td/></tr><tr><td>466566</td><td>Acetaminophen / Dextromethorphan / Diphenhydramine / Pseudoephedrine</td><td/></tr><tr><td>466584</td><td>Acetaminophen / Aspirin / Caffeine</td><td/></tr><tr><td>4719</td><td>Gemfibrozil</td><td/></tr><tr><td>475968</td><td>liraglutide</td><td/></tr><tr><td>4815</td><td>Glyburide</td><td/></tr><tr><td>48203</td><td>Clavulanate</td><td/></tr><tr><td>4821</td><td>Glipizide</td><td/></tr><tr><td>48274</td><td>Acetaminophen / Propoxyphene</td><td/></tr><tr><td>484139</td><td>Chlorhexidine / Isopropyl Alcohol</td><td/></tr><tr><td>484211</td><td>ezetimibe / Simvastatin</td><td/></tr><tr><td>4850</td><td>Glucose</td><td/></tr><tr><td>4917</td><td>Nitroglycerin</td><td/></tr><tr><td>49276</td><td>Doxazosin</td><td/></tr><tr><td>50166</td><td>Fosinopril</td><td/></tr><tr><td>5021</td><td>Griseofulvin</td><td/></tr><tr><td>5032</td><td>Guaifenesin</td><td/></tr><tr><td>5093</td><td>Haloperidol</td><td/></tr><tr><td>51272</td><td>quetiapine</td><td/></tr><tr><td>519</td><td>Allopurinol</td><td/></tr><tr><td>52175</td><td>Losartan</td><td/></tr><tr><td>5224</td><td>heparin</td><td/></tr><tr><td>52582</td><td>mesalamine</td><td/></tr><tr><td>5470</td><td>Hydralazine</td><td/></tr><tr><td>5487</td><td>Hydrochlorothiazide</td><td/></tr><tr><td>5489</td><td>Hydrocodone</td><td/></tr><tr><td>5492</td><td>Hydrocortisone</td><td/></tr><tr><td>5499</td><td>Hydrogen Peroxide</td><td/></tr><tr><td>5521</td><td>Hydroxychloroquine</td><td/></tr><tr><td>5553</td><td>Hydroxyzine</td><td/></tr><tr><td>5640</td><td>Ibuprofen</td><td/></tr><tr><td>5691</td><td>Imipramine</td><td/></tr><tr><td>56946</td><td>Paclitaxel</td><td/></tr><tr><td>57258</td><td>tizanidine</td><td/></tr><tr><td>5764</td><td>Indapamide</td><td/></tr><tr><td>5781</td><td>Indomethacin</td><td/></tr><tr><td>588250</td><td>milnacipran</td><td/></tr><tr><td>59078</td><td>metaxalone</td><td/></tr><tr><td>591622</td><td>varenicline</td><td/></tr><tr><td>5933</td><td>Iodine</td><td/></tr><tr><td>593411</td><td>sitagliptin</td><td/></tr><tr><td>594040</td><td>Atropine / Diphenoxylate</td><td/></tr><tr><td>5956</td><td>Iohexol</td><td/></tr><tr><td>596</td><td>Alprazolam</td><td/></tr><tr><td>596723</td><td>cerivastatin</td><td/></tr><tr><td>597142</td><td>brimonidine / Timolol</td><td/></tr><tr><td>5992</td><td>Iron-Dextran Complex</td><td/></tr><tr><td>60207</td><td>dorzolamide</td><td/></tr><tr><td>6038</td><td>isoniazid</td><td/></tr><tr><td>60548</td><td>exenatide</td><td/></tr><tr><td>6057</td><td>Isosorbide</td><td/></tr><tr><td>6058</td><td>Isosorbide Dinitrate</td><td/></tr><tr><td>611854</td><td>Chlordiazepoxide / clidinium</td><td/></tr><tr><td>6130</td><td>Ketamine</td><td/></tr><tr><td>6135</td><td>Ketoconazole</td><td/></tr><tr><td>61381</td><td>olanzapine</td><td/></tr><tr><td>6142</td><td>Ketoprofen</td><td/></tr><tr><td>6185</td><td>Labetalol</td><td/></tr><tr><td>620</td><td>Amantadine</td><td/></tr><tr><td>6218</td><td>Lactulose</td><td/></tr><tr><td>6227</td><td>Lanolin</td><td/></tr><tr><td>6387</td><td>Lidocaine</td><td/></tr><tr><td>6398</td><td>Lincomycin</td><td/></tr><tr><td>6448</td><td>Lithium</td><td/></tr><tr><td>645555</td><td>Bacitracin / Polymyxin B</td><td/></tr><tr><td>6468</td><td>Loperamide</td><td/></tr><tr><td>6470</td><td>Lorazepam</td><td/></tr><tr><td>6472</td><td>Lovastatin</td><td/></tr><tr><td>6574</td><td>Magnesium</td><td/></tr><tr><td>6585</td><td>Magnesium Sulfate</td><td/></tr><tr><td>662263</td><td>dorzolamide / Timolol</td><td/></tr><tr><td>6676</td><td>Meclizine</td><td/></tr><tr><td>6691</td><td>Medroxyprogesterone</td><td/></tr><tr><td>67108</td><td>Enoxaparin</td><td/></tr><tr><td>6711</td><td>Melatonin</td><td/></tr><tr><td>6719</td><td>Memantine</td><td/></tr><tr><td>6750</td><td>Menthol</td><td/></tr><tr><td>6754</td><td>Meperidine</td><td/></tr><tr><td>6809</td><td>Metformin</td><td/></tr><tr><td>6813</td><td>Methadone</td><td/></tr><tr><td>6835</td><td>Methimazole</td><td/></tr><tr><td>6845</td><td>Methocarbamol</td><td/></tr><tr><td>6851</td><td>Methotrexate</td><td/></tr><tr><td>6876</td><td>Methyldopa</td><td/></tr><tr><td>689</td><td>Aminophylline</td><td/></tr><tr><td>689467</td><td>Oxytetracycline / Polymyxin B</td><td/></tr><tr><td>689518</td><td>Aspirin / Caffeine / Propoxyphene</td><td/></tr><tr><td>689556</td><td>Acetaminophen / Aspirin / Phenylpropanolamine</td><td/></tr><tr><td>689558</td><td>Acetaminophen / Brompheniramine / Pseudoephedrine</td><td/></tr><tr><td>689561</td><td>Acetaminophen / butalbital / Caffeine / Codeine</td><td/></tr><tr><td>689582</td><td>Acetaminophen / Chlorpheniramine / Dextromethorphan / Pseudoephedrine</td><td/></tr><tr><td>689606</td><td>Atropine / Hyoscyamine / Phenobarbital / Scopolamine</td><td/></tr><tr><td>689623</td><td>Bacitracin / Hydrocortisone / Neomycin / Polymyxin B</td><td/></tr><tr><td>690077</td><td>Benzalkonium / Lidocaine</td><td/></tr><tr><td>6901</td><td>Methylphenidate</td><td/></tr><tr><td>6902</td><td>Methylprednisolone</td><td/></tr><tr><td>690693</td><td>Diphenhydramine / Phenylephrine</td><td/></tr><tr><td>690808</td><td>Brompheniramine / Dextromethorphan / Pseudoephedrine</td><td/></tr><tr><td>69120</td><td>tiotropium</td><td/></tr><tr><td>6915</td><td>Metoclopramide</td><td/></tr><tr><td>6916</td><td>Metolazone</td><td/></tr><tr><td>6918</td><td>Metoprolol</td><td/></tr><tr><td>6922</td><td>Metronidazole</td><td/></tr><tr><td>692572</td><td>Bacitracin / Neomycin / Polymyxin B</td><td/></tr><tr><td>692794</td><td>Gramicidin / Neomycin / Polymyxin B</td><td/></tr><tr><td>6932</td><td>Miconazole</td><td/></tr><tr><td>6960</td><td>Midazolam</td><td/></tr><tr><td>69749</td><td>valsartan</td><td/></tr><tr><td>6980</td><td>Minocycline</td><td/></tr><tr><td>6984</td><td>Minoxidil</td><td/></tr><tr><td>703</td><td>Amiodarone</td><td/></tr><tr><td>704</td><td>Amitriptyline</td><td/></tr><tr><td>7052</td><td>Morphine</td><td/></tr><tr><td>705258</td><td>Acetaminophen / Dextromethorphan / Doxylamine</td><td/></tr><tr><td>7213</td><td>Ipratropium</td><td/></tr><tr><td>72143</td><td>Raloxifene</td><td/></tr><tr><td>72236</td><td>fosphenytoin</td><td/></tr><tr><td>723</td><td>Amoxicillin</td><td/></tr><tr><td>72302</td><td>ropinirole</td><td/></tr><tr><td>7233</td><td>Nafcillin</td><td/></tr><tr><td>7238</td><td>Nalbuphine</td><td/></tr><tr><td>7243</td><td>Naltrexone</td><td/></tr><tr><td>725</td><td>Amphetamine</td><td/></tr><tr><td>7258</td><td>Naproxen</td><td/></tr><tr><td>72625</td><td>duloxetine</td><td/></tr><tr><td>7299</td><td>Neomycin</td><td/></tr><tr><td>73056</td><td>Risedronate</td><td/></tr><tr><td>733</td><td>Ampicillin</td><td/></tr><tr><td>73494</td><td>telmisartan</td><td/></tr><tr><td>73645</td><td>valacyclovir</td><td/></tr><tr><td>7393</td><td>Niacin</td><td/></tr><tr><td>7407</td><td>Nicotine</td><td/></tr><tr><td>74169</td><td>Piperacillin / tazobactam</td><td/></tr><tr><td>7417</td><td>Nifedipine</td><td/></tr><tr><td>7454</td><td>Nitrofurantoin</td><td/></tr><tr><td>746741</td><td>Pramipexole</td><td/></tr><tr><td>7486</td><td>Nitrous Oxide</td><td/></tr><tr><td>7517</td><td>Norfloxacin</td><td/></tr><tr><td>7531</td><td>Nortriptyline</td><td/></tr><tr><td>7597</td><td>Nystatin</td><td/></tr><tr><td>7623</td><td>Ofloxacin</td><td/></tr><tr><td>7646</td><td>Omeprazole</td><td/></tr><tr><td>7676</td><td>Opium</td><td/></tr><tr><td>7715</td><td>Orphenadrine</td><td/></tr><tr><td>77492</td><td>tamsulosin</td><td/></tr><tr><td>7804</td><td>Oxycodone</td><td/></tr><tr><td>7821</td><td>Oxytetracycline</td><td/></tr><tr><td>787390</td><td>tapentadol</td><td/></tr><tr><td>7975</td><td>Penicillamine</td><td/></tr><tr><td>797541</td><td>Isopropyl Alcohol</td><td/></tr><tr><td>7980</td><td>Penicillin G</td><td/></tr><tr><td>7984</td><td>Penicillin V</td><td/></tr><tr><td>7994</td><td>Pentamidine</td><td/></tr><tr><td>8001</td><td>Pentazocine</td><td/></tr><tr><td>8120</td><td>Phenazopyridine</td><td/></tr><tr><td>8134</td><td>Phenobarbital</td><td/></tr><tr><td>815166</td><td>Dextromethorphan / Doxylamine</td><td/></tr><tr><td>8163</td><td>Phenylephrine</td><td/></tr><tr><td>816346</td><td>dexlansoprazole</td><td/></tr><tr><td>8175</td><td>Phenylpropanolamine</td><td/></tr><tr><td>817579</td><td>Acetaminophen / Codeine</td><td/></tr><tr><td>817958</td><td>Aspirin / Calcium Carbonate</td><td/></tr><tr><td>8183</td><td>Phenytoin</td><td/></tr><tr><td>82122</td><td>Levofloxacin</td><td/></tr><tr><td>822929</td><td>Amphetamine aspartate / Amphetamine Sulfate / Dextroamphetamine saccharate / Dextroamphetamine Sulfate</td><td/></tr><tr><td>83367</td><td>atorvastatin</td><td/></tr><tr><td>8356</td><td>Piroxicam</td><td/></tr><tr><td>83818</td><td>irbesartan</td><td/></tr><tr><td>84108</td><td>rosiglitazone</td><td/></tr><tr><td>8536</td><td>Polymyxin B</td><td/></tr><tr><td>857974</td><td>saxagliptin</td><td/></tr><tr><td>8588</td><td>Potassium</td><td/></tr><tr><td>8591</td><td>Potassium Chloride</td><td/></tr><tr><td>8610</td><td>Povidone</td><td/></tr><tr><td>8611</td><td>Povidone-Iodine</td><td/></tr><tr><td>861634</td><td>pitavastatin</td><td/></tr><tr><td>8629</td><td>Prazosin</td><td/></tr><tr><td>8638</td><td>prednisolone</td><td/></tr><tr><td>8640</td><td>Prednisone</td><td/></tr><tr><td>8687</td><td>Primaquine</td><td/></tr><tr><td>8691</td><td>Primidone</td><td/></tr><tr><td>8698</td><td>Probenecid</td><td/></tr><tr><td>8700</td><td>Procainamide</td><td/></tr><tr><td>8701</td><td>Procaine</td><td/></tr><tr><td>8703</td><td>Fenofibrate</td><td/></tr><tr><td>8704</td><td>Prochlorperazine</td><td/></tr><tr><td>8727</td><td>Progesterone</td><td/></tr><tr><td>8745</td><td>Promethazine</td><td/></tr><tr><td>8754</td><td>Propafenone</td><td/></tr><tr><td>87636</td><td>fexofenadine</td><td/></tr><tr><td>8782</td><td>Propofol</td><td/></tr><tr><td>8785</td><td>Propoxyphene</td><td/></tr><tr><td>8787</td><td>Propranolol</td><td/></tr><tr><td>8794</td><td>Propylthiouracil</td><td/></tr><tr><td>88014</td><td>rizatriptan</td><td/></tr><tr><td>88249</td><td>montelukast</td><td/></tr><tr><td>883815</td><td>Dexamethasone / Tobramycin</td><td/></tr><tr><td>8896</td><td>Pseudoephedrine</td><td/></tr><tr><td>89013</td><td>aripiprazole</td><td/></tr><tr><td>8928</td><td>Psyllium</td><td/></tr><tr><td>8948</td><td>Purified Protein Derivative of Tuberculin</td><td/></tr><tr><td>90176</td><td>Iron</td><td/></tr><tr><td>9068</td><td>Quinidine</td><td/></tr><tr><td>9071</td><td>Quinine</td><td/></tr><tr><td>91263</td><td>Aloe Extract</td><td/></tr><tr><td>9143</td><td>Ranitidine</td><td/></tr><tr><td>9384</td><td>Rifampin</td><td/></tr><tr><td>9524</td><td>Sulfasalazine</td><td/></tr><tr><td>9601</td><td>Scopolamine</td><td/></tr><tr><td>9778</td><td>Silicones</td><td/></tr><tr><td>9793</td><td>silver sulfadiazine</td><td/></tr><tr><td>9947</td><td>Sotalol</td><td/></tr><tr><td>9997</td><td>Spironolactone</td><td/></tr></table></li><li>Include these codes as defined in <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=102259006\">102259006</a></td><td>Citrus fruit (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=102261002\">102261002</a></td><td>Strawberry (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=102262009\">102262009</a></td><td>Chocolate (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=102263004\">102263004</a></td><td>Eggs (edible) (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=102264005\">102264005</a></td><td>Cheese (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=111088007\">111088007</a></td><td>Latex (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=111151007\">111151007</a></td><td>Anabolic steroid (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=11526002\">11526002</a></td><td>Aspartame (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=116274004\">116274004</a></td><td>Artificial sweetener (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=116566001\">116566001</a></td><td>Steroid (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=13577000\">13577000</a></td><td>Nut (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=14443002\">14443002</a></td><td>Substance with aminoglycoside structure and antibacterial mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=226723006\">226723006</a></td><td>Buckwheat - cereal (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=226734009\">226734009</a></td><td>Wheatgerm (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=226760005\">226760005</a></td><td>Dairy foods (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=226915003\">226915003</a></td><td>Red meat (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=226916002\">226916002</a></td><td>Beef (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=226934003\">226934003</a></td><td>Pork (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=226955001\">226955001</a></td><td>Chicken - meat (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=226967004\">226967004</a></td><td>Turkey - meat (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=227144008\">227144008</a></td><td>Tuna fish (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=227151004\">227151004</a></td><td>Prawns (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=227208008\">227208008</a></td><td>Abalone canned in brine (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=227219006\">227219006</a></td><td>Aubergine (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=227313005\">227313005</a></td><td>Pulse vegetables (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=227388008\">227388008</a></td><td>Cinnamon (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=227400003\">227400003</a></td><td>Ginger (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=227421003\">227421003</a></td><td>Cranberries (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=227444000\">227444000</a></td><td>Raspberries (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=227493005\">227493005</a></td><td>Cashew nut (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=227512001\">227512001</a></td><td>Pistachio nut (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=227598003\">227598003</a></td><td>Honey (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=228102000\">228102000</a></td><td>Sodium nitrate (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=255632006\">255632006</a></td><td>Anticonvulsant (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=255637000\">255637000</a></td><td>Salicylate (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=255641001\">255641001</a></td><td>Caffeine (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256259004\">256259004</a></td><td>Pollen (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256277009\">256277009</a></td><td>Grass pollen (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256306003\">256306003</a></td><td>Orange - fruit (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256307007\">256307007</a></td><td>Banana (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256313003\">256313003</a></td><td>Pineapple (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256315005\">256315005</a></td><td>Grapefruit (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256317002\">256317002</a></td><td>Grapes (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256319004\">256319004</a></td><td>Carrot (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256326004\">256326004</a></td><td>Celery (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256329006\">256329006</a></td><td>Spinach (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256350002\">256350002</a></td><td>Almond (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256351003\">256351003</a></td><td>Brazil nut (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256352005\">256352005</a></td><td>Walnut - nut (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256353000\">256353000</a></td><td>Hazelnut (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256354006\">256354006</a></td><td>Bean (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256417003\">256417003</a></td><td>Horse dander (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256440004\">256440004</a></td><td>Wasp venom (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=259858000\">259858000</a></td><td>Varicella-zoster virus antibody (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=260152009\">260152009</a></td><td>Cat dander (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=260154005\">260154005</a></td><td>Dog dander (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=260167008\">260167008</a></td><td>Sesame seed (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=260176001\">260176001</a></td><td>Kiwi fruit (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=260177005\">260177005</a></td><td>Melon (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=260179008\">260179008</a></td><td>Mango fruit (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=260184002\">260184002</a></td><td>Peas (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=260189007\">260189007</a></td><td>Pecan nut (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=260205009\">260205009</a></td><td>Sunflower seed (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=264287008\">264287008</a></td><td>Animal dander (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=264337003\">264337003</a></td><td>Seed (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=28230009\">28230009</a></td><td>Poultry (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=288328004\">288328004</a></td><td>Bee venom (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=28942008\">28942008</a></td><td>Coconut oil (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=29263009\">29263009</a></td><td>Coffee (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=304275008\">304275008</a></td><td>Corticosteroid and corticosteroid derivative (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=33008008\">33008008</a></td><td>Dust (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=350327004\">350327004</a></td><td>Diphtheria + tetanus vaccine (product)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=35748005\">35748005</a></td><td>Wine (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=360201004\">360201004</a></td><td>Nitrofuran derivative (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=3692009\">3692009</a></td><td>Sodium sulfite (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372480009\">372480009</a></td><td>Substance with macrolide structure and antibacterial mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372664007\">372664007</a></td><td>Benzodiazepine (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372665008\">372665008</a></td><td>Non-steroidal anti-inflammatory agent (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372711004\">372711004</a></td><td>Sulfonylurea (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372722000\">372722000</a></td><td>Substance with quinolone structure and antibacterial mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372733002\">372733002</a></td><td>Substance with angiotensin-converting enzyme inhibitor mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372747003\">372747003</a></td><td>Thiazide diuretic (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372783007\">372783007</a></td><td>Antiparkinsonian agent (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372798009\">372798009</a></td><td>Barbiturate (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372806008\">372806008</a></td><td>Substance with histamine receptor antagonist mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372889003\">372889003</a></td><td>First generation cephalosporin (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372912004\">372912004</a></td><td>Substance with 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitor mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372913009\">372913009</a></td><td>Substance with angiotensin II receptor antagonist mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=373206009\">373206009</a></td><td>Substance with tetracycline structure and antibacterial mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=373253007\">373253007</a></td><td>Tricyclic antidepressant (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=373254001\">373254001</a></td><td>Substance with beta adrenergic receptor antagonist mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=373262009\">373262009</a></td><td>Substance with cephalosporin structure and antibacterial mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=373270004\">373270004</a></td><td>Substance with penicillin structure and antibacterial mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=373297006\">373297006</a></td><td>Substance with beta-lactam structure and antibacterial mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=373304005\">373304005</a></td><td>Substance with calcium channel blocker mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=373531009\">373531009</a></td><td>Gelatin (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=385420005\">385420005</a></td><td>Contrast media (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=386127005\">386127005</a></td><td>Formula milk (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=386962001\">386962001</a></td><td>Plasma protein fraction (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=387050005\">387050005</a></td><td>Substance with prostaglandin-endoperoxide synthase isoform 2 inhibitor mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=387406002\">387406002</a></td><td>Sulfonamide (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=391737006\">391737006</a></td><td>Almond oil (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=391739009\">391739009</a></td><td>Aloe (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=396345004\">396345004</a></td><td>Carbapenem 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href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=417889008\">417889008</a></td><td>Arachis oil (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=418000008\">418000008</a></td><td>Methadone analog (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=418504009\">418504009</a></td><td>Oats (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=418920007\">418920007</a></td><td>Adhesive agent (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=419420009\">419420009</a></td><td>Watermelon (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=419933005\">419933005</a></td><td>Glucocorticoid (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=421245007\">421245007</a></td><td>Diphtheria + pertussis + tetanus vaccine (product)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=424369009\">424369009</a></td><td>Product containing beta-galactosidase (medicinal product)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=426722004\">426722004</a></td><td>Iodinated contrast media (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=428607008\">428607008</a></td><td>No known environmental allergy (situation)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=429625007\">429625007</a></td><td>No known food allergy (situation)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=43735007\">43735007</a></td><td>Sulfur 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href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=61789006\">61789006</a></td><td>Dye (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=63045006\">63045006</a></td><td>Berry (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=67324005\">67324005</a></td><td>Rice (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=67866001\">67866001</a></td><td>Insulin (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=70813002\">70813002</a></td><td>Milk (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=710179004\">710179004</a></td><td>Lupine seed (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=716184000\">716184000</a></td><td>No known 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href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=762952008\">762952008</a></td><td>Peanut (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=7791007\">7791007</a></td><td>Soy protein (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=80259003\">80259003</a></td><td>Food flavoring agent (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=84489001\">84489001</a></td><td>Mold (organism)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=89119000\">89119000</a></td><td>Nitrate salt (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=89707004\">89707004</a></td><td>Sesame oil (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=89811004\">89811004</a></td><td>Gluten (substance)</td><td/></tr></table></li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-allergy-substance","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113762.1.4.1186.8"}],"version":"3.0.1","name":"USCoreAllergySubstance","title":"US Core Common substances for allergy and intolerance documentation including refutations","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Documentation of substances suspected of (or not suspected of) causing an allergy or intolerance reaction in an individual. **Inclusion Criteria:** specific or general substances to which a patient may be exposed and which may be suspected of causing an adverse reaction; assertions refuting these suspicions. This includes:  1. Common dietary substances for allergy and intolerance documentation (SNOMEDCT) 2. Common drug classes for allergy and intolerance documentation (SNOMEDCT) 3. Common drug substances for allergy and intolerance documentation (RXNORM) 4. Common environmental substances for allergy and intolerance documentation (SNOMEDCT) 5. Common refutations and null values for substance causes for allergy and intolerance documentation (SNOMEDCT)  **Exclusion Criteria:** actual conditions caused by exposure (reactions, allergies)","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement","compose":{"include":[{"system":"http://www.nlm.nih.gov/research/umls/rxnorm","concept":[{"code":"1002293","display":"formoterol / Mometasone"},{"code":"1007388","display":"Lactase / rennet"},{"code":"1008298","display":"Acetaminophen / Caffeine / Chlorpheniramine / Hydrocodone / Phenylephrine"},{"code":"1008519","display":"guaiacolsulfonate / Hydrocodone"},{"code":"1009148","display":"Ampicillin / 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(substance)"},{"code":"111088007","display":"Latex (substance)"},{"code":"111151007","display":"Anabolic steroid (substance)"},{"code":"11526002","display":"Aspartame (substance)"},{"code":"116274004","display":"Artificial sweetener (substance)"},{"code":"116566001","display":"Steroid (substance)"},{"code":"13577000","display":"Nut (substance)"},{"code":"14443002","display":"Substance with aminoglycoside structure and antibacterial mechanism of action (substance)"},{"code":"226723006","display":"Buckwheat - cereal (substance)"},{"code":"226734009","display":"Wheatgerm (substance)"},{"code":"226760005","display":"Dairy foods (substance)"},{"code":"226915003","display":"Red meat (substance)"},{"code":"226916002","display":"Beef (substance)"},{"code":"226934003","display":"Pork (substance)"},{"code":"226955001","display":"Chicken - meat (substance)"},{"code":"226967004","display":"Turkey - meat (substance)"},{"code":"227144008","display":"Tuna fish (substance)"},{"code":"227151004","display":"Prawns (substance)"},{"code":"227208008","display":"Abalone canned in brine (substance)"},{"code":"227219006","display":"Aubergine (substance)"},{"code":"227313005","display":"Pulse vegetables (substance)"},{"code":"227388008","display":"Cinnamon (substance)"},{"code":"227400003","display":"Ginger (substance)"},{"code":"227421003","display":"Cranberries (substance)"},{"code":"227444000","display":"Raspberries (substance)"},{"code":"227493005","display":"Cashew nut (substance)"},{"code":"227512001","display":"Pistachio nut (substance)"},{"code":"227598003","display":"Honey (substance)"},{"code":"228102000","display":"Sodium nitrate (substance)"},{"code":"255632006","display":"Anticonvulsant (substance)"},{"code":"255637000","display":"Salicylate (substance)"},{"code":"255641001","display":"Caffeine (substance)"},{"code":"256259004","display":"Pollen (substance)"},{"code":"256277009","display":"Grass pollen (substance)"},{"code":"256306003","display":"Orange - fruit (substance)"},{"code":"256307007","display":"Banana (substance)"},{"code":"256313003","display":"Pineapple (substance)"},{"code":"256315005","display":"Grapefruit (substance)"},{"code":"256317002","display":"Grapes (substance)"},{"code":"256319004","display":"Carrot (substance)"},{"code":"256326004","display":"Celery (substance)"},{"code":"256329006","display":"Spinach (substance)"},{"code":"256350002","display":"Almond (substance)"},{"code":"256351003","display":"Brazil nut (substance)"},{"code":"256352005","display":"Walnut - nut (substance)"},{"code":"256353000","display":"Hazelnut (substance)"},{"code":"256354006","display":"Bean (substance)"},{"code":"256417003","display":"Horse dander (substance)"},{"code":"256440004","display":"Wasp venom (substance)"},{"code":"259858000","display":"Varicella-zoster virus antibody (substance)"},{"code":"260152009","display":"Cat dander (substance)"},{"code":"260154005","display":"Dog dander (substance)"},{"code":"260167008","display":"Sesame seed (substance)"},{"code":"260176001","display":"Kiwi fruit (substance)"},{"code":"260177005","display":"Melon (substance)"},{"code":"260179008","display":"Mango fruit (substance)"},{"code":"260184002","display":"Peas (substance)"},{"code":"260189007","display":"Pecan nut (substance)"},{"code":"260205009","display":"Sunflower seed (substance)"},{"code":"264287008","display":"Animal dander (substance)"},{"code":"264337003","display":"Seed (substance)"},{"code":"28230009","display":"Poultry (substance)"},{"code":"288328004","display":"Bee venom (substance)"},{"code":"28942008","display":"Coconut oil (substance)"},{"code":"29263009","display":"Coffee (substance)"},{"code":"304275008","display":"Corticosteroid and corticosteroid derivative (substance)"},{"code":"33008008","display":"Dust (substance)"},{"code":"350327004","display":"Diphtheria + tetanus vaccine (product)"},{"code":"35748005","display":"Wine (substance)"},{"code":"360201004","display":"Nitrofuran derivative (substance)"},{"code":"3692009","display":"Sodium sulfite (substance)"},{"code":"372480009","display":"Substance with macrolide structure and antibacterial mechanism of action (substance)"},{"code":"372664007","display":"Benzodiazepine (substance)"},{"code":"372665008","display":"Non-steroidal anti-inflammatory agent (substance)"},{"code":"372711004","display":"Sulfonylurea (substance)"},{"code":"372722000","display":"Substance with quinolone structure and antibacterial mechanism of action (substance)"},{"code":"372733002","display":"Substance with angiotensin-converting enzyme inhibitor mechanism of action (substance)"},{"code":"372747003","display":"Thiazide diuretic (substance)"},{"code":"372783007","display":"Antiparkinsonian agent (substance)"},{"code":"372798009","display":"Barbiturate (substance)"},{"code":"372806008","display":"Substance with histamine receptor antagonist mechanism of action (substance)"},{"code":"372889003","display":"First generation cephalosporin (substance)"},{"code":"372912004","display":"Substance with 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitor mechanism of action (substance)"},{"code":"372913009","display":"Substance with angiotensin II receptor antagonist mechanism of action (substance)"},{"code":"373206009","display":"Substance with tetracycline structure and antibacterial mechanism of action (substance)"},{"code":"373253007","display":"Tricyclic antidepressant (substance)"},{"code":"373254001","display":"Substance with beta adrenergic receptor antagonist mechanism of action (substance)"},{"code":"373262009","display":"Substance with cephalosporin structure and antibacterial mechanism of action (substance)"},{"code":"373270004","display":"Substance with penicillin structure and antibacterial mechanism of action (substance)"},{"code":"373297006","display":"Substance with beta-lactam structure and antibacterial mechanism of action (substance)"},{"code":"373304005","display":"Substance with calcium channel blocker mechanism of action (substance)"},{"code":"373531009","display":"Gelatin (substance)"},{"code":"385420005","display":"Contrast media (substance)"},{"code":"386127005","display":"Formula milk (substance)"},{"code":"386962001","display":"Plasma protein fraction (substance)"},{"code":"387050005","display":"Substance with prostaglandin-endoperoxide synthase isoform 2 inhibitor mechanism of action (substance)"},{"code":"387406002","display":"Sulfonamide (substance)"},{"code":"391737006","display":"Almond oil (substance)"},{"code":"391739009","display":"Aloe (substance)"},{"code":"396345004","display":"Carbapenem (substance)"},{"code":"396420001","display":"Anthrax vaccine (substance)"},{"code":"396425006","display":"Influenza virus vaccine (substance)"},{"code":"396433007","display":"Pertussis vaccine (substance)"},{"code":"396439006","display":"Smallpox vaccine (substance)"},{"code":"396441007","display":"Typhoid vaccine (substance)"},{"code":"396442000","display":"Varicella virus vaccine (substance)"},{"code":"398730001","display":"Pneumococcal vaccine (substance)"},{"code":"400872007","display":"Hydrocolloid (substance)"},{"code":"404642006","display":"Substance with opioid receptor agonist mechanism of action (substance)"},{"code":"406748003","display":"Carbamate (substance)"},{"code":"409137002","display":"No known drug allergy (situation)"},{"code":"412061001","display":"Blueberries (substance)"},{"code":"412062008","display":"Cantaloupe (substance)"},{"code":"412066006","display":"Pepper (substance)"},{"code":"412068007","display":"Rye (substance)"},{"code":"412071004","display":"Wheat (substance)"},{"code":"412138001","display":"Horse serum protein (substance)"},{"code":"412357001","display":"Corn (substance)"},{"code":"412373007","display":"Diphtheria + pertussis + tetanus + Haemophilus influenzae type b vaccine (product)"},{"code":"412375000","display":"Tetanus vaccine (substance)"},{"code":"412533000","display":"Wheat bran (substance)"},{"code":"412534006","display":"Yeast (substance)"},{"code":"412583005","display":"Bee pollen (substance)"},{"code":"41598000","display":"Estrogen (substance)"},{"code":"417889008","display":"Arachis oil (substance)"},{"code":"418000008","display":"Methadone analog (substance)"},{"code":"418504009","display":"Oats (substance)"},{"code":"418920007","display":"Adhesive agent (substance)"},{"code":"419420009","display":"Watermelon (substance)"},{"code":"419933005","display":"Glucocorticoid (substance)"},{"code":"421245007","display":"Diphtheria + pertussis + tetanus vaccine (product)"},{"code":"424369009","display":"Product containing beta-galactosidase (medicinal product)"},{"code":"426722004","display":"Iodinated contrast media (substance)"},{"code":"428607008","display":"No known environmental allergy (situation)"},{"code":"429625007","display":"No known food allergy (situation)"},{"code":"43735007","display":"Sulfur (substance)"},{"code":"43921001","display":"Nickel compound (substance)"},{"code":"44027008","display":"Seafood (substance)"},{"code":"442381000124103","display":"Blue food coloring (substance)"},{"code":"442571000124108","display":"Tree nut (substance)"},{"code":"442771000124102","display":"Pepperoni (substance)"},{"code":"44588005","display":"Iodine (substance)"},{"code":"446273004","display":"Red food coloring (substance)"},{"code":"446274005","display":"Yellow food coloring (substance)"},{"code":"47703008","display":"Lactose (substance)"},{"code":"51386004","display":"Food preservative (substance)"},{"code":"51905005","display":"Mustard (substance)"},{"code":"53041004","display":"Alcohol (substance)"},{"code":"61789006","display":"Dye (substance)"},{"code":"63045006","display":"Berry (substance)"},{"code":"67324005","display":"Rice (substance)"},{"code":"67866001","display":"Insulin (substance)"},{"code":"70813002","display":"Milk (substance)"},{"code":"710179004","display":"Lupine seed (substance)"},{"code":"716184000","display":"No known latex allergy (situation)"},{"code":"716186003","display":"No known allergy (situation)"},{"code":"720687003","display":"Dust mite protein (substance)"},{"code":"72511004","display":"Fruit (substance)"},{"code":"726730005","display":"Yam (substance)"},{"code":"734881000","display":"Tomato (substance)"},{"code":"735006003","display":"Squid (substance)"},{"code":"735009005","display":"Salmon (substance)"},{"code":"735029006","display":"Shellfish (substance)"},{"code":"735030001","display":"Garlic (substance)"},{"code":"735043001","display":"Mackerel (substance)"},{"code":"735045008","display":"Mushroom (substance)"},{"code":"735047000","display":"Onion (substance)"},{"code":"735049002","display":"Peach (substance)"},{"code":"735050002","display":"Pear (substance)"},{"code":"735051003","display":"Plum (substance)"},{"code":"735053000","display":"Potato (substance)"},{"code":"735123009","display":"Broccoli (substance)"},{"code":"735124003","display":"Barley (substance)"},{"code":"735211005","display":"Coconut (substance)"},{"code":"735212003","display":"Papaya (substance)"},{"code":"735213008","display":"Cucumber (substance)"},{"code":"735214002","display":"Apricot (substance)"},{"code":"735215001","display":"Apple (substance)"},{"code":"735248001","display":"Cherry (substance)"},{"code":"735249009","display":"Avocado (substance)"},{"code":"735340006","display":"Lemon (substance)"},{"code":"735959004","display":"Marine mollusk (substance)"},{"code":"735971005","display":"Fish (substance)"},{"code":"735977009","display":"Marine crustacean (substance)"},{"code":"736027000","display":"Scallop (substance)"},{"code":"736030007","display":"Clam (substance)"},{"code":"736031006","display":"Oyster (substance)"},{"code":"736159005","display":"Crab (substance)"},{"code":"736162008","display":"Lobster (substance)"},{"code":"74801000","display":"Sugar (substance)"},{"code":"75665004","display":"Monosodium glutamate (substance)"},{"code":"762952008","display":"Peanut (substance)"},{"code":"7791007","display":"Soy protein (substance)"},{"code":"80259003","display":"Food flavoring agent (substance)"},{"code":"84489001","display":"Mold (organism)"},{"code":"89119000","display":"Nitrate salt (substance)"},{"code":"89707004","display":"Sesame oil (substance)"},{"code":"89811004","display":"Gluten (substance)"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-careteam-provider-roles.json b/resources/uscore_v3.0.1/ValueSet-us-core-careteam-provider-roles.json
new file mode 100644
index 000000000..24f984cf4
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-careteam-provider-roles.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-careteam-provider-roles","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core CareTeam Provider Roles</h2><div><p>Provider roles codes consist of NUCC Health Care Provider Taxonomy Code Set for providers and SNOMED-CT for - non clinical and organization roles including codes from the SCTID 125676002 Person (person) heirarchy and the SCTID 394730007 Healthcare related organization (qualifier value) heirarchy.</p>\n</div><p><b>Copyright Statement:</b> This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement. This value set includes content from NUCC Health Care Provider Taxonomy Code Set for providers which is copyright © 2016+ American Medical Association.  For commercial use, including sales or licensing, a license must be obtained.</p><p>This value set includes codes from the following code systems:</p><ul><li>Include all codes defined in <code>http://nucc.org/provider-taxonomy</code></li><li>Include codes from <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a> where concept  is-a  125676002 (Person)</li><li>Include codes from <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a> where concept  is-a  394730007 (Healthcare related organization)</li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-careteam-provider-roles","version":"3.0.1","name":"USCoreCareTeamProviderRoles","title":"US Core CareTeam Provider Roles","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"Provider roles codes consist of NUCC Health Care Provider Taxonomy Code Set for providers and SNOMED-CT for - non clinical and organization roles including codes from the SCTID 125676002 Person (person) heirarchy and the SCTID 394730007 Healthcare related organization (qualifier value) heirarchy.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"purpose":"Codes that may be used for implementation of the Argonaut Procedures IG and MU2015 certification.","copyright":"This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement. This value set includes content from NUCC Health Care Provider Taxonomy Code Set for providers which is copyright © 2016+ American Medical Association.  For commercial use, including sales or licensing, a license must be obtained.","compose":{"include":[{"system":"http://nucc.org/provider-taxonomy"},{"system":"http://snomed.info/sct","filter":[{"property":"concept","op":"is-a","value":"125676002"}]},{"system":"http://snomed.info/sct","filter":[{"property":"concept","op":"is-a","value":"394730007"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-clinical-note-type.json b/resources/uscore_v3.0.1/ValueSet-us-core-clinical-note-type.json
new file mode 100644
index 000000000..dd14e1117
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-clinical-note-type.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-clinical-note-type","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Clinical Note Type</h2><div><p>The US Core Clinical Note Type Value Set is a 'starter set' of types supported for fetching and storing clinical notes.</p>\n</div><p><b>Copyright Statement:</b>  This content LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use</p><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href=\"http://loinc.org\"><code>http://loinc.org</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/18842-5.html\">18842-5</a></td><td>Discharge summary</td><td/></tr><tr><td><a href=\"http://details.loinc.org/LOINC/11488-4.html\">11488-4</a></td><td>Consult note</td><td/></tr><tr><td><a href=\"http://details.loinc.org/LOINC/34117-2.html\">34117-2</a></td><td>History and physical note</td><td/></tr><tr><td><a href=\"http://details.loinc.org/LOINC/11506-3.html\">11506-3</a></td><td>Progress note</td><td/></tr><tr><td><a href=\"http://details.loinc.org/LOINC/28570-0.html\">28570-0</a></td><td>Procedure note</td><td/></tr></table></li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-clinical-note-type","version":"3.0.1","name":"USCoreClinicalNoteType","title":"US Core Clinical Note Type","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"The US Core Clinical Note Type Value Set is a 'starter set' of types supported for fetching and storing clinical notes.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":" This content LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use","compose":{"include":[{"system":"http://loinc.org","concept":[{"code":"18842-5"},{"code":"11488-4"},{"code":"34117-2"},{"code":"11506-3"},{"code":"28570-0"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-condition-category.json b/resources/uscore_v3.0.1/ValueSet-us-core-condition-category.json
new file mode 100644
index 000000000..bf2db875b
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-condition-category.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-condition-category","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Condition Category Codes</h2><div><p>The US Core Condition Category Codes support the separate concepts of problems and health concerns in Condition.category in order for API consumers to be able to separate health concerns and problems. However this is not mandatory for 2015 certification</p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include all codes defined in <a href=\"http://hl7.org/fhir/R4/codesystem-condition-category.html\"><code>http://terminology.hl7.org/CodeSystem/condition-category</code></a></li><li>Include these codes as defined in <a href=\"CodeSystem-condition-category.html\"><code>http://hl7.org/fhir/us/core/CodeSystem/condition-category</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"CodeSystem-condition-category.html#condition-category-health-concern\">health-concern</a></td><td>Health Concern</td><td>Additional health concerns from other stakeholders which are outside the provider’s problem list.</td></tr></table></li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category","version":"3.0.1","name":"USCoreConditionCategoryCodes","title":"US Core Condition Category Codes","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","description":"The US Core Condition Category Codes support the separate concepts of problems and health concerns in Condition.category in order for API consumers to be able to separate health concerns and problems. However this is not mandatory for 2015 certification","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"purpose":"So API consumers can separate health concerns and problems.","compose":{"include":[{"system":"http://terminology.hl7.org/CodeSystem/condition-category"},{"system":"http://hl7.org/fhir/us/core/CodeSystem/condition-category","concept":[{"code":"health-concern","display":"Health Concern"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-diagnosticreport-category.json b/resources/uscore_v3.0.1/ValueSet-us-core-diagnosticreport-category.json
new file mode 100644
index 000000000..91ad1ce5a
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-diagnosticreport-category.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-diagnosticreport-category","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core DiagnosticReport Category</h2><div><p>The US Core Diagnostic Report Category Value Set is a 'starter set' of categories supported for fetching and Diagnostic Reports and notes.</p>\n</div><p><b>Copyright Statement:</b>  This content LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use</p><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href=\"http://loinc.org\"><code>http://loinc.org</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/LP29684-5.html\">LP29684-5</a></td><td>Radiology</td><td/></tr><tr><td><a href=\"http://details.loinc.org/LOINC/LP29708-2.html\">LP29708-2</a></td><td>Cardiology</td><td/></tr><tr><td><a href=\"http://details.loinc.org/LOINC/LP7839-6.html\">LP7839-6</a></td><td>Pathology</td><td/></tr></table></li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-category","version":"3.0.1","name":"USCoreDiagnosticReportCategory","title":"US Core DiagnosticReport Category","status":"active","date":"2019-05-21T00:00:00+00:00","description":"The US Core Diagnostic Report Category Value Set is a 'starter set' of categories supported for fetching and Diagnostic Reports and notes.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":" This content LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use","compose":{"include":[{"system":"http://loinc.org","concept":[{"code":"LP29684-5","display":"Radiology"},{"code":"LP29708-2","display":"Cardiology"},{"code":"LP7839-6","display":"Pathology"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-diagnosticreport-lab-codes.json b/resources/uscore_v3.0.1/ValueSet-us-core-diagnosticreport-lab-codes.json
new file mode 100644
index 000000000..54abb22f3
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-diagnosticreport-lab-codes.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-diagnosticreport-lab-codes","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Diagnostic Report Laboratory Codes</h2><div><p>The Document Type value set includes all LOINC  values whose CLASSTYPE is LABORATORY in the LOINC database</p>\n</div><p><b>Copyright Statement:</b> This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use.</p><p>This value set includes codes from the following code systems:</p><ul><li>Include codes from <a href=\"http://loinc.org\"><code>http://loinc.org</code></a> where CLASSTYPE  =  1</li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes","version":"3.0.1","name":"USCoreDiagnosticReportLabCodes","title":"US Core Diagnostic Report Laboratory Codes","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"The Document Type value set includes all LOINC  values whose CLASSTYPE is LABORATORY in the LOINC database","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use.","compose":{"include":[{"system":"http://loinc.org","filter":[{"property":"CLASSTYPE","op":"=","value":"1"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-diagnosticreport-report-and-note-codes.json b/resources/uscore_v3.0.1/ValueSet-us-core-diagnosticreport-report-and-note-codes.json
new file mode 100644
index 000000000..c2dae528c
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-diagnosticreport-report-and-note-codes.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-diagnosticreport-report-and-note-codes","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Diagnosticreport Report And Note Codes</h2><div><p>This value set currently contains all of LOINC. The codes selected should represent discrete and narrative diagnostic observations and reports</p>\n</div><p><b>Copyright Statement:</b> This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use.</p><p>This value set includes codes from the following code systems:</p><ul><li>Include all codes defined in <a href=\"http://loinc.org\"><code>http://loinc.org</code></a></li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-report-and-note-codes","version":"3.0.1","name":"USCoreDiagnosticreportReportAndNoteCodes","title":"US Core Diagnosticreport Report And Note Codes","status":"active","experimental":false,"date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"This value set currently contains all of LOINC. The codes selected should represent discrete and narrative diagnostic observations and reports","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use.","compose":{"include":[{"system":"http://loinc.org"}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-documentreference-category.json b/resources/uscore_v3.0.1/ValueSet-us-core-documentreference-category.json
new file mode 100644
index 000000000..ea4a4b439
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-documentreference-category.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-documentreference-category","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core DocumentReference Category</h2><div><p>The US Core DocumentReferences Category Value Set is a 'starter set' of categories supported for fetching and storing clinical notes.</p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include all codes defined in <a href=\"CodeSystem-us-core-documentreference-category.html\"><code>http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category</code></a></li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-category","version":"3.0.1","name":"USCoreDocumentReferenceCategory","title":"US Core DocumentReference Category","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"The US Core DocumentReferences Category Value Set is a 'starter set' of categories supported for fetching and storing clinical notes.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"compose":{"include":[{"system":"http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category"}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-documentreference-type.json b/resources/uscore_v3.0.1/ValueSet-us-core-documentreference-type.json
new file mode 100644
index 000000000..3c12fbd45
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-documentreference-type.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-documentreference-type","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core DocumentReference Type</h2><div><p>The US Core DocumentReference Type Value Set includes all LOINC  values whose SCALE is DOC in the LOINC database and the HL7 v3 Code System NullFlavor concept 'unknown'</p>\n</div><p><b>Copyright Statement:</b> This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use.</p><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href=\"http://hl7.org/fhir/R4/v3/NullFlavor/cs.html\"><code>http://terminology.hl7.org/CodeSystem/v3-NullFlavor</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/v3/NullFlavor/cs.html#v3-NullFlavor-UNK\">UNK</a></td><td>unknown</td><td>Description:A proper value is applicable, but not known.<br/>\n                        \n                           Usage Notes: This means the actual value is not known.  If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used.  No properties should be included for a datatype with this property unless:<br/>\n                        \n                           Those properties themselves directly translate to a semantic of &quot;unknown&quot;.  (E.g. a local code sent as a translation that conveys 'unknown')\n                           Those properties further qualify the nature of what is unknown.  (E.g. specifying a use code of &quot;H&quot; and a URL prefix of &quot;tel:&quot; to convey that it is the home phone number that is unknown.)</td></tr></table></li><li>Include codes from <a href=\"http://loinc.org\"><code>http://loinc.org</code></a> where SCALE_TYP  =  DOC</li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-type","version":"3.0.1","name":"USCoreDocumentReferenceType","title":"US Core DocumentReference Type","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"The US Core DocumentReference Type Value Set includes all LOINC  values whose SCALE is DOC in the LOINC database and the HL7 v3 Code System NullFlavor concept 'unknown'","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use.","compose":{"include":[{"system":"http://terminology.hl7.org/CodeSystem/v3-NullFlavor","concept":[{"code":"UNK","display":"unknown"}]},{"system":"http://loinc.org","filter":[{"property":"SCALE_TYP","op":"=","value":"DOC"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-encounter-type.json b/resources/uscore_v3.0.1/ValueSet-us-core-encounter-type.json
new file mode 100644
index 000000000..e915f5f56
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-encounter-type.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-encounter-type","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Encounter Type</h2><div><p>The type of encounter: a specific code indicating type of service provided. This value set includes codes from SNOMED CT decending from the concept 308335008 (Patient encounter procedure (procedure)) and from the Current Procedure and Terminology(CPT) designated for Evaluation and Management (99200 – 99607) (subscription to AMA Required)</p>\n</div><p><b>Copyright Statement:</b> This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement.  This value set includes content from CPT copyright 2014 American Medical Association. All rights reserved.</p><p>This value set includes codes from the following code systems:</p><ul><li>Include codes from <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a> where concept  is-a  308335008 (Patient encounter procedure)</li><li>Include all codes defined in <code>http://www.ama-assn.org/go/cpt</code></li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.3.88.12.80.32"}],"version":"3.0.1","name":"USCoreEncounterType","title":"US Core Encounter Type","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"The type of encounter: a specific code indicating type of service provided. This value set includes codes from SNOMED CT decending from the concept 308335008 (Patient encounter procedure (procedure)) and from the Current Procedure and Terminology(CPT) designated for Evaluation and Management (99200 – 99607) (subscription to AMA Required)","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement.  This value set includes content from CPT copyright 2014 American Medical Association. All rights reserved.","compose":{"include":[{"system":"http://snomed.info/sct","filter":[{"property":"concept","op":"is-a","value":"308335008"}]},{"system":"http://www.ama-assn.org/go/cpt"}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-medication-codes.json b/resources/uscore_v3.0.1/ValueSet-us-core-medication-codes.json
new file mode 100644
index 000000000..f1646e361
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-medication-codes.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-medication-codes","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t<h2>Medication Clinical Drug (RxNorm)</h2>\n\t\t\t<p>All prescribable medication formulations represented using  either a 'generic' or 'brand-specific' concept. This includes RxNorm codes whose Term Type is SCD (semantic clinical drug), SBD (semantic brand drug), GPCK (generic pack), BPCK (brand pack), SCDG (semantic clinical drug group), SBDG (semantic brand drug group), SCDF (semantic clinical drug form), or SBDF (semantic brand drug form)</p>\n\t\t\t<p>This value set includes codes from the following code systems:</p>\n\t\t\t<ul>\n\t\t\t\t<li>Include codes from http://www.nlm.nih.gov/research/umls/rxnorm where TTY  in  SCD,SBD,GPCK,BPCK,SCDG,SBDG,SCDF,SBDF</li>\n\t\t\t</ul>\n\t\t</div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113762.1.4.1010.4"}],"version":"3.0.1","name":"USCoreMedicationCodes","title":"US Core Medication Codes (RxNorm)","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"All prescribable medication formulations represented using  either a 'generic' or 'brand-specific' concept. This includes RxNorm codes whose Term Type is SCD (semantic clinical drug), SBD (semantic brand drug), GPCK (generic pack), BPCK (brand pack), SCDG (semantic clinical drug group), SBDG (semantic brand drug group), SCDF (semantic clinical drug form), or SBDF (semantic brand drug form)","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"compose":{"include":[{"system":"http://www.nlm.nih.gov/research/umls/rxnorm","filter":[{"property":"TTY","op":"in","value":"SCD,SBD,GPCK,BPCK,SCDG,SBDG,SCDF,SBDF"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-narrative-status.json b/resources/uscore_v3.0.1/ValueSet-us-core-narrative-status.json
new file mode 100644
index 000000000..7154e0d18
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-narrative-status.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-narrative-status","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Narrative Status</h2><div><p>The US Core Narrative Status Value Set limits the text status for the resource narrative.</p>\n</div><p><b>Copyright Statement:</b> HL7</p><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href=\"http://hl7.org/fhir/R4/codesystem-narrative-status.html\"><code>http://hl7.org/fhir/narrative-status</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/codesystem-narrative-status.html#narrative-status-additional\">additional</a></td><td>additional</td><td>The contents of the narrative may contain additional information not found in the structured data. Note that there is no computable way to determine what the extra information is, other than by human inspection.</td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/codesystem-narrative-status.html#narrative-status-generated\">generated</a></td><td>generated</td><td>The contents of the narrative are entirely generated from the core elements in the content.</td></tr></table></li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-narrative-status","version":"3.0.1","name":"NarrativeStatus","title":"US Core Narrative Status","status":"active","date":"2019-09-12T23:50:40+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"The US Core Narrative Status Value Set limits the text status for the resource narrative.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"HL7","compose":{"include":[{"system":"http://hl7.org/fhir/narrative-status","concept":[{"code":"additional","display":"additional"},{"code":"generated","display":"generated"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-ndc-vaccine-codes.json b/resources/uscore_v3.0.1/ValueSet-us-core-ndc-vaccine-codes.json
new file mode 100644
index 000000000..03fd4aeb2
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-ndc-vaccine-codes.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-ndc-vaccine-codes","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Vaccine National Drug Codes (NDC)</h2><div><p>This value set includes all the Vaccine National Drug Codes (NDC).  This source of this data is provided by the <a href=\"https://www2a.cdc.gov/vaccines/iis/iisstandards/ndc_crosswalk.asp\">CDC</a></p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <code>http://hl7.org/fhir/sid/ndc</code><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>00005-0100-02</td><td>Trumenba</td><td/></tr><tr><td>00005-0100-05</td><td>Trumenba</td><td/></tr><tr><td>00005-0100-10</td><td>Trumenba</td><td/></tr><tr><td>00005-1970-50</td><td>Prevnar</td><td/></tr><tr><td>00005-1971-02</td><td>PREVNAR 13</td><td/></tr><tr><td>00005-1971-04</td><td>PREVNAR 13</td><td/></tr><tr><td>00005-1971-05</td><td>PREVNAR 13</td><td/></tr><tr><td>00006-4045-00</td><td>GARDASIL</td><td/></tr><tr><td>00006-4045-41</td><td>GARDASIL</td><td/></tr><tr><td>00006-4047-20</td><td>RotaTeq</td><td/></tr><tr><td>00006-4047-41</td><td>RotaTeq</td><td/></tr><tr><td>00006-4093-02</td><td>RECOMBIVAX HB</td><td/></tr><tr><td>00006-4093-09</td><td>RECOMBIVAX HB</td><td/></tr><tr><td>00006-4094-02</td><td>RECOMBIVAX HB</td><td/></tr><tr><td>00006-4094-09</td><td>RECOMBIVAX HB</td><td/></tr><tr><td>00006-4095-02</td><td>VAQTA</td><td/></tr><tr><td>00006-4095-09</td><td>VAQTA</td><td/></tr><tr><td>00006-4096-02</td><td>VAQTA</td><td/></tr><tr><td>00006-4096-09</td><td>VAQTA</td><td/></tr><tr><td>00006-4109-02</td><td>GARDASIL</td><td/></tr><tr><td>00006-4109-09</td><td>GARDASIL</td><td/></tr><tr><td>00006-4119-02</td><td>GARDASIL 9</td><td/></tr><tr><td>00006-4119-03</td><td>GARDASIL 9</td><td/></tr><tr><td>00006-4121-02</td><td>GARDASIL 9</td><td/></tr><tr><td>00006-4133-41</td><td>Tetanus and Diphtheria Toxoids Adsorbed</td><td/></tr><tr><td>00006-4171-00</td><td>ProQuad</td><td/></tr><tr><td>00006-4681-00</td><td>M-M-R II</td><td/></tr><tr><td>00006-4739-00</td><td>PNEUMOVAX 23</td><td/></tr><tr><td>00006-4826-00</td><td>VARIVAX</td><td/></tr><tr><td>00006-4827-00</td><td>VARIVAX</td><td/></tr><tr><td>00006-4831-41</td><td>VAQTA</td><td/></tr><tr><td>00006-4837-02</td><td>PNEUMOVAX 23</td><td/></tr><tr><td>00006-4837-03</td><td>PNEUMOVAX 23</td><td/></tr><tr><td>00006-4841-00</td><td>VAQTA</td><td/></tr><tr><td>00006-4841-41</td><td>VAQTA</td><td/></tr><tr><td>00006-4897-00</td><td>PedvaxHIB</td><td/></tr><tr><td>00006-4898-00</td><td>COMVAX</td><td/></tr><tr><td>00006-4943-00</td><td>PNEUMOVAX 23</td><td/></tr><tr><td>00006-4963-00</td><td>ZOSTAVAX</td><td/></tr><tr><td>00006-4963-41</td><td>ZOSTAVAX</td><td/></tr><tr><td>00006-4980-00</td><td>RECOMBIVAX HB</td><td/></tr><tr><td>00006-4981-00</td><td>RECOMBIVAX HB</td><td/></tr><tr><td>00006-4992-00</td><td>RECOMBIVAX HB</td><td/></tr><tr><td>00006-4995-00</td><td>RECOMBIVAX HB</td><td/></tr><tr><td>00006-4995-41</td><td>RECOMBIVAX HB</td><td/></tr><tr><td>00006-4999-00</td><td>ProQuad</td><td/></tr><tr><td>00052-0603-02</td><td>BCG VACCINE</td><td/></tr><tr><td>13533-0131-01</td><td>Tetanus and Diphtheria Toxoids Adsorbed</td><td/></tr><tr><td>14362-0111-04</td><td>Tetanus and Diphtheria Toxoids Adsorbed</td><td/></tr><tr><td>17478-0131-01</td><td>Tetanus and Diphtheria Toxoids Adsorbed</td><td/></tr><tr><td>19515-0845-11</td><td>FLULAVAL</td><td/></tr><tr><td>19515-0850-52</td><td>FLULAVAL</td><td/></tr><tr><td>19515-0889-07</td><td>FLULAVAL</td><td/></tr><tr><td>19515-0890-07</td><td>FLULAVAL</td><td/></tr><tr><td>19515-0891-11</td><td>Flulaval Quadrivalent</td><td/></tr><tr><td>19515-0893-07</td><td>FLULAVAL</td><td/></tr><tr><td>19515-0894-52</td><td>Flulaval Quadrivalent</td><td/></tr><tr><td>19515-0895-11</td><td>Flulaval Quadrivalent</td><td/></tr><tr><td>19515-0896-11</td><td>Flulaval Quadrivalent</td><td/></tr><tr><td>19515-0898-11</td><td>Flulaval Quadrivalent</td><td/></tr><tr><td>19515-0900-11</td><td>Flulaval Quadrivalent</td><td/></tr><tr><td>19515-0901-52</td><td>Flulaval Quadrivalent</td><td/></tr><tr><td>19515-0903-11</td><td>Flulaval Quadrivalent</td><td/></tr><tr><td>19515-0908-52</td><td>Flulaval Quadrivalent</td><td/></tr><tr><td>19515-0909-52</td><td>Flulaval Quadrivalent</td><td/></tr><tr><td>19515-0912-52</td><td>Flulaval Quadrivalent</td><td/></tr><tr><td>21695-0413-01</td><td>Tetanus and Diphtheria Toxoids Adsorbed</td><td/></tr><tr><td>33332-0010-01</td><td>AFLURIA</td><td/></tr><tr><td>33332-0013-01</td><td>AFLURIA</td><td/></tr><tr><td>33332-0014-01</td><td>AFLURIA</td><td/></tr><tr><td>33332-0015-01</td><td>AFLURIA</td><td/></tr><tr><td>33332-0016-01</td><td>AFLURIA</td><td/></tr><tr><td>33332-0017-01</td><td>AFLURIA</td><td/></tr><tr><td>33332-0018-01</td><td>AFLURIA</td><td/></tr><tr><td>33332-0110-10</td><td>AFLURIA</td><td/></tr><tr><td>33332-0113-10</td><td>AFLURIA</td><td/></tr><tr><td>33332-0114-10</td><td>AFLURIA</td><td/></tr><tr><td>33332-0115-10</td><td>AFLURIA</td><td/></tr><tr><td>33332-0116-10</td><td>AFLURIA</td><td/></tr><tr><td>33332-0117-10</td><td>AFLURIA</td><td/></tr><tr><td>33332-0118-10</td><td>AFLURIA</td><td/></tr><tr><td>33332-0316-01</td><td>AFLURIA QUADRIVALENT</td><td/></tr><tr><td>33332-0317-01</td><td>AFLURIA QUADRIVALENT</td><td/></tr><tr><td>33332-0318-01</td><td>AFLURIA QUADRIVALENT</td><td/></tr><tr><td>33332-0416-10</td><td>AFLURIA QUADRIVALENT</td><td/></tr><tr><td>33332-0417-10</td><td>AFLURIA QUADRIVALENT</td><td/></tr><tr><td>33332-0418-10</td><td>AFLURIA QUADRIVALENT</td><td/></tr><tr><td>33332-0519-01</td><td>Influenza A</td><td/></tr><tr><td>33332-0519-25</td><td>Influenza A</td><td/></tr><tr><td>33332-0629-10</td><td>Influenza A</td><td/></tr><tr><td>42515-0001-01</td><td>IXIARO</td><td/></tr><tr><td>42515-0001-01</td><td>IXIARO</td><td/></tr><tr><td>42515-0001-01</td><td>IXIARO</td><td/></tr><tr><td>42515-0001-01</td><td>IXIARO</td><td/></tr><tr><td>42515-0002-01</td><td>IXIARO</td><td/></tr><tr><td>42874-0012-10</td><td>Flublok</td><td/></tr><tr><td>42874-0013-10</td><td>Flublok</td><td/></tr><tr><td>42874-0014-10</td><td>Flublok</td><td/></tr><tr><td>42874-0015-10</td><td>Flublok</td><td/></tr><tr><td>42874-0016-10</td><td>Flublok</td><td/></tr><tr><td>42874-0017-10</td><td>Flublok</td><td/></tr><tr><td>42874-0117-10</td><td>Flublok Quadrivalent</td><td/></tr><tr><td>43528-0002-05</td><td>HEPLISAV-B</td><td/></tr><tr><td>43528-0003-05</td><td>HEPLISAV-B</td><td/></tr><tr><td>46028-0114-01</td><td>Bexsero</td><td/></tr><tr><td>46028-0114-02</td><td>Bexsero</td><td/></tr><tr><td>46028-0208-01</td><td>Menveo</td><td/></tr><tr><td>46028-0208-01</td><td>Menveo</td><td/></tr><tr><td>49281-0010-10</td><td>FLUZONE</td><td/></tr><tr><td>49281-0010-25</td><td>FLUZONE</td><td/></tr><tr><td>49281-0010-50</td><td>FLUZONE</td><td/></tr><tr><td>49281-0011-10</td><td>FLUZONE</td><td/></tr><tr><td>49281-0011-50</td><td>FLUZONE</td><td/></tr><tr><td>49281-0012-10</td><td>FLUZONE</td><td/></tr><tr><td>49281-0012-50</td><td>FLUZONE</td><td/></tr><tr><td>49281-0013-10</td><td>FLUZONE</td><td/></tr><tr><td>49281-0013-50</td><td>FLUZONE</td><td/></tr><tr><td>49281-0014-50</td><td>FLUZONE</td><td/></tr><tr><td>49281-0111-25</td><td>FLUZONE</td><td/></tr><tr><td>49281-0112-25</td><td>FLUZONE</td><td/></tr><tr><td>49281-0113-25</td><td>FLUZONE</td><td/></tr><tr><td>49281-0215-10</td><td>TENIVAC</td><td/></tr><tr><td>49281-0215-15</td><td>TENIVAC</td><td/></tr><tr><td>49281-0225-10</td><td>DIPHTHERIA AND TETANUS TOXOIDS ADSORBED</td><td/></tr><tr><td>49281-0250-51</td><td>IMOVAX RABIES</td><td/></tr><tr><td>49281-0278-10</td><td>DIPHTHERIA AND TETANUS TOXOIDS ADSORBED</td><td/></tr><tr><td>49281-0286-01</td><td>DAPTACEL</td><td/></tr><tr><td>49281-0286-05</td><td>DAPTACEL</td><td/></tr><tr><td>49281-0286-10</td><td>DAPTACEL</td><td/></tr><tr><td>49281-0291-10</td><td>DECAVAC</td><td/></tr><tr><td>49281-0291-83</td><td>DECAVAC</td><td/></tr><tr><td>49281-0298-10</td><td>TRIPEDIA</td><td/></tr><tr><td>49281-0386-15</td><td>FLUZONE</td><td/></tr><tr><td>49281-0387-65</td><td>FLUZONE</td><td/></tr><tr><td>49281-0388-15</td><td>FLUZONE</td><td/></tr><tr><td>49281-0389-65</td><td>FLUZONE HIGH DOSE</td><td/></tr><tr><td>49281-0390-15</td><td>FLUZONE</td><td/></tr><tr><td>49281-0391-65</td><td>FLUZONE High-Dose</td><td/></tr><tr><td>49281-0392-15</td><td>FLUZONE</td><td/></tr><tr><td>49281-0393-65</td><td>FLUZONE High-Dose</td><td/></tr><tr><td>49281-0394-15</td><td>FLUZONE</td><td/></tr><tr><td>49281-0395-65</td><td>FLUZONE High-Dose</td><td/></tr><tr><td>49281-0396-15</td><td>FLUZONE</td><td/></tr><tr><td>49281-0397-65</td><td>FLUZONE High-Dose</td><td/></tr><tr><td>49281-0399-65</td><td>FLUZONE High-Dose</td><td/></tr><tr><td>49281-0400-05</td><td>Adacel</td><td/></tr><tr><td>49281-0400-10</td><td>Adacel</td><td/></tr><tr><td>49281-0400-15</td><td>Adacel</td><td/></tr><tr><td>49281-0400-20</td><td>Adacel</td><td/></tr><tr><td>49281-0401-65</td><td>FLUZONE High-Dose</td><td/></tr><tr><td>49281-0403-65</td><td>FLUZONE High-Dose</td><td/></tr><tr><td>49281-0413-10</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0413-50</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0414-10</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0414-50</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0415-10</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0416-10</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0416-50</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0417-10</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0417-50</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0418-10</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0418-50</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0489-01</td><td>MENOMUNE - A/C/Y/W-135 COMBINED</td><td/></tr><tr><td>49281-0489-91</td><td>MENOMUNE - A/C/Y/W-135 COMBINED</td><td/></tr><tr><td>49281-0510-05</td><td>PENTACEL</td><td/></tr><tr><td>49281-0510-05</td><td>PENTACEL</td><td/></tr><tr><td>49281-0513-25</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0514-25</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0516-25</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0517-25</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0518-25</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0545-03</td><td>ActHIB</td><td/></tr><tr><td>49281-0545-05</td><td>ActHIB</td><td/></tr><tr><td>49281-0562-10</td><td>QUADRACEL</td><td/></tr><tr><td>49281-0589-05</td><td>Menactra</td><td/></tr><tr><td>49281-0621-15</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0625-15</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0627-15</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0629-15</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0640-15</td><td>INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE</td><td/></tr><tr><td>49281-0650-10</td><td>INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE</td><td/></tr><tr><td>49281-0650-25</td><td>INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE</td><td/></tr><tr><td>49281-0650-50</td><td>INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE</td><td/></tr><tr><td>49281-0650-70</td><td>INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE</td><td/></tr><tr><td>49281-0650-90</td><td>INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE</td><td/></tr><tr><td>49281-0703-55</td><td>FLUZONE INTRADERMAL</td><td/></tr><tr><td>49281-0705-55</td><td>FLUZONE</td><td/></tr><tr><td>49281-0707-55</td><td>FLUZONE</td><td/></tr><tr><td>49281-0708-40</td><td>FLUZONE INTRADERMAL QUADRIVALENT</td><td/></tr><tr><td>49281-0709-55</td><td>FLUZONE Intradermal</td><td/></tr><tr><td>49281-0710-40</td><td>FLUZONE INTRADERMAL QUADRIVALENT</td><td/></tr><tr><td>49281-0712-40</td><td>FLUZONE INTRADERMAL QUADRIVALENT</td><td/></tr><tr><td>49281-0718-10</td><td>Flublok Quadrivalent</td><td/></tr><tr><td>49281-0790-20</td><td>Typhim Vi</td><td/></tr><tr><td>49281-0790-51</td><td>Typhim Vi</td><td/></tr><tr><td>49281-0800-83</td><td>TETANUS TOXOID ADSORBED</td><td/></tr><tr><td>49281-0820-10</td><td>TETANUS TOXOID ADSORBED</td><td/></tr><tr><td>49281-0860-10</td><td>IPOL</td><td/></tr><tr><td>49281-0860-10</td><td>IPOL</td><td/></tr><tr><td>49281-0860-55</td><td>IPOL</td><td/></tr><tr><td>49281-0913-01</td><td>STAMARIL</td><td/></tr><tr><td>49281-0915-01</td><td>YF-VAX</td><td/></tr><tr><td>49281-0915-05</td><td>YF-VAX</td><td/></tr><tr><td>50090-1693-09</td><td>IPOL</td><td/></tr><tr><td>50090-2883-00</td><td>INFANRIX</td><td/></tr><tr><td>50090-3096-00</td><td>RabAvert</td><td/></tr><tr><td>50090-3469-00</td><td>HEPLISAV-B</td><td/></tr><tr><td>51285-0138-50</td><td>Adenovirus Type 4 and Type 7 Vaccine, Live</td><td/></tr><tr><td>51285-0138-50</td><td>Adenovirus Type 4 and Type 7 Vaccine, Live</td><td/></tr><tr><td>54868-0734-00</td><td>ENGERIX-B</td><td/></tr><tr><td>54868-0980-00</td><td>M-M-R II</td><td/></tr><tr><td>54868-2219-00</td><td>RECOMBIVAX HB</td><td/></tr><tr><td>54868-2219-01</td><td>RECOMBIVAX HB</td><td/></tr><tr><td>54868-3339-01</td><td>PNEUMOVAX 23</td><td/></tr><tr><td>54868-4320-00</td><td>PNEUMOVAX 23</td><td/></tr><tr><td>54868-6177-00</td><td>FLUZONE</td><td/></tr><tr><td>54868-6180-00</td><td>FLUZONE</td><td/></tr><tr><td>55045-3841-01</td><td>HAVRIX</td><td/></tr><tr><td>58160-0801-11</td><td>Menhibrix</td><td/></tr><tr><td>58160-0806-05</td><td>HIBERIX</td><td/></tr><tr><td>58160-0808-15</td><td>Influenza A (H5N1) Monovalent Vaccine, Adjuvanted</td><td/></tr><tr><td>58160-0808-15</td><td>Influenza A (H5N1) Monovalent Vaccine, Adjuvanted</td><td/></tr><tr><td>58160-0809-05</td><td>MENHIBRIX</td><td/></tr><tr><td>58160-0810-11</td><td>INFANRIX</td><td/></tr><tr><td>58160-0810-52</td><td>INFANRIX</td><td/></tr><tr><td>58160-0811-51</td><td>PEDIARIX</td><td/></tr><tr><td>58160-0811-52</td><td>PEDIARIX</td><td/></tr><tr><td>58160-0812-11</td><td>KINRIX</td><td/></tr><tr><td>58160-0812-52</td><td>KINRIX</td><td/></tr><tr><td>58160-0815-11</td><td>TWINRIX</td><td/></tr><tr><td>58160-0815-34</td><td>TWINRIX</td><td/></tr><tr><td>58160-0815-46</td><td>TWINRIX</td><td/></tr><tr><td>58160-0815-48</td><td>TWINRIX</td><td/></tr><tr><td>58160-0815-52</td><td>TWINRIX</td><td/></tr><tr><td>58160-0816-05</td><td>Hiberix</td><td/></tr><tr><td>58160-0818-11</td><td>Hiberix</td><td/></tr><tr><td>58160-0819-12</td><td>Shingrix</td><td/></tr><tr><td>58160-0820-11</td><td>ENGERIX-B</td><td/></tr><tr><td>58160-0820-52</td><td>ENGERIX-B</td><td/></tr><tr><td>58160-0821-11</td><td>ENGERIX-B</td><td/></tr><tr><td>58160-0821-34</td><td>ENGERIX-B</td><td/></tr><tr><td>58160-0821-52</td><td>ENGERIX-B</td><td/></tr><tr><td>58160-0823-11</td><td>Shingrix</td><td/></tr><tr><td>58160-0825-11</td><td>HAVRIX</td><td/></tr><tr><td>58160-0825-52</td><td>HAVRIX</td><td/></tr><tr><td>58160-0826-11</td><td>HAVRIX</td><td/></tr><tr><td>58160-0826-34</td><td>HAVRIX</td><td/></tr><tr><td>58160-0826-52</td><td>HAVRIX</td><td/></tr><tr><td>58160-0830-34</td><td>CERVARIX</td><td/></tr><tr><td>58160-0830-52</td><td>CERVARIX</td><td/></tr><tr><td>58160-0842-11</td><td>BOOSTRIX</td><td/></tr><tr><td>58160-0842-34</td><td>BOOSTRIX</td><td/></tr><tr><td>58160-0842-51</td><td>BOOSTRIX</td><td/></tr><tr><td>58160-0842-52</td><td>BOOSTRIX</td><td/></tr><tr><td>58160-0854-52</td><td>ROTARIX</td><td/></tr><tr><td>58160-0879-52</td><td>FLUARIX</td><td/></tr><tr><td>58160-0880-52</td><td>FLUARIX</td><td/></tr><tr><td>58160-0881-52</td><td>FLUARIX</td><td/></tr><tr><td>58160-0883-52</td><td>FLUARIX</td><td/></tr><tr><td>58160-0898-52</td><td>FLUARIX QUADRIVALENT</td><td/></tr><tr><td>58160-0900-52</td><td>FLUARIX QUADRIVALENT</td><td/></tr><tr><td>58160-0901-52</td><td>FLUARIX QUADRIVALENT</td><td/></tr><tr><td>58160-0903-52</td><td>FLUARIX QUADRIVALENT</td><td/></tr><tr><td>58160-0905-52</td><td>FLUARIX QUADRIVALENT</td><td/></tr><tr><td>58160-0907-52</td><td>FLUARIX QUADRIVALENT</td><td/></tr><tr><td>58160-0955-09</td><td>Menveo</td><td/></tr><tr><td>58160-0955-09</td><td>Menveo</td><td/></tr><tr><td>58160-0964-12</td><td>RabAvert</td><td/></tr><tr><td>58160-0964-12</td><td>RabAvert</td><td/></tr><tr><td>58160-0976-06</td><td>Bexsero</td><td/></tr><tr><td>58160-0976-20</td><td>Bexsero</td><td/></tr><tr><td>62195-0051-10</td><td>Ixiaro</td><td/></tr><tr><td>62577-0613-01</td><td>Flucelvax</td><td/></tr><tr><td>62577-0614-01</td><td>Flucelvax</td><td/></tr><tr><td>63851-0501-01</td><td>RabAvert</td><td/></tr><tr><td>63851-0501-02</td><td>RabAvert</td><td/></tr><tr><td>63851-0612-01</td><td>Flucelvax</td><td/></tr><tr><td>63851-0613-01</td><td>FLUCELVAX</td><td/></tr><tr><td>64678-0211-01</td><td>BioThrax</td><td/></tr><tr><td>66019-0107-01</td><td>FLUMIST</td><td/></tr><tr><td>66019-0108-10</td><td>FLUMIST</td><td/></tr><tr><td>66019-0109-10</td><td>FLUMIST</td><td/></tr><tr><td>66019-0110-10</td><td>FluMist</td><td/></tr><tr><td>66019-0200-10</td><td>Influenza A H1N1 Intranasal</td><td/></tr><tr><td>66019-0300-10</td><td>FluMist Quadrivalent</td><td/></tr><tr><td>66019-0301-10</td><td>FluMist Quadrivalent</td><td/></tr><tr><td>66019-0302-10</td><td>FluMist Quadrivalent</td><td/></tr><tr><td>66019-0303-10</td><td>FluMist Quadrivalent</td><td/></tr><tr><td>66019-0304-10</td><td>FluMist Quadrivalent</td><td/></tr><tr><td>66019-0305-10</td><td>FluMist Quadrivalent</td><td/></tr><tr><td>66521-0000-01</td><td>FLUAD</td><td/></tr><tr><td>66521-0112-02</td><td>Fluvirin</td><td/></tr><tr><td>66521-0112-10</td><td>Fluvirin</td><td/></tr><tr><td>66521-0113-02</td><td>FLUVIRIN</td><td/></tr><tr><td>66521-0113-10</td><td>FLUVIRIN</td><td/></tr><tr><td>66521-0114-02</td><td>FLUVIRIN</td><td/></tr><tr><td>66521-0114-10</td><td>FLUVIRIN</td><td/></tr><tr><td>66521-0115-02</td><td>FLUVIRIN</td><td/></tr><tr><td>66521-0115-10</td><td>FLUVIRIN</td><td/></tr><tr><td>66521-0116-02</td><td>Fluvirin</td><td/></tr><tr><td>66521-0116-10</td><td>Fluvirin</td><td/></tr><tr><td>66521-0117-02</td><td>Fluvirin</td><td/></tr><tr><td>66521-0117-10</td><td>Fluvirin</td><td/></tr><tr><td>66521-0118-02</td><td>Fluvirin</td><td/></tr><tr><td>66521-0118-10</td><td>Fluvirin</td><td/></tr><tr><td>66521-0200-02</td><td>Influenza A (H1N1) 2009 Monovalent Vaccine</td><td/></tr><tr><td>66521-0200-10</td><td>Influenza A (H1N1) 2009 Monovalent Vaccine</td><td/></tr><tr><td>69401-0000-01</td><td>Vivotif</td><td/></tr><tr><td>69401-0000-02</td><td>Vivotif</td><td/></tr><tr><td>70460-0001-01</td><td>Vaxchora</td><td/></tr><tr><td>70461-0001-01</td><td>FLUAD</td><td/></tr><tr><td>70461-0002-01</td><td>FLUAD</td><td/></tr><tr><td>70461-0018-03</td><td>FLUAD</td><td/></tr><tr><td>70461-0119-02</td><td>Fluvirin</td><td/></tr><tr><td>70461-0119-10</td><td>Fluvirin</td><td/></tr><tr><td>70461-0120-02</td><td>Fluvirin</td><td/></tr><tr><td>70461-0120-10</td><td>Fluvirin</td><td/></tr><tr><td>70461-0200-01</td><td>FLUCELVAX QUADRIVALENT</td><td/></tr><tr><td>70461-0201-01</td><td>FLUCELVAX QUADRIVALENT (PREFILLED SYRINGE)</td><td/></tr><tr><td>70461-0301-10</td><td>FLUCELVAX QUADRIVALENT (MULTI-DOSE VIAL)</td><td/></tr><tr><td>70461-0318-03</td><td>FLUCELVAX QUADRIVALENT (PREFILLED SYRINGE)</td><td/></tr><tr><td>70461-0418-10</td><td>FLUCELVAX QUADRIVALENT (MULTI-DOSE VIAL)</td><td/></tr><tr><td>76420-0482-01</td><td>Medical Provider Single Use EZ Flu Shot 2013-2014</td><td/></tr><tr><td>76420-0483-01</td><td>Medical Provider Single Use EZ Flu Shot 2013-2014</td><td/></tr><tr><td>63361-0245-10</td><td>VAXELIS</td><td/></tr></table></li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-ndc-vaccine-codes","version":"3.0.1","name":"USCoreVaccineNationalDrugCode","title":"US Core Vaccine National Drug Codes (NDC)","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","description":"This value set includes all the Vaccine National Drug Codes (NDC).  This source of this data is provided by the [CDC](https://www2a.cdc.gov/vaccines/iis/iisstandards/ndc_crosswalk.asp)","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"purpose":"Codes that are used as translations for CVS code for implementation of the Argonaut Immunization IG and MU2015 certification.","compose":{"include":[{"system":"http://hl7.org/fhir/sid/ndc","concept":[{"code":"00005-0100-02","display":"Trumenba"},{"code":"00005-0100-05","display":"Trumenba"},{"code":"00005-0100-10","display":"Trumenba"},{"code":"00005-1970-50","display":"Prevnar"},{"code":"00005-1971-02","display":"PREVNAR 13"},{"code":"00005-1971-04","display":"PREVNAR 13"},{"code":"00005-1971-05","display":"PREVNAR 13"},{"code":"00006-4045-00","display":"GARDASIL"},{"code":"00006-4045-41","display":"GARDASIL"},{"code":"00006-4047-20","display":"RotaTeq"},{"code":"00006-4047-41","display":"RotaTeq"},{"code":"00006-4093-02","display":"RECOMBIVAX 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23"},{"code":"00006-4837-03","display":"PNEUMOVAX 23"},{"code":"00006-4841-00","display":"VAQTA"},{"code":"00006-4841-41","display":"VAQTA"},{"code":"00006-4897-00","display":"PedvaxHIB"},{"code":"00006-4898-00","display":"COMVAX"},{"code":"00006-4943-00","display":"PNEUMOVAX 23"},{"code":"00006-4963-00","display":"ZOSTAVAX"},{"code":"00006-4963-41","display":"ZOSTAVAX"},{"code":"00006-4980-00","display":"RECOMBIVAX HB"},{"code":"00006-4981-00","display":"RECOMBIVAX HB"},{"code":"00006-4992-00","display":"RECOMBIVAX HB"},{"code":"00006-4995-00","display":"RECOMBIVAX HB"},{"code":"00006-4995-41","display":"RECOMBIVAX HB"},{"code":"00006-4999-00","display":"ProQuad"},{"code":"00052-0603-02","display":"BCG VACCINE"},{"code":"13533-0131-01","display":"Tetanus and Diphtheria Toxoids Adsorbed"},{"code":"14362-0111-04","display":"Tetanus and Diphtheria Toxoids Adsorbed"},{"code":"17478-0131-01","display":"Tetanus and Diphtheria Toxoids 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Quadrivalent"},{"code":"43528-0002-05","display":"HEPLISAV-B"},{"code":"43528-0003-05","display":"HEPLISAV-B"},{"code":"46028-0114-01","display":"Bexsero"},{"code":"46028-0114-02","display":"Bexsero"},{"code":"46028-0208-01","display":"Menveo"},{"code":"46028-0208-01","display":"Menveo"},{"code":"49281-0010-10","display":"FLUZONE"},{"code":"49281-0010-25","display":"FLUZONE"},{"code":"49281-0010-50","display":"FLUZONE"},{"code":"49281-0011-10","display":"FLUZONE"},{"code":"49281-0011-50","display":"FLUZONE"},{"code":"49281-0012-10","display":"FLUZONE"},{"code":"49281-0012-50","display":"FLUZONE"},{"code":"49281-0013-10","display":"FLUZONE"},{"code":"49281-0013-50","display":"FLUZONE"},{"code":"49281-0014-50","display":"FLUZONE"},{"code":"49281-0111-25","display":"FLUZONE"},{"code":"49281-0112-25","display":"FLUZONE"},{"code":"49281-0113-25","display":"FLUZONE"},{"code":"49281-0215-10","display":"TENIVAC"},{"code":"49281-0215-15","display":"TENIVAC"},{"code":"49281-0225-10","display":"DIPHTHERIA 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QUADRIVALENT"},{"code":"49281-0418-10","display":"FLUZONE QUADRIVALENT"},{"code":"49281-0418-50","display":"FLUZONE QUADRIVALENT"},{"code":"49281-0489-01","display":"MENOMUNE - A/C/Y/W-135 COMBINED"},{"code":"49281-0489-91","display":"MENOMUNE - A/C/Y/W-135 COMBINED"},{"code":"49281-0510-05","display":"PENTACEL"},{"code":"49281-0510-05","display":"PENTACEL"},{"code":"49281-0513-25","display":"FLUZONE QUADRIVALENT"},{"code":"49281-0514-25","display":"FLUZONE QUADRIVALENT"},{"code":"49281-0516-25","display":"FLUZONE QUADRIVALENT"},{"code":"49281-0517-25","display":"FLUZONE QUADRIVALENT"},{"code":"49281-0518-25","display":"FLUZONE QUADRIVALENT"},{"code":"49281-0545-03","display":"ActHIB"},{"code":"49281-0545-05","display":"ActHIB"},{"code":"49281-0562-10","display":"QUADRACEL"},{"code":"49281-0589-05","display":"Menactra"},{"code":"49281-0621-15","display":"FLUZONE QUADRIVALENT"},{"code":"49281-0625-15","display":"FLUZONE QUADRIVALENT"},{"code":"49281-0627-15","display":"FLUZONE QUADRIVALENT"},{"code":"49281-0629-15","display":"FLUZONE QUADRIVALENT"},{"code":"49281-0640-15","display":"INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE"},{"code":"49281-0650-10","display":"INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE"},{"code":"49281-0650-25","display":"INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE"},{"code":"49281-0650-50","display":"INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE"},{"code":"49281-0650-70","display":"INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE"},{"code":"49281-0650-90","display":"INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE"},{"code":"49281-0703-55","display":"FLUZONE INTRADERMAL"},{"code":"49281-0705-55","display":"FLUZONE"},{"code":"49281-0707-55","display":"FLUZONE"},{"code":"49281-0708-40","display":"FLUZONE INTRADERMAL QUADRIVALENT"},{"code":"49281-0709-55","display":"FLUZONE Intradermal"},{"code":"49281-0710-40","display":"FLUZONE INTRADERMAL QUADRIVALENT"},{"code":"49281-0712-40","display":"FLUZONE INTRADERMAL QUADRIVALENT"},{"code":"49281-0718-10","display":"Flublok Quadrivalent"},{"code":"49281-0790-20","display":"Typhim Vi"},{"code":"49281-0790-51","display":"Typhim Vi"},{"code":"49281-0800-83","display":"TETANUS TOXOID ADSORBED"},{"code":"49281-0820-10","display":"TETANUS TOXOID ADSORBED"},{"code":"49281-0860-10","display":"IPOL"},{"code":"49281-0860-10","display":"IPOL"},{"code":"49281-0860-55","display":"IPOL"},{"code":"49281-0913-01","display":"STAMARIL"},{"code":"49281-0915-01","display":"YF-VAX"},{"code":"49281-0915-05","display":"YF-VAX"},{"code":"50090-1693-09","display":"IPOL"},{"code":"50090-2883-00","display":"INFANRIX"},{"code":"50090-3096-00","display":"RabAvert"},{"code":"50090-3469-00","display":"HEPLISAV-B"},{"code":"51285-0138-50","display":"Adenovirus Type 4 and Type 7 Vaccine, Live"},{"code":"51285-0138-50","display":"Adenovirus Type 4 and Type 7 Vaccine, Live"},{"code":"54868-0734-00","display":"ENGERIX-B"},{"code":"54868-0980-00","display":"M-M-R II"},{"code":"54868-2219-00","display":"RECOMBIVAX HB"},{"code":"54868-2219-01","display":"RECOMBIVAX HB"},{"code":"54868-3339-01","display":"PNEUMOVAX 23"},{"code":"54868-4320-00","display":"PNEUMOVAX 23"},{"code":"54868-6177-00","display":"FLUZONE"},{"code":"54868-6180-00","display":"FLUZONE"},{"code":"55045-3841-01","display":"HAVRIX"},{"code":"58160-0801-11","display":"Menhibrix"},{"code":"58160-0806-05","display":"HIBERIX"},{"code":"58160-0808-15","display":"Influenza A (H5N1) Monovalent Vaccine, Adjuvanted"},{"code":"58160-0808-15","display":"Influenza A (H5N1) Monovalent Vaccine, Adjuvanted"},{"code":"58160-0809-05","display":"MENHIBRIX"},{"code":"58160-0810-11","display":"INFANRIX"},{"code":"58160-0810-52","display":"INFANRIX"},{"code":"58160-0811-51","display":"PEDIARIX"},{"code":"58160-0811-52","display":"PEDIARIX"},{"code":"58160-0812-11","display":"KINRIX"},{"code":"58160-0812-52","display":"KINRIX"},{"code":"58160-0815-11","display":"TWINRIX"},{"code":"58160-0815-34","display":"TWINRIX"},{"code":"58160-0815-46","display":"TWINRIX"},{"code":"58160-0815-48","display":"TWINRIX"},{"code":"58160-0815-52","display":"TWINRIX"},{"code":"58160-0816-05","display":"Hiberix"},{"code":"58160-0818-11","display":"Hiberix"},{"code":"58160-0819-12","display":"Shingrix"},{"code":"58160-0820-11","display":"ENGERIX-B"},{"code":"58160-0820-52","display":"ENGERIX-B"},{"code":"58160-0821-11","display":"ENGERIX-B"},{"code":"58160-0821-34","display":"ENGERIX-B"},{"code":"58160-0821-52","display":"ENGERIX-B"},{"code":"58160-0823-11","display":"Shingrix"},{"code":"58160-0825-11","display":"HAVRIX"},{"code":"58160-0825-52","display":"HAVRIX"},{"code":"58160-0826-11","display":"HAVRIX"},{"code":"58160-0826-34","display":"HAVRIX"},{"code":"58160-0826-52","display":"HAVRIX"},{"code":"58160-0830-34","display":"CERVARIX"},{"code":"58160-0830-52","display":"CERVARIX"},{"code":"58160-0842-11","display":"BOOSTRIX"},{"code":"58160-0842-34","display":"BOOSTRIX"},{"code":"58160-0842-51","display":"BOOSTRIX"},{"code":"58160-0842-52","display":"BOOSTRIX"},{"code":"58160-0854-52","display":"ROTARIX"},{"code":"58160-0879-52","display":"FLUARIX"},{"code":"58160-0880-52","display":"FLUARIX"},{"code":"58160-0881-52","display":"FLUARIX"},{"code":"58160-0883-52","display":"FLUARIX"},{"code":"58160-0898-52","display":"FLUARIX QUADRIVALENT"},{"code":"58160-0900-52","display":"FLUARIX QUADRIVALENT"},{"code":"58160-0901-52","display":"FLUARIX QUADRIVALENT"},{"code":"58160-0903-52","display":"FLUARIX QUADRIVALENT"},{"code":"58160-0905-52","display":"FLUARIX QUADRIVALENT"},{"code":"58160-0907-52","display":"FLUARIX QUADRIVALENT"},{"code":"58160-0955-09","display":"Menveo"},{"code":"58160-0955-09","display":"Menveo"},{"code":"58160-0964-12","display":"RabAvert"},{"code":"58160-0964-12","display":"RabAvert"},{"code":"58160-0976-06","display":"Bexsero"},{"code":"58160-0976-20","display":"Bexsero"},{"code":"62195-0051-10","display":"Ixiaro"},{"code":"62577-0613-01","display":"Flucelvax"},{"code":"62577-0614-01","display":"Flucelvax"},{"code":"63851-0501-01","display":"RabAvert"},{"code":"63851-0501-02","display":"RabAvert"},{"code":"63851-0612-01","display":"Flucelvax"},{"code":"63851-0613-01","display":"FLUCELVAX"},{"code":"64678-0211-01","display":"BioThrax"},{"code":"66019-0107-01","display":"FLUMIST"},{"code":"66019-0108-10","display":"FLUMIST"},{"code":"66019-0109-10","display":"FLUMIST"},{"code":"66019-0110-10","display":"FluMist"},{"code":"66019-0200-10","display":"Influenza A H1N1 Intranasal"},{"code":"66019-0300-10","display":"FluMist Quadrivalent"},{"code":"66019-0301-10","display":"FluMist Quadrivalent"},{"code":"66019-0302-10","display":"FluMist Quadrivalent"},{"code":"66019-0303-10","display":"FluMist Quadrivalent"},{"code":"66019-0304-10","display":"FluMist Quadrivalent"},{"code":"66019-0305-10","display":"FluMist Quadrivalent"},{"code":"66521-0000-01","display":"FLUAD"},{"code":"66521-0112-02","display":"Fluvirin"},{"code":"66521-0112-10","display":"Fluvirin"},{"code":"66521-0113-02","display":"FLUVIRIN"},{"code":"66521-0113-10","display":"FLUVIRIN"},{"code":"66521-0114-02","display":"FLUVIRIN"},{"code":"66521-0114-10","display":"FLUVIRIN"},{"code":"66521-0115-02","display":"FLUVIRIN"},{"code":"66521-0115-10","display":"FLUVIRIN"},{"code":"66521-0116-02","display":"Fluvirin"},{"code":"66521-0116-10","display":"Fluvirin"},{"code":"66521-0117-02","display":"Fluvirin"},{"code":"66521-0117-10","display":"Fluvirin"},{"code":"66521-0118-02","display":"Fluvirin"},{"code":"66521-0118-10","display":"Fluvirin"},{"code":"66521-0200-02","display":"Influenza A (H1N1) 2009 Monovalent Vaccine"},{"code":"66521-0200-10","display":"Influenza A (H1N1) 2009 Monovalent Vaccine"},{"code":"69401-0000-01","display":"Vivotif"},{"code":"69401-0000-02","display":"Vivotif"},{"code":"70460-0001-01","display":"Vaxchora"},{"code":"70461-0001-01","display":"FLUAD"},{"code":"70461-0002-01","display":"FLUAD"},{"code":"70461-0018-03","display":"FLUAD"},{"code":"70461-0119-02","display":"Fluvirin"},{"code":"70461-0119-10","display":"Fluvirin"},{"code":"70461-0120-02","display":"Fluvirin"},{"code":"70461-0120-10","display":"Fluvirin"},{"code":"70461-0200-01","display":"FLUCELVAX QUADRIVALENT"},{"code":"70461-0201-01","display":"FLUCELVAX QUADRIVALENT (PREFILLED SYRINGE)"},{"code":"70461-0301-10","display":"FLUCELVAX QUADRIVALENT (MULTI-DOSE VIAL)"},{"code":"70461-0318-03","display":"FLUCELVAX QUADRIVALENT (PREFILLED SYRINGE)"},{"code":"70461-0418-10","display":"FLUCELVAX QUADRIVALENT (MULTI-DOSE VIAL)"},{"code":"76420-0482-01","display":"Medical Provider Single Use EZ Flu Shot 2013-2014"},{"code":"76420-0483-01","display":"Medical Provider Single Use EZ Flu Shot 2013-2014"},{"code":"63361-0245-10","display":"VAXELIS"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-observation-smoking-status-status.json b/resources/uscore_v3.0.1/ValueSet-us-core-observation-smoking-status-status.json
new file mode 100644
index 000000000..08798c0fb
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-observation-smoking-status-status.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-observation-smoking-status-status","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Status for Smoking Status Observation</h2><div><p>Codes providing the status of an observation for smoking status. Constrained to <code>final</code>and <code>entered-in-error</code>.</p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href=\"http://hl7.org/fhir/R4/codesystem-observation-status.html\"><code>http://hl7.org/fhir/observation-status</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/codesystem-observation-status.html#observation-status-final\">final</a></td><td>Final</td><td>The observation is complete and there are no further actions needed. Additional information such &quot;released&quot;, &quot;signed&quot;, etc would be represented using [Provenance](provenance.html) which provides not only the act but also the actors and dates and other related data. These act states would be associated with an observation status of `preliminary` until they are all completed and then a status of `final` would be applied.</td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/codesystem-observation-status.html#observation-status-entered-in-error\">entered-in-error</a></td><td>Entered in Error</td><td>The observation has been withdrawn following previous final release.  This electronic record should never have existed, though it is possible that real-world decisions were based on it. (If real-world activity has occurred, the status should be &quot;cancelled&quot; rather than &quot;entered-in-error&quot;.).</td></tr></table></li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-observation-smoking-status-status","version":"3.0.1","name":"USCoreObservationSmokingStatusStatus","title":"US Core Status for Smoking Status Observation","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"Codes providing the status of an observation for smoking status. Constrained to `final`and `entered-in-error`.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"compose":{"include":[{"system":"http://hl7.org/fhir/observation-status","concept":[{"code":"final"},{"code":"entered-in-error"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-observation-smokingstatus.json b/resources/uscore_v3.0.1/ValueSet-us-core-observation-smokingstatus.json
new file mode 100644
index 000000000..ba56fc333
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-observation-smokingstatus.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-observation-smokingstatus","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Smoking Status</h2><div><p>This value set indicates the current smoking status of a patient.</p>\n</div><p><b>Copyright Statement:</b> This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=449868002\">449868002</a></td><td>Current every day smoker</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=428041000124106\">428041000124106</a></td><td>Current some day smoker</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=8517006\">8517006</a></td><td>Former smoker</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=266919005\">266919005</a></td><td>Never smoker</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=77176002\">77176002</a></td><td>Smoker, current status unknown</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=266927001\">266927001</a></td><td>Unknown if ever smoked</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=428071000124103\">428071000124103</a></td><td>Current Heavy tobacco smoker</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=428061000124105\">428061000124105</a></td><td>Current Light tobacco smoker</td><td/></tr></table></li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-observation-smokingstatus","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.2.602"}],"version":"3.0.1","name":"USCoreSmokingStatus","title":"US Core Smoking Status","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"This value set indicates the current smoking status of a patient.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement","compose":{"include":[{"system":"http://snomed.info/sct","concept":[{"code":"449868002","display":"Current every day smoker"},{"code":"428041000124106","display":"Current some day smoker"},{"code":"8517006","display":"Former smoker"},{"code":"266919005","display":"Never smoker"},{"code":"77176002","display":"Smoker, current status unknown"},{"code":"266927001","display":"Unknown if ever smoked"},{"code":"428071000124103","display":"Current Heavy tobacco smoker"},{"code":"428061000124105","display":"Current Light tobacco smoker"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-observation-value-codes.json b/resources/uscore_v3.0.1/ValueSet-us-core-observation-value-codes.json
new file mode 100644
index 000000000..f790ca695
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-observation-value-codes.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-observation-value-codes","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Observation Value Codes (SNOMED-CT)</h2><div><p><a href=\"http://www.ihtsdo.org/\">Snomed-CT</a> concept codes for coded results</p>\n</div><p><b>Copyright Statement:</b> This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><p>This value set includes codes from the following code systems:</p><ul><li>Include all codes defined in <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a></li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-observation-value-codes","version":"3.0.1","name":"USCoreObservationValueCodes","title":"US Core Observation Value Codes (SNOMED-CT)","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"},{"system":"email","value":"fhir@lists.hl7.org"}]}],"description":"[Snomed-CT](http://www.ihtsdo.org/) concept codes for coded results","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement","compose":{"include":[{"system":"http://snomed.info/sct"}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-problem.json b/resources/uscore_v3.0.1/ValueSet-us-core-problem.json
new file mode 100644
index 000000000..3d7d757c3
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-problem.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-problem","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t<h2>Problem Value Set</h2>\n\t\t\t<p>This describes the problem. Diagnosis/Problem List is broadly defined as a series of brief statements that catalog a patient's medical, nursing, dental, social, preventative and psychiatric events and issues that are relevant to that patient's healthcare (e.g., signs, symptoms, and defined conditions)</p>\n\t\t\t<p>\n\t\t\t\t<b>Copyright Statement:</b> This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement\n      </p>\n\t\t\t<p>This value set includes codes from the following code systems:</p>\n\t\t\t<ul>\n\t\t\t\t<li>No current problems or disability 160245001</li>\n\t\t\t\t<li>Include codes from http://snomed.info/sct where concept  is-a  404684003</li>\n\t\t\t\t<li>Include codes from http://snomed.info/sct where concept  is-a  243796009</li>\n\t\t\t</ul>\n\t\t</div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-problem","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.3.88.12.3221.7.4"}],"version":"3.0.1","name":"USCoreProblem","title":"US Core Problem","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"This describes the problem. Diagnosis/Problem List is broadly defined as a series of brief statements that catalog a patient's medical, nursing, dental, social, preventative and psychiatric events and issues that are relevant to that patient's healthcare (e.g., signs, symptoms, and defined conditions)","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement","compose":{"include":[{"system":"http://snomed.info/sct","concept":[{"code":"160245001"}]},{"system":"http://snomed.info/sct","filter":[{"property":"concept","op":"is-a","value":"404684003"}]},{"system":"http://snomed.info/sct","filter":[{"property":"concept","op":"is-a","value":"243796009"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-procedure-code.json b/resources/uscore_v3.0.1/ValueSet-us-core-procedure-code.json
new file mode 100644
index 000000000..87e012231
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-procedure-code.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-procedure-code","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Procedure Codes</h2><div><p>This example value set defines a set of codes that can be used to indicate the type of procedure: a specific code indicating type of procedure performed, from CPT or SNOMED CT.</p>\n</div><p><b>Copyright Statement:</b> CPT copyright 2014 American Medical Association. All rights reserved. This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><p>This value set includes codes from the following code systems:</p><ul><li>Include all codes defined in <code>http://www.ama-assn.org/go/cpt</code></li><li>Include codes from <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a> where concept  is-a  71388002 (Procedure)</li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.2.607"}],"version":"3.0.1","name":"USCoreProcedureCodes","title":"US Core Procedure Codes","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"This example value set defines a set of codes that can be used to indicate the type of procedure: a specific code indicating type of procedure performed, from CPT or SNOMED CT.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"CPT copyright 2014 American Medical Association. All rights reserved. This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement","compose":{"include":[{"system":"http://www.ama-assn.org/go/cpt"},{"system":"http://snomed.info/sct","filter":[{"property":"concept","op":"is-a","value":"71388002"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-procedure-icd10pcs.json b/resources/uscore_v3.0.1/ValueSet-us-core-procedure-icd10pcs.json
new file mode 100644
index 000000000..038681b50
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-procedure-icd10pcs.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-procedure-icd10pcs","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core ICD-10-PCS Procedure Codes</h2><div><p>This value set defines a set of codes from ICD10-PCS that can be used to indicate a type of procedure performed</p>\n</div><p><b>Copyright Statement:</b> The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) was developed for the Centers for Medicare and Medicaid Services (CMS).  CMS is the U.S. governmental agency responsible for overseeing all changes and modifications to the ICD-10-PCS.</p><p>This value set includes codes from the following code systems:</p><ul><li>Include all codes defined in <code>http://www.icd10data.com/icd10pcs</code></li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-icd10pcs","version":"3.0.1","name":"USCoreIcd_10PcsProcedureCodes","title":"US Core ICD-10-PCS Procedure Codes","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"This value set defines a set of codes from ICD10-PCS that can be used to indicate a type of procedure performed","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) was developed for the Centers for Medicare and Medicaid Services (CMS).  CMS is the U.S. governmental agency responsible for overseeing all changes and modifications to the ICD-10-PCS.","compose":{"include":[{"system":"http://www.icd10data.com/icd10pcs"}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-provenance-participant-type.json b/resources/uscore_v3.0.1/ValueSet-us-core-provenance-participant-type.json
new file mode 100644
index 000000000..ac95a09b6
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-provenance-participant-type.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-provenance-participant-type","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Provenance Participant Type Codes</h2><div><p>The type of participation a provenance agent played for a given target.</p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include all codes defined in <a href=\"CodeSystem-us-core-provenance-participant-type.html\"><code>http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type</code></a></li><li>Include all codes defined in <a href=\"http://hl7.org/fhir/R4/codesystem-provenance-agent-type.html\"><code>http://terminology.hl7.org/CodeSystem/provenance-participant-type</code></a></li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-provenance-participant-type","version":"3.0.1","name":"USCoreProvenancePaticipantTypeCodes","title":"US Core Provenance Participant Type Codes","status":"active","date":"2019-08-28T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","description":"The type of participation a provenance agent played for a given target.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"purpose":"So API consumers can identify the provenance participant type.","compose":{"include":[{"system":"http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type"},{"system":"http://terminology.hl7.org/CodeSystem/provenance-participant-type"}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-provider-role.json b/resources/uscore_v3.0.1/ValueSet-us-core-provider-role.json
new file mode 100644
index 000000000..e47b78ae1
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-provider-role.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-provider-role","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Provider Role (NUCC)</h2><div><p>Provider roles codes which are composed of the NUCC Health Care Provider Taxonomy Code Set classification codes for providers. Only concepts with a classification and no specialization are included.</p>\n</div><p><b>Copyright Statement:</b> This value set includes content from NUCC Health Care Provider Taxonomy Code Set for providers which is copyright © 2016+ American Medical Association.  For commercial use, including sales or licensing, a license must be obtained.</p><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <code>http://nucc.org/provider-taxonomy</code><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>101Y00000X</td><td>Counselor</td><td/></tr><tr><td>102L00000X</td><td>Psychoanalyst</td><td/></tr><tr><td>102X00000X</td><td>Poetry Therapist</td><td/></tr><tr><td>103G00000X</td><td>Clinical Neuropsychologist</td><td/></tr><tr><td>103K00000X</td><td>Behavior Analyst</td><td/></tr><tr><td>103T00000X</td><td>Psychologist</td><td/></tr><tr><td>104100000X</td><td>Social Worker</td><td/></tr><tr><td>106E00000X</td><td>Assistant Behavior Analyst</td><td/></tr><tr><td>106H00000X</td><td>Marriage &amp; Family Therapist</td><td/></tr><tr><td>106S00000X</td><td>Behavior Technician</td><td/></tr><tr><td>111N00000X</td><td>Chiropractor</td><td/></tr><tr><td>122300000X</td><td>Dentist</td><td/></tr><tr><td>122400000X</td><td>Denturist</td><td/></tr><tr><td>124Q00000X</td><td>Dental Hygienist</td><td/></tr><tr><td>125J00000X</td><td>Dental Therapist</td><td/></tr><tr><td>125K00000X</td><td>Advanced Practice Dental Therapist</td><td/></tr><tr><td>125Q00000X</td><td>Oral Medicinist</td><td/></tr><tr><td>126800000X</td><td>Dental Assistant</td><td/></tr><tr><td>126900000X</td><td>Dental Laboratory Technician</td><td/></tr><tr><td>132700000X</td><td>Dietary Manager</td><td/></tr><tr><td>133N00000X</td><td>Nutritionist</td><td/></tr><tr><td>133V00000X</td><td>Dietitian, Registered</td><td/></tr><tr><td>136A00000X</td><td>Dietetic Technician, Registered</td><td/></tr><tr><td>146D00000X</td><td>Personal Emergency Response Attendant</td><td/></tr><tr><td>146L00000X</td><td>Emergency Medical Technician, Paramedic</td><td/></tr><tr><td>146M00000X</td><td>Emergency Medical Technician, Intermediate</td><td/></tr><tr><td>146N00000X</td><td>Emergency Medical Technician, Basic</td><td/></tr><tr><td>152W00000X</td><td>Optometrist</td><td/></tr><tr><td>156F00000X</td><td>Technician/Technologist</td><td/></tr><tr><td>163W00000X</td><td>Registered Nurse</td><td/></tr><tr><td>164W00000X</td><td>Licensed Practical Nurse</td><td/></tr><tr><td>164X00000X</td><td>Licensed Vocational Nurse</td><td/></tr><tr><td>167G00000X</td><td>Licensed Psychiatric Technician</td><td/></tr><tr><td>170100000X</td><td>Medical Genetics, Ph.D. Medical Genetics</td><td/></tr><tr><td>170300000X</td><td>Genetic Counselor, MS</td><td/></tr><tr><td>171000000X</td><td>Military Health Care Provider</td><td/></tr><tr><td>171100000X</td><td>Acupuncturist</td><td/></tr><tr><td>171M00000X</td><td>Case Manager/Care Coordinator</td><td/></tr><tr><td>171R00000X</td><td>Interpreter</td><td/></tr><tr><td>171W00000X</td><td>Contractor</td><td/></tr><tr><td>172A00000X</td><td>Driver</td><td/></tr><tr><td>172M00000X</td><td>Mechanotherapist</td><td/></tr><tr><td>172P00000X</td><td>Naprapath</td><td/></tr><tr><td>172V00000X</td><td>Community Health Worker</td><td/></tr><tr><td>173000000X</td><td>Legal Medicine</td><td/></tr><tr><td>173C00000X</td><td>Reflexologist</td><td/></tr><tr><td>173F00000X</td><td>Sleep Specialist, PhD</td><td/></tr><tr><td>174200000X</td><td>Meals</td><td/></tr><tr><td>174400000X</td><td>Specialist</td><td/></tr><tr><td>174H00000X</td><td>Health Educator</td><td/></tr><tr><td>174M00000X</td><td>Veterinarian</td><td/></tr><tr><td>174N00000X</td><td>Lactation Consultant, Non-RN</td><td/></tr><tr><td>174V00000X</td><td>Clinical Ethicist</td><td/></tr><tr><td>175F00000X</td><td>Naturopath</td><td/></tr><tr><td>175L00000X</td><td>Homeopath</td><td/></tr><tr><td>175M00000X</td><td>Midwife, Lay</td><td/></tr><tr><td>175T00000X</td><td>Peer Specialist</td><td/></tr><tr><td>176B00000X</td><td>Midwife</td><td/></tr><tr><td>176P00000X</td><td>Funeral Director</td><td/></tr><tr><td>177F00000X</td><td>Lodging</td><td/></tr><tr><td>183500000X</td><td>Pharmacist</td><td/></tr><tr><td>183700000X</td><td>Pharmacy Technician</td><td/></tr><tr><td>193200000X</td><td>Multi-Specialty</td><td/></tr><tr><td>193400000X</td><td>Single Specialty</td><td/></tr><tr><td>202C00000X</td><td>Independent Medical Examiner</td><td/></tr><tr><td>202K00000X</td><td>Phlebology</td><td/></tr><tr><td>204C00000X</td><td>Neuromusculoskeletal Medicine, Sports Medicine</td><td/></tr><tr><td>204D00000X</td><td>Neuromusculoskeletal Medicine &amp; OMM</td><td/></tr><tr><td>204E00000X</td><td>Oral &amp; Maxillofacial 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Counselor</td><td/></tr><tr><td>225X00000X</td><td>Occupational Therapist</td><td/></tr><tr><td>226000000X</td><td>Recreational Therapist Assistant</td><td/></tr><tr><td>226300000X</td><td>Kinesiotherapist</td><td/></tr><tr><td>227800000X</td><td>Respiratory Therapist, Certified</td><td/></tr><tr><td>227900000X</td><td>Respiratory Therapist, Registered</td><td/></tr><tr><td>229N00000X</td><td>Anaplastologist</td><td/></tr><tr><td>231H00000X</td><td>Audiologist</td><td/></tr><tr><td>235500000X</td><td>Specialist/Technologist</td><td/></tr><tr><td>235Z00000X</td><td>Speech-Language Pathologist</td><td/></tr><tr><td>237600000X</td><td>Audiologist-Hearing Aid Fitter</td><td/></tr><tr><td>237700000X</td><td>Hearing Instrument Specialist</td><td/></tr><tr><td>242T00000X</td><td>Perfusionist</td><td/></tr><tr><td>243U00000X</td><td>Radiology Practitioner Assistant</td><td/></tr><tr><td>246Q00000X</td><td>Specialist/Technologist, Pathology</td><td/></tr><tr><td>246R00000X</td><td>Technician, Pathology</td><td/></tr><tr><td>246W00000X</td><td>Technician, Cardiology</td><td/></tr><tr><td>246X00000X</td><td>Specialist/Technologist Cardiovascular</td><td/></tr><tr><td>246Y00000X</td><td>Specialist/Technologist, Health Information</td><td/></tr><tr><td>246Z00000X</td><td>Specialist/Technologist, Other</td><td/></tr><tr><td>247000000X</td><td>Technician, Health Information</td><td/></tr><tr><td>247100000X</td><td>Radiologic Technologist</td><td/></tr><tr><td>247200000X</td><td>Technician, Other</td><td/></tr><tr><td>251300000X</td><td>Local Education Agency (LEA)</td><td/></tr><tr><td>251B00000X</td><td>Case Management</td><td/></tr><tr><td>251C00000X</td><td>Day Training, Developmentally Disabled Services</td><td/></tr><tr><td>251E00000X</td><td>Home Health</td><td/></tr><tr><td>251F00000X</td><td>Home Infusion</td><td/></tr><tr><td>251G00000X</td><td>Hospice Care, Community Based</td><td/></tr><tr><td>251J00000X</td><td>Nursing Care</td><td/></tr><tr><td>251K00000X</td><td>Public Health or Welfare</td><td/></tr><tr><td>251S00000X</td><td>Community/Behavioral Health</td><td/></tr><tr><td>251T00000X</td><td>Program of All-Inclusive Care for the Elderly (PACE) Provider Organization</td><td/></tr><tr><td>251V00000X</td><td>Voluntary or Charitable</td><td/></tr><tr><td>251X00000X</td><td>Supports Brokerage</td><td/></tr><tr><td>252Y00000X</td><td>Early Intervention Provider Agency</td><td/></tr><tr><td>253J00000X</td><td>Foster Care Agency</td><td/></tr><tr><td>253Z00000X</td><td>In Home Supportive Care</td><td/></tr><tr><td>261Q00000X</td><td>Clinic/Center</td><td/></tr><tr><td>273100000X</td><td>Epilepsy Unit</td><td/></tr><tr><td>273R00000X</td><td>Psychiatric Unit</td><td/></tr><tr><td>273Y00000X</td><td>Rehabilitation Unit</td><td/></tr><tr><td>275N00000X</td><td>Medicare Defined Swing Bed Unit</td><td/></tr><tr><td>276400000X</td><td>Rehabilitation, Substance Use Disorder Unit</td><td/></tr><tr><td>281P00000X</td><td>Chronic Disease Hospital</td><td/></tr><tr><td>282E00000X</td><td>Long Term Care Hospital</td><td/></tr><tr><td>282J00000X</td><td>Religious Nonmedical Health Care Institution</td><td/></tr><tr><td>282N00000X</td><td>General Acute Care Hospital</td><td/></tr><tr><td>283Q00000X</td><td>Psychiatric Hospital</td><td/></tr><tr><td>283X00000X</td><td>Rehabilitation Hospital</td><td/></tr><tr><td>284300000X</td><td>Special Hospital</td><td/></tr><tr><td>286500000X</td><td>Military Hospital</td><td/></tr><tr><td>287300000X</td><td>Christian Science Sanitorium</td><td/></tr><tr><td>291900000X</td><td>Military Clinical Medical Laboratory</td><td/></tr><tr><td>291U00000X</td><td>Clinical Medical Laboratory</td><td/></tr><tr><td>292200000X</td><td>Dental Laboratory</td><td/></tr><tr><td>293D00000X</td><td>Physiological Laboratory</td><td/></tr><tr><td>302F00000X</td><td>Exclusive Provider Organization</td><td/></tr><tr><td>302R00000X</td><td>Health Maintenance Organization</td><td/></tr><tr><td>305R00000X</td><td>Preferred Provider Organization</td><td/></tr><tr><td>305S00000X</td><td>Point of Service</td><td/></tr><tr><td>310400000X</td><td>Assisted Living Facility</td><td/></tr><tr><td>310500000X</td><td>Intermediate Care Facility, Mental Illness</td><td/></tr><tr><td>311500000X</td><td>Alzheimer Center (Dementia Center)</td><td/></tr><tr><td>311Z00000X</td><td>Custodial Care Facility</td><td/></tr><tr><td>313M00000X</td><td>Nursing Facility/Intermediate Care Facility</td><td/></tr><tr><td>314000000X</td><td>Skilled Nursing Facility</td><td/></tr><tr><td>315D00000X</td><td>Hospice, Inpatient</td><td/></tr><tr><td>315P00000X</td><td>Intermediate Care Facility, Mentally Retarded</td><td/></tr><tr><td>317400000X</td><td>Christian Science Facility</td><td/></tr><tr><td>320600000X</td><td>Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities</td><td/></tr><tr><td>320700000X</td><td>Residential Treatment Facility, Physical Disabilities</td><td/></tr><tr><td>320800000X</td><td>Community Based Residential Treatment Facility, Mental Illness</td><td/></tr><tr><td>320900000X</td><td>Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities</td><td/></tr><tr><td>322D00000X</td><td>Residential Treatment Facility, Emotionally Disturbed Children</td><td/></tr><tr><td>323P00000X</td><td>Psychiatric Residential Treatment Facility</td><td/></tr><tr><td>324500000X</td><td>Substance Abuse Rehabilitation Facility</td><td/></tr><tr><td>331L00000X</td><td>Blood Bank</td><td/></tr><tr><td>332000000X</td><td>Military/U.S. Coast Guard Pharmacy</td><td/></tr><tr><td>332100000X</td><td>Department of Veterans Affairs (VA) Pharmacy</td><td/></tr><tr><td>332800000X</td><td>Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy</td><td/></tr><tr><td>332900000X</td><td>Non-Pharmacy Dispensing Site</td><td/></tr><tr><td>332B00000X</td><td>Durable Medical Equipment &amp; Medical Supplies</td><td/></tr><tr><td>332G00000X</td><td>Eye Bank</td><td/></tr><tr><td>332H00000X</td><td>Eyewear Supplier</td><td/></tr><tr><td>332S00000X</td><td>Hearing Aid Equipment</td><td/></tr><tr><td>332U00000X</td><td>Home Delivered Meals</td><td/></tr><tr><td>333300000X</td><td>Emergency Response System Companies</td><td/></tr><tr><td>333600000X</td><td>Pharmacy</td><td/></tr><tr><td>335E00000X</td><td>Prosthetic/Orthotic Supplier</td><td/></tr><tr><td>335G00000X</td><td>Medical Foods Supplier</td><td/></tr><tr><td>335U00000X</td><td>Organ Procurement Organization</td><td/></tr><tr><td>335V00000X</td><td>Portable X-ray and/or Other Portable Diagnostic Imaging Supplier</td><td/></tr><tr><td>341600000X</td><td>Ambulance</td><td/></tr><tr><td>341800000X</td><td>Military/U.S. Coast Guard Transport</td><td/></tr><tr><td>343800000X</td><td>Secured Medical Transport (VAN)</td><td/></tr><tr><td>343900000X</td><td>Non-emergency Medical Transport (VAN)</td><td/></tr><tr><td>344600000X</td><td>Taxi</td><td/></tr><tr><td>344800000X</td><td>Air Carrier</td><td/></tr><tr><td>347B00000X</td><td>Bus</td><td/></tr><tr><td>347C00000X</td><td>Private Vehicle</td><td/></tr><tr><td>347D00000X</td><td>Train</td><td/></tr><tr><td>347E00000X</td><td>Transportation Broker</td><td/></tr><tr><td>363A00000X</td><td>Physician Assistant</td><td/></tr><tr><td>363L00000X</td><td>Nurse Practitioner</td><td/></tr><tr><td>364S00000X</td><td>Clinical Nurse Specialist</td><td/></tr><tr><td>367500000X</td><td>Nurse Anesthetist, Certified Registered</td><td/></tr><tr><td>367A00000X</td><td>Advanced Practice Midwife</td><td/></tr><tr><td>367H00000X</td><td>Anesthesiologist Assistant</td><td/></tr><tr><td>372500000X</td><td>Chore Provider</td><td/></tr><tr><td>372600000X</td><td>Adult Companion</td><td/></tr><tr><td>373H00000X</td><td>Day Training/Habilitation Specialist</td><td/></tr><tr><td>374700000X</td><td>Technician</td><td/></tr><tr><td>374J00000X</td><td>Doula</td><td/></tr><tr><td>374K00000X</td><td>Religious Nonmedical Practitioner</td><td/></tr><tr><td>374T00000X</td><td>Religious Nonmedical Nursing Personnel</td><td/></tr><tr><td>374U00000X</td><td>Home Health Aide</td><td/></tr><tr><td>376G00000X</td><td>Nursing Home Administrator</td><td/></tr><tr><td>376J00000X</td><td>Homemaker</td><td/></tr><tr><td>376K00000X</td><td>Nurse's Aide</td><td/></tr><tr><td>385H00000X</td><td>Respite Care</td><td/></tr><tr><td>390200000X</td><td>Student in an Organized Health Care Education/Training Program</td><td/></tr><tr><td>405300000X</td><td>Prevention Professional</td><td/></tr></table></li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-provider-role","version":"3.0.1","name":"USCoreProviderRoleNucc","title":"US Core Provider Role (NUCC)","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"Provider roles codes which are composed of the NUCC Health Care Provider Taxonomy Code Set classification codes for providers. Only concepts with a classification and no specialization are included. ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"This value set includes content from NUCC Health Care Provider Taxonomy Code Set for providers which is copyright © 2016+ American Medical Association.  For commercial use, including sales or licensing, a license must be obtained.","compose":{"include":[{"system":"http://nucc.org/provider-taxonomy","concept":[{"code":"101Y00000X","display":"Counselor"},{"code":"102L00000X","display":"Psychoanalyst"},{"code":"102X00000X","display":"Poetry Therapist"},{"code":"103G00000X","display":"Clinical Neuropsychologist"},{"code":"103K00000X","display":"Behavior Analyst"},{"code":"103T00000X","display":"Psychologist"},{"code":"104100000X","display":"Social Worker"},{"code":"106E00000X","display":"Assistant Behavior Analyst"},{"code":"106H00000X","display":"Marriage & Family Therapist"},{"code":"106S00000X","display":"Behavior Technician"},{"code":"111N00000X","display":"Chiropractor"},{"code":"122300000X","display":"Dentist"},{"code":"122400000X","display":"Denturist"},{"code":"124Q00000X","display":"Dental Hygienist"},{"code":"125J00000X","display":"Dental Therapist"},{"code":"125K00000X","display":"Advanced Practice Dental 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Technologist"},{"code":"247200000X","display":"Technician, Other"},{"code":"251300000X","display":"Local Education Agency (LEA)"},{"code":"251B00000X","display":"Case Management"},{"code":"251C00000X","display":"Day Training, Developmentally Disabled Services"},{"code":"251E00000X","display":"Home Health"},{"code":"251F00000X","display":"Home Infusion"},{"code":"251G00000X","display":"Hospice Care, Community Based"},{"code":"251J00000X","display":"Nursing Care"},{"code":"251K00000X","display":"Public Health or Welfare"},{"code":"251S00000X","display":"Community/Behavioral Health"},{"code":"251T00000X","display":"Program of All-Inclusive Care for the Elderly (PACE) Provider Organization"},{"code":"251V00000X","display":"Voluntary or Charitable"},{"code":"251X00000X","display":"Supports Brokerage"},{"code":"252Y00000X","display":"Early Intervention Provider Agency"},{"code":"253J00000X","display":"Foster Care Agency"},{"code":"253Z00000X","display":"In Home Supportive Care"},{"code":"261Q00000X","display":"Clinic/Center"},{"code":"273100000X","display":"Epilepsy Unit"},{"code":"273R00000X","display":"Psychiatric Unit"},{"code":"273Y00000X","display":"Rehabilitation Unit"},{"code":"275N00000X","display":"Medicare Defined Swing Bed Unit"},{"code":"276400000X","display":"Rehabilitation, Substance Use Disorder Unit"},{"code":"281P00000X","display":"Chronic Disease Hospital"},{"code":"282E00000X","display":"Long Term Care Hospital"},{"code":"282J00000X","display":"Religious Nonmedical Health Care Institution"},{"code":"282N00000X","display":"General Acute Care Hospital"},{"code":"283Q00000X","display":"Psychiatric Hospital"},{"code":"283X00000X","display":"Rehabilitation Hospital"},{"code":"284300000X","display":"Special Hospital"},{"code":"286500000X","display":"Military Hospital"},{"code":"287300000X","display":"Christian Science Sanitorium"},{"code":"291900000X","display":"Military Clinical Medical Laboratory"},{"code":"291U00000X","display":"Clinical Medical Laboratory"},{"code":"292200000X","display":"Dental Laboratory"},{"code":"293D00000X","display":"Physiological Laboratory"},{"code":"302F00000X","display":"Exclusive Provider Organization"},{"code":"302R00000X","display":"Health Maintenance Organization"},{"code":"305R00000X","display":"Preferred Provider Organization"},{"code":"305S00000X","display":"Point of Service"},{"code":"310400000X","display":"Assisted Living Facility"},{"code":"310500000X","display":"Intermediate Care Facility, Mental Illness"},{"code":"311500000X","display":"Alzheimer Center (Dementia Center)"},{"code":"311Z00000X","display":"Custodial Care Facility"},{"code":"313M00000X","display":"Nursing Facility/Intermediate Care Facility"},{"code":"314000000X","display":"Skilled Nursing Facility"},{"code":"315D00000X","display":"Hospice, Inpatient"},{"code":"315P00000X","display":"Intermediate Care Facility, Mentally Retarded"},{"code":"317400000X","display":"Christian Science Facility"},{"code":"320600000X","display":"Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities"},{"code":"320700000X","display":"Residential Treatment Facility, Physical Disabilities"},{"code":"320800000X","display":"Community Based Residential Treatment Facility, Mental Illness"},{"code":"320900000X","display":"Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities"},{"code":"322D00000X","display":"Residential Treatment Facility, Emotionally Disturbed Children"},{"code":"323P00000X","display":"Psychiatric Residential Treatment Facility"},{"code":"324500000X","display":"Substance Abuse Rehabilitation Facility"},{"code":"331L00000X","display":"Blood Bank"},{"code":"332000000X","display":"Military/U.S. Coast Guard Pharmacy"},{"code":"332100000X","display":"Department of Veterans Affairs (VA) Pharmacy"},{"code":"332800000X","display":"Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy"},{"code":"332900000X","display":"Non-Pharmacy Dispensing Site"},{"code":"332B00000X","display":"Durable Medical Equipment & Medical Supplies"},{"code":"332G00000X","display":"Eye Bank"},{"code":"332H00000X","display":"Eyewear Supplier"},{"code":"332S00000X","display":"Hearing Aid Equipment"},{"code":"332U00000X","display":"Home Delivered Meals"},{"code":"333300000X","display":"Emergency Response System Companies"},{"code":"333600000X","display":"Pharmacy"},{"code":"335E00000X","display":"Prosthetic/Orthotic Supplier"},{"code":"335G00000X","display":"Medical Foods Supplier"},{"code":"335U00000X","display":"Organ Procurement Organization"},{"code":"335V00000X","display":"Portable X-ray and/or Other Portable Diagnostic Imaging Supplier"},{"code":"341600000X","display":"Ambulance"},{"code":"341800000X","display":"Military/U.S. Coast Guard Transport"},{"code":"343800000X","display":"Secured Medical Transport (VAN)"},{"code":"343900000X","display":"Non-emergency Medical Transport (VAN)"},{"code":"344600000X","display":"Taxi"},{"code":"344800000X","display":"Air Carrier"},{"code":"347B00000X","display":"Bus"},{"code":"347C00000X","display":"Private Vehicle"},{"code":"347D00000X","display":"Train"},{"code":"347E00000X","display":"Transportation Broker"},{"code":"363A00000X","display":"Physician Assistant"},{"code":"363L00000X","display":"Nurse Practitioner"},{"code":"364S00000X","display":"Clinical Nurse Specialist"},{"code":"367500000X","display":"Nurse Anesthetist, Certified Registered"},{"code":"367A00000X","display":"Advanced Practice Midwife"},{"code":"367H00000X","display":"Anesthesiologist Assistant"},{"code":"372500000X","display":"Chore Provider"},{"code":"372600000X","display":"Adult Companion"},{"code":"373H00000X","display":"Day Training/Habilitation Specialist"},{"code":"374700000X","display":"Technician"},{"code":"374J00000X","display":"Doula"},{"code":"374K00000X","display":"Religious Nonmedical Practitioner"},{"code":"374T00000X","display":"Religious Nonmedical Nursing Personnel"},{"code":"374U00000X","display":"Home Health Aide"},{"code":"376G00000X","display":"Nursing Home Administrator"},{"code":"376J00000X","display":"Homemaker"},{"code":"376K00000X","display":"Nurse's Aide"},{"code":"385H00000X","display":"Respite Care"},{"code":"390200000X","display":"Student in an Organized Health Care Education/Training Program"},{"code":"405300000X","display":"Prevention Professional"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-provider-specialty.json b/resources/uscore_v3.0.1/ValueSet-us-core-provider-specialty.json
new file mode 100644
index 000000000..bc8a27f8c
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-provider-specialty.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-provider-specialty","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Provider Speciality (NUCC)</h2><div><p>Provider speciality roles codes which are composed of the NUCC Health Care Provider Taxonomy Code Set for providers</p>\n</div><p><b>Copyright Statement:</b> This value set includes content from NUCC Health Care Provider Taxonomy Code Set for providers which is copyright © 2016+ American Medical Association.  For commercial use, including sales or licensing, a license must be obtained.</p><p>This value set includes codes from the following code systems:</p><ul><li>Include all codes defined in <code>http://nucc.org/provider-taxonomy</code></li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-provider-specialty","version":"3.0.1","name":"USCoreProviderSpecialityNucc","title":"US Core Provider Speciality (NUCC)","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"Provider speciality roles codes which are composed of the NUCC Health Care Provider Taxonomy Code Set for providers","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"This value set includes content from NUCC Health Care Provider Taxonomy Code Set for providers which is copyright © 2016+ American Medical Association.  For commercial use, including sales or licensing, a license must be obtained.","compose":{"include":[{"system":"http://nucc.org/provider-taxonomy"}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-smoking-status-observation-codes.json b/resources/uscore_v3.0.1/ValueSet-us-core-smoking-status-observation-codes.json
new file mode 100644
index 000000000..8ef2856e2
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-smoking-status-observation-codes.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-smoking-status-observation-codes","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Smoking Status Observation Codes</h2><div><p>The US Core Smoking Status Observation Codes Value Set is a 'starter set' of concepts to capture smoking status.</p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href=\"http://loinc.org\"><code>http://loinc.org</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/72166-2.html\">72166-2</a></td><td>Tobacco smoking status NHIS</td><td/></tr></table></li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-smoking-status-observation-codes","version":"3.0.1","name":"USCoreSmokingStatusObservationCodes","title":"US Core Smoking Status Observation Codes","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"The US Core Smoking Status Observation Codes Value Set is a 'starter set' of concepts to capture smoking status.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"compose":{"include":[{"system":"http://loinc.org","concept":[{"code":"72166-2","display":"Tobacco smoking status NHIS"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-usps-state.json b/resources/uscore_v3.0.1/ValueSet-us-core-usps-state.json
new file mode 100644
index 000000000..7e7150f42
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-usps-state.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-usps-state","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>USPS Two Letter Alphabetic Codes</h2><div><p>This value set defines two letter USPS alphabetic codes.</p>\n</div><p><b>Copyright Statement:</b> On July 1, 1963, the Post Office Department implemented the five-digit ZIP Code, which was placed after the state name in the last line of an address. To provide room for the ZIP Code, the Department issued two-letter abbreviations for all states and territories. Publication 59, Abbreviations for Use with ZIP Code, issued by the Department in October 1963. Currently there is no copyright restriction on this value set.</p><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <code>https://www.usps.com/</code><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>AK</td><td>Alaska</td><td/></tr><tr><td>AL</td><td>Alabama</td><td/></tr><tr><td>AR</td><td>Arkansas</td><td/></tr><tr><td>AS</td><td>American Samoa</td><td/></tr><tr><td>AZ</td><td>Arizona</td><td/></tr><tr><td>CA</td><td>California</td><td/></tr><tr><td>CO</td><td>Colorado</td><td/></tr><tr><td>CT</td><td>Connecticut</td><td/></tr><tr><td>DC</td><td>District of Columbia</td><td/></tr><tr><td>DE</td><td>Delaware</td><td/></tr><tr><td>FL</td><td>Florida</td><td/></tr><tr><td>FM</td><td>Federated States of Micronesia</td><td/></tr><tr><td>GA</td><td>Georgia</td><td/></tr><tr><td>GU</td><td>Guam</td><td/></tr><tr><td>HI</td><td>Hawaii</td><td/></tr><tr><td>IA</td><td>Iowa</td><td/></tr><tr><td>ID</td><td>Idaho</td><td/></tr><tr><td>IL</td><td>Illinois</td><td/></tr><tr><td>IN</td><td>Indiana</td><td/></tr><tr><td>KS</td><td>Kansas</td><td/></tr><tr><td>KY</td><td>Kentucky</td><td/></tr><tr><td>LA</td><td>Louisiana</td><td/></tr><tr><td>MA</td><td>Massachusetts</td><td/></tr><tr><td>MD</td><td>Maryland</td><td/></tr><tr><td>ME</td><td>Maine</td><td/></tr><tr><td>MH</td><td>Marshall Islands</td><td/></tr><tr><td>MI</td><td>Michigan</td><td/></tr><tr><td>MN</td><td>Minnesota</td><td/></tr><tr><td>MO</td><td>Missouri</td><td/></tr><tr><td>MP</td><td>Northern Mariana Islands</td><td/></tr><tr><td>MS</td><td>Mississippi</td><td/></tr><tr><td>MT</td><td>Montana</td><td/></tr><tr><td>NC</td><td>North Carolina</td><td/></tr><tr><td>ND</td><td>North Dakota</td><td/></tr><tr><td>NE</td><td>Nebraska</td><td/></tr><tr><td>NH</td><td>New Hampshire</td><td/></tr><tr><td>NJ</td><td>New Jersey</td><td/></tr><tr><td>NM</td><td>New Mexico</td><td/></tr><tr><td>NV</td><td>Nevada</td><td/></tr><tr><td>NY</td><td>New York</td><td/></tr><tr><td>OH</td><td>Ohio</td><td/></tr><tr><td>OK</td><td>Oklahoma</td><td/></tr><tr><td>OR</td><td>Oregon</td><td/></tr><tr><td>PA</td><td>Pennsylvania</td><td/></tr><tr><td>PR</td><td>Puerto Rico</td><td/></tr><tr><td>PW</td><td>Palau</td><td/></tr><tr><td>RI</td><td>Rhode Island</td><td/></tr><tr><td>SC</td><td>South Carolina</td><td/></tr><tr><td>SD</td><td>South Dakota</td><td/></tr><tr><td>TN</td><td>Tennessee</td><td/></tr><tr><td>TX</td><td>Texas</td><td/></tr><tr><td>UM</td><td>U.S. Minor Outlying Islands</td><td/></tr><tr><td>UT</td><td>Utah</td><td/></tr><tr><td>VA</td><td>Virginia</td><td/></tr><tr><td>VI</td><td>Virgin Islands of the U.S.</td><td/></tr><tr><td>VT</td><td>Vermont</td><td/></tr><tr><td>WA</td><td>Washington</td><td/></tr><tr><td>WI</td><td>Wisconsin</td><td/></tr><tr><td>WV</td><td>West Virginia</td><td/></tr><tr><td>WY</td><td>Wyoming</td><td/></tr></table></li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.3.40"}],"version":"3.0.1","name":"UspsTwoLetterAlphabeticCodes","title":"USPS Two Letter Alphabetic Codes","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"This value set defines two letter USPS alphabetic codes.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"On July 1, 1963, the Post Office Department implemented the five-digit ZIP Code, which was placed after the state name in the last line of an address. To provide room for the ZIP Code, the Department issued two-letter abbreviations for all states and territories. Publication 59, Abbreviations for Use with ZIP Code, issued by the Department in October 1963. Currently there is no copyright restriction on this value set.","compose":{"include":[{"system":"https://www.usps.com/","concept":[{"code":"AK","display":"Alaska"},{"code":"AL","display":"Alabama"},{"code":"AR","display":"Arkansas"},{"code":"AS","display":"American Samoa"},{"code":"AZ","display":"Arizona"},{"code":"CA","display":"California"},{"code":"CO","display":"Colorado"},{"code":"CT","display":"Connecticut"},{"code":"DC","display":"District of Columbia"},{"code":"DE","display":"Delaware"},{"code":"FL","display":"Florida"},{"code":"FM","display":"Federated States of Micronesia"},{"code":"GA","display":"Georgia"},{"code":"GU","display":"Guam"},{"code":"HI","display":"Hawaii"},{"code":"IA","display":"Iowa"},{"code":"ID","display":"Idaho"},{"code":"IL","display":"Illinois"},{"code":"IN","display":"Indiana"},{"code":"KS","display":"Kansas"},{"code":"KY","display":"Kentucky"},{"code":"LA","display":"Louisiana"},{"code":"MA","display":"Massachusetts"},{"code":"MD","display":"Maryland"},{"code":"ME","display":"Maine"},{"code":"MH","display":"Marshall Islands"},{"code":"MI","display":"Michigan"},{"code":"MN","display":"Minnesota"},{"code":"MO","display":"Missouri"},{"code":"MP","display":"Northern Mariana Islands"},{"code":"MS","display":"Mississippi"},{"code":"MT","display":"Montana"},{"code":"NC","display":"North Carolina"},{"code":"ND","display":"North Dakota"},{"code":"NE","display":"Nebraska"},{"code":"NH","display":"New Hampshire"},{"code":"NJ","display":"New Jersey"},{"code":"NM","display":"New Mexico"},{"code":"NV","display":"Nevada"},{"code":"NY","display":"New York"},{"code":"OH","display":"Ohio"},{"code":"OK","display":"Oklahoma"},{"code":"OR","display":"Oregon"},{"code":"PA","display":"Pennsylvania"},{"code":"PR","display":"Puerto Rico"},{"code":"PW","display":"Palau"},{"code":"RI","display":"Rhode Island"},{"code":"SC","display":"South Carolina"},{"code":"SD","display":"South Dakota"},{"code":"TN","display":"Tennessee"},{"code":"TX","display":"Texas"},{"code":"UM","display":"U.S. Minor Outlying Islands"},{"code":"UT","display":"Utah"},{"code":"VA","display":"Virginia"},{"code":"VI","display":"Virgin Islands of the U.S."},{"code":"VT","display":"Vermont"},{"code":"WA","display":"Washington"},{"code":"WI","display":"Wisconsin"},{"code":"WV","display":"West Virginia"},{"code":"WY","display":"Wyoming"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ValueSet-us-core-vaccines-cvx.json b/resources/uscore_v3.0.1/ValueSet-us-core-vaccines-cvx.json
new file mode 100644
index 000000000..c9c863886
--- /dev/null
+++ b/resources/uscore_v3.0.1/ValueSet-us-core-vaccines-cvx.json
@@ -0,0 +1 @@
+{"resourceType":"ValueSet","id":"us-core-vaccines-cvx","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Vaccine Administered Value Set (CVX)</h2><div><p>This identifies the vaccine substance administered - CVX codes. <strong>Inclusion Criteria:</strong>  Any CVX code with CVX  'status' (VSAC Property) = <code>Active</code>,<code>Inactive</code>, <code>Non-US</code> except  those noted in exclusions.  <strong>Exclusion Criteria:</strong>  CVX codes that have a CVX  'status' of either <code>Pending</code> or <code>Never Active</code> AND CVX  codes with CVX 'Nonvaccine' property = True.  Available at http://www2a.cdc.gov/vaccines/iis/iisstandards/vaccines.asp?rpt=cvx</p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <code>http://hl7.org/fhir/sid/cvx</code><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>01</td><td>diphtheria, tetanus toxoids and pertussis vaccine</td><td/></tr><tr><td>02</td><td>trivalent poliovirus vaccine, live, oral</td><td/></tr><tr><td>03</td><td>measles, mumps and rubella virus vaccine</td><td/></tr><tr><td>04</td><td>measles and rubella virus vaccine</td><td/></tr><tr><td>05</td><td>measles virus vaccine</td><td/></tr><tr><td>06</td><td>rubella virus vaccine</td><td/></tr><tr><td>07</td><td>mumps virus vaccine</td><td/></tr><tr><td>08</td><td>hepatitis B vaccine, pediatric or pediatric/adolescent dosage</td><td/></tr><tr><td>09</td><td>tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (2 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)</td><td/></tr><tr><td>10</td><td>poliovirus vaccine, inactivated</td><td/></tr><tr><td>100</td><td>pneumococcal conjugate vaccine, 7 valent</td><td/></tr><tr><td>101</td><td>typhoid Vi capsular polysaccharide vaccine</td><td/></tr><tr><td>102</td><td>DTP- Haemophilus influenzae type b conjugate and hepatitis b vaccine</td><td/></tr><tr><td>103</td><td>meningococcal C conjugate vaccine</td><td/></tr><tr><td>104</td><td>hepatitis A and hepatitis B vaccine</td><td/></tr><tr><td>105</td><td>vaccinia (smallpox) vaccine, diluted</td><td/></tr><tr><td>106</td><td>diphtheria, tetanus toxoids and acellular pertussis vaccine, 5 pertussis antigens</td><td/></tr><tr><td>107</td><td>diphtheria, tetanus toxoids and acellular pertussis vaccine, unspecified formulation</td><td/></tr><tr><td>108</td><td>meningococcal ACWY vaccine, unspecified formulation</td><td/></tr><tr><td>109</td><td>pneumococcal vaccine, unspecified formulation</td><td/></tr><tr><td>11</td><td>pertussis vaccine</td><td/></tr><tr><td>110</td><td>DTaP-hepatitis B and poliovirus vaccine</td><td/></tr><tr><td>111</td><td>influenza virus vaccine, live, attenuated, for intranasal use</td><td/></tr><tr><td>112</td><td>tetanus toxoid, unspecified formulation</td><td/></tr><tr><td>113</td><td>tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (5 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)</td><td/></tr><tr><td>114</td><td>meningococcal polysaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4P)</td><td/></tr><tr><td>115</td><td>tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine, adsorbed</td><td/></tr><tr><td>116</td><td>rotavirus, live, pentavalent vaccine</td><td/></tr><tr><td>117</td><td>varicella zoster immune globulin (Investigational New Drug)</td><td/></tr><tr><td>118</td><td>human papilloma virus vaccine, bivalent</td><td/></tr><tr><td>119</td><td>rotavirus, live, monovalent vaccine</td><td/></tr><tr><td>12</td><td>diphtheria antitoxin</td><td/></tr><tr><td>120</td><td>diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)</td><td/></tr><tr><td>121</td><td>zoster vaccine, live</td><td/></tr><tr><td>122</td><td>rotavirus vaccine, unspecified formulation</td><td/></tr><tr><td>123</td><td>influenza virus vaccine, H5N1, A/Vietnam/1203/2004 (national stockpile)</td><td/></tr><tr><td>125</td><td>Novel Influenza-H1N1-09, live virus for nasal administration</td><td/></tr><tr><td>126</td><td>Novel influenza-H1N1-09, preservative-free, injectable</td><td/></tr><tr><td>127</td><td>Novel influenza-H1N1-09, injectable</td><td/></tr><tr><td>128</td><td>Novel influenza-H1N1-09, all formulations</td><td/></tr><tr><td>129</td><td>Japanese Encephalitis vaccine, unspecified formulation</td><td/></tr><tr><td>13</td><td>tetanus immune globulin</td><td/></tr><tr><td>130</td><td>Diphtheria, tetanus toxoids and acellular pertussis vaccine, and poliovirus vaccine, inactivated</td><td/></tr><tr><td>131</td><td>Historical record of a typhus vaccination</td><td/></tr><tr><td>132</td><td>Historical diphtheria and tetanus toxoids and acellular pertussis, poliovirus, Haemophilus b conjugate and hepatitis B (recombinant) vaccine.</td><td/></tr><tr><td>133</td><td>pneumococcal conjugate vaccine, 13 valent</td><td/></tr><tr><td>134</td><td>Japanese Encephalitis vaccine for intramuscular administration</td><td/></tr><tr><td>135</td><td>influenza, high dose seasonal, preservative-free</td><td/></tr><tr><td>136</td><td>meningococcal oligosaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4O)</td><td/></tr><tr><td>137</td><td>HPV, unspecified formulation</td><td/></tr><tr><td>138</td><td>tetanus and diphtheria toxoids, not adsorbed, for adult use</td><td/></tr><tr><td>139</td><td>Td(adult) unspecified formulation</td><td/></tr><tr><td>14</td><td>immune globulin, unspecified formulation</td><td/></tr><tr><td>140</td><td>Influenza, seasonal, injectable, preservative free</td><td/></tr><tr><td>141</td><td>Influenza, seasonal, injectable</td><td/></tr><tr><td>142</td><td>tetanus toxoid, not adsorbed</td><td/></tr><tr><td>143</td><td>Adenovirus, type 4 and type 7, live, oral</td><td/></tr><tr><td>144</td><td>seasonal influenza, intradermal, preservative free</td><td/></tr><tr><td>147</td><td>Meningococcal, MCV4, unspecified conjugate formulation(groups A, C, Y and W-135)</td><td/></tr><tr><td>148</td><td>Meningococcal Groups C and Y and Haemophilus b Tetanus Toxoid Conjugate Vaccine</td><td/></tr><tr><td>149</td><td>influenza, live, intranasal, quadrivalent</td><td/></tr><tr><td>15</td><td>influenza virus vaccine, split virus (incl. purified surface antigen)-retired CODE</td><td/></tr><tr><td>150</td><td>Influenza, injectable, quadrivalent, preservative free</td><td/></tr><tr><td>151</td><td>influenza nasal, unspecified formulation</td><td/></tr><tr><td>152</td><td>Pneumococcal Conjugate, unspecified formulation</td><td/></tr><tr><td>153</td><td>Influenza, injectable, Madin Darby Canine Kidney, preservative free</td><td/></tr><tr><td>155</td><td>Seasonal, trivalent, recombinant, injectable influenza vaccine, preservative free</td><td/></tr><tr><td>156</td><td>Rho(D) Immune globulin- IV or IM</td><td/></tr><tr><td>157</td><td>Rho(D) Immune globulin - IM</td><td/></tr><tr><td>158</td><td>influenza, injectable, quadrivalent, contains preservative</td><td/></tr><tr><td>159</td><td>Rho(D) Unspecified formulation</td><td/></tr><tr><td>16</td><td>influenza virus vaccine, whole virus</td><td/></tr><tr><td>160</td><td>Influenza A monovalent (H5N1), adjuvanted, National stockpile 2013</td><td/></tr><tr><td>161</td><td>Influenza, injectable,quadrivalent, preservative free, pediatric</td><td/></tr><tr><td>162</td><td>meningococcal B vaccine, fully recombinant</td><td/></tr><tr><td>163</td><td>meningococcal B vaccine, recombinant, OMV, adjuvanted</td><td/></tr><tr><td>164</td><td>meningococcal B, unspecified formulation</td><td/></tr><tr><td>165</td><td>Human Papillomavirus 9-valent vaccine</td><td/></tr><tr><td>166</td><td>influenza, intradermal, quadrivalent, preservative free, injectable</td><td/></tr><tr><td>167</td><td>meningococcal vaccine of unknown formulation and unknown serogroups</td><td/></tr><tr><td>168</td><td>Seasonal trivalent influenza vaccine, adjuvanted, preservative free</td><td/></tr><tr><td>169</td><td>Hep A, live attenuated-IM</td><td/></tr><tr><td>17</td><td>Haemophilus influenzae type b vaccine, conjugate unspecified formulation</td><td/></tr><tr><td>170</td><td>non-US diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)</td><td/></tr><tr><td>171</td><td>Influenza, injectable, Madin Darby Canine Kidney, preservative free, quadrivalent</td><td/></tr><tr><td>172</td><td>cholera, WC-rBS</td><td/></tr><tr><td>173</td><td>cholera, BivWC</td><td/></tr><tr><td>174</td><td>cholera, live attenuated</td><td/></tr><tr><td>175</td><td>Human Rabies vaccine from human diploid cell culture</td><td/></tr><tr><td>176</td><td>Human rabies vaccine from Chicken fibroblast culture</td><td/></tr><tr><td>177</td><td>pneumococcal conjugate vaccine, 10 valent</td><td/></tr><tr><td>178</td><td>Non-US bivalent oral polio vaccine (types 1 and 3)</td><td/></tr><tr><td>179</td><td>Non-US monovalent oral polio vaccine, unspecified formulation</td><td/></tr><tr><td>18</td><td>rabies vaccine, for intramuscular injection RETIRED CODE</td><td/></tr><tr><td>180</td><td>tetanus immune globulin</td><td/></tr><tr><td>181</td><td>anthrax immune globulin</td><td/></tr><tr><td>182</td><td>Oral Polio Vaccine, Unspecified formulation</td><td/></tr><tr><td>183</td><td>Yellow fever vaccine alternative formulation</td><td/></tr><tr><td>184</td><td>Yellow fever vaccine, unspecified formulation</td><td/></tr><tr><td>185</td><td>Seasonal, quadrivalent, recombinant, injectable influenza vaccine, preservative free</td><td/></tr><tr><td>186</td><td>Influenza, injectable, Madin Darby Canine Kidney,  quadrivalent with preservative</td><td/></tr><tr><td>187</td><td>zoster vaccine recombinant</td><td/></tr><tr><td>188</td><td>zoster vaccine, unspecified formulation</td><td/></tr><tr><td>189</td><td>Hepatitis B vaccine (recombinant), CpG adjuvanted</td><td/></tr><tr><td>19</td><td>Bacillus Calmette-Guerin vaccine</td><td/></tr><tr><td>20</td><td>diphtheria, tetanus toxoids and acellular pertussis vaccine</td><td/></tr><tr><td>21</td><td>varicella virus vaccine</td><td/></tr><tr><td>22</td><td>DTP-Haemophilus influenzae type b conjugate vaccine</td><td/></tr><tr><td>23</td><td>plague vaccine</td><td/></tr><tr><td>24</td><td>anthrax vaccine</td><td/></tr><tr><td>25</td><td>typhoid vaccine, live, oral</td><td/></tr><tr><td>26</td><td>cholera vaccine, unspecified formulation</td><td/></tr><tr><td>27</td><td>botulinum antitoxin</td><td/></tr><tr><td>28</td><td>diphtheria and tetanus toxoids, adsorbed for pediatric use</td><td/></tr><tr><td>29</td><td>cytomegalovirus immune globulin, intravenous</td><td/></tr><tr><td>30</td><td>hepatitis B immune globulin</td><td/></tr><tr><td>31</td><td>hepatitis A vaccine, pediatric dosage, unspecified formulation</td><td/></tr><tr><td>32</td><td>meningococcal polysaccharide vaccine (MPSV4)</td><td/></tr><tr><td>33</td><td>pneumococcal polysaccharide vaccine, 23 valent</td><td/></tr><tr><td>34</td><td>rabies immune globulin</td><td/></tr><tr><td>35</td><td>tetanus toxoid, adsorbed</td><td/></tr><tr><td>36</td><td>varicella zoster immune globulin</td><td/></tr><tr><td>37</td><td>yellow fever vaccine</td><td/></tr><tr><td>38</td><td>rubella and mumps virus vaccine</td><td/></tr><tr><td>39</td><td>Japanese Encephalitis Vaccine SC</td><td/></tr><tr><td>40</td><td>rabies vaccine, for intradermal injection</td><td/></tr><tr><td>41</td><td>typhoid vaccine, parenteral, other than acetone-killed, dried</td><td/></tr><tr><td>42</td><td>hepatitis B vaccine, adolescent/high risk infant dosage</td><td/></tr><tr><td>43</td><td>hepatitis B vaccine, adult dosage</td><td/></tr><tr><td>44</td><td>hepatitis B vaccine, dialysis patient dosage</td><td/></tr><tr><td>45</td><td>hepatitis B vaccine, unspecified formulation</td><td/></tr><tr><td>46</td><td>Haemophilus influenzae type b vaccine, PRP-D conjugate</td><td/></tr><tr><td>47</td><td>Haemophilus influenzae type b vaccine, HbOC conjugate</td><td/></tr><tr><td>48</td><td>Haemophilus influenzae type b vaccine, PRP-T conjugate</td><td/></tr><tr><td>49</td><td>Haemophilus influenzae type b vaccine, PRP-OMP conjugate</td><td/></tr><tr><td>50</td><td>DTaP-Haemophilus influenzae type b conjugate vaccine</td><td/></tr><tr><td>51</td><td>Haemophilus influenzae type b conjugate and Hepatitis B vaccine</td><td/></tr><tr><td>52</td><td>hepatitis A vaccine, adult dosage</td><td/></tr><tr><td>53</td><td>typhoid vaccine, parenteral, acetone-killed, dried (U.S. military)</td><td/></tr><tr><td>54</td><td>adenovirus vaccine, type 4, live, oral</td><td/></tr><tr><td>55</td><td>adenovirus vaccine, type 7, live, oral</td><td/></tr><tr><td>62</td><td>human papilloma virus vaccine, quadrivalent</td><td/></tr><tr><td>66</td><td>Lyme disease vaccine</td><td/></tr><tr><td>69</td><td>parainfluenza-3 virus vaccine</td><td/></tr><tr><td>71</td><td>respiratory syncytial virus immune globulin, intravenous</td><td/></tr><tr><td>74</td><td>rotavirus, live, tetravalent vaccine</td><td/></tr><tr><td>75</td><td>vaccinia (smallpox) vaccine</td><td/></tr><tr><td>76</td><td>Staphylococcus bacteriophage lysate</td><td/></tr><tr><td>77</td><td>tick-borne encephalitis vaccine</td><td/></tr><tr><td>78</td><td>tularemia vaccine</td><td/></tr><tr><td>79</td><td>vaccinia immune globulin</td><td/></tr><tr><td>80</td><td>Venezuelan equine encephalitis, live, attenuated</td><td/></tr><tr><td>801</td><td>AS03 Adjuvant</td><td/></tr><tr><td>81</td><td>Venezuelan equine encephalitis, inactivated</td><td/></tr><tr><td>82</td><td>adenovirus vaccine, unspecified formulation</td><td/></tr><tr><td>83</td><td>hepatitis A vaccine, pediatric/adolescent dosage, 2 dose schedule</td><td/></tr><tr><td>84</td><td>hepatitis A vaccine, pediatric/adolescent dosage, 3 dose schedule</td><td/></tr><tr><td>85</td><td>hepatitis A vaccine, unspecified formulation</td><td/></tr><tr><td>86</td><td>immune globulin, intramuscular</td><td/></tr><tr><td>87</td><td>immune globulin, intravenous</td><td/></tr><tr><td>88</td><td>influenza virus vaccine, unspecified formulation</td><td/></tr><tr><td>89</td><td>poliovirus vaccine, unspecified formulation</td><td/></tr><tr><td>90</td><td>rabies vaccine, unspecified formulation</td><td/></tr><tr><td>91</td><td>typhoid vaccine, unspecified formulation</td><td/></tr><tr><td>92</td><td>Venezuelan equine encephalitis vaccine, unspecified formulation</td><td/></tr><tr><td>93</td><td>respiratory syncytial virus monoclonal antibody (palivizumab), intramuscular</td><td/></tr><tr><td>94</td><td>measles, mumps, rubella, and varicella virus vaccine</td><td/></tr><tr><td>95</td><td>tuberculin skin test; old tuberculin, multipuncture device</td><td/></tr><tr><td>96</td><td>tuberculin skin test; purified protein derivative solution, intradermal</td><td/></tr><tr><td>97</td><td>tuberculin skin test; purified protein derivative, multipuncture device</td><td/></tr><tr><td>98</td><td>tuberculin skin test; unspecified formulation</td><td/></tr><tr><td>998</td><td>no vaccine administered</td><td/></tr></table></li></ul></div>"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-vaccines-cvx","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113762.1.4.1010.6"},{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.3.88.12.80.22"}],"version":"3.0.1","name":"USCoreVaccineAdministeredValueSetCvx","title":"US Core Vaccine Administered Value Set (CVX)","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"This identifies the vaccine substance administered - CVX codes. **Inclusion Criteria:**  Any CVX code with CVX  'status' (VSAC Property) = `Active`,` Inactive`, `Non-US` except  those noted in exclusions.  **Exclusion Criteria:**  CVX codes that have a CVX  'status' of either `Pending` or `Never Active` AND CVX  codes with CVX 'Nonvaccine' property = True.  Available at http://www2a.cdc.gov/vaccines/iis/iisstandards/vaccines.asp?rpt=cvx","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"compose":{"include":[{"system":"http://hl7.org/fhir/sid/cvx","concept":[{"code":"01","display":"diphtheria, tetanus toxoids and pertussis vaccine"},{"code":"02","display":"trivalent poliovirus vaccine, live, oral"},{"code":"03","display":"measles, mumps and rubella virus vaccine"},{"code":"04","display":"measles and rubella virus vaccine"},{"code":"05","display":"measles virus vaccine"},{"code":"06","display":"rubella virus vaccine"},{"code":"07","display":"mumps virus vaccine"},{"code":"08","display":"hepatitis B vaccine, pediatric or pediatric/adolescent dosage"},{"code":"09","display":"tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (2 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)"},{"code":"10","display":"poliovirus vaccine, inactivated"},{"code":"100","display":"pneumococcal conjugate vaccine, 7 valent"},{"code":"101","display":"typhoid Vi capsular polysaccharide vaccine"},{"code":"102","display":"DTP- Haemophilus influenzae type b conjugate and hepatitis b vaccine"},{"code":"103","display":"meningococcal C conjugate vaccine"},{"code":"104","display":"hepatitis A and hepatitis B vaccine"},{"code":"105","display":"vaccinia (smallpox) vaccine, diluted"},{"code":"106","display":"diphtheria, tetanus toxoids and acellular pertussis vaccine, 5 pertussis antigens"},{"code":"107","display":"diphtheria, tetanus toxoids and acellular pertussis vaccine, unspecified formulation"},{"code":"108","display":"meningococcal ACWY vaccine, unspecified formulation"},{"code":"109","display":"pneumococcal vaccine, unspecified formulation"},{"code":"11","display":"pertussis vaccine"},{"code":"110","display":"DTaP-hepatitis B and poliovirus vaccine"},{"code":"111","display":"influenza virus vaccine, live, attenuated, for intranasal use"},{"code":"112","display":"tetanus toxoid, unspecified formulation"},{"code":"113","display":"tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (5 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)"},{"code":"114","display":"meningococcal polysaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4P)"},{"code":"115","display":"tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine, adsorbed"},{"code":"116","display":"rotavirus, live, pentavalent vaccine"},{"code":"117","display":"varicella zoster immune globulin (Investigational New Drug)"},{"code":"118","display":"human papilloma virus vaccine, bivalent"},{"code":"119","display":"rotavirus, live, monovalent vaccine"},{"code":"12","display":"diphtheria antitoxin"},{"code":"120","display":"diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)"},{"code":"121","display":"zoster vaccine, live"},{"code":"122","display":"rotavirus vaccine, unspecified formulation"},{"code":"123","display":"influenza virus vaccine, H5N1, A/Vietnam/1203/2004 (national stockpile)"},{"code":"125","display":"Novel Influenza-H1N1-09, live virus for nasal administration"},{"code":"126","display":"Novel influenza-H1N1-09, preservative-free, injectable"},{"code":"127","display":"Novel influenza-H1N1-09, injectable"},{"code":"128","display":"Novel influenza-H1N1-09, all formulations"},{"code":"129","display":"Japanese Encephalitis vaccine, unspecified formulation"},{"code":"13","display":"tetanus immune globulin"},{"code":"130","display":"Diphtheria, tetanus toxoids and acellular pertussis vaccine, and poliovirus vaccine, inactivated"},{"code":"131","display":"Historical record of a typhus vaccination"},{"code":"132","display":"Historical diphtheria and tetanus toxoids and acellular pertussis, poliovirus, Haemophilus b conjugate and hepatitis B (recombinant) vaccine."},{"code":"133","display":"pneumococcal conjugate vaccine, 13 valent"},{"code":"134","display":"Japanese Encephalitis vaccine for intramuscular administration"},{"code":"135","display":"influenza, high dose seasonal, preservative-free"},{"code":"136","display":"meningococcal oligosaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4O)"},{"code":"137","display":"HPV, unspecified formulation"},{"code":"138","display":"tetanus and diphtheria toxoids, not adsorbed, for adult use"},{"code":"139","display":"Td(adult) unspecified formulation"},{"code":"14","display":"immune globulin, unspecified formulation"},{"code":"140","display":"Influenza, seasonal, injectable, preservative free"},{"code":"141","display":"Influenza, seasonal, injectable"},{"code":"142","display":"tetanus toxoid, not adsorbed"},{"code":"143","display":"Adenovirus, type 4 and type 7, live, oral"},{"code":"144","display":"seasonal influenza, intradermal, preservative free"},{"code":"147","display":"Meningococcal, MCV4, unspecified conjugate formulation(groups A, C, Y and W-135)"},{"code":"148","display":"Meningococcal Groups C and Y and Haemophilus b Tetanus Toxoid Conjugate Vaccine"},{"code":"149","display":"influenza, live, intranasal, quadrivalent"},{"code":"15","display":"influenza virus vaccine, split virus (incl. purified surface antigen)-retired CODE"},{"code":"150","display":"Influenza, injectable, quadrivalent, preservative free"},{"code":"151","display":"influenza nasal, unspecified formulation"},{"code":"152","display":"Pneumococcal Conjugate, unspecified formulation"},{"code":"153","display":"Influenza, injectable, Madin Darby Canine Kidney, preservative free"},{"code":"155","display":"Seasonal, trivalent, recombinant, injectable influenza vaccine, preservative free"},{"code":"156","display":"Rho(D) Immune globulin- IV or IM"},{"code":"157","display":"Rho(D) Immune globulin - IM"},{"code":"158","display":"influenza, injectable, quadrivalent, contains preservative"},{"code":"159","display":"Rho(D) Unspecified formulation"},{"code":"16","display":"influenza virus vaccine, whole virus"},{"code":"160","display":"Influenza A monovalent (H5N1), adjuvanted, National stockpile 2013"},{"code":"161","display":"Influenza, injectable,quadrivalent, preservative free, pediatric"},{"code":"162","display":"meningococcal B vaccine, fully recombinant"},{"code":"163","display":"meningococcal B vaccine, recombinant, OMV, adjuvanted"},{"code":"164","display":"meningococcal B, unspecified formulation"},{"code":"165","display":"Human Papillomavirus 9-valent vaccine"},{"code":"166","display":"influenza, intradermal, quadrivalent, preservative free, injectable"},{"code":"167","display":"meningococcal vaccine of unknown formulation and unknown serogroups"},{"code":"168","display":"Seasonal trivalent influenza vaccine, adjuvanted, preservative free"},{"code":"169","display":"Hep A, live attenuated-IM"},{"code":"17","display":"Haemophilus influenzae type b vaccine, conjugate unspecified formulation"},{"code":"170","display":"non-US diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)"},{"code":"171","display":"Influenza, injectable, Madin Darby Canine Kidney, preservative free, quadrivalent"},{"code":"172","display":"cholera, WC-rBS"},{"code":"173","display":"cholera, BivWC"},{"code":"174","display":"cholera, live attenuated"},{"code":"175","display":"Human Rabies vaccine from human diploid cell culture"},{"code":"176","display":"Human rabies vaccine from Chicken fibroblast culture"},{"code":"177","display":"pneumococcal conjugate vaccine, 10 valent"},{"code":"178","display":"Non-US bivalent oral polio vaccine (types 1 and 3)"},{"code":"179","display":"Non-US monovalent oral polio vaccine, unspecified formulation"},{"code":"18","display":"rabies vaccine, for intramuscular injection RETIRED CODE"},{"code":"180","display":"tetanus immune globulin"},{"code":"181","display":"anthrax immune globulin"},{"code":"182","display":"Oral Polio Vaccine, Unspecified formulation"},{"code":"183","display":"Yellow fever vaccine alternative formulation"},{"code":"184","display":"Yellow fever vaccine, unspecified formulation"},{"code":"185","display":"Seasonal, quadrivalent, recombinant, injectable influenza vaccine, preservative free"},{"code":"186","display":"Influenza, injectable, Madin Darby Canine Kidney,  quadrivalent with preservative"},{"code":"187","display":"zoster vaccine recombinant"},{"code":"188","display":"zoster vaccine, unspecified formulation"},{"code":"189","display":"Hepatitis B vaccine (recombinant), CpG adjuvanted"},{"code":"19","display":"Bacillus Calmette-Guerin vaccine"},{"code":"20","display":"diphtheria, tetanus toxoids and acellular pertussis vaccine"},{"code":"21","display":"varicella virus vaccine"},{"code":"22","display":"DTP-Haemophilus influenzae type b conjugate vaccine"},{"code":"23","display":"plague vaccine"},{"code":"24","display":"anthrax vaccine"},{"code":"25","display":"typhoid vaccine, live, oral"},{"code":"26","display":"cholera vaccine, unspecified formulation"},{"code":"27","display":"botulinum antitoxin"},{"code":"28","display":"diphtheria and tetanus toxoids, adsorbed for pediatric use"},{"code":"29","display":"cytomegalovirus immune globulin, intravenous"},{"code":"30","display":"hepatitis B immune globulin"},{"code":"31","display":"hepatitis A vaccine, pediatric dosage, unspecified formulation"},{"code":"32","display":"meningococcal polysaccharide vaccine (MPSV4)"},{"code":"33","display":"pneumococcal polysaccharide vaccine, 23 valent"},{"code":"34","display":"rabies immune globulin"},{"code":"35","display":"tetanus toxoid, adsorbed"},{"code":"36","display":"varicella zoster immune globulin"},{"code":"37","display":"yellow fever vaccine"},{"code":"38","display":"rubella and mumps virus vaccine"},{"code":"39","display":"Japanese Encephalitis Vaccine SC"},{"code":"40","display":"rabies vaccine, for intradermal injection"},{"code":"41","display":"typhoid vaccine, parenteral, other than acetone-killed, dried"},{"code":"42","display":"hepatitis B vaccine, adolescent/high risk infant dosage"},{"code":"43","display":"hepatitis B vaccine, adult dosage"},{"code":"44","display":"hepatitis B vaccine, dialysis patient dosage"},{"code":"45","display":"hepatitis B vaccine, unspecified formulation"},{"code":"46","display":"Haemophilus influenzae type b vaccine, PRP-D conjugate"},{"code":"47","display":"Haemophilus influenzae type b vaccine, HbOC conjugate"},{"code":"48","display":"Haemophilus influenzae type b vaccine, PRP-T conjugate"},{"code":"49","display":"Haemophilus influenzae type b vaccine, PRP-OMP conjugate"},{"code":"50","display":"DTaP-Haemophilus influenzae type b conjugate vaccine"},{"code":"51","display":"Haemophilus influenzae type b conjugate and Hepatitis B vaccine"},{"code":"52","display":"hepatitis A vaccine, adult dosage"},{"code":"53","display":"typhoid vaccine, parenteral, acetone-killed, dried (U.S. military)"},{"code":"54","display":"adenovirus vaccine, type 4, live, oral"},{"code":"55","display":"adenovirus vaccine, type 7, live, oral"},{"code":"62","display":"human papilloma virus vaccine, quadrivalent"},{"code":"66","display":"Lyme disease vaccine"},{"code":"69","display":"parainfluenza-3 virus vaccine"},{"code":"71","display":"respiratory syncytial virus immune globulin, intravenous"},{"code":"74","display":"rotavirus, live, tetravalent vaccine"},{"code":"75","display":"vaccinia (smallpox) vaccine"},{"code":"76","display":"Staphylococcus bacteriophage lysate"},{"code":"77","display":"tick-borne encephalitis vaccine"},{"code":"78","display":"tularemia vaccine"},{"code":"79","display":"vaccinia immune globulin"},{"code":"80","display":"Venezuelan equine encephalitis, live, attenuated"},{"code":"801","display":"AS03 Adjuvant"},{"code":"81","display":"Venezuelan equine encephalitis, inactivated"},{"code":"82","display":"adenovirus vaccine, unspecified formulation"},{"code":"83","display":"hepatitis A vaccine, pediatric/adolescent dosage, 2 dose schedule"},{"code":"84","display":"hepatitis A vaccine, pediatric/adolescent dosage, 3 dose schedule"},{"code":"85","display":"hepatitis A vaccine, unspecified formulation"},{"code":"86","display":"immune globulin, intramuscular"},{"code":"87","display":"immune globulin, intravenous"},{"code":"88","display":"influenza virus vaccine, unspecified formulation"},{"code":"89","display":"poliovirus vaccine, unspecified formulation"},{"code":"90","display":"rabies vaccine, unspecified formulation"},{"code":"91","display":"typhoid vaccine, unspecified formulation"},{"code":"92","display":"Venezuelan equine encephalitis vaccine, unspecified formulation"},{"code":"93","display":"respiratory syncytial virus monoclonal antibody (palivizumab), intramuscular"},{"code":"94","display":"measles, mumps, rubella, and varicella virus vaccine"},{"code":"95","display":"tuberculin skin test; old tuberculin, multipuncture device"},{"code":"96","display":"tuberculin skin test; purified protein derivative solution, intradermal"},{"code":"97","display":"tuberculin skin test; purified protein derivative, multipuncture device"},{"code":"98","display":"tuberculin skin test; unspecified formulation"},{"code":"998","display":"no vaccine administered"}]}]}}
\ No newline at end of file
diff --git a/resources/uscore_v3.0.1/ig-r4.json b/resources/uscore_v3.0.1/ig-r4.json
new file mode 100644
index 000000000..c13a059c7
--- /dev/null
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@@ -0,0 +1 @@
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Organization Name","generation":"generated"},{"nameUrl":"SearchParameter-us-core-diagnosticreport-code.html","title":"SearchParameter US Core DiagnosticReport Code","generation":"generated"},{"nameUrl":"SearchParameter-us-core-goal-lifecycle-status.html","title":"SearchParameter US Core Goal Lifecycle Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-procedure-code.html","title":"SearchParameter US Core Procedure Code","generation":"generated"},{"nameUrl":"SearchParameter-us-core-patient-gender.html","title":"SearchParameter US Core Patient Gender","generation":"generated"},{"nameUrl":"SearchParameter-us-core-condition-clinical-status.html","title":"SearchParameter US Core Condition Clinical Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-documentreference-id.html","title":"SearchParameter US Core DocumentReference Id","generation":"generated"},{"nameUrl":"SearchParameter-us-core-careplan-category.html","title":"SearchParameter US Core CarePlan Category","generation":"generated"},{"nameUrl":"SearchParameter-us-core-encounter-class.html","title":"SearchParameter US Core Encounter Class","generation":"generated"},{"nameUrl":"SearchParameter-us-core-medicationrequest-patient.html","title":"SearchParameter US Core MedicationRequest Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-documentreference-patient.html","title":"SearchParameter US Core DocumentReference Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-diagnosticreport-date.html","title":"SearchParameter US Core DiagnosticReport Date","generation":"generated"},{"nameUrl":"SearchParameter-us-core-procedure-date.html","title":"SearchParameter US Core Procedure Date","generation":"generated"},{"nameUrl":"SearchParameter-us-core-allergyintolerance-clinical-status.html","title":"SearchParameter US Core AllergyIntolerance Clinical Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-documentreference-date.html","title":"SearchParameter US Core DocumentReference Date","generation":"generated"},{"nameUrl":"SearchParameter-us-core-medicationrequest-intent.html","title":"SearchParameter US Core MedicationRequest Intent","generation":"generated"},{"nameUrl":"SearchParameter-us-core-location-address.html","title":"SearchParameter US Core Location Address","generation":"generated"},{"nameUrl":"SearchParameter-us-core-practitioner-name.html","title":"SearchParameter US Core Practitioner Name","generation":"generated"},{"nameUrl":"SearchParameter-us-core-documentreference-period.html","title":"SearchParameter US Core DocumentReference Period","generation":"generated"},{"nameUrl":"SearchParameter-us-core-observation-code.html","title":"SearchParameter US Core Observation Code","generation":"generated"},{"nameUrl":"SearchParameter-us-core-location-name.html","title":"SearchParameter US Core Location Name","generation":"generated"},{"nameUrl":"SearchParameter-us-core-condition-onset-date.html","title":"SearchParameter US Core Condition Onset Date","generation":"generated"},{"nameUrl":"SearchParameter-us-core-patient-given.html","title":"SearchParameter US Core Patient Given","generation":"generated"},{"nameUrl":"SearchParameter-us-core-encounter-type.html","title":"SearchParameter US Core Encounter Type","generation":"generated"},{"nameUrl":"SearchParameter-us-core-medicationrequest-encounter.html","title":"SearchParameter US Core MedicationRequest Encounter","generation":"generated"},{"nameUrl":"SearchParameter-us-core-encounter-patient.html","title":"SearchParameter US Core Encounter Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-organization-address.html","title":"SearchParameter US Core Organization Address","generation":"generated"},{"nameUrl":"SearchParameter-us-core-observation-category.html","title":"SearchParameter US Core Observation Category","generation":"generated"},{"nameUrl":"SearchParameter-us-core-diagnosticreport-status.html","title":"SearchParameter US Core DiagnosticReport Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-observation-date.html","title":"SearchParameter US Core Observation Date","generation":"generated"},{"nameUrl":"SearchParameter-us-core-diagnosticreport-category.html","title":"SearchParameter US Core DiagnosticReport Category","generation":"generated"},{"nameUrl":"SearchParameter-us-core-observation-status.html","title":"SearchParameter US Core Observation Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-ethnicity.html","title":"SearchParameter US Core Ethnicity","generation":"generated"},{"nameUrl":"SearchParameter-us-core-documentreference-type.html","title":"SearchParameter US Core DocumentReference Type","generation":"generated"},{"nameUrl":"SearchParameter-us-core-encounter-date.html","title":"SearchParameter US Core Encounter Date","generation":"generated"},{"nameUrl":"SearchParameter-us-core-patient-birthdate.html","title":"SearchParameter US Core Patient Birthdate","generation":"generated"},{"nameUrl":"SearchParameter-us-core-procedure-status.html","title":"SearchParameter US Core Procedure Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-encounter-status.html","title":"SearchParameter US Core Encounter Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-careplan-status.html","title":"SearchParameter US Core CarePlan Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-condition-patient.html","title":"SearchParameter US Core Condition Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-allergyintolerance-patient.html","title":"SearchParameter US Core AllergyIntolerance Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-device-patient.html","title":"SearchParameter US Core Device Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-condition-code.html","title":"SearchParameter US Core Condition Code","generation":"generated"},{"nameUrl":"SearchParameter-us-core-observation-patient.html","title":"SearchParameter US Core Observation Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-race.html","title":"SearchParameter US Core Race","generation":"generated"},{"nameUrl":"SearchParameter-us-core-careplan-patient.html","title":"SearchParameter US Core CarePlan Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-patient-family.html","title":"SearchParameter US Core Patient Family","generation":"generated"},{"nameUrl":"SearchParameter-us-core-medicationrequest-status.html","title":"SearchParameter US Core MedicationRequest Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-location-address-postalcode.html","title":"SearchParameter US Core Location Address Postalcode","generation":"generated"},{"nameUrl":"SearchParameter-us-core-encounter-id.html","title":"SearchParameter US Core Encounter Id","generation":"generated"},{"nameUrl":"SearchParameter-us-core-medicationrequest-authoredon.html","title":"SearchParameter US Core MedicationRequest Authoredon","generation":"generated"},{"nameUrl":"SearchParameter-us-core-documentreference-status.html","title":"SearchParameter US Core DocumentReference Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-procedure-patient.html","title":"SearchParameter US Core Procedure Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-goal-target-date.html","title":"SearchParameter US Core Goal Target Date","generation":"generated"},{"nameUrl":"SearchParameter-us-core-diagnosticreport-patient.html","title":"SearchParameter US Core DiagnosticReport Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-careplan-date.html","title":"SearchParameter US Core CarePlan Date","generation":"generated"},{"nameUrl":"SearchParameter-us-core-careteam-patient.html","title":"SearchParameter US Core CareTeam Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-immunization-date.html","title":"SearchParameter US Core Immunization Date","generation":"generated"},{"nameUrl":"SearchParameter-us-core-encounter-identifier.html","title":"SearchParameter US Core Encounter Identifier","generation":"generated"},{"nameUrl":"SearchParameter-us-core-practitionerrole-specialty.html","title":"SearchParameter US Core PractitionerRole Specialty","generation":"generated"},{"nameUrl":"SearchParameter-us-core-patient-name.html","title":"SearchParameter US Core Patient Name","generation":"generated"},{"nameUrl":"SearchParameter-us-core-device-type.html","title":"SearchParameter US Core Device Type","generation":"generated"},{"nameUrl":"SearchParameter-us-core-goal-patient.html","title":"SearchParameter US Core Goal Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-immunization-patient.html","title":"SearchParameter US Core Immunization Patient","generation":"generated"},{"nameUrl":"SearchParameter-us-core-patient-id.html","title":"SearchParameter US Core Patient Id","generation":"generated"},{"nameUrl":"SearchParameter-us-core-location-address-city.html","title":"SearchParameter US Core Location Address City","generation":"generated"},{"nameUrl":"SearchParameter-us-core-careteam-status.html","title":"SearchParameter US Core CareTeam Status","generation":"generated"},{"nameUrl":"SearchParameter-us-core-documentreference-category.html","title":"SearchParameter US Core DocumentReference Category","generation":"generated"},{"nameUrl":"SearchParameter-us-core-practitioner-identifier.html","title":"SearchParameter US Core Practitioner Identifier","generation":"generated"},{"nameUrl":"SearchParameter-us-core-patient-identifier.html","title":"SearchParameter US Core Patient Identifier","generation":"generated"},{"nameUrl":"SearchParameter-us-core-condition-category.html","title":"SearchParameter US Core Condition Category","generation":"generated"},{"nameUrl":"SearchParameter-us-core-immunization-status.html","title":"SearchParameter US Core Immunization Status","generation":"generated"}]},{"nameUrl":"capstatements.html","title":"Capability Statements","generation":"markdown","page":[{"nameUrl":"CapabilityStatement-us-core-server.html","title":"CapabilityStatement US Core Server","generation":"generated"},{"nameUrl":"CapabilityStatement-us-core-client.html","title":"CapabilityStatement US Core Client","generation":"generated"}]},{"nameUrl":"security.html","title":"Security","generation":"markdown"},{"nameUrl":"downloads.html","title":"Downloads","generation":"markdown"},{"nameUrl":"all-examples.html","title":"All Examples","generation":"markdown"},{"nameUrl":"toc.html","title":"Table of Contents","generation":"html"}]}}}
\ No newline at end of file

From 6831ae9a0a2a852e454595d0fcffae0b57456da3 Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Fri, 20 Sep 2019 15:39:51 -0400
Subject: [PATCH 012/144] Fix tests that are hardcoded to certain sequences
 that moved.

---
 lib/app/modules/us_core_guidance/README.md    |   3 +
 .../clinicalnotes_sequence.rb                 |   0
 .../r4_provenance_sequence.rb                 |   0
 .../us_core_patient_read_only_sequence.rb     |   0
 ...s_core_r4_capability_statement_sequence.rb |   0
 .../pediatric_bmi_for_age_sequence.rb         | 337 ---------------
 .../pediatric_weight_for_height_sequence.rb   | 337 ---------------
 .../us_core_allergyintolerance_sequence.rb    | 217 ----------
 .../us_core_r4/us_core_careplan_sequence.rb   | 292 -------------
 .../us_core_r4/us_core_careteam_sequence.rb   | 191 ---------
 .../us_core_r4/us_core_condition_sequence.rb  | 309 --------------
 .../us_core_r4/us_core_device_sequence.rb     | 218 ----------
 .../us_core_diagnosticreport_lab_sequence.rb  | 386 -----------------
 .../us_core_diagnosticreport_note_sequence.rb | 386 -----------------
 .../us_core_documentreference_sequence.rb     | 387 ------------------
 .../us_core_r4/us_core_encounter_sequence.rb  | 371 -----------------
 .../us_core_r4/us_core_goal_sequence.rb       | 256 ------------
 .../us_core_immunization_sequence.rb          | 257 ------------
 .../us_core_r4/us_core_location_sequence.rb   | 299 --------------
 .../us_core_r4/us_core_medication_sequence.rb | 128 ------
 .../us_core_medicationrequest_sequence.rb     | 247 -----------
 .../us_core_medicationstatement_sequence.rb   | 258 ------------
 .../us_core_observation_lab_sequence.rb       | 327 ---------------
 .../us_core_organization_sequence.rb          | 224 ----------
 .../us_core_r4/us_core_patient_sequence.rb    | 378 -----------------
 .../us_core_practitioner_sequence.rb          | 226 ----------
 .../us_core_practitionerrole_sequence.rb      | 221 ----------
 .../us_core_r4/us_core_procedure_sequence.rb  | 290 -------------
 .../us_core_smokingstatus_sequence.rb         | 314 --------------
 .../us_core_r4/clinicalnotes_sequence_test.rb |   2 +-
 test/unit/test_instance_test.rb               |   2 +-
 31 files changed, 5 insertions(+), 6858 deletions(-)
 create mode 100644 lib/app/modules/us_core_guidance/README.md
 rename lib/app/modules/{us_core_r4 => us_core_guidance}/clinicalnotes_sequence.rb (100%)
 rename lib/app/modules/{us_core_r4 => us_core_guidance}/r4_provenance_sequence.rb (100%)
 rename lib/app/modules/{us_core_r4 => us_core_guidance}/us_core_patient_read_only_sequence.rb (100%)
 rename lib/app/modules/{us_core_r4 => us_core_guidance}/us_core_r4_capability_statement_sequence.rb (100%)
 delete mode 100644 lib/app/modules/us_core_r4/pediatric_bmi_for_age_sequence.rb
 delete mode 100644 lib/app/modules/us_core_r4/pediatric_weight_for_height_sequence.rb
 delete mode 100644 lib/app/modules/us_core_r4/us_core_allergyintolerance_sequence.rb
 delete mode 100644 lib/app/modules/us_core_r4/us_core_careplan_sequence.rb
 delete mode 100644 lib/app/modules/us_core_r4/us_core_careteam_sequence.rb
 delete mode 100644 lib/app/modules/us_core_r4/us_core_condition_sequence.rb
 delete mode 100644 lib/app/modules/us_core_r4/us_core_device_sequence.rb
 delete mode 100644 lib/app/modules/us_core_r4/us_core_diagnosticreport_lab_sequence.rb
 delete mode 100644 lib/app/modules/us_core_r4/us_core_diagnosticreport_note_sequence.rb
 delete mode 100644 lib/app/modules/us_core_r4/us_core_documentreference_sequence.rb
 delete mode 100644 lib/app/modules/us_core_r4/us_core_encounter_sequence.rb
 delete mode 100644 lib/app/modules/us_core_r4/us_core_goal_sequence.rb
 delete mode 100644 lib/app/modules/us_core_r4/us_core_immunization_sequence.rb
 delete mode 100644 lib/app/modules/us_core_r4/us_core_location_sequence.rb
 delete mode 100644 lib/app/modules/us_core_r4/us_core_medication_sequence.rb
 delete mode 100644 lib/app/modules/us_core_r4/us_core_medicationrequest_sequence.rb
 delete mode 100644 lib/app/modules/us_core_r4/us_core_medicationstatement_sequence.rb
 delete mode 100644 lib/app/modules/us_core_r4/us_core_observation_lab_sequence.rb
 delete mode 100644 lib/app/modules/us_core_r4/us_core_organization_sequence.rb
 delete mode 100644 lib/app/modules/us_core_r4/us_core_patient_sequence.rb
 delete mode 100644 lib/app/modules/us_core_r4/us_core_practitioner_sequence.rb
 delete mode 100644 lib/app/modules/us_core_r4/us_core_practitionerrole_sequence.rb
 delete mode 100644 lib/app/modules/us_core_r4/us_core_procedure_sequence.rb
 delete mode 100644 lib/app/modules/us_core_r4/us_core_smokingstatus_sequence.rb

diff --git a/lib/app/modules/us_core_guidance/README.md b/lib/app/modules/us_core_guidance/README.md
new file mode 100644
index 000000000..4ce116f5e
--- /dev/null
+++ b/lib/app/modules/us_core_guidance/README.md
@@ -0,0 +1,3 @@
+This folder is for guidance-based tests for US Core on FHIR R4.  This allows us
+to separate the autogenerated-tests from the manually created tests that are based
+from guidance text.  This solution could be improved.
diff --git a/lib/app/modules/us_core_r4/clinicalnotes_sequence.rb b/lib/app/modules/us_core_guidance/clinicalnotes_sequence.rb
similarity index 100%
rename from lib/app/modules/us_core_r4/clinicalnotes_sequence.rb
rename to lib/app/modules/us_core_guidance/clinicalnotes_sequence.rb
diff --git a/lib/app/modules/us_core_r4/r4_provenance_sequence.rb b/lib/app/modules/us_core_guidance/r4_provenance_sequence.rb
similarity index 100%
rename from lib/app/modules/us_core_r4/r4_provenance_sequence.rb
rename to lib/app/modules/us_core_guidance/r4_provenance_sequence.rb
diff --git a/lib/app/modules/us_core_r4/us_core_patient_read_only_sequence.rb b/lib/app/modules/us_core_guidance/us_core_patient_read_only_sequence.rb
similarity index 100%
rename from lib/app/modules/us_core_r4/us_core_patient_read_only_sequence.rb
rename to lib/app/modules/us_core_guidance/us_core_patient_read_only_sequence.rb
diff --git a/lib/app/modules/us_core_r4/us_core_r4_capability_statement_sequence.rb b/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb
similarity index 100%
rename from lib/app/modules/us_core_r4/us_core_r4_capability_statement_sequence.rb
rename to lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb
diff --git a/lib/app/modules/us_core_r4/pediatric_bmi_for_age_sequence.rb b/lib/app/modules/us_core_r4/pediatric_bmi_for_age_sequence.rb
deleted file mode 100644
index 46815dbdf..000000000
--- a/lib/app/modules/us_core_r4/pediatric_bmi_for_age_sequence.rb
+++ /dev/null
@@ -1,337 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class PediatricBmiForAgeSequence < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
-      title 'Pediatric BMI for Age Observation Tests'
-
-      description 'Verify that Observation resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
-
-      test_id_prefix 'Observation' # change me
-
-      requires :token, :patient_id
-      conformance_supports :Observation
-
-      def validate_resource_item(resource, property, value)
-        case property
-
-        when 'status'
-          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'status on resource does not match status requested'
-
-        when 'category'
-          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'category on resource does not match category requested'
-
-        when 'code'
-          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'code on resource does not match code requested'
-
-        when 'date'
-          value_found = can_resolve_path(resource, 'effectiveDateTime') do |date|
-            validate_date_search(value, date)
-          end
-          assert value_found, 'date on resource does not match date requested'
-
-        when 'patient'
-          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
-          assert value_found, 'patient on resource does not match patient requested'
-
-        end
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [PediatricBmiForAge Argonaut Profile](http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age)
-
-      )
-
-      @resources_found = false
-
-      test 'Server rejects Observation search without authorization' do
-        metadata do
-          id '01'
-          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        search_params = { patient: @instance.patient_id, code: '59576-9' }
-
-        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server returns expected results from Observation search by patient+code' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        search_params = { patient: @instance.patient_id, code: '59576-9' }
-
-        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
-        assert_response_ok(reply)
-        assert_bundle_response(reply)
-
-        resource_count = reply&.resource&.entry&.length || 0
-        @resources_found = true if resource_count.positive?
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        @observation = reply.try(:resource).try(:entry).try(:first).try(:resource)
-        @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:pediatric_bmi_age])
-        save_delayed_sequence_references(@observation)
-        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
-      end
-
-      test 'Server returns expected results from Observation search by patient+category' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@observation.nil?, 'Expected valid Observation resource to be present'
-
-        patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        search_params = { 'patient': patient_val, 'category': category_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
-        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from Observation search by patient+category+date' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@observation.nil?, 'Expected valid Observation resource to be present'
-
-        patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
-        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
-        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
-        assert_response_ok(reply)
-
-        ['gt', 'lt', 'le'].each do |comparator|
-          comparator_val = date_comparator_value(comparator, date_val)
-          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'date': comparator_val }
-          reply = get_resource_by_params(versioned_resource_class('Observation'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('Observation'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end
-      end
-
-      test 'Server returns expected results from Observation search by patient+code+date' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@observation.nil?, 'Expected valid Observation resource to be present'
-
-        patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@observation, 'code.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
-        search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
-        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
-        assert_response_ok(reply)
-
-        ['gt', 'lt', 'le'].each do |comparator|
-          comparator_val = date_comparator_value(comparator, date_val)
-          comparator_search_params = { 'patient': patient_val, 'code': code_val, 'date': comparator_val }
-          reply = get_resource_by_params(versioned_resource_class('Observation'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('Observation'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end
-      end
-
-      test 'Server returns expected results from Observation search by patient+category+status' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@observation.nil?, 'Expected valid Observation resource to be present'
-
-        patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        status_val = resolve_element_from_path(@observation, 'status')
-        search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
-        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Observation read resource supported' do
-        metadata do
-          id '07'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Observation, [:read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_read_reply(@observation, versioned_resource_class('Observation'))
-      end
-
-      test 'Observation vread resource supported' do
-        metadata do
-          id '08'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Observation, [:vread])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_vread_reply(@observation, versioned_resource_class('Observation'))
-      end
-
-      test 'Observation history resource supported' do
-        metadata do
-          id '09'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Observation, [:history])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_history_reply(@observation, versioned_resource_class('Observation'))
-      end
-
-      test 'Observation resources associated with Patient conform to US Core R4 profiles' do
-        metadata do
-          id '10'
-          link 'http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('Observation', Inferno::ValidationUtil::US_CORE_R4_URIS[:pediatric_bmi_age])
-      end
-
-      test 'At least one of every must support element is provided in any Observation for this patient.' do
-        metadata do
-          id '11'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @observation_ary&.any?
-        must_support_confirmed = {}
-        must_support_elements = [
-          'Observation.status',
-          'Observation.category',
-          'Observation.category',
-          'Observation.category.coding',
-          'Observation.category.coding.system',
-          'Observation.category.coding.code',
-          'Observation.subject',
-          'Observation.effectiveDateTime',
-          'Observation.effectivePeriod',
-          'Observation.valueQuantity.value',
-          'Observation.valueQuantity.unit',
-          'Observation.valueQuantity.system',
-          'Observation.valueQuantity.code',
-          'Observation.dataAbsentReason',
-          'Observation.component',
-          'Observation.component.code',
-          'Observation.component.valueQuantity',
-          'Observation.component.valueCodeableConcept',
-          'Observation.component.valueString',
-          'Observation.component.valueBoolean',
-          'Observation.component.valueInteger',
-          'Observation.component.valueRange',
-          'Observation.component.valueRatio',
-          'Observation.component.valueSampledData',
-          'Observation.component.valueTime',
-          'Observation.component.valueDateTime',
-          'Observation.component.valuePeriod',
-          'Observation.component.dataAbsentReason'
-        ]
-        must_support_elements.each do |path|
-          @observation_ary&.each do |resource|
-            truncated_path = path.gsub('Observation.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @observation_ary.length
-
-          skip "Could not find #{path} in any of the #{resource_count} provided Observation resource(s)" unless must_support_confirmed[path]
-        end
-        @instance.save!
-      end
-
-      test 'All references can be resolved' do
-        metadata do
-          id '12'
-          link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Observation, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@observation)
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/us_core_r4/pediatric_weight_for_height_sequence.rb b/lib/app/modules/us_core_r4/pediatric_weight_for_height_sequence.rb
deleted file mode 100644
index 2224b7511..000000000
--- a/lib/app/modules/us_core_r4/pediatric_weight_for_height_sequence.rb
+++ /dev/null
@@ -1,337 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class PediatricWeightForHeightSequence < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
-      title 'Pediatric Weight for Height Observation Tests'
-
-      description 'Verify that Observation resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
-
-      test_id_prefix 'Observation' # change me
-
-      requires :token, :patient_id
-      conformance_supports :Observation
-
-      def validate_resource_item(resource, property, value)
-        case property
-
-        when 'status'
-          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'status on resource does not match status requested'
-
-        when 'category'
-          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'category on resource does not match category requested'
-
-        when 'code'
-          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'code on resource does not match code requested'
-
-        when 'date'
-          value_found = can_resolve_path(resource, 'effectiveDateTime') do |date|
-            validate_date_search(value, date)
-          end
-          assert value_found, 'date on resource does not match date requested'
-
-        when 'patient'
-          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
-          assert value_found, 'patient on resource does not match patient requested'
-
-        end
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [PediatricWeightForHeight Argonaut Profile](http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height)
-
-      )
-
-      @resources_found = false
-
-      test 'Server rejects Observation search without authorization' do
-        metadata do
-          id '01'
-          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        search_params = { patient: @instance.patient_id, code: '77606-2' }
-
-        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server returns expected results from Observation search by patient+code' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        search_params = { patient: @instance.patient_id, code: '77606-2' }
-
-        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
-        assert_response_ok(reply)
-        assert_bundle_response(reply)
-
-        resource_count = reply&.resource&.entry&.length || 0
-        @resources_found = true if resource_count.positive?
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        @observation = reply.try(:resource).try(:entry).try(:first).try(:resource)
-        @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:pediatric_weight_height])
-        save_delayed_sequence_references(@observation)
-        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
-      end
-
-      test 'Server returns expected results from Observation search by patient+category' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@observation.nil?, 'Expected valid Observation resource to be present'
-
-        patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        search_params = { 'patient': patient_val, 'category': category_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
-        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from Observation search by patient+category+date' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@observation.nil?, 'Expected valid Observation resource to be present'
-
-        patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
-        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
-        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
-        assert_response_ok(reply)
-
-        ['gt', 'lt', 'le'].each do |comparator|
-          comparator_val = date_comparator_value(comparator, date_val)
-          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'date': comparator_val }
-          reply = get_resource_by_params(versioned_resource_class('Observation'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('Observation'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end
-      end
-
-      test 'Server returns expected results from Observation search by patient+code+date' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@observation.nil?, 'Expected valid Observation resource to be present'
-
-        patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@observation, 'code.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
-        search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
-        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
-        assert_response_ok(reply)
-
-        ['gt', 'lt', 'le'].each do |comparator|
-          comparator_val = date_comparator_value(comparator, date_val)
-          comparator_search_params = { 'patient': patient_val, 'code': code_val, 'date': comparator_val }
-          reply = get_resource_by_params(versioned_resource_class('Observation'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('Observation'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end
-      end
-
-      test 'Server returns expected results from Observation search by patient+category+status' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@observation.nil?, 'Expected valid Observation resource to be present'
-
-        patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        status_val = resolve_element_from_path(@observation, 'status')
-        search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
-        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Observation read resource supported' do
-        metadata do
-          id '07'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Observation, [:read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_read_reply(@observation, versioned_resource_class('Observation'))
-      end
-
-      test 'Observation vread resource supported' do
-        metadata do
-          id '08'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Observation, [:vread])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_vread_reply(@observation, versioned_resource_class('Observation'))
-      end
-
-      test 'Observation history resource supported' do
-        metadata do
-          id '09'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Observation, [:history])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_history_reply(@observation, versioned_resource_class('Observation'))
-      end
-
-      test 'Observation resources associated with Patient conform to US Core R4 profiles' do
-        metadata do
-          id '10'
-          link 'http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('Observation', Inferno::ValidationUtil::US_CORE_R4_URIS[:pediatric_weight_height])
-      end
-
-      test 'At least one of every must support element is provided in any Observation for this patient.' do
-        metadata do
-          id '11'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @observation_ary&.any?
-        must_support_confirmed = {}
-        must_support_elements = [
-          'Observation.status',
-          'Observation.category',
-          'Observation.category',
-          'Observation.category.coding',
-          'Observation.category.coding.system',
-          'Observation.category.coding.code',
-          'Observation.subject',
-          'Observation.effectiveDateTime',
-          'Observation.effectivePeriod',
-          'Observation.valueQuantity.value',
-          'Observation.valueQuantity.unit',
-          'Observation.valueQuantity.system',
-          'Observation.valueQuantity.code',
-          'Observation.dataAbsentReason',
-          'Observation.component',
-          'Observation.component.code',
-          'Observation.component.valueQuantity',
-          'Observation.component.valueCodeableConcept',
-          'Observation.component.valueString',
-          'Observation.component.valueBoolean',
-          'Observation.component.valueInteger',
-          'Observation.component.valueRange',
-          'Observation.component.valueRatio',
-          'Observation.component.valueSampledData',
-          'Observation.component.valueTime',
-          'Observation.component.valueDateTime',
-          'Observation.component.valuePeriod',
-          'Observation.component.dataAbsentReason'
-        ]
-        must_support_elements.each do |path|
-          @observation_ary&.each do |resource|
-            truncated_path = path.gsub('Observation.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @observation_ary.length
-
-          skip "Could not find #{path} in any of the #{resource_count} provided Observation resource(s)" unless must_support_confirmed[path]
-        end
-        @instance.save!
-      end
-
-      test 'All references can be resolved' do
-        metadata do
-          id '12'
-          link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Observation, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@observation)
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/us_core_r4/us_core_allergyintolerance_sequence.rb b/lib/app/modules/us_core_r4/us_core_allergyintolerance_sequence.rb
deleted file mode 100644
index 31af9bc12..000000000
--- a/lib/app/modules/us_core_r4/us_core_allergyintolerance_sequence.rb
+++ /dev/null
@@ -1,217 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class USCoreR4AllergyintoleranceSequence < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
-      title 'AllergyIntolerance Tests'
-
-      description 'Verify that AllergyIntolerance resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
-
-      test_id_prefix 'AllergyIntolerance' # change me
-
-      requires :token, :patient_id
-      conformance_supports :AllergyIntolerance
-
-      def validate_resource_item(resource, property, value)
-        case property
-
-        when 'clinical-status'
-          value_found = can_resolve_path(resource, 'clinicalStatus.coding.code') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'clinical-status on resource does not match clinical-status requested'
-
-        when 'patient'
-          value_found = can_resolve_path(resource, 'patient.reference') { |reference| [value, 'Patient/' + value].include? reference }
-          assert value_found, 'patient on resource does not match patient requested'
-
-        end
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [Allergyintolerance Argonaut Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance)
-
-      )
-
-      @resources_found = false
-
-      test 'Server rejects AllergyIntolerance search without authorization' do
-        metadata do
-          id '01'
-          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        patient_val = @instance.patient_id
-        search_params = { 'patient': patient_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('AllergyIntolerance'), search_params)
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server returns expected results from AllergyIntolerance search by patient' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        patient_val = @instance.patient_id
-        search_params = { 'patient': patient_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('AllergyIntolerance'), search_params)
-        assert_response_ok(reply)
-        assert_bundle_response(reply)
-
-        resource_count = reply&.resource&.entry&.length || 0
-        @resources_found = true if resource_count.positive?
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        @allergyintolerance = reply.try(:resource).try(:entry).try(:first).try(:resource)
-        @allergyintolerance_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(versioned_resource_class('AllergyIntolerance'), reply)
-        save_delayed_sequence_references(@allergyintolerance)
-        validate_search_reply(versioned_resource_class('AllergyIntolerance'), reply, search_params)
-      end
-
-      test 'Server returns expected results from AllergyIntolerance search by patient+clinical-status' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@allergyintolerance.nil?, 'Expected valid AllergyIntolerance resource to be present'
-
-        patient_val = @instance.patient_id
-        clinical_status_val = resolve_element_from_path(@allergyintolerance, 'clinicalStatus.coding.code')
-        search_params = { 'patient': patient_val, 'clinical-status': clinical_status_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('AllergyIntolerance'), search_params)
-        validate_search_reply(versioned_resource_class('AllergyIntolerance'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'AllergyIntolerance read resource supported' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:AllergyIntolerance, [:read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_read_reply(@allergyintolerance, versioned_resource_class('AllergyIntolerance'))
-      end
-
-      test 'AllergyIntolerance vread resource supported' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:AllergyIntolerance, [:vread])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_vread_reply(@allergyintolerance, versioned_resource_class('AllergyIntolerance'))
-      end
-
-      test 'AllergyIntolerance history resource supported' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:AllergyIntolerance, [:history])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_history_reply(@allergyintolerance, versioned_resource_class('AllergyIntolerance'))
-      end
-
-      test 'AllergyIntolerance resources associated with Patient conform to US Core R4 profiles' do
-        metadata do
-          id '07'
-          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('AllergyIntolerance')
-      end
-
-      test 'At least one of every must support element is provided in any AllergyIntolerance for this patient.' do
-        metadata do
-          id '08'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @allergyintolerance_ary&.any?
-        must_support_confirmed = {}
-        must_support_elements = [
-          'AllergyIntolerance.clinicalStatus',
-          'AllergyIntolerance.verificationStatus',
-          'AllergyIntolerance.code',
-          'AllergyIntolerance.patient'
-        ]
-        must_support_elements.each do |path|
-          @allergyintolerance_ary&.each do |resource|
-            truncated_path = path.gsub('AllergyIntolerance.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @allergyintolerance_ary.length
-
-          skip "Could not find #{path} in any of the #{resource_count} provided AllergyIntolerance resource(s)" unless must_support_confirmed[path]
-        end
-        @instance.save!
-      end
-
-      test 'All references can be resolved' do
-        metadata do
-          id '09'
-          link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:AllergyIntolerance, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@allergyintolerance)
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/us_core_r4/us_core_careplan_sequence.rb b/lib/app/modules/us_core_r4/us_core_careplan_sequence.rb
deleted file mode 100644
index e91f0f73f..000000000
--- a/lib/app/modules/us_core_r4/us_core_careplan_sequence.rb
+++ /dev/null
@@ -1,292 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class USCoreR4CareplanSequence < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
-      title 'CarePlan Tests'
-
-      description 'Verify that CarePlan resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
-
-      test_id_prefix 'CarePlan' # change me
-
-      requires :token, :patient_id
-      conformance_supports :CarePlan
-
-      def validate_resource_item(resource, property, value)
-        case property
-
-        when 'category'
-          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'category on resource does not match category requested'
-
-        when 'date'
-          value_found = can_resolve_path(resource, 'period') do |period|
-            validate_period_search(value, period)
-          end
-          assert value_found, 'date on resource does not match date requested'
-
-        when 'patient'
-          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
-          assert value_found, 'patient on resource does not match patient requested'
-
-        when 'status'
-          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'status on resource does not match status requested'
-
-        end
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [Careplan Argonaut Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan)
-
-      )
-
-      @resources_found = false
-
-      test 'Server rejects CarePlan search without authorization' do
-        metadata do
-          id '01'
-          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        search_params = { patient: @instance.patient_id, category: 'assess-plan' }
-
-        reply = get_resource_by_params(versioned_resource_class('CarePlan'), search_params)
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server returns expected results from CarePlan search by patient+category' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        search_params = { patient: @instance.patient_id, category: 'assess-plan' }
-
-        reply = get_resource_by_params(versioned_resource_class('CarePlan'), search_params)
-        assert_response_ok(reply)
-        assert_bundle_response(reply)
-
-        resource_count = reply&.resource&.entry&.length || 0
-        @resources_found = true if resource_count.positive?
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        @careplan = reply.try(:resource).try(:entry).try(:first).try(:resource)
-        @careplan_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(versioned_resource_class('CarePlan'), reply)
-        save_delayed_sequence_references(@careplan)
-        validate_search_reply(versioned_resource_class('CarePlan'), reply, search_params)
-      end
-
-      test 'Server returns expected results from CarePlan search by patient+category+status' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@careplan.nil?, 'Expected valid CarePlan resource to be present'
-
-        patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@careplan, 'category.coding.code')
-        status_val = resolve_element_from_path(@careplan, 'status')
-        search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('CarePlan'), search_params)
-        validate_search_reply(versioned_resource_class('CarePlan'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from CarePlan search by patient+category+status+date' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@careplan.nil?, 'Expected valid CarePlan resource to be present'
-
-        patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@careplan, 'category.coding.code')
-        status_val = resolve_element_from_path(@careplan, 'status')
-        date_val = resolve_element_from_path(@careplan, 'period.start')
-        search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val, 'date': date_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('CarePlan'), search_params)
-        validate_search_reply(versioned_resource_class('CarePlan'), reply, search_params)
-        assert_response_ok(reply)
-
-        ['gt', 'lt', 'le'].each do |comparator|
-          comparator_val = date_comparator_value(comparator, date_val)
-          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val, 'date': comparator_val }
-          reply = get_resource_by_params(versioned_resource_class('CarePlan'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('CarePlan'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end
-      end
-
-      test 'Server returns expected results from CarePlan search by patient+category+date' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@careplan.nil?, 'Expected valid CarePlan resource to be present'
-
-        patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@careplan, 'category.coding.code')
-        date_val = resolve_element_from_path(@careplan, 'period.start')
-        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('CarePlan'), search_params)
-        validate_search_reply(versioned_resource_class('CarePlan'), reply, search_params)
-        assert_response_ok(reply)
-
-        ['gt', 'lt', 'le'].each do |comparator|
-          comparator_val = date_comparator_value(comparator, date_val)
-          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'date': comparator_val }
-          reply = get_resource_by_params(versioned_resource_class('CarePlan'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('CarePlan'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end
-      end
-
-      test 'CarePlan read resource supported' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:CarePlan, [:read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_read_reply(@careplan, versioned_resource_class('CarePlan'))
-      end
-
-      test 'CarePlan vread resource supported' do
-        metadata do
-          id '07'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:CarePlan, [:vread])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_vread_reply(@careplan, versioned_resource_class('CarePlan'))
-      end
-
-      test 'CarePlan history resource supported' do
-        metadata do
-          id '08'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:CarePlan, [:history])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_history_reply(@careplan, versioned_resource_class('CarePlan'))
-      end
-
-      test 'CarePlan resources associated with Patient conform to US Core R4 profiles' do
-        metadata do
-          id '09'
-          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('CarePlan')
-      end
-
-      test 'At least one of every must support element is provided in any CarePlan for this patient.' do
-        metadata do
-          id '10'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @careplan_ary&.any?
-        must_support_confirmed = {}
-        must_support_elements = [
-          'CarePlan.text',
-          'CarePlan.text.status',
-          'CarePlan.status',
-          'CarePlan.intent',
-          'CarePlan.category',
-          'CarePlan.category',
-          'CarePlan.subject'
-        ]
-        must_support_elements.each do |path|
-          @careplan_ary&.each do |resource|
-            truncated_path = path.gsub('CarePlan.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @careplan_ary.length
-
-          skip "Could not find #{path} in any of the #{resource_count} provided CarePlan resource(s)" unless must_support_confirmed[path]
-        end
-        @instance.save!
-      end
-
-      test 'All references can be resolved' do
-        metadata do
-          id '11'
-          link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:CarePlan, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@careplan)
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/us_core_r4/us_core_careteam_sequence.rb b/lib/app/modules/us_core_r4/us_core_careteam_sequence.rb
deleted file mode 100644
index 507bb20fb..000000000
--- a/lib/app/modules/us_core_r4/us_core_careteam_sequence.rb
+++ /dev/null
@@ -1,191 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class USCoreR4CareteamSequence < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
-      title 'CareTeam Tests'
-
-      description 'Verify that CareTeam resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
-
-      test_id_prefix 'CareTeam' # change me
-
-      requires :token, :patient_id
-      conformance_supports :CareTeam
-
-      def validate_resource_item(resource, property, value)
-        case property
-
-        when 'patient'
-          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
-          assert value_found, 'patient on resource does not match patient requested'
-
-        when 'status'
-          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'status on resource does not match status requested'
-
-        end
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [Careteam Argonaut Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam)
-
-      )
-
-      @resources_found = false
-
-      test 'Server rejects CareTeam search without authorization' do
-        metadata do
-          id '01'
-          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        search_params = { patient: @instance.patient_id, status: 'active' }
-
-        reply = get_resource_by_params(versioned_resource_class('CareTeam'), search_params)
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server returns expected results from CareTeam search by patient+status' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        search_params = { patient: @instance.patient_id, status: 'active' }
-
-        reply = get_resource_by_params(versioned_resource_class('CareTeam'), search_params)
-        assert_response_ok(reply)
-        assert_bundle_response(reply)
-
-        resource_count = reply&.resource&.entry&.length || 0
-        @resources_found = true if resource_count.positive?
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        @careteam = reply.try(:resource).try(:entry).try(:first).try(:resource)
-        @careteam_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(versioned_resource_class('CareTeam'), reply)
-        save_delayed_sequence_references(@careteam)
-        validate_search_reply(versioned_resource_class('CareTeam'), reply, search_params)
-      end
-
-      test 'CareTeam read resource supported' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:CareTeam, [:read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_read_reply(@careteam, versioned_resource_class('CareTeam'))
-      end
-
-      test 'CareTeam vread resource supported' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:CareTeam, [:vread])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_vread_reply(@careteam, versioned_resource_class('CareTeam'))
-      end
-
-      test 'CareTeam history resource supported' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:CareTeam, [:history])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_history_reply(@careteam, versioned_resource_class('CareTeam'))
-      end
-
-      test 'CareTeam resources associated with Patient conform to US Core R4 profiles' do
-        metadata do
-          id '06'
-          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('CareTeam')
-      end
-
-      test 'At least one of every must support element is provided in any CareTeam for this patient.' do
-        metadata do
-          id '07'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @careteam_ary&.any?
-        must_support_confirmed = {}
-        must_support_elements = [
-          'CareTeam.status',
-          'CareTeam.subject',
-          'CareTeam.participant',
-          'CareTeam.participant.role',
-          'CareTeam.participant.member'
-        ]
-        must_support_elements.each do |path|
-          @careteam_ary&.each do |resource|
-            truncated_path = path.gsub('CareTeam.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @careteam_ary.length
-
-          skip "Could not find #{path} in any of the #{resource_count} provided CareTeam resource(s)" unless must_support_confirmed[path]
-        end
-        @instance.save!
-      end
-
-      test 'All references can be resolved' do
-        metadata do
-          id '08'
-          link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:CareTeam, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@careteam)
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/us_core_r4/us_core_condition_sequence.rb b/lib/app/modules/us_core_r4/us_core_condition_sequence.rb
deleted file mode 100644
index 68c76b689..000000000
--- a/lib/app/modules/us_core_r4/us_core_condition_sequence.rb
+++ /dev/null
@@ -1,309 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class USCoreR4ConditionSequence < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
-      title 'Condition Tests'
-
-      description 'Verify that Condition resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
-
-      test_id_prefix 'Condition' # change me
-
-      requires :token, :patient_id
-      conformance_supports :Condition
-
-      def validate_resource_item(resource, property, value)
-        case property
-
-        when 'category'
-          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'category on resource does not match category requested'
-
-        when 'clinical-status'
-          value_found = can_resolve_path(resource, 'clinicalStatus.coding.code') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'clinical-status on resource does not match clinical-status requested'
-
-        when 'patient'
-          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
-          assert value_found, 'patient on resource does not match patient requested'
-
-        when 'onset-date'
-          value_found = can_resolve_path(resource, 'onsetDateTime') do |date|
-            validate_date_search(value, date)
-          end
-          assert value_found, 'onset-date on resource does not match onset-date requested'
-
-        when 'code'
-          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'code on resource does not match code requested'
-
-        end
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [Condition Argonaut Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition)
-
-      )
-
-      @resources_found = false
-
-      test 'Server rejects Condition search without authorization' do
-        metadata do
-          id '01'
-          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        patient_val = @instance.patient_id
-        search_params = { 'patient': patient_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Condition'), search_params)
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server returns expected results from Condition search by patient' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        patient_val = @instance.patient_id
-        search_params = { 'patient': patient_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Condition'), search_params)
-        assert_response_ok(reply)
-        assert_bundle_response(reply)
-
-        resource_count = reply&.resource&.entry&.length || 0
-        @resources_found = true if resource_count.positive?
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        @condition = reply.try(:resource).try(:entry).try(:first).try(:resource)
-        @condition_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(versioned_resource_class('Condition'), reply)
-        save_delayed_sequence_references(@condition)
-        validate_search_reply(versioned_resource_class('Condition'), reply, search_params)
-      end
-
-      test 'Server returns expected results from Condition search by patient+onset-date' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@condition.nil?, 'Expected valid Condition resource to be present'
-
-        patient_val = @instance.patient_id
-        onset_date_val = resolve_element_from_path(@condition, 'onsetDateTime')
-        search_params = { 'patient': patient_val, 'onset-date': onset_date_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Condition'), search_params)
-        validate_search_reply(versioned_resource_class('Condition'), reply, search_params)
-        assert_response_ok(reply)
-
-        ['gt', 'lt', 'le'].each do |comparator|
-          comparator_val = date_comparator_value(comparator, onset_date_val)
-          comparator_search_params = { 'patient': patient_val, 'onset-date': comparator_val }
-          reply = get_resource_by_params(versioned_resource_class('Condition'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('Condition'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end
-      end
-
-      test 'Server returns expected results from Condition search by patient+category' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@condition.nil?, 'Expected valid Condition resource to be present'
-
-        patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@condition, 'category.coding.code')
-        search_params = { 'patient': patient_val, 'category': category_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Condition'), search_params)
-        validate_search_reply(versioned_resource_class('Condition'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from Condition search by patient+code' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@condition.nil?, 'Expected valid Condition resource to be present'
-
-        patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@condition, 'code.coding.code')
-        search_params = { 'patient': patient_val, 'code': code_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Condition'), search_params)
-        validate_search_reply(versioned_resource_class('Condition'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from Condition search by patient+clinical-status' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@condition.nil?, 'Expected valid Condition resource to be present'
-
-        patient_val = @instance.patient_id
-        clinical_status_val = resolve_element_from_path(@condition, 'clinicalStatus.coding.code')
-        search_params = { 'patient': patient_val, 'clinical-status': clinical_status_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Condition'), search_params)
-        validate_search_reply(versioned_resource_class('Condition'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Condition read resource supported' do
-        metadata do
-          id '07'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Condition, [:read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_read_reply(@condition, versioned_resource_class('Condition'))
-      end
-
-      test 'Condition vread resource supported' do
-        metadata do
-          id '08'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Condition, [:vread])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_vread_reply(@condition, versioned_resource_class('Condition'))
-      end
-
-      test 'Condition history resource supported' do
-        metadata do
-          id '09'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Condition, [:history])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_history_reply(@condition, versioned_resource_class('Condition'))
-      end
-
-      test 'Condition resources associated with Patient conform to US Core R4 profiles' do
-        metadata do
-          id '10'
-          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('Condition')
-      end
-
-      test 'At least one of every must support element is provided in any Condition for this patient.' do
-        metadata do
-          id '11'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @condition_ary&.any?
-        must_support_confirmed = {}
-        must_support_elements = [
-          'Condition.clinicalStatus',
-          'Condition.verificationStatus',
-          'Condition.category',
-          'Condition.code',
-          'Condition.subject'
-        ]
-        must_support_elements.each do |path|
-          @condition_ary&.each do |resource|
-            truncated_path = path.gsub('Condition.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @condition_ary.length
-
-          skip "Could not find #{path} in any of the #{resource_count} provided Condition resource(s)" unless must_support_confirmed[path]
-        end
-        @instance.save!
-      end
-
-      test 'All references can be resolved' do
-        metadata do
-          id '12'
-          link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Condition, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@condition)
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/us_core_r4/us_core_device_sequence.rb b/lib/app/modules/us_core_r4/us_core_device_sequence.rb
deleted file mode 100644
index fc099f4dd..000000000
--- a/lib/app/modules/us_core_r4/us_core_device_sequence.rb
+++ /dev/null
@@ -1,218 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class USCoreR4DeviceSequence < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
-      title 'Device Tests'
-
-      description 'Verify that Device resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
-
-      test_id_prefix 'Device' # change me
-
-      requires :token, :patient_id
-      conformance_supports :Device
-
-      def validate_resource_item(resource, property, value)
-        case property
-
-        when 'patient'
-          value_found = can_resolve_path(resource, 'patient.reference') { |reference| [value, 'Patient/' + value].include? reference }
-          assert value_found, 'patient on resource does not match patient requested'
-
-        when 'type'
-          value_found = can_resolve_path(resource, 'type.coding.code') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'type on resource does not match type requested'
-
-        end
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [Device Argonaut Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-device)
-
-      )
-
-      @resources_found = false
-
-      test 'Server rejects Device search without authorization' do
-        metadata do
-          id '01'
-          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        patient_val = @instance.patient_id
-        search_params = { 'patient': patient_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Device'), search_params)
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server returns expected results from Device search by patient' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        patient_val = @instance.patient_id
-        search_params = { 'patient': patient_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Device'), search_params)
-        assert_response_ok(reply)
-        assert_bundle_response(reply)
-
-        resource_count = reply&.resource&.entry&.length || 0
-        @resources_found = true if resource_count.positive?
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        @device = reply.try(:resource).try(:entry).try(:first).try(:resource)
-        @device_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(versioned_resource_class('Device'), reply)
-        save_delayed_sequence_references(@device)
-        validate_search_reply(versioned_resource_class('Device'), reply, search_params)
-      end
-
-      test 'Server returns expected results from Device search by patient+type' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@device.nil?, 'Expected valid Device resource to be present'
-
-        patient_val = @instance.patient_id
-        type_val = resolve_element_from_path(@device, 'type.coding.code')
-        search_params = { 'patient': patient_val, 'type': type_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Device'), search_params)
-        validate_search_reply(versioned_resource_class('Device'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Device read resource supported' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Device, [:read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_read_reply(@device, versioned_resource_class('Device'))
-      end
-
-      test 'Device vread resource supported' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Device, [:vread])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_vread_reply(@device, versioned_resource_class('Device'))
-      end
-
-      test 'Device history resource supported' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Device, [:history])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_history_reply(@device, versioned_resource_class('Device'))
-      end
-
-      test 'Device resources associated with Patient conform to US Core R4 profiles' do
-        metadata do
-          id '07'
-          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-device'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('Device')
-      end
-
-      test 'At least one of every must support element is provided in any Device for this patient.' do
-        metadata do
-          id '08'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @device_ary&.any?
-        must_support_confirmed = {}
-        must_support_elements = [
-          'Device.udiCarrier',
-          'Device.udiCarrier.carrierAIDC',
-          'Device.udiCarrier.carrierHRF',
-          'Device.type',
-          'Device.patient'
-        ]
-        must_support_elements.each do |path|
-          @device_ary&.each do |resource|
-            truncated_path = path.gsub('Device.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @device_ary.length
-
-          skip "Could not find #{path} in any of the #{resource_count} provided Device resource(s)" unless must_support_confirmed[path]
-        end
-        @instance.save!
-      end
-
-      test 'All references can be resolved' do
-        metadata do
-          id '09'
-          link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Device, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@device)
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/us_core_r4/us_core_diagnosticreport_lab_sequence.rb b/lib/app/modules/us_core_r4/us_core_diagnosticreport_lab_sequence.rb
deleted file mode 100644
index 6760be109..000000000
--- a/lib/app/modules/us_core_r4/us_core_diagnosticreport_lab_sequence.rb
+++ /dev/null
@@ -1,386 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class USCoreR4DiagnosticreportLabSequence < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
-      title 'DiagnosticReport for Laboratory Results Reporting Tests'
-
-      description 'Verify that DiagnosticReport resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
-
-      test_id_prefix 'DiagnosticReport' # change me
-
-      requires :token, :patient_id
-      conformance_supports :DiagnosticReport
-
-      def validate_resource_item(resource, property, value)
-        case property
-
-        when 'status'
-          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'status on resource does not match status requested'
-
-        when 'patient'
-          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
-          assert value_found, 'patient on resource does not match patient requested'
-
-        when 'category'
-          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'category on resource does not match category requested'
-
-        when 'code'
-          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'code on resource does not match code requested'
-
-        when 'date'
-          value_found = can_resolve_path(resource, 'effectiveDateTime') do |date|
-            validate_date_search(value, date)
-          end
-          assert value_found, 'date on resource does not match date requested'
-
-        end
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [DiagnosticreportLab Argonaut Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab)
-
-      )
-
-      @resources_found = false
-
-      test 'Server rejects DiagnosticReport search without authorization' do
-        metadata do
-          id '01'
-          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        search_params = { patient: @instance.patient_id, category: 'LAB' }
-
-        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server returns expected results from DiagnosticReport search by patient+category' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        search_params = { patient: @instance.patient_id, category: 'LAB' }
-
-        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
-        assert_response_ok(reply)
-        assert_bundle_response(reply)
-
-        resource_count = reply&.resource&.entry&.length || 0
-        @resources_found = true if resource_count.positive?
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        @diagnosticreport = reply.try(:resource).try(:entry).try(:first).try(:resource)
-        @diagnosticreport_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(versioned_resource_class('DiagnosticReport'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:diagnostic_report_lab])
-        save_delayed_sequence_references(@diagnosticreport)
-        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
-      end
-
-      test 'Server returns expected results from DiagnosticReport search by patient+code' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
-
-        patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@diagnosticreport, 'code.coding.code')
-        search_params = { 'patient': patient_val, 'code': code_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
-        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from DiagnosticReport search by patient+category+date' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
-
-        patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@diagnosticreport, 'category.coding.code')
-        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
-        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
-        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
-        assert_response_ok(reply)
-
-        ['gt', 'lt', 'le'].each do |comparator|
-          comparator_val = date_comparator_value(comparator, date_val)
-          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'date': comparator_val }
-          reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end
-      end
-
-      test 'Server returns expected results from DiagnosticReport search by patient+code+date' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
-
-        patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@diagnosticreport, 'code.coding.code')
-        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
-        search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
-        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
-        assert_response_ok(reply)
-
-        ['gt', 'lt', 'le'].each do |comparator|
-          comparator_val = date_comparator_value(comparator, date_val)
-          comparator_search_params = { 'patient': patient_val, 'code': code_val, 'date': comparator_val }
-          reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end
-      end
-
-      test 'Server returns expected results from DiagnosticReport search by patient+status' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
-
-        patient_val = @instance.patient_id
-        status_val = resolve_element_from_path(@diagnosticreport, 'status')
-        search_params = { 'patient': patient_val, 'status': status_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
-        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from DiagnosticReport search by patient+category' do
-        metadata do
-          id '07'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
-
-        search_params = { patient: @instance.patient_id, category: 'LAB' }
-
-        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
-        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from DiagnosticReport search by patient+category+date' do
-        metadata do
-          id '08'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
-
-        patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@diagnosticreport, 'category.coding.code')
-        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
-        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
-        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
-        assert_response_ok(reply)
-
-        ['gt', 'lt', 'le'].each do |comparator|
-          comparator_val = date_comparator_value(comparator, date_val)
-          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'date': comparator_val }
-          reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end
-      end
-
-      test 'DiagnosticReport create resource supported' do
-        metadata do
-          id '09'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:DiagnosticReport, [:create])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_create_reply(@diagnosticreport, versioned_resource_class('DiagnosticReport'))
-      end
-
-      test 'DiagnosticReport read resource supported' do
-        metadata do
-          id '10'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:DiagnosticReport, [:read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_read_reply(@diagnosticreport, versioned_resource_class('DiagnosticReport'))
-      end
-
-      test 'DiagnosticReport vread resource supported' do
-        metadata do
-          id '11'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:DiagnosticReport, [:vread])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_vread_reply(@diagnosticreport, versioned_resource_class('DiagnosticReport'))
-      end
-
-      test 'DiagnosticReport history resource supported' do
-        metadata do
-          id '12'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:DiagnosticReport, [:history])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_history_reply(@diagnosticreport, versioned_resource_class('DiagnosticReport'))
-      end
-
-      test 'DiagnosticReport resources associated with Patient conform to US Core R4 profiles' do
-        metadata do
-          id '13'
-          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('DiagnosticReport', Inferno::ValidationUtil::US_CORE_R4_URIS[:diagnostic_report_lab])
-      end
-
-      test 'At least one of every must support element is provided in any DiagnosticReport for this patient.' do
-        metadata do
-          id '14'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @diagnosticreport_ary&.any?
-        must_support_confirmed = {}
-        must_support_elements = [
-          'DiagnosticReport.status',
-          'DiagnosticReport.category',
-          'DiagnosticReport.code',
-          'DiagnosticReport.subject',
-          'DiagnosticReport.effectiveDateTime',
-          'DiagnosticReport.effectivePeriod',
-          'DiagnosticReport.issued',
-          'DiagnosticReport.performer',
-          'DiagnosticReport.result',
-          'DiagnosticReport.media',
-          'DiagnosticReport.presentedForm'
-        ]
-        must_support_elements.each do |path|
-          @diagnosticreport_ary&.each do |resource|
-            truncated_path = path.gsub('DiagnosticReport.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @diagnosticreport_ary.length
-
-          skip "Could not find #{path} in any of the #{resource_count} provided DiagnosticReport resource(s)" unless must_support_confirmed[path]
-        end
-        @instance.save!
-      end
-
-      test 'All references can be resolved' do
-        metadata do
-          id '15'
-          link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:DiagnosticReport, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@diagnosticreport)
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/us_core_r4/us_core_diagnosticreport_note_sequence.rb b/lib/app/modules/us_core_r4/us_core_diagnosticreport_note_sequence.rb
deleted file mode 100644
index f423aadd5..000000000
--- a/lib/app/modules/us_core_r4/us_core_diagnosticreport_note_sequence.rb
+++ /dev/null
@@ -1,386 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class USCoreR4DiagnosticreportNoteSequence < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
-      title 'DiagnosticReport for Report and Note exchange Tests'
-
-      description 'Verify that DiagnosticReport resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
-
-      test_id_prefix 'DiagnosticReport' # change me
-
-      requires :token, :patient_id
-      conformance_supports :DiagnosticReport
-
-      def validate_resource_item(resource, property, value)
-        case property
-
-        when 'status'
-          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'status on resource does not match status requested'
-
-        when 'patient'
-          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
-          assert value_found, 'patient on resource does not match patient requested'
-
-        when 'category'
-          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'category on resource does not match category requested'
-
-        when 'code'
-          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'code on resource does not match code requested'
-
-        when 'date'
-          value_found = can_resolve_path(resource, 'effectiveDateTime') do |date|
-            validate_date_search(value, date)
-          end
-          assert value_found, 'date on resource does not match date requested'
-
-        end
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [DiagnosticreportNote Argonaut Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note)
-
-      )
-
-      @resources_found = false
-
-      test 'Server rejects DiagnosticReport search without authorization' do
-        metadata do
-          id '01'
-          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        search_params = { patient: @instance.patient_id, code: 'LP29684-5' }
-
-        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server returns expected results from DiagnosticReport search by patient+category' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        search_params = { patient: @instance.patient_id, code: 'LP29684-5' }
-
-        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
-        assert_response_ok(reply)
-        assert_bundle_response(reply)
-
-        resource_count = reply&.resource&.entry&.length || 0
-        @resources_found = true if resource_count.positive?
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        @diagnosticreport = reply.try(:resource).try(:entry).try(:first).try(:resource)
-        @diagnosticreport_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(versioned_resource_class('DiagnosticReport'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:diagnostic_report_note])
-        save_delayed_sequence_references(@diagnosticreport)
-        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
-      end
-
-      test 'Server returns expected results from DiagnosticReport search by patient+code' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
-
-        patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@diagnosticreport, 'code.coding.code')
-        search_params = { 'patient': patient_val, 'code': code_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
-        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from DiagnosticReport search by patient+category+date' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
-
-        patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@diagnosticreport, 'category.coding.code')
-        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
-        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
-        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
-        assert_response_ok(reply)
-
-        ['gt', 'lt', 'le'].each do |comparator|
-          comparator_val = date_comparator_value(comparator, date_val)
-          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'date': comparator_val }
-          reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end
-      end
-
-      test 'Server returns expected results from DiagnosticReport search by patient+code+date' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
-
-        patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@diagnosticreport, 'code.coding.code')
-        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
-        search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
-        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
-        assert_response_ok(reply)
-
-        ['gt', 'lt', 'le'].each do |comparator|
-          comparator_val = date_comparator_value(comparator, date_val)
-          comparator_search_params = { 'patient': patient_val, 'code': code_val, 'date': comparator_val }
-          reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end
-      end
-
-      test 'Server returns expected results from DiagnosticReport search by patient+status' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
-
-        patient_val = @instance.patient_id
-        status_val = resolve_element_from_path(@diagnosticreport, 'status')
-        search_params = { 'patient': patient_val, 'status': status_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
-        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from DiagnosticReport search by patient+category' do
-        metadata do
-          id '07'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
-
-        search_params = { patient: @instance.patient_id, code: 'LP29684-5' }
-
-        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
-        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from DiagnosticReport search by patient+category+date' do
-        metadata do
-          id '08'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
-
-        patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@diagnosticreport, 'category.coding.code')
-        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
-        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), search_params)
-        validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
-        assert_response_ok(reply)
-
-        ['gt', 'lt', 'le'].each do |comparator|
-          comparator_val = date_comparator_value(comparator, date_val)
-          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'date': comparator_val }
-          reply = get_resource_by_params(versioned_resource_class('DiagnosticReport'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end
-      end
-
-      test 'DiagnosticReport create resource supported' do
-        metadata do
-          id '09'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:DiagnosticReport, [:create])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_create_reply(@diagnosticreport, versioned_resource_class('DiagnosticReport'))
-      end
-
-      test 'DiagnosticReport read resource supported' do
-        metadata do
-          id '10'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:DiagnosticReport, [:read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_read_reply(@diagnosticreport, versioned_resource_class('DiagnosticReport'))
-      end
-
-      test 'DiagnosticReport vread resource supported' do
-        metadata do
-          id '11'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:DiagnosticReport, [:vread])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_vread_reply(@diagnosticreport, versioned_resource_class('DiagnosticReport'))
-      end
-
-      test 'DiagnosticReport history resource supported' do
-        metadata do
-          id '12'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:DiagnosticReport, [:history])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_history_reply(@diagnosticreport, versioned_resource_class('DiagnosticReport'))
-      end
-
-      test 'DiagnosticReport resources associated with Patient conform to US Core R4 profiles' do
-        metadata do
-          id '13'
-          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('DiagnosticReport', Inferno::ValidationUtil::US_CORE_R4_URIS[:diagnostic_report_note])
-      end
-
-      test 'At least one of every must support element is provided in any DiagnosticReport for this patient.' do
-        metadata do
-          id '14'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @diagnosticreport_ary&.any?
-        must_support_confirmed = {}
-        must_support_elements = [
-          'DiagnosticReport.status',
-          'DiagnosticReport.category',
-          'DiagnosticReport.code',
-          'DiagnosticReport.subject',
-          'DiagnosticReport.encounter',
-          'DiagnosticReport.effectiveDateTime',
-          'DiagnosticReport.effectivePeriod',
-          'DiagnosticReport.issued',
-          'DiagnosticReport.performer',
-          'DiagnosticReport.media',
-          'DiagnosticReport.presentedForm'
-        ]
-        must_support_elements.each do |path|
-          @diagnosticreport_ary&.each do |resource|
-            truncated_path = path.gsub('DiagnosticReport.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @diagnosticreport_ary.length
-
-          skip "Could not find #{path} in any of the #{resource_count} provided DiagnosticReport resource(s)" unless must_support_confirmed[path]
-        end
-        @instance.save!
-      end
-
-      test 'All references can be resolved' do
-        metadata do
-          id '15'
-          link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:DiagnosticReport, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@diagnosticreport)
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/us_core_r4/us_core_documentreference_sequence.rb b/lib/app/modules/us_core_r4/us_core_documentreference_sequence.rb
deleted file mode 100644
index a901a219b..000000000
--- a/lib/app/modules/us_core_r4/us_core_documentreference_sequence.rb
+++ /dev/null
@@ -1,387 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class USCoreR4DocumentreferenceSequence < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
-      title 'DocumentReference Tests'
-
-      description 'Verify that DocumentReference resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
-
-      test_id_prefix 'DocumentReference' # change me
-
-      requires :token, :patient_id
-      conformance_supports :DocumentReference
-
-      def validate_resource_item(resource, property, value)
-        case property
-
-        when '_id'
-          value_found = can_resolve_path(resource, 'id') { |value_in_resource| value_in_resource == value }
-          assert value_found, '_id on resource does not match _id requested'
-
-        when 'status'
-          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'status on resource does not match status requested'
-
-        when 'patient'
-          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
-          assert value_found, 'patient on resource does not match patient requested'
-
-        when 'category'
-          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'category on resource does not match category requested'
-
-        when 'type'
-          value_found = can_resolve_path(resource, 'type.coding.code') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'type on resource does not match type requested'
-
-        when 'date'
-          value_found = can_resolve_path(resource, 'date') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'date on resource does not match date requested'
-
-        when 'period'
-          value_found = can_resolve_path(resource, 'context.period') do |period|
-            validate_period_search(value, period)
-          end
-          assert value_found, 'period on resource does not match period requested'
-
-        end
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [Documentreference Argonaut Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference)
-
-      )
-
-      @resources_found = false
-
-      test 'Server rejects DocumentReference search without authorization' do
-        metadata do
-          id '01'
-          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        patient_val = @instance.patient_id
-        search_params = { 'patient': patient_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('DocumentReference'), search_params)
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server returns expected results from DocumentReference search by patient' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        patient_val = @instance.patient_id
-        search_params = { 'patient': patient_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('DocumentReference'), search_params)
-        assert_response_ok(reply)
-        assert_bundle_response(reply)
-
-        resource_count = reply&.resource&.entry&.length || 0
-        @resources_found = true if resource_count.positive?
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        @documentreference = reply.try(:resource).try(:entry).try(:first).try(:resource)
-        @documentreference_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(versioned_resource_class('DocumentReference'), reply)
-        save_delayed_sequence_references(@documentreference)
-        validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
-      end
-
-      test 'Server returns expected results from DocumentReference search by _id' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
-
-        id_val = resolve_element_from_path(@documentreference, 'id')
-        search_params = { '_id': id_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('DocumentReference'), search_params)
-        validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from DocumentReference search by patient+category' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
-
-        patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@documentreference, 'category.coding.code')
-        search_params = { 'patient': patient_val, 'category': category_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('DocumentReference'), search_params)
-        validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from DocumentReference search by patient+category+date' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
-
-        patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@documentreference, 'category.coding.code')
-        date_val = resolve_element_from_path(@documentreference, 'date')
-        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('DocumentReference'), search_params)
-        validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from DocumentReference search by patient+type' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
-
-        patient_val = @instance.patient_id
-        type_val = resolve_element_from_path(@documentreference, 'type.coding.code')
-        search_params = { 'patient': patient_val, 'type': type_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('DocumentReference'), search_params)
-        validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from DocumentReference search by patient+status' do
-        metadata do
-          id '07'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
-
-        patient_val = @instance.patient_id
-        status_val = resolve_element_from_path(@documentreference, 'status')
-        search_params = { 'patient': patient_val, 'status': status_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('DocumentReference'), search_params)
-        validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from DocumentReference search by patient+type+period' do
-        metadata do
-          id '08'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
-
-        patient_val = @instance.patient_id
-        type_val = resolve_element_from_path(@documentreference, 'type.coding.code')
-        period_val = resolve_element_from_path(@documentreference, 'context.period.start')
-        search_params = { 'patient': patient_val, 'type': type_val, 'period': period_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('DocumentReference'), search_params)
-        validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
-        assert_response_ok(reply)
-
-        ['gt', 'lt', 'le'].each do |comparator|
-          comparator_val = date_comparator_value(comparator, period_val)
-          comparator_search_params = { 'patient': patient_val, 'type': type_val, 'period': comparator_val }
-          reply = get_resource_by_params(versioned_resource_class('DocumentReference'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('DocumentReference'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end
-      end
-
-      test 'DocumentReference create resource supported' do
-        metadata do
-          id '09'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:DocumentReference, [:create])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_create_reply(@documentreference, versioned_resource_class('DocumentReference'))
-      end
-
-      test 'DocumentReference read resource supported' do
-        metadata do
-          id '10'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:DocumentReference, [:read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_read_reply(@documentreference, versioned_resource_class('DocumentReference'))
-      end
-
-      test 'DocumentReference vread resource supported' do
-        metadata do
-          id '11'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:DocumentReference, [:vread])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_vread_reply(@documentreference, versioned_resource_class('DocumentReference'))
-      end
-
-      test 'DocumentReference history resource supported' do
-        metadata do
-          id '12'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:DocumentReference, [:history])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_history_reply(@documentreference, versioned_resource_class('DocumentReference'))
-      end
-
-      test 'DocumentReference resources associated with Patient conform to US Core R4 profiles' do
-        metadata do
-          id '13'
-          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('DocumentReference')
-      end
-
-      test 'At least one of every must support element is provided in any DocumentReference for this patient.' do
-        metadata do
-          id '14'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @documentreference_ary&.any?
-        must_support_confirmed = {}
-        must_support_elements = [
-          'DocumentReference.identifier',
-          'DocumentReference.status',
-          'DocumentReference.type',
-          'DocumentReference.category',
-          'DocumentReference.subject',
-          'DocumentReference.date',
-          'DocumentReference.author',
-          'DocumentReference.custodian',
-          'DocumentReference.content',
-          'DocumentReference.content.attachment',
-          'DocumentReference.content.attachment.contentType',
-          'DocumentReference.content.attachment.data',
-          'DocumentReference.content.attachment.url',
-          'DocumentReference.content.format',
-          'DocumentReference.context',
-          'DocumentReference.context.encounter',
-          'DocumentReference.context.period'
-        ]
-        must_support_elements.each do |path|
-          @documentreference_ary&.each do |resource|
-            truncated_path = path.gsub('DocumentReference.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @documentreference_ary.length
-
-          skip "Could not find #{path} in any of the #{resource_count} provided DocumentReference resource(s)" unless must_support_confirmed[path]
-        end
-        @instance.save!
-      end
-
-      test 'All references can be resolved' do
-        metadata do
-          id '15'
-          link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:DocumentReference, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@documentreference)
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/us_core_r4/us_core_encounter_sequence.rb b/lib/app/modules/us_core_r4/us_core_encounter_sequence.rb
deleted file mode 100644
index d196b2c4e..000000000
--- a/lib/app/modules/us_core_r4/us_core_encounter_sequence.rb
+++ /dev/null
@@ -1,371 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class USCoreR4EncounterSequence < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
-      title 'Encounter Tests'
-
-      description 'Verify that Encounter resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
-
-      test_id_prefix 'Encounter' # change me
-
-      requires :token, :patient_id
-      conformance_supports :Encounter
-
-      def validate_resource_item(resource, property, value)
-        case property
-
-        when '_id'
-          value_found = can_resolve_path(resource, 'id') { |value_in_resource| value_in_resource == value }
-          assert value_found, '_id on resource does not match _id requested'
-
-        when 'class'
-          value_found = can_resolve_path(resource, 'local_class.code') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'class on resource does not match class requested'
-
-        when 'date'
-          value_found = can_resolve_path(resource, 'period') do |period|
-            validate_period_search(value, period)
-          end
-          assert value_found, 'date on resource does not match date requested'
-
-        when 'identifier'
-          value_found = can_resolve_path(resource, 'identifier.value') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'identifier on resource does not match identifier requested'
-
-        when 'patient'
-          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
-          assert value_found, 'patient on resource does not match patient requested'
-
-        when 'status'
-          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'status on resource does not match status requested'
-
-        when 'type'
-          value_found = can_resolve_path(resource, 'type.coding.code') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'type on resource does not match type requested'
-
-        end
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [Encounter Argonaut Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter)
-
-      )
-
-      @resources_found = false
-
-      test 'Server rejects Encounter search without authorization' do
-        metadata do
-          id '01'
-          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        patient_val = @instance.patient_id
-        search_params = { 'patient': patient_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Encounter'), search_params)
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server returns expected results from Encounter search by patient' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        patient_val = @instance.patient_id
-        search_params = { 'patient': patient_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Encounter'), search_params)
-        assert_response_ok(reply)
-        assert_bundle_response(reply)
-
-        resource_count = reply&.resource&.entry&.length || 0
-        @resources_found = true if resource_count.positive?
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        @encounter = reply.try(:resource).try(:entry).try(:first).try(:resource)
-        @encounter_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(versioned_resource_class('Encounter'), reply)
-        save_delayed_sequence_references(@encounter)
-        validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
-      end
-
-      test 'Server returns expected results from Encounter search by _id' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
-
-        id_val = resolve_element_from_path(@encounter, 'id')
-        search_params = { '_id': id_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Encounter'), search_params)
-        validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from Encounter search by date+patient' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
-
-        date_val = resolve_element_from_path(@encounter, 'period.start')
-        patient_val = @instance.patient_id
-        search_params = { 'date': date_val, 'patient': patient_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Encounter'), search_params)
-        validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
-        assert_response_ok(reply)
-
-        ['gt', 'lt', 'le'].each do |comparator|
-          comparator_val = date_comparator_value(comparator, date_val)
-          comparator_search_params = { 'date': comparator_val, 'patient': patient_val }
-          reply = get_resource_by_params(versioned_resource_class('Encounter'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('Encounter'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end
-      end
-
-      test 'Server returns expected results from Encounter search by identifier' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
-
-        identifier_val = resolve_element_from_path(@encounter, 'identifier.value')
-        search_params = { 'identifier': identifier_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Encounter'), search_params)
-        validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from Encounter search by patient+status' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
-
-        patient_val = @instance.patient_id
-        status_val = resolve_element_from_path(@encounter, 'status')
-        search_params = { 'patient': patient_val, 'status': status_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Encounter'), search_params)
-        validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from Encounter search by class+patient' do
-        metadata do
-          id '07'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
-
-        class_val = resolve_element_from_path(@encounter, 'class.code')
-        patient_val = @instance.patient_id
-        search_params = { 'class': class_val, 'patient': patient_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Encounter'), search_params)
-        validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from Encounter search by patient+type' do
-        metadata do
-          id '08'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
-
-        patient_val = @instance.patient_id
-        type_val = resolve_element_from_path(@encounter, 'type.coding.code')
-        search_params = { 'patient': patient_val, 'type': type_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Encounter'), search_params)
-        validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Encounter read resource supported' do
-        metadata do
-          id '09'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Encounter, [:read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_read_reply(@encounter, versioned_resource_class('Encounter'))
-      end
-
-      test 'Encounter vread resource supported' do
-        metadata do
-          id '10'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Encounter, [:vread])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_vread_reply(@encounter, versioned_resource_class('Encounter'))
-      end
-
-      test 'Encounter history resource supported' do
-        metadata do
-          id '11'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Encounter, [:history])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_history_reply(@encounter, versioned_resource_class('Encounter'))
-      end
-
-      test 'Encounter resources associated with Patient conform to US Core R4 profiles' do
-        metadata do
-          id '12'
-          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('Encounter')
-      end
-
-      test 'At least one of every must support element is provided in any Encounter for this patient.' do
-        metadata do
-          id '13'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @encounter_ary&.any?
-        must_support_confirmed = {}
-        must_support_elements = [
-          'Encounter.identifier',
-          'Encounter.identifier.system',
-          'Encounter.identifier.value',
-          'Encounter.status',
-          'Encounter.local_class',
-          'Encounter.type',
-          'Encounter.subject',
-          'Encounter.participant',
-          'Encounter.participant.type',
-          'Encounter.participant.period',
-          'Encounter.participant.individual',
-          'Encounter.period',
-          'Encounter.reasonCode',
-          'Encounter.hospitalization',
-          'Encounter.hospitalization.dischargeDisposition',
-          'Encounter.location',
-          'Encounter.location.location'
-        ]
-        must_support_elements.each do |path|
-          @encounter_ary&.each do |resource|
-            truncated_path = path.gsub('Encounter.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @encounter_ary.length
-
-          skip "Could not find #{path} in any of the #{resource_count} provided Encounter resource(s)" unless must_support_confirmed[path]
-        end
-        @instance.save!
-      end
-
-      test 'All references can be resolved' do
-        metadata do
-          id '14'
-          link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Encounter, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@encounter)
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/us_core_r4/us_core_goal_sequence.rb b/lib/app/modules/us_core_r4/us_core_goal_sequence.rb
deleted file mode 100644
index 9c155df24..000000000
--- a/lib/app/modules/us_core_r4/us_core_goal_sequence.rb
+++ /dev/null
@@ -1,256 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class USCoreR4GoalSequence < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
-      title 'Goal Tests'
-
-      description 'Verify that Goal resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
-
-      test_id_prefix 'Goal' # change me
-
-      requires :token, :patient_id
-      conformance_supports :Goal
-
-      def validate_resource_item(resource, property, value)
-        case property
-
-        when 'lifecycle-status'
-          value_found = can_resolve_path(resource, 'lifecycleStatus') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'lifecycle-status on resource does not match lifecycle-status requested'
-
-        when 'patient'
-          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
-          assert value_found, 'patient on resource does not match patient requested'
-
-        when 'target-date'
-          value_found = can_resolve_path(resource, 'target.dueDate') do |date|
-            validate_date_search(value, date)
-          end
-          assert value_found, 'target-date on resource does not match target-date requested'
-
-        end
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [Goal Argonaut Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal)
-
-      )
-
-      @resources_found = false
-
-      test 'Server rejects Goal search without authorization' do
-        metadata do
-          id '01'
-          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        patient_val = @instance.patient_id
-        search_params = { 'patient': patient_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Goal'), search_params)
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server returns expected results from Goal search by patient' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        patient_val = @instance.patient_id
-        search_params = { 'patient': patient_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Goal'), search_params)
-        assert_response_ok(reply)
-        assert_bundle_response(reply)
-
-        resource_count = reply&.resource&.entry&.length || 0
-        @resources_found = true if resource_count.positive?
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        @goal = reply.try(:resource).try(:entry).try(:first).try(:resource)
-        @goal_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(versioned_resource_class('Goal'), reply)
-        save_delayed_sequence_references(@goal)
-        validate_search_reply(versioned_resource_class('Goal'), reply, search_params)
-      end
-
-      test 'Server returns expected results from Goal search by patient+target-date' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@goal.nil?, 'Expected valid Goal resource to be present'
-
-        patient_val = @instance.patient_id
-        target_date_val = resolve_element_from_path(@goal, 'target.dueDate')
-        search_params = { 'patient': patient_val, 'target-date': target_date_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Goal'), search_params)
-        validate_search_reply(versioned_resource_class('Goal'), reply, search_params)
-        assert_response_ok(reply)
-
-        ['gt', 'lt', 'le'].each do |comparator|
-          comparator_val = date_comparator_value(comparator, target_date_val)
-          comparator_search_params = { 'patient': patient_val, 'target-date': comparator_val }
-          reply = get_resource_by_params(versioned_resource_class('Goal'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('Goal'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end
-      end
-
-      test 'Server returns expected results from Goal search by patient+lifecycle-status' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@goal.nil?, 'Expected valid Goal resource to be present'
-
-        patient_val = @instance.patient_id
-        lifecycle_status_val = resolve_element_from_path(@goal, 'lifecycleStatus')
-        search_params = { 'patient': patient_val, 'lifecycle-status': lifecycle_status_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Goal'), search_params)
-        validate_search_reply(versioned_resource_class('Goal'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Goal read resource supported' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Goal, [:read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_read_reply(@goal, versioned_resource_class('Goal'))
-      end
-
-      test 'Goal vread resource supported' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Goal, [:vread])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_vread_reply(@goal, versioned_resource_class('Goal'))
-      end
-
-      test 'Goal history resource supported' do
-        metadata do
-          id '07'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Goal, [:history])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_history_reply(@goal, versioned_resource_class('Goal'))
-      end
-
-      test 'Goal resources associated with Patient conform to US Core R4 profiles' do
-        metadata do
-          id '08'
-          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('Goal')
-      end
-
-      test 'At least one of every must support element is provided in any Goal for this patient.' do
-        metadata do
-          id '09'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @goal_ary&.any?
-        must_support_confirmed = {}
-        must_support_elements = [
-          'Goal.lifecycleStatus',
-          'Goal.description',
-          'Goal.subject',
-          'Goal.target',
-          'Goal.target.dueDate',
-          'Goal.target.dueDuration'
-        ]
-        must_support_elements.each do |path|
-          @goal_ary&.each do |resource|
-            truncated_path = path.gsub('Goal.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @goal_ary.length
-
-          skip "Could not find #{path} in any of the #{resource_count} provided Goal resource(s)" unless must_support_confirmed[path]
-        end
-        @instance.save!
-      end
-
-      test 'All references can be resolved' do
-        metadata do
-          id '10'
-          link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Goal, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@goal)
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/us_core_r4/us_core_immunization_sequence.rb b/lib/app/modules/us_core_r4/us_core_immunization_sequence.rb
deleted file mode 100644
index fae1ad326..000000000
--- a/lib/app/modules/us_core_r4/us_core_immunization_sequence.rb
+++ /dev/null
@@ -1,257 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class USCoreR4ImmunizationSequence < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
-      title 'Immunization Tests'
-
-      description 'Verify that Immunization resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
-
-      test_id_prefix 'Immunization' # change me
-
-      requires :token, :patient_id
-      conformance_supports :Immunization
-
-      def validate_resource_item(resource, property, value)
-        case property
-
-        when 'patient'
-          value_found = can_resolve_path(resource, 'patient.reference') { |reference| [value, 'Patient/' + value].include? reference }
-          assert value_found, 'patient on resource does not match patient requested'
-
-        when 'status'
-          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'status on resource does not match status requested'
-
-        when 'date'
-          value_found = can_resolve_path(resource, 'occurrenceDateTime') do |date|
-            validate_date_search(value, date)
-          end
-          assert value_found, 'date on resource does not match date requested'
-
-        end
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [Immunization Argonaut Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization)
-
-      )
-
-      @resources_found = false
-
-      test 'Server rejects Immunization search without authorization' do
-        metadata do
-          id '01'
-          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        patient_val = @instance.patient_id
-        search_params = { 'patient': patient_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Immunization'), search_params)
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server returns expected results from Immunization search by patient' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        patient_val = @instance.patient_id
-        search_params = { 'patient': patient_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Immunization'), search_params)
-        assert_response_ok(reply)
-        assert_bundle_response(reply)
-
-        resource_count = reply&.resource&.entry&.length || 0
-        @resources_found = true if resource_count.positive?
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        @immunization = reply.try(:resource).try(:entry).try(:first).try(:resource)
-        @immunization_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(versioned_resource_class('Immunization'), reply)
-        save_delayed_sequence_references(@immunization)
-        validate_search_reply(versioned_resource_class('Immunization'), reply, search_params)
-      end
-
-      test 'Server returns expected results from Immunization search by patient+date' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@immunization.nil?, 'Expected valid Immunization resource to be present'
-
-        patient_val = @instance.patient_id
-        date_val = resolve_element_from_path(@immunization, 'occurrenceDateTime')
-        search_params = { 'patient': patient_val, 'date': date_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Immunization'), search_params)
-        validate_search_reply(versioned_resource_class('Immunization'), reply, search_params)
-        assert_response_ok(reply)
-
-        ['gt', 'lt', 'le'].each do |comparator|
-          comparator_val = date_comparator_value(comparator, date_val)
-          comparator_search_params = { 'patient': patient_val, 'date': comparator_val }
-          reply = get_resource_by_params(versioned_resource_class('Immunization'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('Immunization'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end
-      end
-
-      test 'Server returns expected results from Immunization search by patient+status' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@immunization.nil?, 'Expected valid Immunization resource to be present'
-
-        patient_val = @instance.patient_id
-        status_val = resolve_element_from_path(@immunization, 'status')
-        search_params = { 'patient': patient_val, 'status': status_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Immunization'), search_params)
-        validate_search_reply(versioned_resource_class('Immunization'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Immunization read resource supported' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Immunization, [:read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_read_reply(@immunization, versioned_resource_class('Immunization'))
-      end
-
-      test 'Immunization vread resource supported' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Immunization, [:vread])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_vread_reply(@immunization, versioned_resource_class('Immunization'))
-      end
-
-      test 'Immunization history resource supported' do
-        metadata do
-          id '07'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Immunization, [:history])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_history_reply(@immunization, versioned_resource_class('Immunization'))
-      end
-
-      test 'Immunization resources associated with Patient conform to US Core R4 profiles' do
-        metadata do
-          id '08'
-          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('Immunization')
-      end
-
-      test 'At least one of every must support element is provided in any Immunization for this patient.' do
-        metadata do
-          id '09'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @immunization_ary&.any?
-        must_support_confirmed = {}
-        must_support_elements = [
-          'Immunization.status',
-          'Immunization.statusReason',
-          'Immunization.vaccineCode',
-          'Immunization.patient',
-          'Immunization.occurrenceDateTime',
-          'Immunization.occurrenceString',
-          'Immunization.primarySource'
-        ]
-        must_support_elements.each do |path|
-          @immunization_ary&.each do |resource|
-            truncated_path = path.gsub('Immunization.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @immunization_ary.length
-
-          skip "Could not find #{path} in any of the #{resource_count} provided Immunization resource(s)" unless must_support_confirmed[path]
-        end
-        @instance.save!
-      end
-
-      test 'All references can be resolved' do
-        metadata do
-          id '10'
-          link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Immunization, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@immunization)
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/us_core_r4/us_core_location_sequence.rb b/lib/app/modules/us_core_r4/us_core_location_sequence.rb
deleted file mode 100644
index 30e308a3d..000000000
--- a/lib/app/modules/us_core_r4/us_core_location_sequence.rb
+++ /dev/null
@@ -1,299 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class USCoreR4LocationSequence < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
-      title 'Location Tests'
-
-      description 'Verify that Location resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
-
-      test_id_prefix 'Location' # change me
-
-      requires :token
-      conformance_supports :Location
-      delayed_sequence
-
-      def validate_resource_item(resource, property, value)
-        case property
-
-        when 'name'
-          value_found = can_resolve_path(resource, 'name') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'name on resource does not match name requested'
-
-        when 'address'
-          value_found = can_resolve_path(resource, 'address.city') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'address on resource does not match address requested'
-
-        when 'address-city'
-          value_found = can_resolve_path(resource, 'address.city') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'address-city on resource does not match address-city requested'
-
-        when 'address-state'
-          value_found = can_resolve_path(resource, 'address.state') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'address-state on resource does not match address-state requested'
-
-        when 'address-postalcode'
-          value_found = can_resolve_path(resource, 'address.postalCode') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'address-postalcode on resource does not match address-postalcode requested'
-
-        end
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [Location Argonaut Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-location)
-
-      )
-
-      @resources_found = false
-
-      test 'Can read Location from the server' do
-        metadata do
-          id '01'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        location_id = @instance.resource_references.find { |reference| reference.resource_type == 'Location' }&.resource_id
-        skip 'No Location references found from the prior searches' if location_id.nil?
-        @location = fetch_resource('Location', location_id)
-        @resources_found = !@location.nil?
-      end
-
-      test 'Server rejects Location search without authorization' do
-        metadata do
-          id '02'
-          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        name_val = resolve_element_from_path(@location, 'name')
-        search_params = { 'name': name_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Location'), search_params)
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server returns expected results from Location search by name' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        name_val = resolve_element_from_path(@location, 'name')
-        search_params = { 'name': name_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Location'), search_params)
-        assert_response_ok(reply)
-        assert_bundle_response(reply)
-
-        resource_count = reply&.resource&.entry&.length || 0
-        @resources_found = true if resource_count.positive?
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        @location = reply.try(:resource).try(:entry).try(:first).try(:resource)
-        @location_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(versioned_resource_class('Location'), reply)
-        save_delayed_sequence_references(@location)
-        validate_search_reply(versioned_resource_class('Location'), reply, search_params)
-      end
-
-      test 'Server returns expected results from Location search by address' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@location.nil?, 'Expected valid Location resource to be present'
-
-        address_val = resolve_element_from_path(@location, 'address.city')
-        search_params = { 'address': address_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Location'), search_params)
-        validate_search_reply(versioned_resource_class('Location'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from Location search by address-city' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@location.nil?, 'Expected valid Location resource to be present'
-
-        address_city_val = resolve_element_from_path(@location, 'address.city')
-        search_params = { 'address-city': address_city_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Location'), search_params)
-        validate_search_reply(versioned_resource_class('Location'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from Location search by address-state' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@location.nil?, 'Expected valid Location resource to be present'
-
-        address_state_val = resolve_element_from_path(@location, 'address.state')
-        search_params = { 'address-state': address_state_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Location'), search_params)
-        validate_search_reply(versioned_resource_class('Location'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from Location search by address-postalcode' do
-        metadata do
-          id '07'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@location.nil?, 'Expected valid Location resource to be present'
-
-        address_postalcode_val = resolve_element_from_path(@location, 'address.postalCode')
-        search_params = { 'address-postalcode': address_postalcode_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Location'), search_params)
-        validate_search_reply(versioned_resource_class('Location'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Location vread resource supported' do
-        metadata do
-          id '08'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Location, [:vread])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_vread_reply(@location, versioned_resource_class('Location'))
-      end
-
-      test 'Location history resource supported' do
-        metadata do
-          id '09'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Location, [:history])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_history_reply(@location, versioned_resource_class('Location'))
-      end
-
-      test 'Location resources associated with Patient conform to US Core R4 profiles' do
-        metadata do
-          id '10'
-          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-location'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('Location')
-      end
-
-      test 'At least one of every must support element is provided in any Location for this patient.' do
-        metadata do
-          id '11'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @location_ary&.any?
-        must_support_confirmed = {}
-        must_support_elements = [
-          'Location.status',
-          'Location.name',
-          'Location.telecom',
-          'Location.address',
-          'Location.address.line',
-          'Location.address.city',
-          'Location.address.state',
-          'Location.address.postalCode',
-          'Location.managingOrganization'
-        ]
-        must_support_elements.each do |path|
-          @location_ary&.each do |resource|
-            truncated_path = path.gsub('Location.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @location_ary.length
-
-          skip "Could not find #{path} in any of the #{resource_count} provided Location resource(s)" unless must_support_confirmed[path]
-        end
-        @instance.save!
-      end
-
-      test 'All references can be resolved' do
-        metadata do
-          id '12'
-          link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Location, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@location)
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/us_core_r4/us_core_medication_sequence.rb b/lib/app/modules/us_core_r4/us_core_medication_sequence.rb
deleted file mode 100644
index 42ed88a8c..000000000
--- a/lib/app/modules/us_core_r4/us_core_medication_sequence.rb
+++ /dev/null
@@ -1,128 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class USCoreR4MedicationSequence < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
-      title 'Medication Tests'
-
-      description 'Verify that Medication resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
-
-      test_id_prefix 'Medication' # change me
-
-      requires :token
-      conformance_supports :Medication
-      delayed_sequence
-
-      details %(
-
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [Medication Argonaut Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication)
-
-      )
-
-      @resources_found = false
-
-      test 'Can read Medication from the server' do
-        metadata do
-          id '01'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        medication_id = @instance.resource_references.find { |reference| reference.resource_type == 'Medication' }&.resource_id
-        skip 'No Medication references found from the prior searches' if medication_id.nil?
-        @medication = fetch_resource('Medication', medication_id)
-        @resources_found = !@medication.nil?
-      end
-
-      test 'Medication vread resource supported' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Medication, [:vread])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_vread_reply(@medication, versioned_resource_class('Medication'))
-      end
-
-      test 'Medication history resource supported' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Medication, [:history])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_history_reply(@medication, versioned_resource_class('Medication'))
-      end
-
-      test 'Medication resources associated with Patient conform to US Core R4 profiles' do
-        metadata do
-          id '04'
-          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('Medication')
-      end
-
-      test 'At least one of every must support element is provided in any Medication for this patient.' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @medication_ary&.any?
-        must_support_confirmed = {}
-        must_support_elements = [
-          'Medication.code'
-        ]
-        must_support_elements.each do |path|
-          @medication_ary&.each do |resource|
-            truncated_path = path.gsub('Medication.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @medication_ary.length
-
-          skip "Could not find #{path} in any of the #{resource_count} provided Medication resource(s)" unless must_support_confirmed[path]
-        end
-        @instance.save!
-      end
-
-      test 'All references can be resolved' do
-        metadata do
-          id '06'
-          link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Medication, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@medication)
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/us_core_r4/us_core_medicationrequest_sequence.rb b/lib/app/modules/us_core_r4/us_core_medicationrequest_sequence.rb
deleted file mode 100644
index 289efd0c9..000000000
--- a/lib/app/modules/us_core_r4/us_core_medicationrequest_sequence.rb
+++ /dev/null
@@ -1,247 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class USCoreR4MedicationrequestSequence < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
-      title 'MedicationRequest Tests'
-
-      description 'Verify that MedicationRequest resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
-
-      test_id_prefix 'MedicationRequest' # change me
-
-      requires :token, :patient_id
-      conformance_supports :MedicationRequest
-
-      def validate_resource_item(resource, property, value)
-        case property
-
-        when 'status'
-          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'status on resource does not match status requested'
-
-        when 'patient'
-          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
-          assert value_found, 'patient on resource does not match patient requested'
-
-        when 'authoredon'
-          value_found = can_resolve_path(resource, 'authoredOn') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'authoredon on resource does not match authoredon requested'
-
-        end
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [Medicationrequest Argonaut Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest)
-
-      )
-
-      @resources_found = false
-
-      test 'Server rejects MedicationRequest search without authorization' do
-        metadata do
-          id '01'
-          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        patient_val = @instance.patient_id
-        search_params = { 'patient': patient_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('MedicationRequest'), search_params)
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server returns expected results from MedicationRequest search by patient' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        patient_val = @instance.patient_id
-        search_params = { 'patient': patient_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('MedicationRequest'), search_params)
-        assert_response_ok(reply)
-        assert_bundle_response(reply)
-
-        resource_count = reply&.resource&.entry&.length || 0
-        @resources_found = true if resource_count.positive?
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        @medicationrequest = reply.try(:resource).try(:entry).try(:first).try(:resource)
-        @medicationrequest_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(versioned_resource_class('MedicationRequest'), reply)
-        save_delayed_sequence_references(@medicationrequest)
-        validate_search_reply(versioned_resource_class('MedicationRequest'), reply, search_params)
-      end
-
-      test 'Server returns expected results from MedicationRequest search by patient+status' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@medicationrequest.nil?, 'Expected valid MedicationRequest resource to be present'
-
-        patient_val = @instance.patient_id
-        status_val = resolve_element_from_path(@medicationrequest, 'status')
-        search_params = { 'patient': patient_val, 'status': status_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('MedicationRequest'), search_params)
-        validate_search_reply(versioned_resource_class('MedicationRequest'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from MedicationRequest search by patient+authoredon' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@medicationrequest.nil?, 'Expected valid MedicationRequest resource to be present'
-
-        patient_val = @instance.patient_id
-        authoredon_val = resolve_element_from_path(@medicationrequest, 'authoredOn')
-        search_params = { 'patient': patient_val, 'authoredon': authoredon_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('MedicationRequest'), search_params)
-        validate_search_reply(versioned_resource_class('MedicationRequest'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'MedicationRequest read resource supported' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:MedicationRequest, [:read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_read_reply(@medicationrequest, versioned_resource_class('MedicationRequest'))
-      end
-
-      test 'MedicationRequest vread resource supported' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:MedicationRequest, [:vread])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_vread_reply(@medicationrequest, versioned_resource_class('MedicationRequest'))
-      end
-
-      test 'MedicationRequest history resource supported' do
-        metadata do
-          id '07'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:MedicationRequest, [:history])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_history_reply(@medicationrequest, versioned_resource_class('MedicationRequest'))
-      end
-
-      test 'MedicationRequest resources associated with Patient conform to US Core R4 profiles' do
-        metadata do
-          id '08'
-          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('MedicationRequest')
-      end
-
-      test 'At least one of every must support element is provided in any MedicationRequest for this patient.' do
-        metadata do
-          id '09'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @medicationrequest_ary&.any?
-        must_support_confirmed = {}
-        must_support_elements = [
-          'MedicationRequest.status',
-          'MedicationRequest.medicationCodeableConcept',
-          'MedicationRequest.medicationReference',
-          'MedicationRequest.subject',
-          'MedicationRequest.authoredOn',
-          'MedicationRequest.requester',
-          'MedicationRequest.dosageInstruction',
-          'MedicationRequest.dosageInstruction.text'
-        ]
-        must_support_elements.each do |path|
-          @medicationrequest_ary&.each do |resource|
-            truncated_path = path.gsub('MedicationRequest.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @medicationrequest_ary.length
-
-          skip "Could not find #{path} in any of the #{resource_count} provided MedicationRequest resource(s)" unless must_support_confirmed[path]
-        end
-        @instance.save!
-      end
-
-      test 'All references can be resolved' do
-        metadata do
-          id '10'
-          link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:MedicationRequest, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@medicationrequest)
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/us_core_r4/us_core_medicationstatement_sequence.rb b/lib/app/modules/us_core_r4/us_core_medicationstatement_sequence.rb
deleted file mode 100644
index b18841b65..000000000
--- a/lib/app/modules/us_core_r4/us_core_medicationstatement_sequence.rb
+++ /dev/null
@@ -1,258 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class USCoreR4MedicationstatementSequence < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
-      title 'MedicationStatement Tests'
-
-      description 'Verify that MedicationStatement resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
-
-      test_id_prefix 'MedicationStatement' # change me
-
-      requires :token, :patient_id
-      conformance_supports :MedicationStatement
-
-      def validate_resource_item(resource, property, value)
-        case property
-
-        when 'status'
-          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'status on resource does not match status requested'
-
-        when 'patient'
-          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
-          assert value_found, 'patient on resource does not match patient requested'
-
-        when 'effective'
-          value_found = can_resolve_path(resource, 'effectiveDateTime') do |date|
-            validate_date_search(value, date)
-          end
-          assert value_found, 'effective on resource does not match effective requested'
-
-        end
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [Medicationstatement Argonaut Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationstatement)
-
-      )
-
-      @resources_found = false
-
-      test 'Server rejects MedicationStatement search without authorization' do
-        metadata do
-          id '01'
-          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        patient_val = @instance.patient_id
-        search_params = { 'patient': patient_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('MedicationStatement'), search_params)
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server returns expected results from MedicationStatement search by patient' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        patient_val = @instance.patient_id
-        search_params = { 'patient': patient_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('MedicationStatement'), search_params)
-        assert_response_ok(reply)
-        assert_bundle_response(reply)
-
-        resource_count = reply&.resource&.entry&.length || 0
-        @resources_found = true if resource_count.positive?
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        @medicationstatement = reply.try(:resource).try(:entry).try(:first).try(:resource)
-        @medicationstatement_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(versioned_resource_class('MedicationStatement'), reply)
-        save_delayed_sequence_references(@medicationstatement)
-        validate_search_reply(versioned_resource_class('MedicationStatement'), reply, search_params)
-      end
-
-      test 'Server returns expected results from MedicationStatement search by patient+effective' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@medicationstatement.nil?, 'Expected valid MedicationStatement resource to be present'
-
-        patient_val = @instance.patient_id
-        effective_val = resolve_element_from_path(@medicationstatement, 'effectiveDateTime')
-        search_params = { 'patient': patient_val, 'effective': effective_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('MedicationStatement'), search_params)
-        validate_search_reply(versioned_resource_class('MedicationStatement'), reply, search_params)
-        assert_response_ok(reply)
-
-        ['gt', 'lt', 'le'].each do |comparator|
-          comparator_val = date_comparator_value(comparator, effective_val)
-          comparator_search_params = { 'patient': patient_val, 'effective': comparator_val }
-          reply = get_resource_by_params(versioned_resource_class('MedicationStatement'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('MedicationStatement'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end
-      end
-
-      test 'Server returns expected results from MedicationStatement search by patient+status' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@medicationstatement.nil?, 'Expected valid MedicationStatement resource to be present'
-
-        patient_val = @instance.patient_id
-        status_val = resolve_element_from_path(@medicationstatement, 'status')
-        search_params = { 'patient': patient_val, 'status': status_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('MedicationStatement'), search_params)
-        validate_search_reply(versioned_resource_class('MedicationStatement'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'MedicationStatement read resource supported' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:MedicationStatement, [:read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_read_reply(@medicationstatement, versioned_resource_class('MedicationStatement'))
-      end
-
-      test 'MedicationStatement vread resource supported' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:MedicationStatement, [:vread])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_vread_reply(@medicationstatement, versioned_resource_class('MedicationStatement'))
-      end
-
-      test 'MedicationStatement history resource supported' do
-        metadata do
-          id '07'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:MedicationStatement, [:history])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_history_reply(@medicationstatement, versioned_resource_class('MedicationStatement'))
-      end
-
-      test 'MedicationStatement resources associated with Patient conform to US Core R4 profiles' do
-        metadata do
-          id '08'
-          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationstatement'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('MedicationStatement')
-      end
-
-      test 'At least one of every must support element is provided in any MedicationStatement for this patient.' do
-        metadata do
-          id '09'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @medicationstatement_ary&.any?
-        must_support_confirmed = {}
-        must_support_elements = [
-          'MedicationStatement.status',
-          'MedicationStatement.medicationCodeableConcept',
-          'MedicationStatement.medicationReference',
-          'MedicationStatement.subject',
-          'MedicationStatement.effectiveDateTime',
-          'MedicationStatement.effectivePeriod',
-          'MedicationStatement.dateAsserted',
-          'MedicationStatement.derivedFrom'
-        ]
-        must_support_elements.each do |path|
-          @medicationstatement_ary&.each do |resource|
-            truncated_path = path.gsub('MedicationStatement.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @medicationstatement_ary.length
-
-          skip "Could not find #{path} in any of the #{resource_count} provided MedicationStatement resource(s)" unless must_support_confirmed[path]
-        end
-        @instance.save!
-      end
-
-      test 'All references can be resolved' do
-        metadata do
-          id '10'
-          link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:MedicationStatement, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@medicationstatement)
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/us_core_r4/us_core_observation_lab_sequence.rb b/lib/app/modules/us_core_r4/us_core_observation_lab_sequence.rb
deleted file mode 100644
index 83288e8c8..000000000
--- a/lib/app/modules/us_core_r4/us_core_observation_lab_sequence.rb
+++ /dev/null
@@ -1,327 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class USCoreR4ObservationLabSequence < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
-      title 'Laboratory Result Observation Tests'
-
-      description 'Verify that Observation resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
-
-      test_id_prefix 'Observation' # change me
-
-      requires :token, :patient_id
-      conformance_supports :Observation
-
-      def validate_resource_item(resource, property, value)
-        case property
-
-        when 'status'
-          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'status on resource does not match status requested'
-
-        when 'category'
-          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'category on resource does not match category requested'
-
-        when 'code'
-          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'code on resource does not match code requested'
-
-        when 'date'
-          value_found = can_resolve_path(resource, 'effectiveDateTime') do |date|
-            validate_date_search(value, date)
-          end
-          assert value_found, 'date on resource does not match date requested'
-
-        when 'patient'
-          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
-          assert value_found, 'patient on resource does not match patient requested'
-
-        end
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [ObservationLab Argonaut Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab)
-
-      )
-
-      @resources_found = false
-
-      test 'Server rejects Observation search without authorization' do
-        metadata do
-          id '01'
-          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        search_params = { patient: @instance.patient_id, category: 'laboratory' }
-
-        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server returns expected results from Observation search by patient+category' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        search_params = { patient: @instance.patient_id, category: 'laboratory' }
-
-        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
-        assert_response_ok(reply)
-        assert_bundle_response(reply)
-
-        resource_count = reply&.resource&.entry&.length || 0
-        @resources_found = true if resource_count.positive?
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        @observation = reply.try(:resource).try(:entry).try(:first).try(:resource)
-        @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:lab_results])
-        save_delayed_sequence_references(@observation)
-        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
-      end
-
-      test 'Server returns expected results from Observation search by patient+code' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@observation.nil?, 'Expected valid Observation resource to be present'
-
-        patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@observation, 'code.coding.code')
-        search_params = { 'patient': patient_val, 'code': code_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
-        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from Observation search by patient+category+date' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@observation.nil?, 'Expected valid Observation resource to be present'
-
-        patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
-        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
-        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
-        assert_response_ok(reply)
-
-        ['gt', 'lt', 'le'].each do |comparator|
-          comparator_val = date_comparator_value(comparator, date_val)
-          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'date': comparator_val }
-          reply = get_resource_by_params(versioned_resource_class('Observation'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('Observation'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end
-      end
-
-      test 'Server returns expected results from Observation search by patient+code+date' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@observation.nil?, 'Expected valid Observation resource to be present'
-
-        patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@observation, 'code.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
-        search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
-        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
-        assert_response_ok(reply)
-
-        ['gt', 'lt', 'le'].each do |comparator|
-          comparator_val = date_comparator_value(comparator, date_val)
-          comparator_search_params = { 'patient': patient_val, 'code': code_val, 'date': comparator_val }
-          reply = get_resource_by_params(versioned_resource_class('Observation'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('Observation'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end
-      end
-
-      test 'Server returns expected results from Observation search by patient+category+status' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@observation.nil?, 'Expected valid Observation resource to be present'
-
-        patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        status_val = resolve_element_from_path(@observation, 'status')
-        search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
-        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Observation read resource supported' do
-        metadata do
-          id '07'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Observation, [:read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_read_reply(@observation, versioned_resource_class('Observation'))
-      end
-
-      test 'Observation vread resource supported' do
-        metadata do
-          id '08'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Observation, [:vread])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_vread_reply(@observation, versioned_resource_class('Observation'))
-      end
-
-      test 'Observation history resource supported' do
-        metadata do
-          id '09'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Observation, [:history])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_history_reply(@observation, versioned_resource_class('Observation'))
-      end
-
-      test 'Observation resources associated with Patient conform to US Core R4 profiles' do
-        metadata do
-          id '10'
-          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('Observation', Inferno::ValidationUtil::US_CORE_R4_URIS[:lab_results])
-      end
-
-      test 'At least one of every must support element is provided in any Observation for this patient.' do
-        metadata do
-          id '11'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @observation_ary&.any?
-        must_support_confirmed = {}
-        must_support_elements = [
-          'Observation.status',
-          'Observation.category',
-          'Observation.code',
-          'Observation.subject',
-          'Observation.effectiveDateTime',
-          'Observation.effectivePeriod',
-          'Observation.valueQuantity',
-          'Observation.valueCodeableConcept',
-          'Observation.valueString',
-          'Observation.valueBoolean',
-          'Observation.valueInteger',
-          'Observation.valueRange',
-          'Observation.valueRatio',
-          'Observation.valueSampledData',
-          'Observation.valueTime',
-          'Observation.valueDateTime',
-          'Observation.valuePeriod',
-          'Observation.dataAbsentReason'
-        ]
-        must_support_elements.each do |path|
-          @observation_ary&.each do |resource|
-            truncated_path = path.gsub('Observation.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @observation_ary.length
-
-          skip "Could not find #{path} in any of the #{resource_count} provided Observation resource(s)" unless must_support_confirmed[path]
-        end
-        @instance.save!
-      end
-
-      test 'All references can be resolved' do
-        metadata do
-          id '12'
-          link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Observation, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@observation)
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/us_core_r4/us_core_organization_sequence.rb b/lib/app/modules/us_core_r4/us_core_organization_sequence.rb
deleted file mode 100644
index 2084fef6b..000000000
--- a/lib/app/modules/us_core_r4/us_core_organization_sequence.rb
+++ /dev/null
@@ -1,224 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class USCoreR4OrganizationSequence < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
-      title 'Organization Tests'
-
-      description 'Verify that Organization resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
-
-      test_id_prefix 'Organization' # change me
-
-      requires :token
-      conformance_supports :Organization
-      delayed_sequence
-
-      def validate_resource_item(resource, property, value)
-        case property
-
-        when 'name'
-          value_found = can_resolve_path(resource, 'name') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'name on resource does not match name requested'
-
-        when 'address'
-          value_found = can_resolve_path(resource, 'address.city') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'address on resource does not match address requested'
-
-        end
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [Organization Argonaut Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization)
-
-      )
-
-      @resources_found = false
-
-      test 'Can read Organization from the server' do
-        metadata do
-          id '01'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        organization_id = @instance.resource_references.find { |reference| reference.resource_type == 'Organization' }&.resource_id
-        skip 'No Organization references found from the prior searches' if organization_id.nil?
-        @organization = fetch_resource('Organization', organization_id)
-        @resources_found = !@organization.nil?
-      end
-
-      test 'Server rejects Organization search without authorization' do
-        metadata do
-          id '02'
-          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        name_val = resolve_element_from_path(@organization, 'name')
-        search_params = { 'name': name_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Organization'), search_params)
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server returns expected results from Organization search by name' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        name_val = resolve_element_from_path(@organization, 'name')
-        search_params = { 'name': name_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Organization'), search_params)
-        assert_response_ok(reply)
-        assert_bundle_response(reply)
-
-        resource_count = reply&.resource&.entry&.length || 0
-        @resources_found = true if resource_count.positive?
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        @organization = reply.try(:resource).try(:entry).try(:first).try(:resource)
-        @organization_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(versioned_resource_class('Organization'), reply)
-        save_delayed_sequence_references(@organization)
-        validate_search_reply(versioned_resource_class('Organization'), reply, search_params)
-      end
-
-      test 'Server returns expected results from Organization search by address' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@organization.nil?, 'Expected valid Organization resource to be present'
-
-        address_val = resolve_element_from_path(@organization, 'address.city')
-        search_params = { 'address': address_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Organization'), search_params)
-        validate_search_reply(versioned_resource_class('Organization'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Organization vread resource supported' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Organization, [:vread])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_vread_reply(@organization, versioned_resource_class('Organization'))
-      end
-
-      test 'Organization history resource supported' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Organization, [:history])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_history_reply(@organization, versioned_resource_class('Organization'))
-      end
-
-      test 'Organization resources associated with Patient conform to US Core R4 profiles' do
-        metadata do
-          id '07'
-          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('Organization')
-      end
-
-      test 'At least one of every must support element is provided in any Organization for this patient.' do
-        metadata do
-          id '08'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @organization_ary&.any?
-        must_support_confirmed = {}
-        must_support_elements = [
-          'Organization.identifier',
-          'Organization.identifier.system',
-          'Organization.active',
-          'Organization.name',
-          'Organization.telecom',
-          'Organization.address',
-          'Organization.address.line',
-          'Organization.address.city',
-          'Organization.address.state',
-          'Organization.address.postalCode',
-          'Organization.address.country',
-          'Organization.endpoint'
-        ]
-        must_support_elements.each do |path|
-          @organization_ary&.each do |resource|
-            truncated_path = path.gsub('Organization.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @organization_ary.length
-
-          skip "Could not find #{path} in any of the #{resource_count} provided Organization resource(s)" unless must_support_confirmed[path]
-        end
-        @instance.save!
-      end
-
-      test 'All references can be resolved' do
-        metadata do
-          id '09'
-          link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Organization, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@organization)
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/us_core_r4/us_core_patient_sequence.rb b/lib/app/modules/us_core_r4/us_core_patient_sequence.rb
deleted file mode 100644
index 71fcf848e..000000000
--- a/lib/app/modules/us_core_r4/us_core_patient_sequence.rb
+++ /dev/null
@@ -1,378 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class USCoreR4PatientSequence < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
-      title 'Patient Tests'
-
-      description 'Verify that Patient resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
-
-      test_id_prefix 'Patient' # change me
-
-      requires :token, :patient_id
-      conformance_supports :Patient
-
-      def validate_resource_item(resource, property, value)
-        case property
-
-        when '_id'
-          value_found = can_resolve_path(resource, 'id') { |value_in_resource| value_in_resource == value }
-          assert value_found, '_id on resource does not match _id requested'
-
-        when 'birthdate'
-          value_found = can_resolve_path(resource, 'birthDate') do |date|
-            validate_date_search(value, date)
-          end
-          assert value_found, 'birthdate on resource does not match birthdate requested'
-
-        when 'family'
-          value_found = can_resolve_path(resource, 'name.family') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'family on resource does not match family requested'
-
-        when 'gender'
-          value_found = can_resolve_path(resource, 'gender') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'gender on resource does not match gender requested'
-
-        when 'given'
-          value_found = can_resolve_path(resource, 'name.given') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'given on resource does not match given requested'
-
-        when 'identifier'
-          value_found = can_resolve_path(resource, 'identifier.value') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'identifier on resource does not match identifier requested'
-
-        when 'name'
-          value = value.downcase
-          value_found = can_resolve_path(resource, 'name') do |name|
-            name&.text&.start_with?(value) ||
-              name&.family&.downcase&.include?(value) ||
-              name&.given&.any? { |given| given.downcase.start_with?(value) } ||
-              name&.prefix&.any? { |prefix| prefix.downcase.start_with?(value) } ||
-              name&.suffix&.any? { |suffix| suffix.downcase.start_with?(value) }
-          end
-          assert value_found, 'name on resource does not match name requested'
-
-        end
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [Patient Argonaut Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
-
-      )
-
-      @resources_found = false
-
-      test 'Server rejects Patient search without authorization' do
-        metadata do
-          id '01'
-          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        search_params = { '_id': @instance.patient_id }
-
-        reply = get_resource_by_params(versioned_resource_class('Patient'), search_params)
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server returns expected results from Patient search by _id' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        search_params = { '_id': @instance.patient_id }
-
-        reply = get_resource_by_params(versioned_resource_class('Patient'), search_params)
-        assert_response_ok(reply)
-        assert_bundle_response(reply)
-
-        resource_count = reply&.resource&.entry&.length || 0
-        @resources_found = true if resource_count.positive?
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        @patient = reply.try(:resource).try(:entry).try(:first).try(:resource)
-        @patient_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(versioned_resource_class('Patient'), reply)
-        save_delayed_sequence_references(@patient)
-        validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
-      end
-
-      test 'Server returns expected results from Patient search by identifier' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@patient.nil?, 'Expected valid Patient resource to be present'
-
-        identifier_val = resolve_element_from_path(@patient, 'identifier.value')
-        search_params = { 'identifier': identifier_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Patient'), search_params)
-        validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from Patient search by name' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@patient.nil?, 'Expected valid Patient resource to be present'
-
-        name_val = resolve_element_from_path(@patient, 'name.family')
-        search_params = { 'name': name_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Patient'), search_params)
-        validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from Patient search by birthdate+name' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@patient.nil?, 'Expected valid Patient resource to be present'
-
-        birthdate_val = resolve_element_from_path(@patient, 'birthDate')
-        name_val = resolve_element_from_path(@patient, 'name.family')
-        search_params = { 'birthdate': birthdate_val, 'name': name_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Patient'), search_params)
-        validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from Patient search by gender+name' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@patient.nil?, 'Expected valid Patient resource to be present'
-
-        gender_val = resolve_element_from_path(@patient, 'gender')
-        name_val = resolve_element_from_path(@patient, 'name.family')
-        search_params = { 'gender': gender_val, 'name': name_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Patient'), search_params)
-        validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from Patient search by family+gender' do
-        metadata do
-          id '07'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@patient.nil?, 'Expected valid Patient resource to be present'
-
-        family_val = resolve_element_from_path(@patient, 'name.family')
-        gender_val = resolve_element_from_path(@patient, 'gender')
-        search_params = { 'family': family_val, 'gender': gender_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Patient'), search_params)
-        validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from Patient search by birthdate+family' do
-        metadata do
-          id '08'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@patient.nil?, 'Expected valid Patient resource to be present'
-
-        birthdate_val = resolve_element_from_path(@patient, 'birthDate')
-        family_val = resolve_element_from_path(@patient, 'name.family')
-        search_params = { 'birthdate': birthdate_val, 'family': family_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Patient'), search_params)
-        validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Patient read resource supported' do
-        metadata do
-          id '09'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Patient, [:read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_read_reply(@patient, versioned_resource_class('Patient'))
-      end
-
-      test 'Patient vread resource supported' do
-        metadata do
-          id '10'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Patient, [:vread])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_vread_reply(@patient, versioned_resource_class('Patient'))
-      end
-
-      test 'Patient history resource supported' do
-        metadata do
-          id '11'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Patient, [:history])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_history_reply(@patient, versioned_resource_class('Patient'))
-      end
-
-      test 'Patient resources associated with Patient conform to US Core R4 profiles' do
-        metadata do
-          id '12'
-          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('Patient')
-      end
-
-      test 'At least one of every must support element is provided in any Patient for this patient.' do
-        metadata do
-          id '13'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @patient_ary&.any?
-        must_support_confirmed = {}
-        extensions_list = {
-          'Patient.extension:race': 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race',
-          'Patient.extension:ethnicity': 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity',
-          'Patient.extension:birthsex': 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex'
-        }
-        extensions_list.each do |id, url|
-          @patient_ary&.each do |resource|
-            must_support_confirmed[id] = true if resource.extension.any? { |extension| extension.url == url }
-            break if must_support_confirmed[id]
-          end
-          skip "Could not find #{id} in any of the #{@patient_ary.length} provided Patient resource(s)" unless must_support_confirmed[id]
-        end
-
-        must_support_elements = [
-          'Patient.identifier',
-          'Patient.identifier.system',
-          'Patient.identifier.value',
-          'Patient.name',
-          'Patient.name.family',
-          'Patient.name.given',
-          'Patient.telecom',
-          'Patient.telecom.system',
-          'Patient.telecom.value',
-          'Patient.gender',
-          'Patient.birthDate',
-          'Patient.address',
-          'Patient.address.line',
-          'Patient.address.city',
-          'Patient.address.state',
-          'Patient.address.postalCode',
-          'Patient.communication',
-          'Patient.communication.language'
-        ]
-        must_support_elements.each do |path|
-          @patient_ary&.each do |resource|
-            truncated_path = path.gsub('Patient.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @patient_ary.length
-
-          skip "Could not find #{path} in any of the #{resource_count} provided Patient resource(s)" unless must_support_confirmed[path]
-        end
-        @instance.save!
-      end
-
-      test 'All references can be resolved' do
-        metadata do
-          id '14'
-          link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Patient, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@patient)
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/us_core_r4/us_core_practitioner_sequence.rb b/lib/app/modules/us_core_r4/us_core_practitioner_sequence.rb
deleted file mode 100644
index ed8fc3ec5..000000000
--- a/lib/app/modules/us_core_r4/us_core_practitioner_sequence.rb
+++ /dev/null
@@ -1,226 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class USCoreR4PractitionerSequence < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
-      title 'Practitioner Tests'
-
-      description 'Verify that Practitioner resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
-
-      test_id_prefix 'Practitioner' # change me
-
-      requires :token
-      conformance_supports :Practitioner
-      delayed_sequence
-
-      def validate_resource_item(resource, property, value)
-        case property
-
-        when 'name'
-          value = value.downcase
-          value_found = can_resolve_path(resource, 'name') do |name|
-            name&.text&.start_with?(value) ||
-              name&.family&.downcase&.include?(value) ||
-              name&.given&.any? { |given| given.downcase.start_with?(value) } ||
-              name&.prefix&.any? { |prefix| prefix.downcase.start_with?(value) } ||
-              name&.suffix&.any? { |suffix| suffix.downcase.start_with?(value) }
-          end
-          assert value_found, 'name on resource does not match name requested'
-
-        when 'identifier'
-          value_found = can_resolve_path(resource, 'identifier.value') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'identifier on resource does not match identifier requested'
-
-        end
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [Practitioner Argonaut Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
-
-      )
-
-      @resources_found = false
-
-      test 'Can read Practitioner from the server' do
-        metadata do
-          id '01'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        practitioner_id = @instance.resource_references.find { |reference| reference.resource_type == 'Practitioner' }&.resource_id
-        skip 'No Practitioner references found from the prior searches' if practitioner_id.nil?
-        @practitioner = fetch_resource('Practitioner', practitioner_id)
-        @resources_found = !@practitioner.nil?
-      end
-
-      test 'Server rejects Practitioner search without authorization' do
-        metadata do
-          id '02'
-          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        name_val = resolve_element_from_path(@practitioner, 'name.family')
-        search_params = { 'name': name_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Practitioner'), search_params)
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server returns expected results from Practitioner search by name' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        name_val = resolve_element_from_path(@practitioner, 'name.family')
-        search_params = { 'name': name_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Practitioner'), search_params)
-        assert_response_ok(reply)
-        assert_bundle_response(reply)
-
-        resource_count = reply&.resource&.entry&.length || 0
-        @resources_found = true if resource_count.positive?
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        @practitioner = reply.try(:resource).try(:entry).try(:first).try(:resource)
-        @practitioner_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(versioned_resource_class('Practitioner'), reply)
-        save_delayed_sequence_references(@practitioner)
-        validate_search_reply(versioned_resource_class('Practitioner'), reply, search_params)
-      end
-
-      test 'Server returns expected results from Practitioner search by identifier' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@practitioner.nil?, 'Expected valid Practitioner resource to be present'
-
-        identifier_val = resolve_element_from_path(@practitioner, 'identifier.value')
-        search_params = { 'identifier': identifier_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Practitioner'), search_params)
-        validate_search_reply(versioned_resource_class('Practitioner'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Practitioner vread resource supported' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Practitioner, [:vread])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_vread_reply(@practitioner, versioned_resource_class('Practitioner'))
-      end
-
-      test 'Practitioner history resource supported' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Practitioner, [:history])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_history_reply(@practitioner, versioned_resource_class('Practitioner'))
-      end
-
-      test 'Practitioner resources associated with Patient conform to US Core R4 profiles' do
-        metadata do
-          id '07'
-          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('Practitioner')
-      end
-
-      test 'At least one of every must support element is provided in any Practitioner for this patient.' do
-        metadata do
-          id '08'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @practitioner_ary&.any?
-        must_support_confirmed = {}
-        must_support_elements = [
-          'Practitioner.identifier',
-          'Practitioner.identifier.system',
-          'Practitioner.identifier.value',
-          'Practitioner.identifier',
-          'Practitioner.identifier.system',
-          'Practitioner.name',
-          'Practitioner.name.family'
-        ]
-        must_support_elements.each do |path|
-          @practitioner_ary&.each do |resource|
-            truncated_path = path.gsub('Practitioner.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @practitioner_ary.length
-
-          skip "Could not find #{path} in any of the #{resource_count} provided Practitioner resource(s)" unless must_support_confirmed[path]
-        end
-        @instance.save!
-      end
-
-      test 'All references can be resolved' do
-        metadata do
-          id '09'
-          link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Practitioner, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@practitioner)
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/us_core_r4/us_core_practitionerrole_sequence.rb b/lib/app/modules/us_core_r4/us_core_practitionerrole_sequence.rb
deleted file mode 100644
index b22d017a3..000000000
--- a/lib/app/modules/us_core_r4/us_core_practitionerrole_sequence.rb
+++ /dev/null
@@ -1,221 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class USCoreR4PractitionerroleSequence < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
-      title 'PractitionerRole Tests'
-
-      description 'Verify that PractitionerRole resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
-
-      test_id_prefix 'PractitionerRole' # change me
-
-      requires :token
-      conformance_supports :PractitionerRole
-      delayed_sequence
-
-      def validate_resource_item(resource, property, value)
-        case property
-
-        when 'specialty'
-          value_found = can_resolve_path(resource, 'specialty.coding.code') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'specialty on resource does not match specialty requested'
-
-        when 'practitioner'
-          value_found = can_resolve_path(resource, 'practitioner.reference') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'practitioner on resource does not match practitioner requested'
-
-        end
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [Practitionerrole Argonaut Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)
-
-      )
-
-      @resources_found = false
-
-      test 'Can read PractitionerRole from the server' do
-        metadata do
-          id '01'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        practitionerrole_id = @instance.resource_references.find { |reference| reference.resource_type == 'PractitionerRole' }&.resource_id
-        skip 'No PractitionerRole references found from the prior searches' if practitionerrole_id.nil?
-        @practitionerrole = fetch_resource('PractitionerRole', practitionerrole_id)
-        @resources_found = !@practitionerrole.nil?
-      end
-
-      test 'Server rejects PractitionerRole search without authorization' do
-        metadata do
-          id '02'
-          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        specialty_val = resolve_element_from_path(@practitionerrole, 'specialty.coding.code')
-        search_params = { 'specialty': specialty_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('PractitionerRole'), search_params)
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server returns expected results from PractitionerRole search by specialty' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        specialty_val = resolve_element_from_path(@practitionerrole, 'specialty.coding.code')
-        search_params = { 'specialty': specialty_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('PractitionerRole'), search_params)
-        assert_response_ok(reply)
-        assert_bundle_response(reply)
-
-        resource_count = reply&.resource&.entry&.length || 0
-        @resources_found = true if resource_count.positive?
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        @practitionerrole = reply.try(:resource).try(:entry).try(:first).try(:resource)
-        @practitionerrole_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(versioned_resource_class('PractitionerRole'), reply)
-        save_delayed_sequence_references(@practitionerrole)
-        validate_search_reply(versioned_resource_class('PractitionerRole'), reply, search_params)
-      end
-
-      test 'Server returns expected results from PractitionerRole search by practitioner' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@practitionerrole.nil?, 'Expected valid PractitionerRole resource to be present'
-
-        practitioner_val = resolve_element_from_path(@practitionerrole, 'practitioner.reference')
-        search_params = { 'practitioner': practitioner_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('PractitionerRole'), search_params)
-        validate_search_reply(versioned_resource_class('PractitionerRole'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'PractitionerRole vread resource supported' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:PractitionerRole, [:vread])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_vread_reply(@practitionerrole, versioned_resource_class('PractitionerRole'))
-      end
-
-      test 'PractitionerRole history resource supported' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:PractitionerRole, [:history])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_history_reply(@practitionerrole, versioned_resource_class('PractitionerRole'))
-      end
-
-      test 'PractitionerRole resources associated with Patient conform to US Core R4 profiles' do
-        metadata do
-          id '07'
-          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('PractitionerRole')
-      end
-
-      test 'At least one of every must support element is provided in any PractitionerRole for this patient.' do
-        metadata do
-          id '08'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @practitionerrole_ary&.any?
-        must_support_confirmed = {}
-        must_support_elements = [
-          'PractitionerRole.practitioner',
-          'PractitionerRole.organization',
-          'PractitionerRole.code',
-          'PractitionerRole.specialty',
-          'PractitionerRole.location',
-          'PractitionerRole.telecom',
-          'PractitionerRole.telecom.system',
-          'PractitionerRole.telecom.value',
-          'PractitionerRole.endpoint'
-        ]
-        must_support_elements.each do |path|
-          @practitionerrole_ary&.each do |resource|
-            truncated_path = path.gsub('PractitionerRole.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @practitionerrole_ary.length
-
-          skip "Could not find #{path} in any of the #{resource_count} provided PractitionerRole resource(s)" unless must_support_confirmed[path]
-        end
-        @instance.save!
-      end
-
-      test 'All references can be resolved' do
-        metadata do
-          id '09'
-          link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:PractitionerRole, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@practitionerrole)
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/us_core_r4/us_core_procedure_sequence.rb b/lib/app/modules/us_core_r4/us_core_procedure_sequence.rb
deleted file mode 100644
index 408c510cd..000000000
--- a/lib/app/modules/us_core_r4/us_core_procedure_sequence.rb
+++ /dev/null
@@ -1,290 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class USCoreR4ProcedureSequence < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
-      title 'Procedure Tests'
-
-      description 'Verify that Procedure resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
-
-      test_id_prefix 'Procedure' # change me
-
-      requires :token, :patient_id
-      conformance_supports :Procedure
-
-      def validate_resource_item(resource, property, value)
-        case property
-
-        when 'status'
-          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'status on resource does not match status requested'
-
-        when 'patient'
-          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
-          assert value_found, 'patient on resource does not match patient requested'
-
-        when 'date'
-          value_found = can_resolve_path(resource, 'occurrenceDateTime') do |date|
-            validate_date_search(value, date)
-          end
-          assert value_found, 'date on resource does not match date requested'
-
-        when 'code'
-          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'code on resource does not match code requested'
-
-        end
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [Procedure Argonaut Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure)
-
-      )
-
-      @resources_found = false
-
-      test 'Server rejects Procedure search without authorization' do
-        metadata do
-          id '01'
-          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        patient_val = @instance.patient_id
-        search_params = { 'patient': patient_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Procedure'), search_params)
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server returns expected results from Procedure search by patient' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        patient_val = @instance.patient_id
-        search_params = { 'patient': patient_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Procedure'), search_params)
-        assert_response_ok(reply)
-        assert_bundle_response(reply)
-
-        resource_count = reply&.resource&.entry&.length || 0
-        @resources_found = true if resource_count.positive?
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        @procedure = reply.try(:resource).try(:entry).try(:first).try(:resource)
-        @procedure_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(versioned_resource_class('Procedure'), reply)
-        save_delayed_sequence_references(@procedure)
-        validate_search_reply(versioned_resource_class('Procedure'), reply, search_params)
-      end
-
-      test 'Server returns expected results from Procedure search by patient+date' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@procedure.nil?, 'Expected valid Procedure resource to be present'
-
-        patient_val = @instance.patient_id
-        date_val = resolve_element_from_path(@procedure, 'occurrenceDateTime')
-        search_params = { 'patient': patient_val, 'date': date_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Procedure'), search_params)
-        validate_search_reply(versioned_resource_class('Procedure'), reply, search_params)
-        assert_response_ok(reply)
-
-        ['gt', 'lt', 'le'].each do |comparator|
-          comparator_val = date_comparator_value(comparator, date_val)
-          comparator_search_params = { 'patient': patient_val, 'date': comparator_val }
-          reply = get_resource_by_params(versioned_resource_class('Procedure'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('Procedure'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end
-      end
-
-      test 'Server returns expected results from Procedure search by patient+code+date' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@procedure.nil?, 'Expected valid Procedure resource to be present'
-
-        patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@procedure, 'code.coding.code')
-        date_val = resolve_element_from_path(@procedure, 'occurrenceDateTime')
-        search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Procedure'), search_params)
-        validate_search_reply(versioned_resource_class('Procedure'), reply, search_params)
-        assert_response_ok(reply)
-
-        ['gt', 'lt', 'le'].each do |comparator|
-          comparator_val = date_comparator_value(comparator, date_val)
-          comparator_search_params = { 'patient': patient_val, 'code': code_val, 'date': comparator_val }
-          reply = get_resource_by_params(versioned_resource_class('Procedure'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('Procedure'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end
-      end
-
-      test 'Server returns expected results from Procedure search by patient+status' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@procedure.nil?, 'Expected valid Procedure resource to be present'
-
-        patient_val = @instance.patient_id
-        status_val = resolve_element_from_path(@procedure, 'status')
-        search_params = { 'patient': patient_val, 'status': status_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Procedure'), search_params)
-        validate_search_reply(versioned_resource_class('Procedure'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Procedure read resource supported' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Procedure, [:read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_read_reply(@procedure, versioned_resource_class('Procedure'))
-      end
-
-      test 'Procedure vread resource supported' do
-        metadata do
-          id '07'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Procedure, [:vread])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_vread_reply(@procedure, versioned_resource_class('Procedure'))
-      end
-
-      test 'Procedure history resource supported' do
-        metadata do
-          id '08'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Procedure, [:history])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_history_reply(@procedure, versioned_resource_class('Procedure'))
-      end
-
-      test 'Procedure resources associated with Patient conform to US Core R4 profiles' do
-        metadata do
-          id '09'
-          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('Procedure')
-      end
-
-      test 'At least one of every must support element is provided in any Procedure for this patient.' do
-        metadata do
-          id '10'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @procedure_ary&.any?
-        must_support_confirmed = {}
-        must_support_elements = [
-          'Procedure.status',
-          'Procedure.code',
-          'Procedure.subject',
-          'Procedure.performedDateTime',
-          'Procedure.performedPeriod'
-        ]
-        must_support_elements.each do |path|
-          @procedure_ary&.each do |resource|
-            truncated_path = path.gsub('Procedure.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @procedure_ary.length
-
-          skip "Could not find #{path} in any of the #{resource_count} provided Procedure resource(s)" unless must_support_confirmed[path]
-        end
-        @instance.save!
-      end
-
-      test 'All references can be resolved' do
-        metadata do
-          id '11'
-          link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Procedure, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@procedure)
-      end
-    end
-  end
-end
diff --git a/lib/app/modules/us_core_r4/us_core_smokingstatus_sequence.rb b/lib/app/modules/us_core_r4/us_core_smokingstatus_sequence.rb
deleted file mode 100644
index 7b112f01a..000000000
--- a/lib/app/modules/us_core_r4/us_core_smokingstatus_sequence.rb
+++ /dev/null
@@ -1,314 +0,0 @@
-# frozen_string_literal: true
-
-module Inferno
-  module Sequence
-    class USCoreR4SmokingstatusSequence < SequenceBase
-      group 'US Core R4 Profile Conformance'
-
-      title 'Smoking Status Observation Tests'
-
-      description 'Verify that Observation resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
-
-      test_id_prefix 'Observation' # change me
-
-      requires :token, :patient_id
-      conformance_supports :Observation
-
-      def validate_resource_item(resource, property, value)
-        case property
-
-        when 'status'
-          value_found = can_resolve_path(resource, 'status') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'status on resource does not match status requested'
-
-        when 'category'
-          value_found = can_resolve_path(resource, 'category.coding.code') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'category on resource does not match category requested'
-
-        when 'code'
-          value_found = can_resolve_path(resource, 'code.coding.code') { |value_in_resource| value_in_resource == value }
-          assert value_found, 'code on resource does not match code requested'
-
-        when 'date'
-          value_found = can_resolve_path(resource, 'effectiveDateTime') do |date|
-            validate_date_search(value, date)
-          end
-          assert value_found, 'date on resource does not match date requested'
-
-        when 'patient'
-          value_found = can_resolve_path(resource, 'subject.reference') { |reference| [value, 'Patient/' + value].include? reference }
-          assert value_found, 'patient on resource does not match patient requested'
-
-        end
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title.gsub(/\s+/, '')}` resources associated with the provided patient.  The resources
-        returned will be checked for consistency against the [Smokingstatus Argonaut Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus)
-
-      )
-
-      @resources_found = false
-
-      test 'Server rejects Observation search without authorization' do
-        metadata do
-          id '01'
-          link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        search_params = { patient: @instance.patient_id, code: '72166-2' }
-
-        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server returns expected results from Observation search by patient+code' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        search_params = { patient: @instance.patient_id, code: '72166-2' }
-
-        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
-        assert_response_ok(reply)
-        assert_bundle_response(reply)
-
-        resource_count = reply&.resource&.entry&.length || 0
-        @resources_found = true if resource_count.positive?
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        @observation = reply.try(:resource).try(:entry).try(:first).try(:resource)
-        @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:smoking_status])
-        save_delayed_sequence_references(@observation)
-        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
-      end
-
-      test 'Server returns expected results from Observation search by patient+category' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@observation.nil?, 'Expected valid Observation resource to be present'
-
-        patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        search_params = { 'patient': patient_val, 'category': category_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
-        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Server returns expected results from Observation search by patient+category+date' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@observation.nil?, 'Expected valid Observation resource to be present'
-
-        patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
-        search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
-        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
-        assert_response_ok(reply)
-
-        ['gt', 'lt', 'le'].each do |comparator|
-          comparator_val = date_comparator_value(comparator, date_val)
-          comparator_search_params = { 'patient': patient_val, 'category': category_val, 'date': comparator_val }
-          reply = get_resource_by_params(versioned_resource_class('Observation'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('Observation'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end
-      end
-
-      test 'Server returns expected results from Observation search by patient+code+date' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@observation.nil?, 'Expected valid Observation resource to be present'
-
-        patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@observation, 'code.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
-        search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
-        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
-        assert_response_ok(reply)
-
-        ['gt', 'lt', 'le'].each do |comparator|
-          comparator_val = date_comparator_value(comparator, date_val)
-          comparator_search_params = { 'patient': patient_val, 'code': code_val, 'date': comparator_val }
-          reply = get_resource_by_params(versioned_resource_class('Observation'), comparator_search_params)
-          validate_search_reply(versioned_resource_class('Observation'), reply, comparator_search_params)
-          assert_response_ok(reply)
-        end
-      end
-
-      test 'Server returns expected results from Observation search by patient+category+status' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          optional
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        assert !@observation.nil?, 'Expected valid Observation resource to be present'
-
-        patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        status_val = resolve_element_from_path(@observation, 'status')
-        search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
-
-        reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
-        validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
-        assert_response_ok(reply)
-      end
-
-      test 'Observation read resource supported' do
-        metadata do
-          id '07'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Observation, [:read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_read_reply(@observation, versioned_resource_class('Observation'))
-      end
-
-      test 'Observation vread resource supported' do
-        metadata do
-          id '08'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Observation, [:vread])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_vread_reply(@observation, versioned_resource_class('Observation'))
-      end
-
-      test 'Observation history resource supported' do
-        metadata do
-          id '09'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Observation, [:history])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_history_reply(@observation, versioned_resource_class('Observation'))
-      end
-
-      test 'Observation resources associated with Patient conform to US Core R4 profiles' do
-        metadata do
-          id '10'
-          link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('Observation', Inferno::ValidationUtil::US_CORE_R4_URIS[:smoking_status])
-      end
-
-      test 'At least one of every must support element is provided in any Observation for this patient.' do
-        metadata do
-          id '11'
-          link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip 'No resources appear to be available for this patient. Please use patients with more information' unless @observation_ary&.any?
-        must_support_confirmed = {}
-        must_support_elements = [
-          'Observation.status',
-          'Observation.code',
-          'Observation.subject',
-          'Observation.issued',
-          'Observation.valueCodeableConcept'
-        ]
-        must_support_elements.each do |path|
-          @observation_ary&.each do |resource|
-            truncated_path = path.gsub('Observation.', '')
-            must_support_confirmed[path] = true if can_resolve_path(resource, truncated_path)
-            break if must_support_confirmed[path]
-          end
-          resource_count = @observation_ary.length
-
-          skip "Could not find #{path} in any of the #{resource_count} provided Observation resource(s)" unless must_support_confirmed[path]
-        end
-        @instance.save!
-      end
-
-      test 'All references can be resolved' do
-        metadata do
-          id '12'
-          link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
-          )
-          versions :r4
-        end
-
-        skip_if_not_supported(:Observation, [:search, :read])
-        skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-
-        validate_reference_resolutions(@observation)
-      end
-    end
-  end
-end
diff --git a/test/sequence/us_core_r4/clinicalnotes_sequence_test.rb b/test/sequence/us_core_r4/clinicalnotes_sequence_test.rb
index 4b856596e..00fd999ee 100644
--- a/test/sequence/us_core_r4/clinicalnotes_sequence_test.rb
+++ b/test/sequence/us_core_r4/clinicalnotes_sequence_test.rb
@@ -14,7 +14,7 @@ def setup
       base_url: 'http://localhost:4567',
       client_endpoint_key: Inferno::SecureRandomBase62.generate(32),
       client_id: SecureRandom.uuid,
-      selected_module: 'us_core_r4',
+      selected_module: 'uscore_v3.0.1',
       oauth_authorize_endpoint: 'http://oauth_reg.example.com/authorize',
       oauth_token_endpoint: 'http://oauth_reg.example.com/token',
       scopes: 'launch openid patient/*.* profile',
diff --git a/test/unit/test_instance_test.rb b/test/unit/test_instance_test.rb
index 582d22adf..a883e7c19 100644
--- a/test/unit/test_instance_test.rb
+++ b/test/unit/test_instance_test.rb
@@ -4,7 +4,7 @@
 
 class TestInstanceTest < MiniTest::Test
   def setup
-    @instance = Inferno::Models::TestingInstance.create(selected_module: 'us_core_r4')
+    @instance = Inferno::Models::TestingInstance.create(selected_module: 'uscore_v3.0.0')
   end
 
   def test_conformance_supported

From 1184f5b29042fb98ea1b8e029740958824f89a5e Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Fri, 20 Sep 2019 15:52:52 -0400
Subject: [PATCH 013/144] Style recommendation from code climate.

---
 generator/generator_base.rb | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/generator/generator_base.rb b/generator/generator_base.rb
index 56d135feb..83768dbe7 100644
--- a/generator/generator_base.rb
+++ b/generator/generator_base.rb
@@ -19,7 +19,7 @@ def load_resources
         @resource_by_path = Hash.new {}
         @resources_by_type = Hash.new { |h, k| h[k] = [] }
         Dir.glob("#{resource_file_path}/**/*.*") do |resource| # note one extra "*"
-          if File.file?(resource) && (resource.end_with?('json') || resource.end_with?('xml'))
+          if File.file?(resource) && resource.end_with?('json','xml')
 
             # We should consider using the native Ruby models instead of JSON
             # There were problems with round-tripping certain SearchParameters though

From 1770649ee27437129c64b2cc5577afe7af8f6f2c Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Fri, 20 Sep 2019 15:55:54 -0400
Subject: [PATCH 014/144] Another style recommendation from code climate.

---
 generator/generator_base.rb | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/generator/generator_base.rb b/generator/generator_base.rb
index 83768dbe7..c973d5a53 100644
--- a/generator/generator_base.rb
+++ b/generator/generator_base.rb
@@ -19,7 +19,7 @@ def load_resources
         @resource_by_path = Hash.new {}
         @resources_by_type = Hash.new { |h, k| h[k] = [] }
         Dir.glob("#{resource_file_path}/**/*.*") do |resource| # note one extra "*"
-          if File.file?(resource) && resource.end_with?('json','xml')
+          if File.file?(resource) && resource.end_with?('json', 'xml')
 
             # We should consider using the native Ruby models instead of JSON
             # There were problems with round-tripping certain SearchParameters though

From 3bfbf39e110f5dbe7d96b2ad66f2918ff46e6d6b Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Tue, 24 Sep 2019 15:33:16 -0400
Subject: [PATCH 015/144] Add default parameter to capability_statement method.

---
 generator/generator_base.rb | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/generator/generator_base.rb b/generator/generator_base.rb
index c973d5a53..9b4cb9493 100644
--- a/generator/generator_base.rb
+++ b/generator/generator_base.rb
@@ -37,7 +37,7 @@ def ig_resource
         @resources_by_type['ImplementationGuide'].first
       end
 
-      def capability_statement(mode)
+      def capability_statement(mode = 'server')
         @resources_by_type['CapabilityStatement'].find { |re| re['rest'].any? { |r| r['mode'] == mode } }
       end
 

From c14a8cef19dfd6e26eb4038a3defcd93a699c51a Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Tue, 24 Sep 2019 15:41:09 -0400
Subject: [PATCH 016/144] Add attr_accessors.

---
 generator/generator_base.rb | 3 +++
 1 file changed, 3 insertions(+)

diff --git a/generator/generator_base.rb b/generator/generator_base.rb
index 9b4cb9493..0d0ea2383 100644
--- a/generator/generator_base.rb
+++ b/generator/generator_base.rb
@@ -9,6 +9,9 @@
 module Inferno
   module Generator
     class Base
+
+      attr_accessor :path, :extras, :resource_by_path, :resources_by_type
+
       def initialize(path, extras)
         @path = path
         @extras = extras

From 2fd2b22e140ad4a0743985038d0851a75134c443 Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Wed, 25 Sep 2019 09:21:59 -0400
Subject: [PATCH 017/144] Updates to generator based on feedback.

---
 generator/generator_base.rb                | 24 +++++++++++-----------
 generator/uscore/metadata_extractor.rb     |  5 -----
 lib/app/modules/us_core_guidance/README.md |  2 +-
 3 files changed, 13 insertions(+), 18 deletions(-)

diff --git a/generator/generator_base.rb b/generator/generator_base.rb
index 0d0ea2383..15dc167a9 100644
--- a/generator/generator_base.rb
+++ b/generator/generator_base.rb
@@ -9,7 +9,6 @@
 module Inferno
   module Generator
     class Base
-
       attr_accessor :path, :extras, :resource_by_path, :resources_by_type
 
       def initialize(path, extras)
@@ -28,20 +27,22 @@ def load_resources
             # There were problems with round-tripping certain SearchParameters though
             new_resource_json = JSON.parse(File.read(resource))
             new_resource = FHIR.from_contents(File.read(resource))
-            @resource_by_path[resource_path(new_resource)] = new_resource_json
+            resource_by_path[resource_path(new_resource)] = new_resource_json
             type = new_resource.class.name.demodulize
             type = 'CapabilityStatement' if type == 'Conformance'
-            @resources_by_type[type].push(new_resource_json)
+            resources_by_type[type].push(new_resource_json)
           end
         end
       end
 
       def ig_resource
-        @resources_by_type['ImplementationGuide'].first
+        resources_by_type['ImplementationGuide'].first
       end
 
       def capability_statement(mode = 'server')
-        @resources_by_type['CapabilityStatement'].find { |re| re['rest'].any? { |r| r['mode'] == mode } }
+        resources_by_type['CapabilityStatement'].find do |capability_statement_resource|
+          capability_statement_resource['rest'].any? { |r| r['mode'] == mode }
+        end
       end
 
       def resource_path(resource)
@@ -49,7 +50,6 @@ def resource_path(resource)
       end
 
       def format_output
-        # system('sh', "rubocop -x --display-only-fail-level-offenses #{sequence_out_path}/")
         system("rubocop -x --display-only-fail-level-offenses #{sequence_out_path}")
       end
 
@@ -58,10 +58,10 @@ def run
         format_output
       end
 
-      # subclass must implement the following:
-      # def generate
-
-      # end
+      # subclass must implement the following
+      def generate
+        raise StandardError('Method not implemented.')
+      end
 
       def sequence_prefix
         version = ig_resource['version'].delete('.')
@@ -74,11 +74,11 @@ def module_yml_out_path
       end
 
       def sequence_out_path
-        File.expand_path("./lib/app/modules/#{@path}")
+        File.expand_path("#{module_yml_out_path}/#{path}")
       end
 
       def resource_file_path
-        File.expand_path("./resources/#{@path}")
+        File.expand_path("./resources/#{path}")
       end
     end
   end
diff --git a/generator/uscore/metadata_extractor.rb b/generator/uscore/metadata_extractor.rb
index 735bbc9c3..715370ac2 100644
--- a/generator/uscore/metadata_extractor.rb
+++ b/generator/uscore/metadata_extractor.rb
@@ -9,10 +9,6 @@ def profile_uri(profile)
         "http://hl7.org/fhir/us/core/StructureDefinition/#{profile}"
       end
 
-      def profile_json_uri(profile)
-        "https://www.hl7.org/fhir/us/core/StructureDefinition-#{profile}.json"
-      end
-
       def search_param_path(resource, param)
         param = 'id' if param == '_id'
         "SearchParameter/us-core-#{resource.downcase}-#{param}"
@@ -59,7 +55,6 @@ def build_new_sequence(resource, profile)
           class_name: class_name,
           resource: resource['type'],
           profile: profile_uri(base_name), # link in capability statement is incorrect,
-          profile_json: profile_json_uri(base_name),
           title: profile_title,
           interactions: [],
           searches: [],
diff --git a/lib/app/modules/us_core_guidance/README.md b/lib/app/modules/us_core_guidance/README.md
index 4ce116f5e..85267032c 100644
--- a/lib/app/modules/us_core_guidance/README.md
+++ b/lib/app/modules/us_core_guidance/README.md
@@ -1,3 +1,3 @@
 This folder is for guidance-based tests for US Core on FHIR R4.  This allows us
 to separate the autogenerated-tests from the manually created tests that are based
-from guidance text.  This solution could be improved.
+on guidance text.  This solution could be improved.

From 66cdd0e7bb8e8a0f0cf74ec32d45b8b9764b2818 Mon Sep 17 00:00:00 2001
From: Chase <czhou@mitre.org>
Date: Wed, 25 Sep 2019 14:37:23 -0400
Subject: [PATCH 018/144] add request url to request defatils

---
 lib/app/views/request_details.erb | 9 +++++++++
 1 file changed, 9 insertions(+)

diff --git a/lib/app/views/request_details.erb b/lib/app/views/request_details.erb
index 30fa609cd..7a61a77db 100644
--- a/lib/app/views/request_details.erb
+++ b/lib/app/views/request_details.erb
@@ -9,6 +9,15 @@
 <div class="modal-body">
   <div class="test-result-details-response-values">
     <div class="test-result-details-header">Request</div>
+    <% if rr.direction == 'outbound' %>
+      <span class="oi oi-arrow-thick-right" title="outbound requests" aria-hidden="true"></span>
+    <% else %>
+      <span class="oi oi-arrow-thick-left" title="inbound requests" aria-hidden="true"></span>
+    <% end %>
+    &nbsp;
+    <%= rr.request_method.upcase %> &nbsp;
+    <%= rr.response_code %> &nbsp;
+    <%= rr.request_url %>
     <div class="test-result-details-subheader">Headers</div>
     <ul>
       <% valid_json?(rr.request_headers) && JSON.parse(rr.request_headers).each do |header_name, header_value| %>

From 5947b1d59ff9b09a1e9d44f83fb99fb4973de09c Mon Sep 17 00:00:00 2001
From: Chase <czhou@mitre.org>
Date: Thu, 26 Sep 2019 10:38:19 -0400
Subject: [PATCH 019/144] navigate through all the pages returned from the
 first search

---
 generator/uscore/uscore_generator.rb                     | 9 ++++++++-
 .../uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb      | 9 ++++++++-
 .../pediatric_weight_for_height_sequence.rb              | 9 ++++++++-
 .../uscore_v3.0.0/us_core_allergyintolerance_sequence.rb | 9 ++++++++-
 .../modules/uscore_v3.0.0/us_core_careplan_sequence.rb   | 9 ++++++++-
 .../modules/uscore_v3.0.0/us_core_careteam_sequence.rb   | 9 ++++++++-
 .../modules/uscore_v3.0.0/us_core_condition_sequence.rb  | 9 ++++++++-
 lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb | 9 ++++++++-
 .../us_core_diagnosticreport_lab_sequence.rb             | 9 ++++++++-
 .../us_core_diagnosticreport_note_sequence.rb            | 9 ++++++++-
 .../uscore_v3.0.0/us_core_documentreference_sequence.rb  | 9 ++++++++-
 .../modules/uscore_v3.0.0/us_core_encounter_sequence.rb  | 9 ++++++++-
 lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb   | 9 ++++++++-
 .../uscore_v3.0.0/us_core_immunization_sequence.rb       | 9 ++++++++-
 .../modules/uscore_v3.0.0/us_core_location_sequence.rb   | 9 ++++++++-
 .../uscore_v3.0.0/us_core_medicationrequest_sequence.rb  | 9 ++++++++-
 .../us_core_medicationstatement_sequence.rb              | 9 ++++++++-
 .../uscore_v3.0.0/us_core_observation_lab_sequence.rb    | 9 ++++++++-
 .../uscore_v3.0.0/us_core_organization_sequence.rb       | 9 ++++++++-
 .../modules/uscore_v3.0.0/us_core_patient_sequence.rb    | 9 ++++++++-
 .../uscore_v3.0.0/us_core_practitioner_sequence.rb       | 9 ++++++++-
 .../uscore_v3.0.0/us_core_practitionerrole_sequence.rb   | 9 ++++++++-
 .../modules/uscore_v3.0.0/us_core_procedure_sequence.rb  | 9 ++++++++-
 .../uscore_v3.0.0/us_core_smokingstatus_sequence.rb      | 9 ++++++++-
 .../uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb      | 9 ++++++++-
 .../pediatric_weight_for_height_sequence.rb              | 9 ++++++++-
 .../uscore_v3.0.1/us_core_allergyintolerance_sequence.rb | 9 ++++++++-
 .../modules/uscore_v3.0.1/us_core_careplan_sequence.rb   | 9 ++++++++-
 .../modules/uscore_v3.0.1/us_core_careteam_sequence.rb   | 9 ++++++++-
 .../modules/uscore_v3.0.1/us_core_condition_sequence.rb  | 9 ++++++++-
 .../us_core_diagnosticreport_lab_sequence.rb             | 9 ++++++++-
 .../us_core_diagnosticreport_note_sequence.rb            | 9 ++++++++-
 .../uscore_v3.0.1/us_core_documentreference_sequence.rb  | 9 ++++++++-
 .../modules/uscore_v3.0.1/us_core_encounter_sequence.rb  | 9 ++++++++-
 lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb   | 9 ++++++++-
 .../uscore_v3.0.1/us_core_immunization_sequence.rb       | 9 ++++++++-
 .../uscore_v3.0.1/us_core_implantable_device_sequence.rb | 9 ++++++++-
 .../modules/uscore_v3.0.1/us_core_location_sequence.rb   | 9 ++++++++-
 .../uscore_v3.0.1/us_core_medicationrequest_sequence.rb  | 9 ++++++++-
 .../uscore_v3.0.1/us_core_observation_lab_sequence.rb    | 9 ++++++++-
 .../uscore_v3.0.1/us_core_organization_sequence.rb       | 9 ++++++++-
 .../modules/uscore_v3.0.1/us_core_patient_sequence.rb    | 9 ++++++++-
 .../uscore_v3.0.1/us_core_practitioner_sequence.rb       | 9 ++++++++-
 .../uscore_v3.0.1/us_core_practitionerrole_sequence.rb   | 9 ++++++++-
 .../modules/uscore_v3.0.1/us_core_procedure_sequence.rb  | 9 ++++++++-
 .../uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb     | 9 ++++++++-
 .../uscore_v3.0.1/us_core_smokingstatus_sequence.rb      | 9 ++++++++-
 47 files changed, 376 insertions(+), 47 deletions(-)

diff --git a/generator/uscore/uscore_generator.rb b/generator/uscore/uscore_generator.rb
index eec2bbb99..f145702c2 100644
--- a/generator/uscore/uscore_generator.rb
+++ b/generator/uscore/uscore_generator.rb
@@ -158,8 +158,15 @@ def create_search_test(sequence, search_param)
 
               skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-              @#{sequence[:resource].downcase} = reply.try(:resource).try(:entry).try(:first).try(:resource)
+              @#{sequence[:resource].downcase} = reply&.resource&.entry&.first&.resource
               @#{sequence[:resource].downcase}_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+              page_count = 1
+              next_bundle = reply&.resource&.next_bundle
+              until next_bundle.nil? || page_count == 100
+                @#{sequence[:resource].downcase}_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+                next_bundle = next_bundle.next_bundle
+                page_count += 1
+              end
               save_resource_ids_in_bundle(#{save_resource_ids_in_bundle_arguments})
               save_delayed_sequence_references(@#{sequence[:resource].downcase})
               validate_search_reply(versioned_resource_class('#{sequence[:resource]}'), reply, search_params))
diff --git a/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb b/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb
index 32f0e6cbb..f0e5c6276 100644
--- a/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb
@@ -87,8 +87,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @observation = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @observation = reply&.resource&.entry&.first&.resource
         @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @observation_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:pediatric_bmi_age])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb b/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb
index 9172bf676..03e4cca13 100644
--- a/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb
@@ -87,8 +87,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @observation = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @observation = reply&.resource&.entry&.first&.resource
         @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @observation_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:pediatric_weight_height])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb
index c47fd456d..7f50a00d0 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb
@@ -77,8 +77,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @allergyintolerance = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @allergyintolerance = reply&.resource&.entry&.first&.resource
         @allergyintolerance_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @allergyintolerance_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('AllergyIntolerance'), reply)
         save_delayed_sequence_references(@allergyintolerance)
         validate_search_reply(versioned_resource_class('AllergyIntolerance'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb
index c85a6da1d..e694091cf 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb
@@ -83,8 +83,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @careplan = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @careplan = reply&.resource&.entry&.first&.resource
         @careplan_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @careplan_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('CarePlan'), reply)
         save_delayed_sequence_references(@careplan)
         validate_search_reply(versioned_resource_class('CarePlan'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb
index 8cd10c4bf..4149a7af7 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb
@@ -73,8 +73,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @careteam = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @careteam = reply&.resource&.entry&.first&.resource
         @careteam_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @careteam_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('CareTeam'), reply)
         save_delayed_sequence_references(@careteam)
         validate_search_reply(versioned_resource_class('CareTeam'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb
index 8793bb004..4976b16e7 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb
@@ -91,8 +91,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @condition = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @condition = reply&.resource&.entry&.first&.resource
         @condition_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @condition_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Condition'), reply)
         save_delayed_sequence_references(@condition)
         validate_search_reply(versioned_resource_class('Condition'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb
index d978b7e64..21cc8431f 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb
@@ -77,8 +77,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @device = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @device = reply&.resource&.entry&.first&.resource
         @device_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @device_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Device'), reply)
         save_delayed_sequence_references(@device)
         validate_search_reply(versioned_resource_class('Device'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb
index b40e8fc67..83df0eab5 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb
@@ -87,8 +87,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @diagnosticreport = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @diagnosticreport = reply&.resource&.entry&.first&.resource
         @diagnosticreport_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @diagnosticreport_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('DiagnosticReport'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:diagnostic_report_lab])
         save_delayed_sequence_references(@diagnosticreport)
         validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb
index b915e3f39..0b36ef0ed 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb
@@ -87,8 +87,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @diagnosticreport = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @diagnosticreport = reply&.resource&.entry&.first&.resource
         @diagnosticreport_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @diagnosticreport_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('DiagnosticReport'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:diagnostic_report_note])
         save_delayed_sequence_references(@diagnosticreport)
         validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb
index af3bda04d..cbf52d1b2 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb
@@ -99,8 +99,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @documentreference = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @documentreference = reply&.resource&.entry&.first&.resource
         @documentreference_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @documentreference_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('DocumentReference'), reply)
         save_delayed_sequence_references(@documentreference)
         validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb
index c16d21425..05c118859 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb
@@ -99,8 +99,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @encounter = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @encounter = reply&.resource&.entry&.first&.resource
         @encounter_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @encounter_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Encounter'), reply)
         save_delayed_sequence_references(@encounter)
         validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb
index 31fc5f9be..8cc3f8968 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb
@@ -83,8 +83,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @goal = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @goal = reply&.resource&.entry&.first&.resource
         @goal_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @goal_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Goal'), reply)
         save_delayed_sequence_references(@goal)
         validate_search_reply(versioned_resource_class('Goal'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb
index 4e63d44c9..0be54a604 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb
@@ -83,8 +83,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @immunization = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @immunization = reply&.resource&.entry&.first&.resource
         @immunization_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @immunization_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Immunization'), reply)
         save_delayed_sequence_references(@immunization)
         validate_search_reply(versioned_resource_class('Immunization'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
index b74c10abc..9c0675f75 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
@@ -105,8 +105,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @location = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @location = reply&.resource&.entry&.first&.resource
         @location_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @location_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Location'), reply)
         save_delayed_sequence_references(@location)
         validate_search_reply(versioned_resource_class('Location'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb
index dfe9a0067..238c21df4 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb
@@ -81,8 +81,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @medicationrequest = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @medicationrequest = reply&.resource&.entry&.first&.resource
         @medicationrequest_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @medicationrequest_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('MedicationRequest'), reply)
         save_delayed_sequence_references(@medicationrequest)
         validate_search_reply(versioned_resource_class('MedicationRequest'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb
index 0b57b6e86..53cd59766 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb
@@ -83,8 +83,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @medicationstatement = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @medicationstatement = reply&.resource&.entry&.first&.resource
         @medicationstatement_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @medicationstatement_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('MedicationStatement'), reply)
         save_delayed_sequence_references(@medicationstatement)
         validate_search_reply(versioned_resource_class('MedicationStatement'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb
index f6d3a5d11..33a9a921b 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb
@@ -87,8 +87,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @observation = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @observation = reply&.resource&.entry&.first&.resource
         @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @observation_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:lab_results])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
index 4db74965f..fcdbca998 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
@@ -93,8 +93,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @organization = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @organization = reply&.resource&.entry&.first&.resource
         @organization_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @organization_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Organization'), reply)
         save_delayed_sequence_references(@organization)
         validate_search_reply(versioned_resource_class('Organization'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb
index 8f8188bb3..e7a59e5bd 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb
@@ -102,8 +102,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @patient = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @patient = reply&.resource&.entry&.first&.resource
         @patient_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @patient_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Patient'), reply)
         save_delayed_sequence_references(@patient)
         validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
index aba4bf148..456b42f47 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
@@ -100,8 +100,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @practitioner = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @practitioner = reply&.resource&.entry&.first&.resource
         @practitioner_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @practitioner_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Practitioner'), reply)
         save_delayed_sequence_references(@practitioner)
         validate_search_reply(versioned_resource_class('Practitioner'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
index d588182fc..8286bea56 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
@@ -93,8 +93,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @practitionerrole = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @practitionerrole = reply&.resource&.entry&.first&.resource
         @practitionerrole_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @practitionerrole_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('PractitionerRole'), reply)
         save_delayed_sequence_references(@practitionerrole)
         validate_search_reply(versioned_resource_class('PractitionerRole'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
index 88034c2a0..76d59b199 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
@@ -87,8 +87,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @procedure = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @procedure = reply&.resource&.entry&.first&.resource
         @procedure_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @procedure_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Procedure'), reply)
         save_delayed_sequence_references(@procedure)
         validate_search_reply(versioned_resource_class('Procedure'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb
index 20875a61a..b02501bde 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb
@@ -87,8 +87,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @observation = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @observation = reply&.resource&.entry&.first&.resource
         @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @observation_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:smoking_status])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb b/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb
index 05fb05587..795f3dd24 100644
--- a/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb
@@ -87,8 +87,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @observation = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @observation = reply&.resource&.entry&.first&.resource
         @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @observation_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:pediatric_bmi_age])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb b/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb
index 595ac8223..377cf4eb5 100644
--- a/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb
@@ -87,8 +87,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @observation = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @observation = reply&.resource&.entry&.first&.resource
         @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @observation_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:pediatric_weight_height])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb
index 8c3c8f3f5..072a6020b 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb
@@ -77,8 +77,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @allergyintolerance = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @allergyintolerance = reply&.resource&.entry&.first&.resource
         @allergyintolerance_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @allergyintolerance_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('AllergyIntolerance'), reply)
         save_delayed_sequence_references(@allergyintolerance)
         validate_search_reply(versioned_resource_class('AllergyIntolerance'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb
index 65887370a..098a29c29 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb
@@ -83,8 +83,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @careplan = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @careplan = reply&.resource&.entry&.first&.resource
         @careplan_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @careplan_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('CarePlan'), reply)
         save_delayed_sequence_references(@careplan)
         validate_search_reply(versioned_resource_class('CarePlan'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb
index f327f9a72..894dd0763 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb
@@ -73,8 +73,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @careteam = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @careteam = reply&.resource&.entry&.first&.resource
         @careteam_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @careteam_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('CareTeam'), reply)
         save_delayed_sequence_references(@careteam)
         validate_search_reply(versioned_resource_class('CareTeam'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb
index 95c65a39f..fd8a9423b 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb
@@ -91,8 +91,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @condition = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @condition = reply&.resource&.entry&.first&.resource
         @condition_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @condition_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Condition'), reply)
         save_delayed_sequence_references(@condition)
         validate_search_reply(versioned_resource_class('Condition'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb
index 9899a01af..9e2bae359 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb
@@ -87,8 +87,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @diagnosticreport = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @diagnosticreport = reply&.resource&.entry&.first&.resource
         @diagnosticreport_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @diagnosticreport_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('DiagnosticReport'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:diagnostic_report_lab])
         save_delayed_sequence_references(@diagnosticreport)
         validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb
index 26dc9b21e..9917e6579 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb
@@ -87,8 +87,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @diagnosticreport = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @diagnosticreport = reply&.resource&.entry&.first&.resource
         @diagnosticreport_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @diagnosticreport_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('DiagnosticReport'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:diagnostic_report_note])
         save_delayed_sequence_references(@diagnosticreport)
         validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb
index 7969db507..b29653f9a 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb
@@ -99,8 +99,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @documentreference = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @documentreference = reply&.resource&.entry&.first&.resource
         @documentreference_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @documentreference_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('DocumentReference'), reply)
         save_delayed_sequence_references(@documentreference)
         validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb
index ee0ee1a4e..4fd76d92d 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb
@@ -99,8 +99,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @encounter = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @encounter = reply&.resource&.entry&.first&.resource
         @encounter_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @encounter_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Encounter'), reply)
         save_delayed_sequence_references(@encounter)
         validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb
index 5541f1c45..1fca2c1cb 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb
@@ -83,8 +83,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @goal = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @goal = reply&.resource&.entry&.first&.resource
         @goal_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @goal_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Goal'), reply)
         save_delayed_sequence_references(@goal)
         validate_search_reply(versioned_resource_class('Goal'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb
index 02e5d3dd4..020447f45 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb
@@ -83,8 +83,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @immunization = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @immunization = reply&.resource&.entry&.first&.resource
         @immunization_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @immunization_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Immunization'), reply)
         save_delayed_sequence_references(@immunization)
         validate_search_reply(versioned_resource_class('Immunization'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb
index 408920c26..d62b3700f 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb
@@ -77,8 +77,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @device = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @device = reply&.resource&.entry&.first&.resource
         @device_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @device_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Device'), reply)
         save_delayed_sequence_references(@device)
         validate_search_reply(versioned_resource_class('Device'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
index 843301f5c..e3c406022 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
@@ -105,8 +105,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @location = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @location = reply&.resource&.entry&.first&.resource
         @location_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @location_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Location'), reply)
         save_delayed_sequence_references(@location)
         validate_search_reply(versioned_resource_class('Location'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb
index 1b6de38c2..2e67c8889 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb
@@ -91,8 +91,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @medicationrequest = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @medicationrequest = reply&.resource&.entry&.first&.resource
         @medicationrequest_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @medicationrequest_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('MedicationRequest'), reply)
         save_delayed_sequence_references(@medicationrequest)
         validate_search_reply(versioned_resource_class('MedicationRequest'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb
index f03aa26a8..ce526a7af 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb
@@ -87,8 +87,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @observation = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @observation = reply&.resource&.entry&.first&.resource
         @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @observation_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:lab_results])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
index 0bc656f9a..8c2ff6633 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
@@ -93,8 +93,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @organization = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @organization = reply&.resource&.entry&.first&.resource
         @organization_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @organization_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Organization'), reply)
         save_delayed_sequence_references(@organization)
         validate_search_reply(versioned_resource_class('Organization'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb
index ded1f1f32..dbc24de90 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb
@@ -102,8 +102,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @patient = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @patient = reply&.resource&.entry&.first&.resource
         @patient_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @patient_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Patient'), reply)
         save_delayed_sequence_references(@patient)
         validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
index cb7818423..cfd8008d6 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
@@ -100,8 +100,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @practitioner = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @practitioner = reply&.resource&.entry&.first&.resource
         @practitioner_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @practitioner_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Practitioner'), reply)
         save_delayed_sequence_references(@practitioner)
         validate_search_reply(versioned_resource_class('Practitioner'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
index 53ac64cb2..7c58da4ed 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
@@ -93,8 +93,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @practitionerrole = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @practitionerrole = reply&.resource&.entry&.first&.resource
         @practitionerrole_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @practitionerrole_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('PractitionerRole'), reply)
         save_delayed_sequence_references(@practitionerrole)
         validate_search_reply(versioned_resource_class('PractitionerRole'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
index 9f5acd718..ba4d214d6 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
@@ -87,8 +87,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @procedure = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @procedure = reply&.resource&.entry&.first&.resource
         @procedure_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @procedure_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Procedure'), reply)
         save_delayed_sequence_references(@procedure)
         validate_search_reply(versioned_resource_class('Procedure'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
index d67a48838..f49fd4efd 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
@@ -93,8 +93,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @observation = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @observation = reply&.resource&.entry&.first&.resource
         @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @observation_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply)
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb
index be10d54ed..c4b65d49d 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb
@@ -87,8 +87,15 @@ def validate_resource_item(resource, property, value)
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
-        @observation = reply.try(:resource).try(:entry).try(:first).try(:resource)
+        @observation = reply&.resource&.entry&.first&.resource
         @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = reply&.resource&.next_bundle
+        until next_bundle.nil? || page_count == 100
+          @observation_ary += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:smoking_status])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)

From d222d2c0e240ba8593dbc8022e47c8e115adf56a Mon Sep 17 00:00:00 2001
From: Reece Adamson <radamson@mitre.org>
Date: Thu, 26 Sep 2019 11:03:16 -0400
Subject: [PATCH 020/144] fix typo

---
 lib/app/modules/argonaut/argonaut_conformance_sequence.rb       | 2 +-
 .../bulk_data/bulk_data_capability_statement_sequence.rb        | 2 +-
 .../us_core_r4_capability_statement_sequence.rb                 | 2 +-
 3 files changed, 3 insertions(+), 3 deletions(-)

diff --git a/lib/app/modules/argonaut/argonaut_conformance_sequence.rb b/lib/app/modules/argonaut/argonaut_conformance_sequence.rb
index c27034b53..4e56cb154 100644
--- a/lib/app/modules/argonaut/argonaut_conformance_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_conformance_sequence.rb
@@ -88,7 +88,7 @@ class ArgonautConformanceSequence < CapabilityStatementSequence
 
         assert_valid_conformance
 
-        formats = ['json', 'applcation/json', 'application/json+fhir', 'application/fhir+json']
+        formats = ['json', 'application/json', 'application/json+fhir', 'application/fhir+json']
         assert formats.any? { |format| @conformance.format.include? format }, 'Conformance does not state support for json.'
       end
 
diff --git a/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb b/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
index 8b4b36202..625b202dd 100644
--- a/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
@@ -89,7 +89,7 @@ def assert_operation(op_name); end
         end
 
         assert @conformance.class == versioned_conformance_class, 'Expected valid Conformance resource'
-        formats = ['json', 'applcation/json', 'application/json+fhir', 'application/fhir+json']
+        formats = ['json', 'application/json', 'application/json+fhir', 'application/fhir+json']
         assert formats.any? { |format| @conformance.format.include? format }, 'Conformance does not state support for json.'
       end
 
diff --git a/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb b/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb
index 7905c0a73..e32cd8f52 100644
--- a/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb
+++ b/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb
@@ -88,7 +88,7 @@ class UsCoreR4CapabilityStatementSequence < CapabilityStatementSequence
 
         assert_valid_conformance
 
-        formats = ['json', 'applcation/json', 'application/json+fhir', 'application/fhir+json']
+        formats = ['json', 'application/json', 'application/json+fhir', 'application/fhir+json']
         assert formats.any? { |format| @conformance.format.include? format }, 'Conformance does not state support for json.'
       end
 

From 57a266a509fe86830a1e1997a61d909725309a20 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Thu, 26 Sep 2019 15:39:49 -0400
Subject: [PATCH 021/144] update rubocop_todo.yml

---
 .rubocop_todo.yml | 52 +++++++++++++++++++++--------------------------
 1 file changed, 23 insertions(+), 29 deletions(-)

diff --git a/.rubocop_todo.yml b/.rubocop_todo.yml
index 0f0f8f952..e5ea4b131 100644
--- a/.rubocop_todo.yml
+++ b/.rubocop_todo.yml
@@ -1,19 +1,25 @@
 # This configuration was generated by
 # `rubocop --auto-gen-config`
-# on 2019-05-31 09:51:21 -0400 using RuboCop version 0.67.2.
+# on 2019-09-26 15:38:33 -0400 using RuboCop version 0.74.0.
 # The point is for the user to remove these configuration records
 # one by one as the offenses are removed from the code base.
 # Note that changes in the inspected code, or installation of new
 # versions of RuboCop, may require this file to be generated again.
 
-# Offense count: 25
+# Offense count: 6
 Lint/EmptyWhen:
-  Enabled: false
+  Exclude:
+    - 'lib/app/modules/argonaut/argonaut_careplan_sequence.rb'
+    - 'lib/app/modules/argonaut/argonaut_diagnostic_report_sequence.rb'
+    - 'lib/app/modules/argonaut/argonaut_observation_sequence.rb'
+    - 'lib/app/modules/argonaut/argonaut_procedure_sequence.rb'
+    - 'lib/app/modules/argonaut/argonaut_vital_signs_observation_sequence.rb'
+    - 'lib/tasks/tasks.rake'
 
-# Offense count: 2
+# Offense count: 1
+# Configuration parameters: AllowComments.
 Lint/HandleExceptions:
   Exclude:
-    - 'generators/argonaut-r4/generator.rb'
     - 'lib/app/sequence_base.rb'
 
 # Offense count: 1
@@ -27,56 +33,43 @@ Lint/ShadowingOuterLocalVariable:
     - 'lib/app/utils/terminology.rb'
     - 'lib/app/utils/valueset.rb'
 
-# Offense count: 1
-Lint/UselessAssignment:
-  Exclude:
-    - 'lib/tasks/tasks.rake'
-
-# Offense count: 3
-# Configuration parameters: CountBlocks.
-Metrics/BlockNesting:
-  Max: 4
-
-# Offense count: 38
+# Offense count: 32
 Metrics/CyclomaticComplexity:
-  Max: 33
+  Max: 30
 
-# Offense count: 33
+# Offense count: 32
 Style/ClassVars:
   Exclude:
-    - 'lib/app/module.rb'
     - 'lib/app/modules/onc_program/onc_ehr_launch_sequence.rb'
     - 'lib/app/modules/onc_program/onc_standalone_launch_sequence.rb'
     - 'lib/app/sequence_base.rb'
     - 'lib/app/utils/logged_rest_client.rb'
     - 'lib/app/utils/terminology.rb'
 
-# Offense count: 95
+# Offense count: 132
 Style/Documentation:
   Enabled: false
 
-# Offense count: 22
+# Offense count: 4
 # Configuration parameters: MinBodyLength.
 Style/GuardClause:
   Exclude:
-    - 'lib/app/utils/validation.rb'
     - 'lib/app/utils/tls_tester.rb'
+    - 'lib/app/utils/validation.rb'
 
-# Max line length needs to be reduced before fixing these
-# Offense count: 14
+# Offense count: 3
 # Cop supports --auto-correct.
 Style/IfUnlessModifier:
   Exclude:
     - 'lib/app/models/testing_instance.rb'
     - 'lib/app/utils/assertions.rb'
-    - 'lib/tasks/tasks.rake'
 
 # Offense count: 1
 Style/MixinUsage:
   Exclude:
     - 'lib/tasks/tasks.rake'
 
-# Offense count: 4
+# Offense count: 3
 # Cop supports --auto-correct.
 # Configuration parameters: EnforcedStyle.
 # SupportedStyles: literals, strict
@@ -91,8 +84,9 @@ Style/Semicolon:
   Exclude:
     - 'test/unit/sequence_validation_test.rb'
 
-# Offense count: 2935
-# Configuration parameters: AllowHeredoc, AllowURI, URISchemes, IgnoreCopDirectives, IgnoredPatterns.
+# Offense count: 1064
+# Cop supports --auto-correct.
+# Configuration parameters: AutoCorrect, AllowHeredoc, AllowURI, URISchemes, IgnoreCopDirectives, IgnoredPatterns.
 # URISchemes: http, https
 Metrics/LineLength:
-  Max: 180
+  Max: 177

From 07ff62402d69b99ed0ee03891d2532fa7f81c214 Mon Sep 17 00:00:00 2001
From: Reece Adamson <radamson@mitre.org>
Date: Fri, 27 Sep 2019 09:16:09 -0400
Subject: [PATCH 022/144] add method for getting json format

---
 .../modules/argonaut/argonaut_conformance_sequence.rb  | 10 ++++++++--
 .../bulk_data_capability_statement_sequence.rb         |  3 +--
 lib/app/modules/core/capability_statement_sequence.rb  |  6 ++++++
 .../us_core_r4_capability_statement_sequence.rb        |  3 +--
 4 files changed, 16 insertions(+), 6 deletions(-)

diff --git a/lib/app/modules/argonaut/argonaut_conformance_sequence.rb b/lib/app/modules/argonaut/argonaut_conformance_sequence.rb
index 4e56cb154..15126eb86 100644
--- a/lib/app/modules/argonaut/argonaut_conformance_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_conformance_sequence.rb
@@ -7,6 +7,13 @@ module Sequence
     class ArgonautConformanceSequence < CapabilityStatementSequence
       extends_sequence CapabilityStatementSequence
 
+      # The acceptable MIME-types for JSON
+      # https://hl7.org/fhir/DSTU2/json.html
+      def json_formats
+        # 'application/json+fhir' changed to 'application/fhir+json' in STU3
+        ['json', 'application/json', 'application/json+fhir']
+      end
+
       title 'Conformance Statement'
 
       test_id_prefix 'C'
@@ -88,8 +95,7 @@ class ArgonautConformanceSequence < CapabilityStatementSequence
 
         assert_valid_conformance
 
-        formats = ['json', 'application/json', 'application/json+fhir', 'application/fhir+json']
-        assert formats.any? { |format| @conformance.format.include? format }, 'Conformance does not state support for json.'
+        assert json_formats.any? { |format| @conformance.format.include? format }, 'Conformance does not state support for json.'
       end
 
       test 'Conformance Statement describes SMART on FHIR core capabilities' do
diff --git a/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb b/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
index 625b202dd..b170defd3 100644
--- a/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
@@ -89,8 +89,7 @@ def assert_operation(op_name); end
         end
 
         assert @conformance.class == versioned_conformance_class, 'Expected valid Conformance resource'
-        formats = ['json', 'application/json', 'application/json+fhir', 'application/fhir+json']
-        assert formats.any? { |format| @conformance.format.include? format }, 'Conformance does not state support for json.'
+        assert json_formats.any? { |format| @conformance.format.include? format }, 'Conformance does not state support for json.'
       end
 
       test 'FHIR server capability SHOULD instantiate from CapabilityStatment-bulk-data' do
diff --git a/lib/app/modules/core/capability_statement_sequence.rb b/lib/app/modules/core/capability_statement_sequence.rb
index 8ead86db8..c3c547a4d 100644
--- a/lib/app/modules/core/capability_statement_sequence.rb
+++ b/lib/app/modules/core/capability_statement_sequence.rb
@@ -3,6 +3,12 @@
 module Inferno
   module Sequence
     class CapabilityStatementSequence < SequenceBase
+      # The acceptable MIME-types for JSON
+      # https://www.hl7.org/fhir/json.html
+      def json_formats
+        ['json', 'application/json', 'application/fhir+json']
+      end
+
       title 'Capability Statement'
 
       test_id_prefix 'C'
diff --git a/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb b/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb
index e32cd8f52..fba247c89 100644
--- a/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb
+++ b/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb
@@ -88,8 +88,7 @@ class UsCoreR4CapabilityStatementSequence < CapabilityStatementSequence
 
         assert_valid_conformance
 
-        formats = ['json', 'application/json', 'application/json+fhir', 'application/fhir+json']
-        assert formats.any? { |format| @conformance.format.include? format }, 'Conformance does not state support for json.'
+        assert json_formats.any? { |format| @conformance.format.include? format }, 'Conformance does not state support for json.'
       end
 
       test 'Capability Statement describes SMART on FHIR core capabilities' do

From 259a947291107ca7558774992122916f2ea89f5d Mon Sep 17 00:00:00 2001
From: Chase <czhou@mitre.org>
Date: Fri, 27 Sep 2019 12:09:22 -0400
Subject: [PATCH 023/144] Move bundle loop to sequence_base and change max
 pages to 20

---
 generator/uscore/uscore_generator.rb               |  9 +--------
 .../pediatric_bmi_for_age_sequence.rb              |  9 +--------
 .../pediatric_weight_for_height_sequence.rb        |  9 +--------
 .../us_core_allergyintolerance_sequence.rb         |  9 +--------
 .../uscore_v3.0.0/us_core_careplan_sequence.rb     |  9 +--------
 .../uscore_v3.0.0/us_core_careteam_sequence.rb     |  9 +--------
 .../uscore_v3.0.0/us_core_condition_sequence.rb    |  9 +--------
 .../uscore_v3.0.0/us_core_device_sequence.rb       |  9 +--------
 .../us_core_diagnosticreport_lab_sequence.rb       |  9 +--------
 .../us_core_diagnosticreport_note_sequence.rb      |  9 +--------
 .../us_core_documentreference_sequence.rb          |  9 +--------
 .../uscore_v3.0.0/us_core_encounter_sequence.rb    |  9 +--------
 .../modules/uscore_v3.0.0/us_core_goal_sequence.rb |  9 +--------
 .../uscore_v3.0.0/us_core_immunization_sequence.rb |  9 +--------
 .../uscore_v3.0.0/us_core_location_sequence.rb     |  9 +--------
 .../us_core_medicationrequest_sequence.rb          |  9 +--------
 .../us_core_medicationstatement_sequence.rb        |  9 +--------
 .../us_core_observation_lab_sequence.rb            |  9 +--------
 .../uscore_v3.0.0/us_core_organization_sequence.rb |  9 +--------
 .../uscore_v3.0.0/us_core_patient_sequence.rb      |  9 +--------
 .../uscore_v3.0.0/us_core_practitioner_sequence.rb |  9 +--------
 .../us_core_practitionerrole_sequence.rb           |  9 +--------
 .../uscore_v3.0.0/us_core_procedure_sequence.rb    |  9 +--------
 .../us_core_smokingstatus_sequence.rb              |  9 +--------
 .../pediatric_bmi_for_age_sequence.rb              |  9 +--------
 .../pediatric_weight_for_height_sequence.rb        |  9 +--------
 .../us_core_allergyintolerance_sequence.rb         |  9 +--------
 .../uscore_v3.0.1/us_core_careplan_sequence.rb     |  9 +--------
 .../uscore_v3.0.1/us_core_careteam_sequence.rb     |  9 +--------
 .../uscore_v3.0.1/us_core_condition_sequence.rb    |  9 +--------
 .../us_core_diagnosticreport_lab_sequence.rb       |  9 +--------
 .../us_core_diagnosticreport_note_sequence.rb      |  9 +--------
 .../us_core_documentreference_sequence.rb          |  9 +--------
 .../uscore_v3.0.1/us_core_encounter_sequence.rb    |  9 +--------
 .../modules/uscore_v3.0.1/us_core_goal_sequence.rb |  9 +--------
 .../uscore_v3.0.1/us_core_immunization_sequence.rb |  9 +--------
 .../us_core_implantable_device_sequence.rb         |  9 +--------
 .../uscore_v3.0.1/us_core_location_sequence.rb     |  9 +--------
 .../us_core_medicationrequest_sequence.rb          |  9 +--------
 .../us_core_observation_lab_sequence.rb            |  9 +--------
 .../uscore_v3.0.1/us_core_organization_sequence.rb |  9 +--------
 .../uscore_v3.0.1/us_core_patient_sequence.rb      |  9 +--------
 .../uscore_v3.0.1/us_core_practitioner_sequence.rb |  9 +--------
 .../us_core_practitionerrole_sequence.rb           |  9 +--------
 .../uscore_v3.0.1/us_core_procedure_sequence.rb    |  9 +--------
 .../us_core_pulse_oximetry_sequence.rb             |  9 +--------
 .../us_core_smokingstatus_sequence.rb              |  9 +--------
 lib/app/sequence_base.rb                           | 14 +++++++++++++-
 48 files changed, 60 insertions(+), 377 deletions(-)

diff --git a/generator/uscore/uscore_generator.rb b/generator/uscore/uscore_generator.rb
index f145702c2..81f507b79 100644
--- a/generator/uscore/uscore_generator.rb
+++ b/generator/uscore/uscore_generator.rb
@@ -159,14 +159,7 @@ def create_search_test(sequence, search_param)
               skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
               @#{sequence[:resource].downcase} = reply&.resource&.entry&.first&.resource
-              @#{sequence[:resource].downcase}_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-              page_count = 1
-              next_bundle = reply&.resource&.next_bundle
-              until next_bundle.nil? || page_count == 100
-                @#{sequence[:resource].downcase}_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-                next_bundle = next_bundle.next_bundle
-                page_count += 1
-              end
+              @#{sequence[:resource].downcase}_ary = fetch_all_search_results(reply&.resource)
               save_resource_ids_in_bundle(#{save_resource_ids_in_bundle_arguments})
               save_delayed_sequence_references(@#{sequence[:resource].downcase})
               validate_search_reply(versioned_resource_class('#{sequence[:resource]}'), reply, search_params))
diff --git a/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb b/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb
index f0e5c6276..5e17db73f 100644
--- a/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb
@@ -88,14 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @observation = reply&.resource&.entry&.first&.resource
-        @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @observation_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @observation_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:pediatric_bmi_age])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb b/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb
index 03e4cca13..5bf2599e7 100644
--- a/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb
@@ -88,14 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @observation = reply&.resource&.entry&.first&.resource
-        @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @observation_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @observation_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:pediatric_weight_height])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb
index 7f50a00d0..912be6595 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb
@@ -78,14 +78,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @allergyintolerance = reply&.resource&.entry&.first&.resource
-        @allergyintolerance_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @allergyintolerance_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @allergyintolerance_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('AllergyIntolerance'), reply)
         save_delayed_sequence_references(@allergyintolerance)
         validate_search_reply(versioned_resource_class('AllergyIntolerance'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb
index e694091cf..f178518f9 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb
@@ -84,14 +84,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @careplan = reply&.resource&.entry&.first&.resource
-        @careplan_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @careplan_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @careplan_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('CarePlan'), reply)
         save_delayed_sequence_references(@careplan)
         validate_search_reply(versioned_resource_class('CarePlan'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb
index 4149a7af7..3378cdff2 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb
@@ -74,14 +74,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @careteam = reply&.resource&.entry&.first&.resource
-        @careteam_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @careteam_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @careteam_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('CareTeam'), reply)
         save_delayed_sequence_references(@careteam)
         validate_search_reply(versioned_resource_class('CareTeam'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb
index 4976b16e7..58b003f47 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb
@@ -92,14 +92,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @condition = reply&.resource&.entry&.first&.resource
-        @condition_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @condition_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @condition_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Condition'), reply)
         save_delayed_sequence_references(@condition)
         validate_search_reply(versioned_resource_class('Condition'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb
index 21cc8431f..5485e3474 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb
@@ -78,14 +78,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @device = reply&.resource&.entry&.first&.resource
-        @device_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @device_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @device_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Device'), reply)
         save_delayed_sequence_references(@device)
         validate_search_reply(versioned_resource_class('Device'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb
index 83df0eab5..6ece7421d 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb
@@ -88,14 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @diagnosticreport = reply&.resource&.entry&.first&.resource
-        @diagnosticreport_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @diagnosticreport_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @diagnosticreport_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('DiagnosticReport'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:diagnostic_report_lab])
         save_delayed_sequence_references(@diagnosticreport)
         validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb
index 0b36ef0ed..973856245 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb
@@ -88,14 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @diagnosticreport = reply&.resource&.entry&.first&.resource
-        @diagnosticreport_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @diagnosticreport_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @diagnosticreport_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('DiagnosticReport'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:diagnostic_report_note])
         save_delayed_sequence_references(@diagnosticreport)
         validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb
index cbf52d1b2..274d657c4 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb
@@ -100,14 +100,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @documentreference = reply&.resource&.entry&.first&.resource
-        @documentreference_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @documentreference_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @documentreference_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('DocumentReference'), reply)
         save_delayed_sequence_references(@documentreference)
         validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb
index 05c118859..b4d61d655 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb
@@ -100,14 +100,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @encounter = reply&.resource&.entry&.first&.resource
-        @encounter_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @encounter_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @encounter_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Encounter'), reply)
         save_delayed_sequence_references(@encounter)
         validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb
index 8cc3f8968..88ff7cbdd 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb
@@ -84,14 +84,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @goal = reply&.resource&.entry&.first&.resource
-        @goal_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @goal_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @goal_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Goal'), reply)
         save_delayed_sequence_references(@goal)
         validate_search_reply(versioned_resource_class('Goal'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb
index 0be54a604..7be0df5ed 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb
@@ -84,14 +84,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @immunization = reply&.resource&.entry&.first&.resource
-        @immunization_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @immunization_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @immunization_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Immunization'), reply)
         save_delayed_sequence_references(@immunization)
         validate_search_reply(versioned_resource_class('Immunization'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
index 9c0675f75..1e60cc3c4 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
@@ -106,14 +106,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @location = reply&.resource&.entry&.first&.resource
-        @location_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @location_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @location_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Location'), reply)
         save_delayed_sequence_references(@location)
         validate_search_reply(versioned_resource_class('Location'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb
index 238c21df4..1138f2c97 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb
@@ -82,14 +82,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @medicationrequest = reply&.resource&.entry&.first&.resource
-        @medicationrequest_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @medicationrequest_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @medicationrequest_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('MedicationRequest'), reply)
         save_delayed_sequence_references(@medicationrequest)
         validate_search_reply(versioned_resource_class('MedicationRequest'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb
index 53cd59766..ebcdc7d13 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb
@@ -84,14 +84,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @medicationstatement = reply&.resource&.entry&.first&.resource
-        @medicationstatement_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @medicationstatement_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @medicationstatement_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('MedicationStatement'), reply)
         save_delayed_sequence_references(@medicationstatement)
         validate_search_reply(versioned_resource_class('MedicationStatement'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb
index 33a9a921b..b524da606 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb
@@ -88,14 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @observation = reply&.resource&.entry&.first&.resource
-        @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @observation_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @observation_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:lab_results])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
index fcdbca998..856fc65b4 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
@@ -94,14 +94,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @organization = reply&.resource&.entry&.first&.resource
-        @organization_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @organization_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @organization_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Organization'), reply)
         save_delayed_sequence_references(@organization)
         validate_search_reply(versioned_resource_class('Organization'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb
index e7a59e5bd..7c1b5d884 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb
@@ -103,14 +103,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @patient = reply&.resource&.entry&.first&.resource
-        @patient_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @patient_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @patient_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Patient'), reply)
         save_delayed_sequence_references(@patient)
         validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
index 456b42f47..1806a7f45 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
@@ -101,14 +101,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @practitioner = reply&.resource&.entry&.first&.resource
-        @practitioner_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @practitioner_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @practitioner_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Practitioner'), reply)
         save_delayed_sequence_references(@practitioner)
         validate_search_reply(versioned_resource_class('Practitioner'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
index 8286bea56..4caa9b847 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
@@ -94,14 +94,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @practitionerrole = reply&.resource&.entry&.first&.resource
-        @practitionerrole_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @practitionerrole_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @practitionerrole_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('PractitionerRole'), reply)
         save_delayed_sequence_references(@practitionerrole)
         validate_search_reply(versioned_resource_class('PractitionerRole'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
index 76d59b199..139656981 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
@@ -88,14 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @procedure = reply&.resource&.entry&.first&.resource
-        @procedure_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @procedure_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @procedure_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Procedure'), reply)
         save_delayed_sequence_references(@procedure)
         validate_search_reply(versioned_resource_class('Procedure'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb
index b02501bde..25c46af5e 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb
@@ -88,14 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @observation = reply&.resource&.entry&.first&.resource
-        @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @observation_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @observation_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:smoking_status])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb b/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb
index 795f3dd24..50cb46daa 100644
--- a/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb
@@ -88,14 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @observation = reply&.resource&.entry&.first&.resource
-        @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @observation_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @observation_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:pediatric_bmi_age])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb b/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb
index 377cf4eb5..60f0f7cc7 100644
--- a/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb
@@ -88,14 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @observation = reply&.resource&.entry&.first&.resource
-        @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @observation_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @observation_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:pediatric_weight_height])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb
index 072a6020b..20013c64b 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb
@@ -78,14 +78,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @allergyintolerance = reply&.resource&.entry&.first&.resource
-        @allergyintolerance_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @allergyintolerance_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @allergyintolerance_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('AllergyIntolerance'), reply)
         save_delayed_sequence_references(@allergyintolerance)
         validate_search_reply(versioned_resource_class('AllergyIntolerance'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb
index 098a29c29..eb97d83a8 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb
@@ -84,14 +84,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @careplan = reply&.resource&.entry&.first&.resource
-        @careplan_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @careplan_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @careplan_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('CarePlan'), reply)
         save_delayed_sequence_references(@careplan)
         validate_search_reply(versioned_resource_class('CarePlan'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb
index 894dd0763..b4c79ebe8 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb
@@ -74,14 +74,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @careteam = reply&.resource&.entry&.first&.resource
-        @careteam_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @careteam_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @careteam_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('CareTeam'), reply)
         save_delayed_sequence_references(@careteam)
         validate_search_reply(versioned_resource_class('CareTeam'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb
index fd8a9423b..7fa550a9f 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb
@@ -92,14 +92,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @condition = reply&.resource&.entry&.first&.resource
-        @condition_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @condition_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @condition_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Condition'), reply)
         save_delayed_sequence_references(@condition)
         validate_search_reply(versioned_resource_class('Condition'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb
index 9e2bae359..432a776bf 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb
@@ -88,14 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @diagnosticreport = reply&.resource&.entry&.first&.resource
-        @diagnosticreport_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @diagnosticreport_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @diagnosticreport_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('DiagnosticReport'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:diagnostic_report_lab])
         save_delayed_sequence_references(@diagnosticreport)
         validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb
index 9917e6579..5dfb2984f 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb
@@ -88,14 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @diagnosticreport = reply&.resource&.entry&.first&.resource
-        @diagnosticreport_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @diagnosticreport_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @diagnosticreport_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('DiagnosticReport'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:diagnostic_report_note])
         save_delayed_sequence_references(@diagnosticreport)
         validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb
index b29653f9a..25441eaf4 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb
@@ -100,14 +100,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @documentreference = reply&.resource&.entry&.first&.resource
-        @documentreference_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @documentreference_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @documentreference_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('DocumentReference'), reply)
         save_delayed_sequence_references(@documentreference)
         validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb
index 4fd76d92d..31cd9a70c 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb
@@ -100,14 +100,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @encounter = reply&.resource&.entry&.first&.resource
-        @encounter_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @encounter_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @encounter_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Encounter'), reply)
         save_delayed_sequence_references(@encounter)
         validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb
index 1fca2c1cb..e352a5365 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb
@@ -84,14 +84,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @goal = reply&.resource&.entry&.first&.resource
-        @goal_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @goal_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @goal_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Goal'), reply)
         save_delayed_sequence_references(@goal)
         validate_search_reply(versioned_resource_class('Goal'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb
index 020447f45..7e3c955a9 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb
@@ -84,14 +84,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @immunization = reply&.resource&.entry&.first&.resource
-        @immunization_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @immunization_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @immunization_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Immunization'), reply)
         save_delayed_sequence_references(@immunization)
         validate_search_reply(versioned_resource_class('Immunization'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb
index d62b3700f..718c21e5b 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb
@@ -78,14 +78,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @device = reply&.resource&.entry&.first&.resource
-        @device_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @device_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @device_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Device'), reply)
         save_delayed_sequence_references(@device)
         validate_search_reply(versioned_resource_class('Device'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
index e3c406022..13fc034a6 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
@@ -106,14 +106,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @location = reply&.resource&.entry&.first&.resource
-        @location_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @location_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @location_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Location'), reply)
         save_delayed_sequence_references(@location)
         validate_search_reply(versioned_resource_class('Location'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb
index 2e67c8889..3353a4630 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb
@@ -92,14 +92,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @medicationrequest = reply&.resource&.entry&.first&.resource
-        @medicationrequest_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @medicationrequest_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @medicationrequest_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('MedicationRequest'), reply)
         save_delayed_sequence_references(@medicationrequest)
         validate_search_reply(versioned_resource_class('MedicationRequest'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb
index ce526a7af..484bfc90d 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb
@@ -88,14 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @observation = reply&.resource&.entry&.first&.resource
-        @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @observation_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @observation_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:lab_results])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
index 8c2ff6633..16c9630b5 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
@@ -94,14 +94,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @organization = reply&.resource&.entry&.first&.resource
-        @organization_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @organization_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @organization_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Organization'), reply)
         save_delayed_sequence_references(@organization)
         validate_search_reply(versioned_resource_class('Organization'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb
index dbc24de90..a35fdd725 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb
@@ -103,14 +103,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @patient = reply&.resource&.entry&.first&.resource
-        @patient_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @patient_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @patient_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Patient'), reply)
         save_delayed_sequence_references(@patient)
         validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
index cfd8008d6..b55928842 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
@@ -101,14 +101,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @practitioner = reply&.resource&.entry&.first&.resource
-        @practitioner_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @practitioner_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @practitioner_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Practitioner'), reply)
         save_delayed_sequence_references(@practitioner)
         validate_search_reply(versioned_resource_class('Practitioner'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
index 7c58da4ed..e493ca58e 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
@@ -94,14 +94,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @practitionerrole = reply&.resource&.entry&.first&.resource
-        @practitionerrole_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @practitionerrole_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @practitionerrole_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('PractitionerRole'), reply)
         save_delayed_sequence_references(@practitionerrole)
         validate_search_reply(versioned_resource_class('PractitionerRole'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
index ba4d214d6..a1a040598 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
@@ -88,14 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @procedure = reply&.resource&.entry&.first&.resource
-        @procedure_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @procedure_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @procedure_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Procedure'), reply)
         save_delayed_sequence_references(@procedure)
         validate_search_reply(versioned_resource_class('Procedure'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
index f49fd4efd..e014c9aef 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
@@ -94,14 +94,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @observation = reply&.resource&.entry&.first&.resource
-        @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @observation_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @observation_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply)
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb
index c4b65d49d..114202a3e 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb
@@ -88,14 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @observation = reply&.resource&.entry&.first&.resource
-        @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        page_count = 1
-        next_bundle = reply&.resource&.next_bundle
-        until next_bundle.nil? || page_count == 100
-          @observation_ary += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle = next_bundle.next_bundle
-          page_count += 1
-        end
+        @observation_ary = fetch_all_search_results(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:smoking_status])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/sequence_base.rb b/lib/app/sequence_base.rb
index e997773b2..e0071979f 100644
--- a/lib/app/sequence_base.rb
+++ b/lib/app/sequence_base.rb
@@ -807,12 +807,24 @@ def date_comparator_value(comparator, date)
         case comparator
         when 'lt', 'le'
           comparator + (DateTime.xmlschema(date) + 1).xmlschema
-        when 'gt', 'ge'
+        when 'gt', 'ge' 
           comparator + (DateTime.xmlschema(date) - 1).xmlschema
         else
           ''
         end
       end
+
+      def fetch_all_search_results(bundle)
+        resources = bundle&.entry&.map { |entry| entry&.resource }
+        page_count = 1
+        next_bundle = bundle.next_bundle
+        until next_bundle.nil? || page_count == 20
+          resources += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle = next_bundle.next_bundle
+          page_count += 1
+        end
+        resources
+      end
     end
 
     Dir.glob(File.join(__dir__, 'modules', '**', '*_sequence.rb')).each { |file| require file }

From 411e954eaf985b9f50b3bf07f8c2f6e15a42ad87 Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Fri, 27 Sep 2019 14:25:52 -0400
Subject: [PATCH 024/144] Rubocop fix for lib/app/sequence_base.rb

---
 lib/app/sequence_base.rb | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/lib/app/sequence_base.rb b/lib/app/sequence_base.rb
index e0071979f..31f2659fd 100644
--- a/lib/app/sequence_base.rb
+++ b/lib/app/sequence_base.rb
@@ -807,7 +807,7 @@ def date_comparator_value(comparator, date)
         case comparator
         when 'lt', 'le'
           comparator + (DateTime.xmlschema(date) + 1).xmlschema
-        when 'gt', 'ge' 
+        when 'gt', 'ge'
           comparator + (DateTime.xmlschema(date) - 1).xmlschema
         else
           ''

From 346554cb9805295e8f8972e4a71e7ae34f164e40 Mon Sep 17 00:00:00 2001
From: Reece Adamson <radamson@mitre.org>
Date: Mon, 30 Sep 2019 08:19:25 -0400
Subject: [PATCH 025/144] fix accommodate spelling

---
 lib/app/modules/argonaut/argonaut_conformance_sequence.rb       | 2 +-
 .../bulk_data/bulk_data_capability_statement_sequence.rb        | 2 +-
 .../us_core_r4_capability_statement_sequence.rb                 | 2 +-
 3 files changed, 3 insertions(+), 3 deletions(-)

diff --git a/lib/app/modules/argonaut/argonaut_conformance_sequence.rb b/lib/app/modules/argonaut/argonaut_conformance_sequence.rb
index c27034b53..96b6f817a 100644
--- a/lib/app/modules/argonaut/argonaut_conformance_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_conformance_sequence.rb
@@ -26,7 +26,7 @@ class ArgonautConformanceSequence < CapabilityStatementSequence
         Not all servers are expected to implement all possible queries and data elements described in the Argonaut API.
         For example, the Argonaut specification requires that the Patient resource and only one other Argonaut resource are required.
         Implementing the Conformance Statement resource allows clients to dynamically determine which of these resources
-        are supported at runtime, instead of having to specifically write the application to accomidate every known server implementation
+        are supported at runtime, instead of having to specifically write the application to accommodate every known server implementation
         at development time.  Similarly, by providing information about the location of SMART on FHIR OAuth 2.0 endpoints,
         the client does not have to be hard-coded with information about the authorization services associated with
         every FHIR API.
diff --git a/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb b/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
index 8b4b36202..625df6568 100644
--- a/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
@@ -26,7 +26,7 @@ class BulkDataCapabilityStatementSequence < CapabilityStatementSequence
         Not all servers are expected to implement all possible queries and data elements described in the Argonaut API.
         For example, the Argonaut specification requires that the Patient resource and only one other Argonaut resource are required.
         Implementing the Capability Statement resource allows clients to dynamically determine which of these resources
-        are supported at runtime, instead of having to specifically write the application to accomidate every known server implementation
+        are supported at runtime, instead of having to specifically write the application to accommodate every known server implementation
         at development time.  Similarly, by providing information about the location of SMART on FHIR OAuth 2.0 endpoints,
         the client does not have to be hard-coded with information about the authorization services associated with
         every FHIR API.
diff --git a/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb b/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb
index 7905c0a73..e335ea78c 100644
--- a/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb
+++ b/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb
@@ -26,7 +26,7 @@ class UsCoreR4CapabilityStatementSequence < CapabilityStatementSequence
         Not all servers are expected to implement all possible queries and data elements described in the Argonaut API.
         For example, the Argonaut specification requires that the Patient resource and only one other Argonaut resource are required.
         Implementing the Capability Statement resource allows clients to dynamically determine which of these resources
-        are supported at runtime, instead of having to specifically write the application to accomidate every known server implementation
+        are supported at runtime, instead of having to specifically write the application to accommodate every known server implementation
         at development time.  Similarly, by providing information about the location of SMART on FHIR OAuth 2.0 endpoints,
         the client does not have to be hard-coded with information about the authorization services associated with
         every FHIR API.

From 943fac4a06e257aa17a340fe02bb4c1424d3f84f Mon Sep 17 00:00:00 2001
From: Reece Adamson <radamson@mitre.org>
Date: Mon, 30 Sep 2019 08:56:18 -0400
Subject: [PATCH 026/144] update core capability statement sequence details

---
 .../core/capability_statement_sequence.rb     | 47 ++++++++-----------
 1 file changed, 20 insertions(+), 27 deletions(-)

diff --git a/lib/app/modules/core/capability_statement_sequence.rb b/lib/app/modules/core/capability_statement_sequence.rb
index 8ead86db8..caf1abb76 100644
--- a/lib/app/modules/core/capability_statement_sequence.rb
+++ b/lib/app/modules/core/capability_statement_sequence.rb
@@ -13,44 +13,37 @@ class CapabilityStatementSequence < SequenceBase
       description 'Retrieve information about supported server functionality in the Conformance Statement.'
       details %(
         # Background
-         The #{title} Sequence tests a FHIR server's ability to formally describe features
-        supported by the API by using the [Conformance Statement](https://www.hl7.org/fhir/DSTU2/conformance.html) resource.
-        The features described in the Conformance Statement must be consistent with the required capabilities of an
-        Argonaut server.  The Conformance Statement must also advertise the location of the required SMART on FHIR endpoints
-        that enable authenticated access to the FHIR server resources.
-
-        Not all servers are expected to implement all possible queries and data elements described in the Argonaut API.
-        For example, the Argonaut specification requires that the Patient resource and only one other Argonaut resource are required.
-        Implementing the Conformance Statement resource allows clients to dynamically determine which of these resources
-        are supported at runtime, instead of having to specifically write the application to accommodate every known server implementation
-        at development time.  Similarly, by providing information about the location of SMART on FHIR OAuth 2.0 endpoints,
-        the client does not have to be hard-coded with information about the authorization services associated with
-        every FHIR API.
-
-        Note that the name of this resource changed to 'Capability Statement' in STU3 to better describe the intent of this resource.
-        This test refers to it as the Capability Statement as that is what it was called in DSTU2.
+        The #{title} Sequence tests a FHIR server's ability to formally describe features supported by the API by
+        using the [Capability Statement](https://www.hl7.org/fhir/capabilitystatement.html) resource.
+        The features described in the Capability Statement must be consistent with the required capabilities of a
+        FHIR server.
+
+        Not all servers are expected to implement all possible queries and data elements described in FHIR
+        or by an Implementation Guide.
+        The Capability Statement resource allows clients to determine which resources are supported by a FHIR Server.
+
+        Note that the name of this resource changed to from 'Conformance Statement' to 'CapabilityStatement' in STU3
+        to better describe the intent of this resource.
+        This test refers to it as the Capability Statement.
 
         # Test Methodology
 
-        This test suite accesses the server endpoint at `/metadata` using a `GET` request.  It parses the Conformance Statement and
-        verifies that the server claims support of following features:
+        This test suite accesses the server endpoint at `/metadata` using a `GET` request.
+        It parses the Capability Statement and verifies that :
 
-        * JSON encoding of resources
-        * Patient resource
-        * At least one of the other resources that form the basis of Argonaut profiles
-        * SMART on FHIR authorization
+        * The endpoint is secured by an appropriate cryptographic protocol
+        * The resource matches the expected FHIR version defined by the tests
+        * The resource is a valid FHIR resource
 
         It collects the following information that is saved in the testing session for use by later tests:
 
         * List of resources supported
         * List of queries parameters supported
-        * SMART on FHIR endpoints
 
-        For more information of the Conformance Statement, visit these links:
+        For more information of the Capability Statement, visit these links:
 
-        * [Conformance](https://www.hl7.org/fhir/DSTU2/conformance.html)
-        * [Argonaut Conformance Requirements for Servers](https://www.fhir.org/guides/argonaut/r2/Conformance-server.html)
-        * [SMART on FHIR Conformance](http://hl7.org/fhir/smart-app-launch/conformance/index.html)
+        * [Capability Statement](https://www.hl7.org/fhir/capabilitystatement.html)
+        * [DSTU2 Conformance Statement](https://www.hl7.org/fhir/DSTU2/conformance.html)
       )
 
       test 'FHIR server secured by transport layer security' do

From f421fb75a258ba5f4027ded0a909f240ea8ca690 Mon Sep 17 00:00:00 2001
From: Reece Adamson <radamson@mitre.org>
Date: Mon, 30 Sep 2019 08:56:46 -0400
Subject: [PATCH 027/144] update us core capability statement sequence details

---
 ...s_core_r4_capability_statement_sequence.rb | 53 ++++++++++---------
 1 file changed, 27 insertions(+), 26 deletions(-)

diff --git a/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb b/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb
index e335ea78c..aceff4362 100644
--- a/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb
+++ b/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb
@@ -17,44 +17,42 @@ class UsCoreR4CapabilityStatementSequence < CapabilityStatementSequence
       description 'Retrieve information about supported server functionality in the Capability Statement.'
       details %(
         # Background
-         The #{title} Sequence tests a FHIR server's ability to formally describe features
-        supported by the API by using the [Capability Statement](https://www.hl7.org/fhir/capabilitystatement.html) resource.
-        The features described in the Capability Statement must be consistent with the required capabilities of an
-        Argonaut server.  The Capability Statement must also advertise the location of the required SMART on FHIR endpoints
+        The #{title} Sequence tests a FHIR server's ability to formally describe features supported by the API by
+        using the [Capability Statement](https://www.hl7.org/fhir/capabilitystatement.html) resource.
+        The features described in the Capability Statement must be consistent with the required capabilities of a
+        US Core server.  The Capability Statement must also advertise the location of the required SMART on FHIR endpoints
         that enable authenticated access to the FHIR server resources.
 
-        Not all servers are expected to implement all possible queries and data elements described in the Argonaut API.
-        For example, the Argonaut specification requires that the Patient resource and only one other Argonaut resource are required.
-        Implementing the Capability Statement resource allows clients to dynamically determine which of these resources
-        are supported at runtime, instead of having to specifically write the application to accommodate every known server implementation
-        at development time.  Similarly, by providing information about the location of SMART on FHIR OAuth 2.0 endpoints,
-        the client does not have to be hard-coded with information about the authorization services associated with
-        every FHIR API.
+        The Capability Statement resource allows clients to determine which resources are supported by a FHIR Server.
+        Not all servers are expected to implement all possible queries and data elements described in the US Core API.
+        For example, the US Core Implementation Guide requires that the Patient resource and
+        only one additional resource profile from the US Core Profiles.
 
-        Note that the name of this resource changed to 'Capability Statement' in STU3 to better describe the intent of this resource.
-        This test refers to it as the Capability Statement as that is what it was called in DSTU2.
+
+        Note that the name of this resource changed to from 'Conformance Statement' to 'CapabilityStatement' in STU3
+        to better describe the intent of this resource.
+        This test refers to it as the Capability Statement.
 
         # Test Methodology
 
-        This test suite accesses the server endpoint at `/metadata` using a `GET` request.  It parses the Capability Statement and
-        verifies that the server claims support of following features:
+        This test suite accesses the server endpoint at `/metadata` using a `GET` request.
+        It parses the Capability Statement and verifies that :
 
-        * JSON encoding of resources
-        * Patient resource
-        * At least one of the other resources that form the basis of Argonaut profiles
-        * SMART on FHIR authorization
+        * The endpoint is secured by an appropriate cryptographic protocol
+        * The resource matches the expected FHIR version defined by the tests
+        * The resource is a valid FHIR resource
+        * The server claims support for JSON encoding of resources
+        * The server claims support for the Patient resource
 
         It collects the following information that is saved in the testing session for use by later tests:
 
         * List of resources supported
         * List of queries parameters supported
-        * SMART on FHIR endpoints
 
         For more information of the Capability Statement, visit these links:
 
-        * [Capability](https://www.hl7.org/fhir/capabilitystatement.html)
-        * [Argonaut Capability Requirements](http://hl7.org/fhir/us/core/2019Jan/CapabilityStatement-us-core-server.html)
-        * [SMART on FHIR Conformance](http://hl7.org/fhir/smart-app-launch/conformance/index.html)
+        * [Capability Statement](https://www.hl7.org/fhir/capabilitystatement.html)
+        * [DSTU2 Conformance Statement](https://www.hl7.org/fhir/DSTU2/conformance.html)
       )
 
       test 'FHIR server capability states JSON support' do
@@ -124,15 +122,18 @@ class UsCoreR4CapabilityStatementSequence < CapabilityStatementSequence
         assert missing_capabilities.empty?, "Conformance statement does not list required SMART capabilties: #{missing_capabilities.join(', ')}"
       end
 
-      test 'Capability Statement lists supported Argonaut profiles, operations and search parameters' do
+      test 'Capability Statement lists supported US Core profiles, operations and search parameters' do
         metadata do
           id '06'
           link 'http://hl7.org/fhir/us/core/2019Jan/CapabilityStatement-us-core-server.html'
           desc %(
-           The Argonaut Data Query Implementation Guide states:
+           The US Core Implementation Guide states:
 
            ```
-           The Argonaut Data Query Server SHALL... Declare a Capability Statement identifying the list of profiles, operations, search parameter supported.
+           The US Core Server SHALL:
+
+               1. Support the US Core Patient resource profile.
+               2. Support at least one additional resource profile from the list of US Core Profiles.
            ```
 
           )

From 6f4ae4d39c13e9039d566bc461ceda1b24203e66 Mon Sep 17 00:00:00 2001
From: Reece Adamson <radamson@mitre.org>
Date: Mon, 30 Sep 2019 08:57:37 -0400
Subject: [PATCH 028/144] update bulk data conformance sequence details

---
 .../argonaut/argonaut_conformance_sequence.rb |  2 +-
 ...bulk_data_capability_statement_sequence.rb | 49 +++++++++----------
 2 files changed, 24 insertions(+), 27 deletions(-)

diff --git a/lib/app/modules/argonaut/argonaut_conformance_sequence.rb b/lib/app/modules/argonaut/argonaut_conformance_sequence.rb
index 96b6f817a..5543553ef 100644
--- a/lib/app/modules/argonaut/argonaut_conformance_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_conformance_sequence.rb
@@ -17,7 +17,7 @@ class ArgonautConformanceSequence < CapabilityStatementSequence
       description 'Retrieve information about supported server functionality in the Conformance Statement.'
       details %(
         # Background
-         The #{title} Sequence tests a FHIR server's ability to formally describe features
+        The #{title} Sequence tests a FHIR server's ability to formally describe features
         supported by the API by using the [Conformance Statement](https://www.hl7.org/fhir/DSTU2/conformance.html) resource.
         The features described in the Conformance Statement must be consistent with the required capabilities of an
         Argonaut server.  The Conformance Statement must also advertise the location of the required SMART on FHIR endpoints
diff --git a/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb b/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
index 625df6568..93f77ed77 100644
--- a/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
@@ -17,44 +17,41 @@ class BulkDataCapabilityStatementSequence < CapabilityStatementSequence
       description 'Retrieve information about supported server functionality in the Capability Statement.'
       details %(
         # Background
-         The #{title} Sequence tests a FHIR server's ability to formally describe features
-        supported by the API by using the [Capability Statement](https://www.hl7.org/fhir/capabilitystatement.html) resource.
-        The features described in the Capability Statement must be consistent with the required capabilities of an
-        Argonaut server.  The Capability Statement must also advertise the location of the required SMART on FHIR endpoints
-        that enable authenticated access to the FHIR server resources.
-
-        Not all servers are expected to implement all possible queries and data elements described in the Argonaut API.
-        For example, the Argonaut specification requires that the Patient resource and only one other Argonaut resource are required.
-        Implementing the Capability Statement resource allows clients to dynamically determine which of these resources
-        are supported at runtime, instead of having to specifically write the application to accommodate every known server implementation
-        at development time.  Similarly, by providing information about the location of SMART on FHIR OAuth 2.0 endpoints,
-        the client does not have to be hard-coded with information about the authorization services associated with
-        every FHIR API.
-
-        Note that the name of this resource changed to 'Capability Statement' in STU3 to better describe the intent of this resource.
-        This test refers to it as the Capability Statement as that is what it was called in DSTU2.
+        The #{title} Sequence tests a FHIR server's ability to formally describe features supported by the API by
+        using the [Capability Statement](https://www.hl7.org/fhir/capabilitystatement.html) resource.
+        The features described in the Capability Statement must be consistent with the required capabilities of a
+        FHIR server.
+
+        Not all servers are expected to implement all possible queries and data elements described in FHIR
+        or by an Implementation Guide.
+        The Capability Statement resource allows clients to determine which resources are supported by a FHIR Server.
+
+        Note that the name of this resource changed to from 'Conformance Statement' to 'CapabilityStatement' in STU3
+        to better describe the intent of this resource.
+        This test refers to it as the Capability Statement.
+
+        This sequence also checks for support for operations defined in the
+        [Bulk Data Implementation Guide](https://build.fhir.org/ig/HL7/bulk-data/index.html).
 
         # Test Methodology
 
-        This test suite accesses the server endpoint at `/metadata` using a `GET` request.  It parses the Capability Statement and
-        verifies that the server claims support of following features:
+        This test suite accesses the server endpoint at `/metadata` using a `GET` request.
+        It parses the Capability Statement and verifies that :
 
-        * JSON encoding of resources
-        * Patient resource
-        * At least one of the other resources that form the basis of Argonaut profiles
-        * SMART on FHIR authorization
+        * The endpoint is secured by an appropriate cryptographic protocol
+        * The resource matches the expected FHIR version defined by the tests
+        * The resource is a valid FHIR resource
+        * The server claims support for JSON encoding of resources
 
         It collects the following information that is saved in the testing session for use by later tests:
 
         * List of resources supported
         * List of queries parameters supported
-        * SMART on FHIR endpoints
 
         For more information of the Capability Statement, visit these links:
 
-        * [Capability](https://www.hl7.org/fhir/capabilitystatement.html)
-        * [Argonaut Capability Requirements](http://hl7.org/fhir/us/core/2019Jan/CapabilityStatement-us-core-server.html)
-        * [SMART on FHIR Conformance](http://hl7.org/fhir/smart-app-launch/conformance/index.html)
+        * [Capability Statement](https://www.hl7.org/fhir/capabilitystatement.html)
+        * [DSTU2 Conformance Statement](https://www.hl7.org/fhir/DSTU2/conformance.html)
       )
 
       def assert_operation(op_name); end

From 07db9ff209fdd4a46348de63d566e2527c1ccb60 Mon Sep 17 00:00:00 2001
From: Chase <czhou@mitre.org>
Date: Mon, 30 Sep 2019 13:26:36 -0400
Subject: [PATCH 029/144] Add testing for fetching pages

---
 lib/app/sequence_base.rb        |  6 +++++-
 test/fixtures/bundle_1.json     | 18 ++++++++++++++++++
 test/fixtures/bundle_2.json     | 12 ++++++++++++
 test/unit/sequence_base_test.rb | 29 +++++++++++++++++++++++++++++
 4 files changed, 64 insertions(+), 1 deletion(-)
 create mode 100644 test/fixtures/bundle_1.json
 create mode 100644 test/fixtures/bundle_2.json

diff --git a/lib/app/sequence_base.rb b/lib/app/sequence_base.rb
index e0071979f..6de349377 100644
--- a/lib/app/sequence_base.rb
+++ b/lib/app/sequence_base.rb
@@ -807,7 +807,7 @@ def date_comparator_value(comparator, date)
         case comparator
         when 'lt', 'le'
           comparator + (DateTime.xmlschema(date) + 1).xmlschema
-        when 'gt', 'ge' 
+        when 'gt', 'ge'
           comparator + (DateTime.xmlschema(date) - 1).xmlschema
         else
           ''
@@ -817,10 +817,14 @@ def date_comparator_value(comparator, date)
       def fetch_all_search_results(bundle)
         resources = bundle&.entry&.map { |entry| entry&.resource }
         page_count = 1
+        next_bundle_link = bundle&.link&.find { |link| link.relation == 'next' }&.url
         next_bundle = bundle.next_bundle
+        assert next_bundle_link.nil? || !next_bundle.nil?, "Could not resolve next bundle. #{next_bundle_link}"
         until next_bundle.nil? || page_count == 20
           resources += next_bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle_link = next_bundle&.link&.find { |link| link.relation == 'next' }&.url
           next_bundle = next_bundle.next_bundle
+          assert next_bundle_link.nil? || !next_bundle.nil?, "Could not resolve next bundle. #{next_bundle_link}"
           page_count += 1
         end
         resources
diff --git a/test/fixtures/bundle_1.json b/test/fixtures/bundle_1.json
new file mode 100644
index 000000000..4d0bcfa91
--- /dev/null
+++ b/test/fixtures/bundle_1.json
@@ -0,0 +1,18 @@
+{
+  "resourceType": "Bundle",
+  "type": "collection",
+  "entry": [
+    {
+      "resource": {
+        "resourceType": "Patient",
+        "id": "1"
+      }
+    }
+  ],
+  "link": [
+    {
+      "relation": "next",
+      "url": "http://www.example.com/2"
+    }
+  ]
+}
diff --git a/test/fixtures/bundle_2.json b/test/fixtures/bundle_2.json
new file mode 100644
index 000000000..ee6ff811a
--- /dev/null
+++ b/test/fixtures/bundle_2.json
@@ -0,0 +1,12 @@
+{
+  "resourceType": "Bundle",
+  "type": "collection",
+  "entry": [
+    {
+      "resource": {
+        "resourceType": "Patient",
+        "id": "2"
+      }
+    }
+  ]
+}
diff --git a/test/unit/sequence_base_test.rb b/test/unit/sequence_base_test.rb
index faddf6478..c9d8331e1 100644
--- a/test/unit/sequence_base_test.rb
+++ b/test/unit/sequence_base_test.rb
@@ -48,4 +48,33 @@ def set_resource_reference(resource, type)
     new_reference.reference = "#{type}/1234"
     resource.recorder = new_reference
   end
+
+  describe '#fetch_all_search_results' do
+    before do
+      @bundle1 = FHIR.from_contents(load_fixture(:bundle_1))
+      @bundle2 = load_fixture(:bundle_2)
+
+      instance = Inferno::Models::TestingInstance.create(selected_module: 'uscore_v3.0.0')
+      client = FHIR::Client.new('')
+      @bundle1.client = client
+      @sequence = Inferno::Sequence::SequenceBase.new(instance, client, true)
+    end
+
+    it 'returns resources from all bundles' do
+      stub_request(:get, @bundle1.link.first.url)
+        .to_return(body: @bundle2)
+
+      all_resources = @sequence.fetch_all_search_results(@bundle1)
+      assert all_resources.map(&:id) == ['1', '2']
+    end
+
+    it 'fails on 404' do
+      stub_request(:get, @bundle1.link.first.url)
+        .to_return(body: '', status: 404)
+
+      assert_raises Inferno::AssertionException do
+        @sequence.fetch_all_search_results(@bundle1)
+      end
+    end
+  end
 end

From 9779d70f5f74773059a0dd3c683f072c65415972 Mon Sep 17 00:00:00 2001
From: Chase <czhou@mitre.org>
Date: Mon, 30 Sep 2019 14:15:16 -0400
Subject: [PATCH 030/144] omit authorization test if no bearer token is set

---
 generator/uscore/uscore_generator.rb                            | 2 +-
 lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb | 2 +-
 .../uscore_v3.0.0/pediatric_weight_for_height_sequence.rb       | 2 +-
 .../uscore_v3.0.0/us_core_allergyintolerance_sequence.rb        | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb      | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb      | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb     | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb        | 2 +-
 .../uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb      | 2 +-
 .../uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb     | 2 +-
 .../modules/uscore_v3.0.0/us_core_documentreference_sequence.rb | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb     | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb          | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb  | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb      | 2 +-
 .../modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb | 2 +-
 .../uscore_v3.0.0/us_core_medicationstatement_sequence.rb       | 2 +-
 .../modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb   | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb  | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb       | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb  | 2 +-
 .../modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb  | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb     | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb | 2 +-
 lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb | 2 +-
 .../uscore_v3.0.1/pediatric_weight_for_height_sequence.rb       | 2 +-
 .../uscore_v3.0.1/us_core_allergyintolerance_sequence.rb        | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb      | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb      | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb     | 2 +-
 .../uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb      | 2 +-
 .../uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb     | 2 +-
 .../modules/uscore_v3.0.1/us_core_documentreference_sequence.rb | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb     | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb          | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb  | 2 +-
 .../uscore_v3.0.1/us_core_implantable_device_sequence.rb        | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb      | 2 +-
 .../modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb | 2 +-
 .../modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb   | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb  | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb       | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb  | 2 +-
 .../modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb  | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb     | 2 +-
 .../modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb    | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb | 2 +-
 47 files changed, 47 insertions(+), 47 deletions(-)

diff --git a/generator/uscore/uscore_generator.rb b/generator/uscore/uscore_generator.rb
index eec2bbb99..f4ea46423 100644
--- a/generator/uscore/uscore_generator.rb
+++ b/generator/uscore/uscore_generator.rb
@@ -122,7 +122,7 @@ def create_authorization_test(sequence)
 
         authorization_test[:test_code] = %(
               @client.set_no_auth
-              skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+              omit 'Do not test if no bearer token set' if @instance.token.blank?
       #{get_search_params(first_search[:names], sequence)}
               reply = get_resource_by_params(versioned_resource_class('#{sequence[:resource]}'), search_params)
               @client.set_bearer_token(@instance.token)
diff --git a/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb b/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb
index 32f0e6cbb..76c93c2d5 100644
--- a/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb
@@ -58,7 +58,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         search_params = { patient: @instance.patient_id, code: '59576-9' }
 
diff --git a/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb b/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb
index 9172bf676..d8af01277 100644
--- a/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb
@@ -58,7 +58,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         search_params = { patient: @instance.patient_id, code: '77606-2' }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb
index c47fd456d..6f0df3639 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb
@@ -44,7 +44,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         patient_val = @instance.patient_id
         search_params = { 'patient': patient_val }
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb
index c85a6da1d..e73fd6ad1 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb
@@ -54,7 +54,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         search_params = { patient: @instance.patient_id, category: 'assess-plan' }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb
index 8cd10c4bf..0f9a7c6cd 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb
@@ -44,7 +44,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         search_params = { patient: @instance.patient_id, status: 'active' }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb
index 8793bb004..58d315284 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb
@@ -58,7 +58,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         patient_val = @instance.patient_id
         search_params = { 'patient': patient_val }
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb
index d978b7e64..97cdafdc9 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb
@@ -44,7 +44,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         patient_val = @instance.patient_id
         search_params = { 'patient': patient_val }
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb
index b40e8fc67..2c29d7f42 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb
@@ -58,7 +58,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         search_params = { patient: @instance.patient_id, category: 'LAB' }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb
index b915e3f39..dbb089714 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb
@@ -58,7 +58,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         search_params = { patient: @instance.patient_id, code: 'LP29684-5' }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb
index af3bda04d..70380a854 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb
@@ -66,7 +66,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         patient_val = @instance.patient_id
         search_params = { 'patient': patient_val }
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb
index c16d21425..fa2d0dd7b 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb
@@ -66,7 +66,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         patient_val = @instance.patient_id
         search_params = { 'patient': patient_val }
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb
index 31fc5f9be..2646874c5 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb
@@ -50,7 +50,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         patient_val = @instance.patient_id
         search_params = { 'patient': patient_val }
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb
index 4e63d44c9..da0ee3da2 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb
@@ -50,7 +50,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         patient_val = @instance.patient_id
         search_params = { 'patient': patient_val }
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
index b74c10abc..da65ecf86 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
@@ -72,7 +72,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         name_val = resolve_element_from_path(@location, 'name')
         search_params = { 'name': name_val }
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb
index dfe9a0067..b072a506a 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb
@@ -48,7 +48,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         patient_val = @instance.patient_id
         search_params = { 'patient': patient_val }
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb
index 0b57b6e86..c53ef3a06 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb
@@ -50,7 +50,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         patient_val = @instance.patient_id
         search_params = { 'patient': patient_val }
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb
index f6d3a5d11..b81f00432 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb
@@ -58,7 +58,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         search_params = { patient: @instance.patient_id, category: 'laboratory' }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
index 4db74965f..eb94f90b5 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
@@ -60,7 +60,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         name_val = resolve_element_from_path(@organization, 'name')
         search_params = { 'name': name_val }
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb
index 8f8188bb3..5f24b7211 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb
@@ -73,7 +73,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         search_params = { '_id': @instance.patient_id }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
index aba4bf148..489256c93 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
@@ -67,7 +67,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         name_val = resolve_element_from_path(@practitioner, 'name.family')
         search_params = { 'name': name_val }
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
index d588182fc..ffd93359c 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
@@ -60,7 +60,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         specialty_val = resolve_element_from_path(@practitionerrole, 'specialty.coding.code')
         search_params = { 'specialty': specialty_val }
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
index 88034c2a0..322fda739 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
@@ -54,7 +54,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         patient_val = @instance.patient_id
         search_params = { 'patient': patient_val }
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb
index 20875a61a..b2cc4347e 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb
@@ -58,7 +58,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         search_params = { patient: @instance.patient_id, code: '72166-2' }
 
diff --git a/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb b/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb
index 05fb05587..5e709cc50 100644
--- a/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb
@@ -58,7 +58,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         search_params = { patient: @instance.patient_id, code: '59576-9' }
 
diff --git a/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb b/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb
index 595ac8223..051cdcf34 100644
--- a/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb
@@ -58,7 +58,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         search_params = { patient: @instance.patient_id, code: '77606-2' }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb
index 8c3c8f3f5..75867a443 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb
@@ -44,7 +44,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         patient_val = @instance.patient_id
         search_params = { 'patient': patient_val }
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb
index 65887370a..da0493b91 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb
@@ -54,7 +54,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         search_params = { patient: @instance.patient_id, category: 'assess-plan' }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb
index f327f9a72..d4554566f 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb
@@ -44,7 +44,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         search_params = { patient: @instance.patient_id, status: 'active' }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb
index 95c65a39f..86e564327 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb
@@ -58,7 +58,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         patient_val = @instance.patient_id
         search_params = { 'patient': patient_val }
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb
index 9899a01af..06b4b0485 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb
@@ -58,7 +58,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         search_params = { patient: @instance.patient_id, category: 'LAB' }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb
index 26dc9b21e..db7214a51 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb
@@ -58,7 +58,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         search_params = { patient: @instance.patient_id, code: 'LP29684-5' }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb
index 7969db507..7e6b5ab6a 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb
@@ -66,7 +66,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         patient_val = @instance.patient_id
         search_params = { 'patient': patient_val }
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb
index ee0ee1a4e..8dd6fef0a 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb
@@ -66,7 +66,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         patient_val = @instance.patient_id
         search_params = { 'patient': patient_val }
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb
index 5541f1c45..2c15ef5be 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb
@@ -50,7 +50,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         patient_val = @instance.patient_id
         search_params = { 'patient': patient_val }
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb
index 02e5d3dd4..dba7c67f5 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb
@@ -50,7 +50,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         patient_val = @instance.patient_id
         search_params = { 'patient': patient_val }
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb
index 408920c26..1ed0d5556 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb
@@ -44,7 +44,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         patient_val = @instance.patient_id
         search_params = { 'patient': patient_val }
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
index 843301f5c..3da4c05a1 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
@@ -72,7 +72,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         name_val = resolve_element_from_path(@location, 'name')
         search_params = { 'name': name_val }
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb
index 1b6de38c2..88bcbc656 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb
@@ -56,7 +56,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         patient_val = @instance.patient_id
         intent_val = resolve_element_from_path(@medicationrequest, 'intent')
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb
index f03aa26a8..26520e297 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb
@@ -58,7 +58,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         search_params = { patient: @instance.patient_id, category: 'laboratory' }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
index 0bc656f9a..ab7633c35 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
@@ -60,7 +60,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         name_val = resolve_element_from_path(@organization, 'name')
         search_params = { 'name': name_val }
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb
index ded1f1f32..087e2b72d 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb
@@ -73,7 +73,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         search_params = { '_id': @instance.patient_id }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
index cb7818423..a1af179f1 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
@@ -67,7 +67,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         name_val = resolve_element_from_path(@practitioner, 'name.family')
         search_params = { 'name': name_val }
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
index 53ac64cb2..b7177698a 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
@@ -60,7 +60,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         specialty_val = resolve_element_from_path(@practitionerrole, 'specialty.coding.code')
         search_params = { 'specialty': specialty_val }
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
index 9f5acd718..7ba5ab01e 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
@@ -54,7 +54,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         patient_val = @instance.patient_id
         search_params = { 'patient': patient_val }
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
index d67a48838..56f968819 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
@@ -58,7 +58,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         patient_val = @instance.patient_id
         code_val = resolve_element_from_path(@observation, 'code.coding.code')
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb
index be10d54ed..04187247a 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb
@@ -58,7 +58,7 @@ def validate_resource_item(resource, property, value)
         end
 
         @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
+        omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         search_params = { patient: @instance.patient_id, code: '72166-2' }
 

From 01b8e42a5aa8f52187e3d260f8b94a9b80973cf1 Mon Sep 17 00:00:00 2001
From: Chase <czhou@mitre.org>
Date: Tue, 1 Oct 2019 10:05:28 -0400
Subject: [PATCH 031/144] add test for single page and changed function name

---
 generator/uscore/uscore_generator.rb                  |  2 +-
 .../uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb   |  2 +-
 .../pediatric_weight_for_height_sequence.rb           |  2 +-
 .../us_core_allergyintolerance_sequence.rb            |  2 +-
 .../uscore_v3.0.0/us_core_careplan_sequence.rb        |  2 +-
 .../uscore_v3.0.0/us_core_careteam_sequence.rb        |  2 +-
 .../uscore_v3.0.0/us_core_condition_sequence.rb       |  2 +-
 .../modules/uscore_v3.0.0/us_core_device_sequence.rb  |  2 +-
 .../us_core_diagnosticreport_lab_sequence.rb          |  2 +-
 .../us_core_diagnosticreport_note_sequence.rb         |  2 +-
 .../us_core_documentreference_sequence.rb             |  2 +-
 .../uscore_v3.0.0/us_core_encounter_sequence.rb       |  2 +-
 .../modules/uscore_v3.0.0/us_core_goal_sequence.rb    |  2 +-
 .../uscore_v3.0.0/us_core_immunization_sequence.rb    |  2 +-
 .../uscore_v3.0.0/us_core_location_sequence.rb        |  2 +-
 .../us_core_medicationrequest_sequence.rb             |  2 +-
 .../us_core_medicationstatement_sequence.rb           |  2 +-
 .../uscore_v3.0.0/us_core_observation_lab_sequence.rb |  2 +-
 .../uscore_v3.0.0/us_core_organization_sequence.rb    |  2 +-
 .../modules/uscore_v3.0.0/us_core_patient_sequence.rb |  2 +-
 .../uscore_v3.0.0/us_core_practitioner_sequence.rb    |  2 +-
 .../us_core_practitionerrole_sequence.rb              |  2 +-
 .../uscore_v3.0.0/us_core_procedure_sequence.rb       |  2 +-
 .../uscore_v3.0.0/us_core_smokingstatus_sequence.rb   |  2 +-
 .../uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb   |  2 +-
 .../pediatric_weight_for_height_sequence.rb           |  2 +-
 .../us_core_allergyintolerance_sequence.rb            |  2 +-
 .../uscore_v3.0.1/us_core_careplan_sequence.rb        |  2 +-
 .../uscore_v3.0.1/us_core_careteam_sequence.rb        |  2 +-
 .../uscore_v3.0.1/us_core_condition_sequence.rb       |  2 +-
 .../us_core_diagnosticreport_lab_sequence.rb          |  2 +-
 .../us_core_diagnosticreport_note_sequence.rb         |  2 +-
 .../us_core_documentreference_sequence.rb             |  2 +-
 .../uscore_v3.0.1/us_core_encounter_sequence.rb       |  2 +-
 .../modules/uscore_v3.0.1/us_core_goal_sequence.rb    |  2 +-
 .../uscore_v3.0.1/us_core_immunization_sequence.rb    |  2 +-
 .../us_core_implantable_device_sequence.rb            |  2 +-
 .../uscore_v3.0.1/us_core_location_sequence.rb        |  2 +-
 .../us_core_medicationrequest_sequence.rb             |  2 +-
 .../uscore_v3.0.1/us_core_observation_lab_sequence.rb |  2 +-
 .../uscore_v3.0.1/us_core_organization_sequence.rb    |  2 +-
 .../modules/uscore_v3.0.1/us_core_patient_sequence.rb |  2 +-
 .../uscore_v3.0.1/us_core_practitioner_sequence.rb    |  2 +-
 .../us_core_practitionerrole_sequence.rb              |  2 +-
 .../uscore_v3.0.1/us_core_procedure_sequence.rb       |  2 +-
 .../uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb  |  2 +-
 .../uscore_v3.0.1/us_core_smokingstatus_sequence.rb   |  2 +-
 lib/app/sequence_base.rb                              |  2 +-
 test/unit/sequence_base_test.rb                       | 11 ++++++++---
 49 files changed, 56 insertions(+), 51 deletions(-)

diff --git a/generator/uscore/uscore_generator.rb b/generator/uscore/uscore_generator.rb
index 81f507b79..de84975c6 100644
--- a/generator/uscore/uscore_generator.rb
+++ b/generator/uscore/uscore_generator.rb
@@ -159,7 +159,7 @@ def create_search_test(sequence, search_param)
               skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
               @#{sequence[:resource].downcase} = reply&.resource&.entry&.first&.resource
-              @#{sequence[:resource].downcase}_ary = fetch_all_search_results(reply&.resource)
+              @#{sequence[:resource].downcase}_ary = fetch_all_bundled_resources(reply&.resource)
               save_resource_ids_in_bundle(#{save_resource_ids_in_bundle_arguments})
               save_delayed_sequence_references(@#{sequence[:resource].downcase})
               validate_search_reply(versioned_resource_class('#{sequence[:resource]}'), reply, search_params))
diff --git a/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb b/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb
index 5e17db73f..eaf4240b4 100644
--- a/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb
@@ -88,7 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @observation = reply&.resource&.entry&.first&.resource
-        @observation_ary = fetch_all_search_results(reply&.resource)
+        @observation_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:pediatric_bmi_age])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb b/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb
index 5bf2599e7..27a46043f 100644
--- a/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb
@@ -88,7 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @observation = reply&.resource&.entry&.first&.resource
-        @observation_ary = fetch_all_search_results(reply&.resource)
+        @observation_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:pediatric_weight_height])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb
index 912be6595..c5b16aa4c 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb
@@ -78,7 +78,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @allergyintolerance = reply&.resource&.entry&.first&.resource
-        @allergyintolerance_ary = fetch_all_search_results(reply&.resource)
+        @allergyintolerance_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('AllergyIntolerance'), reply)
         save_delayed_sequence_references(@allergyintolerance)
         validate_search_reply(versioned_resource_class('AllergyIntolerance'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb
index f178518f9..9ad01ec22 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb
@@ -84,7 +84,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @careplan = reply&.resource&.entry&.first&.resource
-        @careplan_ary = fetch_all_search_results(reply&.resource)
+        @careplan_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('CarePlan'), reply)
         save_delayed_sequence_references(@careplan)
         validate_search_reply(versioned_resource_class('CarePlan'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb
index 3378cdff2..93c18cdfa 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb
@@ -74,7 +74,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @careteam = reply&.resource&.entry&.first&.resource
-        @careteam_ary = fetch_all_search_results(reply&.resource)
+        @careteam_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('CareTeam'), reply)
         save_delayed_sequence_references(@careteam)
         validate_search_reply(versioned_resource_class('CareTeam'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb
index 58b003f47..66efb31d8 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb
@@ -92,7 +92,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @condition = reply&.resource&.entry&.first&.resource
-        @condition_ary = fetch_all_search_results(reply&.resource)
+        @condition_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Condition'), reply)
         save_delayed_sequence_references(@condition)
         validate_search_reply(versioned_resource_class('Condition'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb
index 5485e3474..c8c9a6b35 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb
@@ -78,7 +78,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @device = reply&.resource&.entry&.first&.resource
-        @device_ary = fetch_all_search_results(reply&.resource)
+        @device_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Device'), reply)
         save_delayed_sequence_references(@device)
         validate_search_reply(versioned_resource_class('Device'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb
index 6ece7421d..343e52b38 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb
@@ -88,7 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @diagnosticreport = reply&.resource&.entry&.first&.resource
-        @diagnosticreport_ary = fetch_all_search_results(reply&.resource)
+        @diagnosticreport_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('DiagnosticReport'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:diagnostic_report_lab])
         save_delayed_sequence_references(@diagnosticreport)
         validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb
index 973856245..56ab8fb5e 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb
@@ -88,7 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @diagnosticreport = reply&.resource&.entry&.first&.resource
-        @diagnosticreport_ary = fetch_all_search_results(reply&.resource)
+        @diagnosticreport_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('DiagnosticReport'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:diagnostic_report_note])
         save_delayed_sequence_references(@diagnosticreport)
         validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb
index 274d657c4..b156a0eb9 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb
@@ -100,7 +100,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @documentreference = reply&.resource&.entry&.first&.resource
-        @documentreference_ary = fetch_all_search_results(reply&.resource)
+        @documentreference_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('DocumentReference'), reply)
         save_delayed_sequence_references(@documentreference)
         validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb
index b4d61d655..03d13245e 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb
@@ -100,7 +100,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @encounter = reply&.resource&.entry&.first&.resource
-        @encounter_ary = fetch_all_search_results(reply&.resource)
+        @encounter_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Encounter'), reply)
         save_delayed_sequence_references(@encounter)
         validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb
index 88ff7cbdd..f98eb7443 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb
@@ -84,7 +84,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @goal = reply&.resource&.entry&.first&.resource
-        @goal_ary = fetch_all_search_results(reply&.resource)
+        @goal_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Goal'), reply)
         save_delayed_sequence_references(@goal)
         validate_search_reply(versioned_resource_class('Goal'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb
index 7be0df5ed..2c45991b6 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb
@@ -84,7 +84,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @immunization = reply&.resource&.entry&.first&.resource
-        @immunization_ary = fetch_all_search_results(reply&.resource)
+        @immunization_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Immunization'), reply)
         save_delayed_sequence_references(@immunization)
         validate_search_reply(versioned_resource_class('Immunization'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
index 1e60cc3c4..272c84e89 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
@@ -106,7 +106,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @location = reply&.resource&.entry&.first&.resource
-        @location_ary = fetch_all_search_results(reply&.resource)
+        @location_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Location'), reply)
         save_delayed_sequence_references(@location)
         validate_search_reply(versioned_resource_class('Location'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb
index 1138f2c97..215a6ea24 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb
@@ -82,7 +82,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @medicationrequest = reply&.resource&.entry&.first&.resource
-        @medicationrequest_ary = fetch_all_search_results(reply&.resource)
+        @medicationrequest_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('MedicationRequest'), reply)
         save_delayed_sequence_references(@medicationrequest)
         validate_search_reply(versioned_resource_class('MedicationRequest'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb
index ebcdc7d13..729e4bd79 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb
@@ -84,7 +84,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @medicationstatement = reply&.resource&.entry&.first&.resource
-        @medicationstatement_ary = fetch_all_search_results(reply&.resource)
+        @medicationstatement_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('MedicationStatement'), reply)
         save_delayed_sequence_references(@medicationstatement)
         validate_search_reply(versioned_resource_class('MedicationStatement'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb
index b524da606..31af9b627 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb
@@ -88,7 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @observation = reply&.resource&.entry&.first&.resource
-        @observation_ary = fetch_all_search_results(reply&.resource)
+        @observation_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:lab_results])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
index 856fc65b4..264abf9d9 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
@@ -94,7 +94,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @organization = reply&.resource&.entry&.first&.resource
-        @organization_ary = fetch_all_search_results(reply&.resource)
+        @organization_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Organization'), reply)
         save_delayed_sequence_references(@organization)
         validate_search_reply(versioned_resource_class('Organization'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb
index 7c1b5d884..45e78db34 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb
@@ -103,7 +103,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @patient = reply&.resource&.entry&.first&.resource
-        @patient_ary = fetch_all_search_results(reply&.resource)
+        @patient_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Patient'), reply)
         save_delayed_sequence_references(@patient)
         validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
index 1806a7f45..d4e09919a 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
@@ -101,7 +101,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @practitioner = reply&.resource&.entry&.first&.resource
-        @practitioner_ary = fetch_all_search_results(reply&.resource)
+        @practitioner_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Practitioner'), reply)
         save_delayed_sequence_references(@practitioner)
         validate_search_reply(versioned_resource_class('Practitioner'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
index 4caa9b847..8879c5c43 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
@@ -94,7 +94,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @practitionerrole = reply&.resource&.entry&.first&.resource
-        @practitionerrole_ary = fetch_all_search_results(reply&.resource)
+        @practitionerrole_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('PractitionerRole'), reply)
         save_delayed_sequence_references(@practitionerrole)
         validate_search_reply(versioned_resource_class('PractitionerRole'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
index 139656981..44981cba1 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
@@ -88,7 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @procedure = reply&.resource&.entry&.first&.resource
-        @procedure_ary = fetch_all_search_results(reply&.resource)
+        @procedure_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Procedure'), reply)
         save_delayed_sequence_references(@procedure)
         validate_search_reply(versioned_resource_class('Procedure'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb
index 25c46af5e..2fcc57a01 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb
@@ -88,7 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @observation = reply&.resource&.entry&.first&.resource
-        @observation_ary = fetch_all_search_results(reply&.resource)
+        @observation_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:smoking_status])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb b/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb
index 50cb46daa..f32213b9c 100644
--- a/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb
@@ -88,7 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @observation = reply&.resource&.entry&.first&.resource
-        @observation_ary = fetch_all_search_results(reply&.resource)
+        @observation_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:pediatric_bmi_age])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb b/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb
index 60f0f7cc7..2ff1efb98 100644
--- a/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb
@@ -88,7 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @observation = reply&.resource&.entry&.first&.resource
-        @observation_ary = fetch_all_search_results(reply&.resource)
+        @observation_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:pediatric_weight_height])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb
index 20013c64b..51ca928a9 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb
@@ -78,7 +78,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @allergyintolerance = reply&.resource&.entry&.first&.resource
-        @allergyintolerance_ary = fetch_all_search_results(reply&.resource)
+        @allergyintolerance_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('AllergyIntolerance'), reply)
         save_delayed_sequence_references(@allergyintolerance)
         validate_search_reply(versioned_resource_class('AllergyIntolerance'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb
index eb97d83a8..55925a4dc 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb
@@ -84,7 +84,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @careplan = reply&.resource&.entry&.first&.resource
-        @careplan_ary = fetch_all_search_results(reply&.resource)
+        @careplan_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('CarePlan'), reply)
         save_delayed_sequence_references(@careplan)
         validate_search_reply(versioned_resource_class('CarePlan'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb
index b4c79ebe8..0eff27963 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb
@@ -74,7 +74,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @careteam = reply&.resource&.entry&.first&.resource
-        @careteam_ary = fetch_all_search_results(reply&.resource)
+        @careteam_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('CareTeam'), reply)
         save_delayed_sequence_references(@careteam)
         validate_search_reply(versioned_resource_class('CareTeam'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb
index 7fa550a9f..1db2cfe95 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb
@@ -92,7 +92,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @condition = reply&.resource&.entry&.first&.resource
-        @condition_ary = fetch_all_search_results(reply&.resource)
+        @condition_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Condition'), reply)
         save_delayed_sequence_references(@condition)
         validate_search_reply(versioned_resource_class('Condition'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb
index 432a776bf..67877fda9 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb
@@ -88,7 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @diagnosticreport = reply&.resource&.entry&.first&.resource
-        @diagnosticreport_ary = fetch_all_search_results(reply&.resource)
+        @diagnosticreport_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('DiagnosticReport'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:diagnostic_report_lab])
         save_delayed_sequence_references(@diagnosticreport)
         validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb
index 5dfb2984f..180aafca5 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb
@@ -88,7 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @diagnosticreport = reply&.resource&.entry&.first&.resource
-        @diagnosticreport_ary = fetch_all_search_results(reply&.resource)
+        @diagnosticreport_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('DiagnosticReport'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:diagnostic_report_note])
         save_delayed_sequence_references(@diagnosticreport)
         validate_search_reply(versioned_resource_class('DiagnosticReport'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb
index 25441eaf4..75fee93e1 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb
@@ -100,7 +100,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @documentreference = reply&.resource&.entry&.first&.resource
-        @documentreference_ary = fetch_all_search_results(reply&.resource)
+        @documentreference_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('DocumentReference'), reply)
         save_delayed_sequence_references(@documentreference)
         validate_search_reply(versioned_resource_class('DocumentReference'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb
index 31cd9a70c..a851166d3 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb
@@ -100,7 +100,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @encounter = reply&.resource&.entry&.first&.resource
-        @encounter_ary = fetch_all_search_results(reply&.resource)
+        @encounter_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Encounter'), reply)
         save_delayed_sequence_references(@encounter)
         validate_search_reply(versioned_resource_class('Encounter'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb
index e352a5365..ae797889a 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb
@@ -84,7 +84,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @goal = reply&.resource&.entry&.first&.resource
-        @goal_ary = fetch_all_search_results(reply&.resource)
+        @goal_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Goal'), reply)
         save_delayed_sequence_references(@goal)
         validate_search_reply(versioned_resource_class('Goal'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb
index 7e3c955a9..bf89e4386 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb
@@ -84,7 +84,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @immunization = reply&.resource&.entry&.first&.resource
-        @immunization_ary = fetch_all_search_results(reply&.resource)
+        @immunization_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Immunization'), reply)
         save_delayed_sequence_references(@immunization)
         validate_search_reply(versioned_resource_class('Immunization'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb
index 718c21e5b..1ef4b853a 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb
@@ -78,7 +78,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @device = reply&.resource&.entry&.first&.resource
-        @device_ary = fetch_all_search_results(reply&.resource)
+        @device_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Device'), reply)
         save_delayed_sequence_references(@device)
         validate_search_reply(versioned_resource_class('Device'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
index 13fc034a6..d440ee387 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
@@ -106,7 +106,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @location = reply&.resource&.entry&.first&.resource
-        @location_ary = fetch_all_search_results(reply&.resource)
+        @location_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Location'), reply)
         save_delayed_sequence_references(@location)
         validate_search_reply(versioned_resource_class('Location'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb
index 3353a4630..c6d37a15d 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb
@@ -92,7 +92,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @medicationrequest = reply&.resource&.entry&.first&.resource
-        @medicationrequest_ary = fetch_all_search_results(reply&.resource)
+        @medicationrequest_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('MedicationRequest'), reply)
         save_delayed_sequence_references(@medicationrequest)
         validate_search_reply(versioned_resource_class('MedicationRequest'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb
index 484bfc90d..002ad6cfb 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb
@@ -88,7 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @observation = reply&.resource&.entry&.first&.resource
-        @observation_ary = fetch_all_search_results(reply&.resource)
+        @observation_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:lab_results])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
index 16c9630b5..6b508066e 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
@@ -94,7 +94,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @organization = reply&.resource&.entry&.first&.resource
-        @organization_ary = fetch_all_search_results(reply&.resource)
+        @organization_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Organization'), reply)
         save_delayed_sequence_references(@organization)
         validate_search_reply(versioned_resource_class('Organization'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb
index a35fdd725..59b3756bb 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb
@@ -103,7 +103,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @patient = reply&.resource&.entry&.first&.resource
-        @patient_ary = fetch_all_search_results(reply&.resource)
+        @patient_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Patient'), reply)
         save_delayed_sequence_references(@patient)
         validate_search_reply(versioned_resource_class('Patient'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
index b55928842..37872839c 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
@@ -101,7 +101,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @practitioner = reply&.resource&.entry&.first&.resource
-        @practitioner_ary = fetch_all_search_results(reply&.resource)
+        @practitioner_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Practitioner'), reply)
         save_delayed_sequence_references(@practitioner)
         validate_search_reply(versioned_resource_class('Practitioner'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
index e493ca58e..42f969a1f 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
@@ -94,7 +94,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @practitionerrole = reply&.resource&.entry&.first&.resource
-        @practitionerrole_ary = fetch_all_search_results(reply&.resource)
+        @practitionerrole_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('PractitionerRole'), reply)
         save_delayed_sequence_references(@practitionerrole)
         validate_search_reply(versioned_resource_class('PractitionerRole'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
index a1a040598..18c69f79c 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
@@ -88,7 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @procedure = reply&.resource&.entry&.first&.resource
-        @procedure_ary = fetch_all_search_results(reply&.resource)
+        @procedure_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Procedure'), reply)
         save_delayed_sequence_references(@procedure)
         validate_search_reply(versioned_resource_class('Procedure'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
index e014c9aef..532f835fa 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
@@ -94,7 +94,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @observation = reply&.resource&.entry&.first&.resource
-        @observation_ary = fetch_all_search_results(reply&.resource)
+        @observation_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply)
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb
index 114202a3e..bca6014f0 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb
@@ -88,7 +88,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
 
         @observation = reply&.resource&.entry&.first&.resource
-        @observation_ary = fetch_all_search_results(reply&.resource)
+        @observation_ary = fetch_all_bundled_resources(reply&.resource)
         save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:smoking_status])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
diff --git a/lib/app/sequence_base.rb b/lib/app/sequence_base.rb
index 6de349377..e341ef0d0 100644
--- a/lib/app/sequence_base.rb
+++ b/lib/app/sequence_base.rb
@@ -814,7 +814,7 @@ def date_comparator_value(comparator, date)
         end
       end
 
-      def fetch_all_search_results(bundle)
+      def fetch_all_bundled_resources(bundle)
         resources = bundle&.entry&.map { |entry| entry&.resource }
         page_count = 1
         next_bundle_link = bundle&.link&.find { |link| link.relation == 'next' }&.url
diff --git a/test/unit/sequence_base_test.rb b/test/unit/sequence_base_test.rb
index c9d8331e1..2bb8e4f8f 100644
--- a/test/unit/sequence_base_test.rb
+++ b/test/unit/sequence_base_test.rb
@@ -49,7 +49,7 @@ def set_resource_reference(resource, type)
     resource.recorder = new_reference
   end
 
-  describe '#fetch_all_search_results' do
+  describe '#fetch_all_bundled_resources' do
     before do
       @bundle1 = FHIR.from_contents(load_fixture(:bundle_1))
       @bundle2 = load_fixture(:bundle_2)
@@ -64,7 +64,7 @@ def set_resource_reference(resource, type)
       stub_request(:get, @bundle1.link.first.url)
         .to_return(body: @bundle2)
 
-      all_resources = @sequence.fetch_all_search_results(@bundle1)
+      all_resources = @sequence.fetch_all_bundled_resources(@bundle1)
       assert all_resources.map(&:id) == ['1', '2']
     end
 
@@ -73,8 +73,13 @@ def set_resource_reference(resource, type)
         .to_return(body: '', status: 404)
 
       assert_raises Inferno::AssertionException do
-        @sequence.fetch_all_search_results(@bundle1)
+        @sequence.fetch_all_bundled_resources(@bundle1)
       end
     end
+
+    it 'returns resources when no next page' do
+      all_resources = @sequence.fetch_all_bundled_resources(FHIR.from_contents(@bundle2))
+      assert all_resources.map(&:id) == ['2']
+    end
   end
 end

From e4a7a81370becf6d113a6eb059b2a6eef28645c5 Mon Sep 17 00:00:00 2001
From: Chase <czhou@mitre.org>
Date: Tue, 1 Oct 2019 10:18:37 -0400
Subject: [PATCH 032/144] refactor to remove duplicate code

---
 lib/app/sequence_base.rb | 15 ++++++---------
 1 file changed, 6 insertions(+), 9 deletions(-)

diff --git a/lib/app/sequence_base.rb b/lib/app/sequence_base.rb
index e341ef0d0..7c89d8480 100644
--- a/lib/app/sequence_base.rb
+++ b/lib/app/sequence_base.rb
@@ -815,16 +815,13 @@ def date_comparator_value(comparator, date)
       end
 
       def fetch_all_bundled_resources(bundle)
-        resources = bundle&.entry&.map { |entry| entry&.resource }
         page_count = 1
-        next_bundle_link = bundle&.link&.find { |link| link.relation == 'next' }&.url
-        next_bundle = bundle.next_bundle
-        assert next_bundle_link.nil? || !next_bundle.nil?, "Could not resolve next bundle. #{next_bundle_link}"
-        until next_bundle.nil? || page_count == 20
-          resources += next_bundle&.entry&.map { |entry| entry&.resource }
-          next_bundle_link = next_bundle&.link&.find { |link| link.relation == 'next' }&.url
-          next_bundle = next_bundle.next_bundle
-          assert next_bundle_link.nil? || !next_bundle.nil?, "Could not resolve next bundle. #{next_bundle_link}"
+        resources = []
+        until bundle.nil? || page_count == 20
+          resources += bundle&.entry&.map { |entry| entry&.resource }
+          next_bundle_link = bundle&.link&.find { |link| link.relation == 'next' }&.url
+          bundle = bundle.next_bundle
+          assert next_bundle_link.nil? || !bundle.nil?, "Could not resolve next bundle. #{next_bundle_link}"
           page_count += 1
         end
         resources

From a11c53a4b1197b567c101eabf369424e52073b71 Mon Sep 17 00:00:00 2001
From: Reece Adamson <radamson@mitre.org>
Date: Tue, 1 Oct 2019 10:38:41 -0400
Subject: [PATCH 033/144] update capability statement json support description

---
 ...bulk_data_capability_statement_sequence.rb | 20 +++++++++----------
 ...s_core_r4_capability_statement_sequence.rb | 20 ++++++++-----------
 2 files changed, 17 insertions(+), 23 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb b/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
index b170defd3..aca4b73c4 100644
--- a/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
@@ -65,25 +65,23 @@ def assert_operation(op_name); end
           link 'http://hl7.org/fhir/us/core/2019Jan/CapabilityStatement-us-core-server.html'
           desc %(
 
-            FHIR provides multiple [representation formats](https://www.hl7.org/fhir/DSTU2/formats.html) for resources, including JSON and XML.
-            Argonaut profiles require servers to use the JSON representation:
+            FHIR provides multiple [representation formats](https://www.hl7.org/fhir/formats.html) for resources, including JSON and XML.
+            US Core profiles require servers to use the [JSON representation](https://www.hl7.org/fhir/json.html):
 
-            ```
-            The Argonaut Data Query Server shall support JSON resource format for all Argonaut Data Query interactions.
-            ```
-            [http://hl7.org/fhir/us/core/2019Jan/CapabilityStatement-us-core-server.html](http://hl7.org/fhir/us/core/2019Jan/CapabilityStatement-us-core-server.html)
+            [```The US Core Server **SHALL** Support json source formats for all US Core interactions.```](https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html)
 
-            The FHIR capability interaction require servers to describe which formats are available for clients to use.  The server must
-            explicitly state that JSON is supported. This is located in the [format element](https://www.hl7.org/fhir/capabilitystatement-definitions.html#CapabilityStatement.format)
+            The FHIR capability interaction require servers to describe which formats are available for clients to use.
+            The server must explicitly state that JSON is supported.  This is located in the
+            [format element](https://www.hl7.org/fhir/capabilitystatement-definitions.html#CapabilityStatement.format)
             of the Capability Resource.
 
-            This test checks that one of the following values are located in the [format field](https://www.hl7.org/fhir/DSTU2/json.html).
+            This test checks that one of the following values are located in the format field.
 
             * json
             * application/json
-            * application/json+fhir
+            * application/fhir+json
 
-            Note that FHIR changed the FHIR-specific JSON mime type to `application/fhir+json` in later versions of the specification.
+            This test supports the [Bulk Data US Core Data for Interoperability Use Case](https://build.fhir.org/ig/HL7/bulk-data/#us-core-data-for-interoperability)
 
           )
         end
diff --git a/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb b/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb
index fba247c89..75e674ea8 100644
--- a/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb
+++ b/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb
@@ -63,25 +63,21 @@ class UsCoreR4CapabilityStatementSequence < CapabilityStatementSequence
           link 'http://hl7.org/fhir/us/core/2019Jan/CapabilityStatement-us-core-server.html'
           desc %(
 
-            FHIR provides multiple [representation formats](https://www.hl7.org/fhir/DSTU2/formats.html) for resources, including JSON and XML.
-            Argonaut profiles require servers to use the JSON representation:
+            FHIR provides multiple [representation formats](https://www.hl7.org/fhir/formats.html) for resources, including JSON and XML.
+            US Core profiles require servers to use the [JSON representation](https://www.hl7.org/fhir/json.html):
 
-            ```
-            The Argonaut Data Query Server shall support JSON resource format for all Argonaut Data Query interactions.
-            ```
-            [http://hl7.org/fhir/us/core/2019Jan/CapabilityStatement-us-core-server.html](http://hl7.org/fhir/us/core/2019Jan/CapabilityStatement-us-core-server.html)
+            [```The US Core Server **SHALL** Support json source formats for all US Core interactions.```](https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html)
 
-            The FHIR capability interaction require servers to describe which formats are available for clients to use.  The server must
-            explicitly state that JSON is supported. This is located in the [format element](https://www.hl7.org/fhir/capabilitystatement-definitions.html#CapabilityStatement.format)
+            The FHIR capability interaction require servers to describe which formats are available for clients to use.
+            The server must explicitly state that JSON is supported.  This is located in the
+            [format element](https://www.hl7.org/fhir/capabilitystatement-definitions.html#CapabilityStatement.format)
             of the Capability Resource.
 
-            This test checks that one of the following values are located in the [format field](https://www.hl7.org/fhir/DSTU2/json.html).
+            This test checks that one of the following values are located in the format field.
 
             * json
             * application/json
-            * application/json+fhir
-
-            Note that FHIR changed the FHIR-specific JSON mime type to `application/fhir+json` in later versions of the specification.
+            * application/fhir+json
 
           )
         end

From d8741217ba1b713a521d4a7e24fd56218676f372 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Tue, 1 Oct 2019 15:07:23 -0400
Subject: [PATCH 034/144] Rename some functions from assert_ to check_ to

---
 .../bulk_data_patient_export_sequence.rb         | 16 ++++++++--------
 .../bulk_data/patient_export_sequence_test.rb    | 12 ++++++------
 2 files changed, 14 insertions(+), 14 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
index 719edb5f6..b9412a105 100644
--- a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
@@ -14,7 +14,7 @@ class BulkDataPatientExportSequence < SequenceBase
       requires :token
       conformance_supports :Patient
 
-      def assert_export_kick_off(klass)
+      def check_export_kick_off(klass)
         reply = export_kick_off(klass: klass)
 
         assert_response_accepted(reply)
@@ -23,17 +23,17 @@ def assert_export_kick_off(klass)
         assert @content_location.present?, 'Export response header did not include "Content-Location"'
       end
 
-      def assert_export_kick_off_fail_invalid_accept(klass)
+      def check_export_kick_off_fail_invalid_accept(klass)
         reply = export_kick_off(klass: klass, headers: { accept: 'application/fhir+xml', prefer: 'respond-async' })
         assert_response_bad(reply)
       end
 
-      def assert_export_kick_off_fail_invalid_prefer(klass)
+      def check_export_kick_off_fail_invalid_prefer(klass)
         reply = export_kick_off(klass: klass, headers: { accept: 'application/fhir+json', prefer: 'return=representation' })
         assert_response_bad(reply)
       end
 
-      def assert_export_status(url, timeout: 180)
+      def check_export_status(url, timeout: 180)
         reply = export_status_check(url, timeout)
 
         # server response status code could be 202 (still processing), 200 (complete) or 4xx/5xx error code
@@ -86,7 +86,7 @@ def assert_export_status(url, timeout: 180)
           )
         end
 
-        assert_export_kick_off('Patient')
+        check_export_kick_off('Patient')
       end
 
       test 'Server shall reject for $export operation with invalid Accept header' do
@@ -98,7 +98,7 @@ def assert_export_status(url, timeout: 180)
           versions :stu3
         end
 
-        assert_export_kick_off_fail_invalid_accept('Patient')
+        check_export_kick_off_fail_invalid_accept('Patient')
       end
 
       test 'Server shall reject for $export operation with invalid Prefer header' do
@@ -110,7 +110,7 @@ def assert_export_status(url, timeout: 180)
           versions :stu3
         end
 
-        assert_export_kick_off_fail_invalid_prefer('Patient')
+        check_export_kick_off_fail_invalid_prefer('Patient')
       end
 
       test 'Server shall return "202 Accepted" or "200 OK"' do
@@ -121,7 +121,7 @@ def assert_export_status(url, timeout: 180)
           )
         end
 
-        assert_export_status(@content_location)
+        check_export_status(@content_location)
       end
 
       private
diff --git a/test/sequence/bulk_data/patient_export_sequence_test.rb b/test/sequence/bulk_data/patient_export_sequence_test.rb
index 1d5b0f29a..d86082999 100644
--- a/test/sequence/bulk_data/patient_export_sequence_test.rb
+++ b/test/sequence/bulk_data/patient_export_sequence_test.rb
@@ -121,7 +121,7 @@ def test_export_fail_wrong_status
     include_export_stub(status_code: 200)
 
     assert_raises Inferno::AssertionException do
-      @sequence.assert_export_kick_off('Patient')
+      @sequence.check_export_kick_off('Patient')
     end
   end
 
@@ -131,7 +131,7 @@ def test_export_fail_no_content_location
     include_export_stub(response_headers: {})
 
     assert_raises Inferno::AssertionException do
-      @sequence.assert_export_kick_off('Patient')
+      @sequence.check_export_kick_off('Patient')
     end
   end
 
@@ -145,7 +145,7 @@ def test_status_check_skip_timeout
       )
 
     assert_raises Inferno::SkipException do
-      @sequence.assert_export_status(@content_location, timeout: 1)
+      @sequence.check_export_status(@content_location, timeout: 1)
     end
   end
 
@@ -155,7 +155,7 @@ def test_status_check_fail_wrong_status_code
     include_status_check_stub(status_code: 201)
 
     assert_raises Inferno::AssertionException do
-      @sequence.assert_export_status(@content_location)
+      @sequence.check_export_status(@content_location)
     end
   end
 
@@ -168,7 +168,7 @@ def test_status_check_fail_no_output
     include_status_check_stub(response_body: response_body)
 
     assert_raises Inferno::AssertionException do
-      @sequence.assert_export_status(@content_location)
+      @sequence.check_export_status(@content_location)
     end
   end
 
@@ -178,7 +178,7 @@ def test_status_check_fail_invalid_response_header
     include_status_check_stub(response_headers: { content_type: 'application/xml' })
 
     assert_raises Inferno::AssertionException do
-      @sequence.assert_export_status(@content_location)
+      @sequence.check_export_status(@content_location)
     end
   end
 end

From 4512ad312daaba0dedef4369515c792b33af3b02 Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Tue, 1 Oct 2019 15:17:51 -0400
Subject: [PATCH 035/144] Better test id generation.

---
 generator/uscore/metadata_extractor.rb                         | 3 +++
 generator/uscore/templates/sequence.rb.erb                     | 2 +-
 .../modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb    | 2 +-
 .../uscore_v3.0.0/pediatric_weight_for_height_sequence.rb      | 2 +-
 .../uscore_v3.0.0/us_core_allergyintolerance_sequence.rb       | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb     | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb     | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb    | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb       | 2 +-
 .../uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb     | 2 +-
 .../uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb    | 2 +-
 .../uscore_v3.0.0/us_core_documentreference_sequence.rb        | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb    | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb         | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb     | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_medication_sequence.rb   | 2 +-
 .../uscore_v3.0.0/us_core_medicationrequest_sequence.rb        | 2 +-
 .../uscore_v3.0.0/us_core_medicationstatement_sequence.rb      | 2 +-
 .../modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb  | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb      | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb | 2 +-
 .../modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb | 2 +-
 lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb    | 2 +-
 .../modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb    | 2 +-
 .../modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb    | 2 +-
 .../uscore_v3.0.1/pediatric_weight_for_height_sequence.rb      | 2 +-
 .../uscore_v3.0.1/us_core_allergyintolerance_sequence.rb       | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb     | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb     | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb    | 2 +-
 .../uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb     | 2 +-
 .../uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb    | 2 +-
 .../uscore_v3.0.1/us_core_documentreference_sequence.rb        | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb    | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb         | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb | 2 +-
 .../uscore_v3.0.1/us_core_implantable_device_sequence.rb       | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb     | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_medication_sequence.rb   | 2 +-
 .../uscore_v3.0.1/us_core_medicationrequest_sequence.rb        | 2 +-
 .../modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb  | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb      | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb | 2 +-
 .../modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb    | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_provenance_sequence.rb   | 2 +-
 .../modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb   | 2 +-
 .../modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb    | 2 +-
 51 files changed, 53 insertions(+), 50 deletions(-)

diff --git a/generator/uscore/metadata_extractor.rb b/generator/uscore/metadata_extractor.rb
index 715370ac2..bf6ec534c 100644
--- a/generator/uscore/metadata_extractor.rb
+++ b/generator/uscore/metadata_extractor.rb
@@ -41,6 +41,8 @@ def build_new_sequence(resource, profile)
         profile_json = @resource_by_path[base_path]
         reformatted_version = ig_resource['version'].delete('.')
         profile_title = profile_json['title'].gsub(/US\s*Core\s*/, '').gsub(/\s*Profile/, '').strip
+        module_prefix = 'USC'
+        test_id_prefix = "#{module_prefix}#{profile_title.split('').select { |c| c.upcase == c && c != ' ' }.join}"
         class_name = base_name
           .split('-')
           .map(&:capitalize)
@@ -53,6 +55,7 @@ def build_new_sequence(resource, profile)
         {
           name: base_name.tr('-', '_'),
           class_name: class_name,
+          test_id_prefix: test_id_prefix,
           resource: resource['type'],
           profile: profile_uri(base_name), # link in capability statement is incorrect,
           title: profile_title,
diff --git a/generator/uscore/templates/sequence.rb.erb b/generator/uscore/templates/sequence.rb.erb
index 1ae33f894..f5acb5942 100644
--- a/generator/uscore/templates/sequence.rb.erb
+++ b/generator/uscore/templates/sequence.rb.erb
@@ -7,7 +7,7 @@ module Inferno
 
       description 'Verify that <%=resource%> resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix '<%=resource%>' # change me
+      test_id_prefix '<%=test_id_prefix%>'
 
       requires :token<%=", :patient_id" unless delayed_sequence%>
       conformance_supports :<%=resource%><%="
diff --git a/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb b/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb
index 32f0e6cbb..f44bf1ee3 100644
--- a/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb
@@ -7,7 +7,7 @@ class USCore300PediatricBmiForAgeSequence < SequenceBase
 
       description 'Verify that Observation resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Observation' # change me
+      test_id_prefix 'USCPBMIAO'
 
       requires :token, :patient_id
       conformance_supports :Observation
diff --git a/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb b/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb
index 9172bf676..6f9a62298 100644
--- a/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb
@@ -7,7 +7,7 @@ class USCore300PediatricWeightForHeightSequence < SequenceBase
 
       description 'Verify that Observation resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Observation' # change me
+      test_id_prefix 'USCPWHO'
 
       requires :token, :patient_id
       conformance_supports :Observation
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb
index c47fd456d..3719c256f 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb
@@ -7,7 +7,7 @@ class USCore300AllergyintoleranceSequence < SequenceBase
 
       description 'Verify that AllergyIntolerance resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'AllergyIntolerance' # change me
+      test_id_prefix 'USCAI'
 
       requires :token, :patient_id
       conformance_supports :AllergyIntolerance
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb
index c85a6da1d..385051fd2 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb
@@ -7,7 +7,7 @@ class USCore300CareplanSequence < SequenceBase
 
       description 'Verify that CarePlan resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'CarePlan' # change me
+      test_id_prefix 'USCCP'
 
       requires :token, :patient_id
       conformance_supports :CarePlan
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb
index 8cd10c4bf..cf396e4ab 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb
@@ -7,7 +7,7 @@ class USCore300CareteamSequence < SequenceBase
 
       description 'Verify that CareTeam resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'CareTeam' # change me
+      test_id_prefix 'USCCT'
 
       requires :token, :patient_id
       conformance_supports :CareTeam
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb
index 8793bb004..dcdd81648 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb
@@ -7,7 +7,7 @@ class USCore300ConditionSequence < SequenceBase
 
       description 'Verify that Condition resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Condition' # change me
+      test_id_prefix 'USCC'
 
       requires :token, :patient_id
       conformance_supports :Condition
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb
index d978b7e64..b81b38eb9 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb
@@ -7,7 +7,7 @@ class USCore300DeviceSequence < SequenceBase
 
       description 'Verify that Device resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Device' # change me
+      test_id_prefix 'USCD'
 
       requires :token, :patient_id
       conformance_supports :Device
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb
index b40e8fc67..545a9b203 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb
@@ -7,7 +7,7 @@ class USCore300DiagnosticreportLabSequence < SequenceBase
 
       description 'Verify that DiagnosticReport resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'DiagnosticReport' # change me
+      test_id_prefix 'USCDRLRR'
 
       requires :token, :patient_id
       conformance_supports :DiagnosticReport
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb
index b915e3f39..5cae02fe1 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb
@@ -7,7 +7,7 @@ class USCore300DiagnosticreportNoteSequence < SequenceBase
 
       description 'Verify that DiagnosticReport resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'DiagnosticReport' # change me
+      test_id_prefix 'USCDRRN'
 
       requires :token, :patient_id
       conformance_supports :DiagnosticReport
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb
index af3bda04d..87050ef2a 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb
@@ -7,7 +7,7 @@ class USCore300DocumentreferenceSequence < SequenceBase
 
       description 'Verify that DocumentReference resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'DocumentReference' # change me
+      test_id_prefix 'USCDR'
 
       requires :token, :patient_id
       conformance_supports :DocumentReference
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb
index c16d21425..f972eb5d1 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb
@@ -7,7 +7,7 @@ class USCore300EncounterSequence < SequenceBase
 
       description 'Verify that Encounter resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Encounter' # change me
+      test_id_prefix 'USCE'
 
       requires :token, :patient_id
       conformance_supports :Encounter
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb
index 31fc5f9be..88b97408c 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb
@@ -7,7 +7,7 @@ class USCore300GoalSequence < SequenceBase
 
       description 'Verify that Goal resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Goal' # change me
+      test_id_prefix 'USCG'
 
       requires :token, :patient_id
       conformance_supports :Goal
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb
index 4e63d44c9..a81486a06 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb
@@ -7,7 +7,7 @@ class USCore300ImmunizationSequence < SequenceBase
 
       description 'Verify that Immunization resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Immunization' # change me
+      test_id_prefix 'USCI'
 
       requires :token, :patient_id
       conformance_supports :Immunization
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
index b74c10abc..a358e8d86 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
@@ -7,7 +7,7 @@ class USCore300LocationSequence < SequenceBase
 
       description 'Verify that Location resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Location' # change me
+      test_id_prefix 'USCL'
 
       requires :token
       conformance_supports :Location
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_medication_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_medication_sequence.rb
index dafce7b17..55183da59 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_medication_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_medication_sequence.rb
@@ -7,7 +7,7 @@ class USCore300MedicationSequence < SequenceBase
 
       description 'Verify that Medication resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Medication' # change me
+      test_id_prefix 'USCM'
 
       requires :token
       conformance_supports :Medication
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb
index dfe9a0067..7c22213de 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb
@@ -7,7 +7,7 @@ class USCore300MedicationrequestSequence < SequenceBase
 
       description 'Verify that MedicationRequest resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'MedicationRequest' # change me
+      test_id_prefix 'USCMR'
 
       requires :token, :patient_id
       conformance_supports :MedicationRequest
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb
index 0b57b6e86..ef287a74d 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb
@@ -7,7 +7,7 @@ class USCore300MedicationstatementSequence < SequenceBase
 
       description 'Verify that MedicationStatement resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'MedicationStatement' # change me
+      test_id_prefix 'USCMS'
 
       requires :token, :patient_id
       conformance_supports :MedicationStatement
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb
index f6d3a5d11..b1e361389 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb
@@ -7,7 +7,7 @@ class USCore300ObservationLabSequence < SequenceBase
 
       description 'Verify that Observation resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Observation' # change me
+      test_id_prefix 'USCLRO'
 
       requires :token, :patient_id
       conformance_supports :Observation
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
index 4db74965f..1b510d8bd 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
@@ -7,7 +7,7 @@ class USCore300OrganizationSequence < SequenceBase
 
       description 'Verify that Organization resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Organization' # change me
+      test_id_prefix 'USCO'
 
       requires :token
       conformance_supports :Organization
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb
index 8f8188bb3..771ded614 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb
@@ -7,7 +7,7 @@ class USCore300PatientSequence < SequenceBase
 
       description 'Verify that Patient resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Patient' # change me
+      test_id_prefix 'USCP'
 
       requires :token, :patient_id
       conformance_supports :Patient
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
index aba4bf148..8f525c06d 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
@@ -7,7 +7,7 @@ class USCore300PractitionerSequence < SequenceBase
 
       description 'Verify that Practitioner resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Practitioner' # change me
+      test_id_prefix 'USCP'
 
       requires :token
       conformance_supports :Practitioner
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
index d588182fc..44e379bef 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
@@ -7,7 +7,7 @@ class USCore300PractitionerroleSequence < SequenceBase
 
       description 'Verify that PractitionerRole resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'PractitionerRole' # change me
+      test_id_prefix 'USCPR'
 
       requires :token
       conformance_supports :PractitionerRole
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
index 88034c2a0..47ed79bb7 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
@@ -7,7 +7,7 @@ class USCore300ProcedureSequence < SequenceBase
 
       description 'Verify that Procedure resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Procedure' # change me
+      test_id_prefix 'USCP'
 
       requires :token, :patient_id
       conformance_supports :Procedure
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb
index 20875a61a..e86ab355d 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb
@@ -7,7 +7,7 @@ class USCore300SmokingstatusSequence < SequenceBase
 
       description 'Verify that Observation resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Observation' # change me
+      test_id_prefix 'USCSSO'
 
       requires :token, :patient_id
       conformance_supports :Observation
diff --git a/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb b/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb
index 05fb05587..37ff8f68f 100644
--- a/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb
@@ -7,7 +7,7 @@ class USCore301PediatricBmiForAgeSequence < SequenceBase
 
       description 'Verify that Observation resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Observation' # change me
+      test_id_prefix 'USCPBMIAO'
 
       requires :token, :patient_id
       conformance_supports :Observation
diff --git a/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb b/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb
index 595ac8223..6d1fbef8e 100644
--- a/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb
@@ -7,7 +7,7 @@ class USCore301PediatricWeightForHeightSequence < SequenceBase
 
       description 'Verify that Observation resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Observation' # change me
+      test_id_prefix 'USCPWHO'
 
       requires :token, :patient_id
       conformance_supports :Observation
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb
index 8c3c8f3f5..63acc99f9 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb
@@ -7,7 +7,7 @@ class USCore301AllergyintoleranceSequence < SequenceBase
 
       description 'Verify that AllergyIntolerance resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'AllergyIntolerance' # change me
+      test_id_prefix 'USCAI'
 
       requires :token, :patient_id
       conformance_supports :AllergyIntolerance
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb
index 65887370a..8888af33f 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb
@@ -7,7 +7,7 @@ class USCore301CareplanSequence < SequenceBase
 
       description 'Verify that CarePlan resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'CarePlan' # change me
+      test_id_prefix 'USCCP'
 
       requires :token, :patient_id
       conformance_supports :CarePlan
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb
index f327f9a72..9294a7077 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb
@@ -7,7 +7,7 @@ class USCore301CareteamSequence < SequenceBase
 
       description 'Verify that CareTeam resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'CareTeam' # change me
+      test_id_prefix 'USCCT'
 
       requires :token, :patient_id
       conformance_supports :CareTeam
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb
index 95c65a39f..6c69bcfed 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb
@@ -7,7 +7,7 @@ class USCore301ConditionSequence < SequenceBase
 
       description 'Verify that Condition resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Condition' # change me
+      test_id_prefix 'USCC'
 
       requires :token, :patient_id
       conformance_supports :Condition
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb
index 9899a01af..d65668107 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb
@@ -7,7 +7,7 @@ class USCore301DiagnosticreportLabSequence < SequenceBase
 
       description 'Verify that DiagnosticReport resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'DiagnosticReport' # change me
+      test_id_prefix 'USCDRLRR'
 
       requires :token, :patient_id
       conformance_supports :DiagnosticReport
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb
index 26dc9b21e..5593f1367 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb
@@ -7,7 +7,7 @@ class USCore301DiagnosticreportNoteSequence < SequenceBase
 
       description 'Verify that DiagnosticReport resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'DiagnosticReport' # change me
+      test_id_prefix 'USCDRRN'
 
       requires :token, :patient_id
       conformance_supports :DiagnosticReport
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb
index 7969db507..6b48b5cd3 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb
@@ -7,7 +7,7 @@ class USCore301DocumentreferenceSequence < SequenceBase
 
       description 'Verify that DocumentReference resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'DocumentReference' # change me
+      test_id_prefix 'USCDR'
 
       requires :token, :patient_id
       conformance_supports :DocumentReference
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb
index ee0ee1a4e..7347f4cc2 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb
@@ -7,7 +7,7 @@ class USCore301EncounterSequence < SequenceBase
 
       description 'Verify that Encounter resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Encounter' # change me
+      test_id_prefix 'USCE'
 
       requires :token, :patient_id
       conformance_supports :Encounter
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb
index 5541f1c45..b75576b60 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb
@@ -7,7 +7,7 @@ class USCore301GoalSequence < SequenceBase
 
       description 'Verify that Goal resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Goal' # change me
+      test_id_prefix 'USCG'
 
       requires :token, :patient_id
       conformance_supports :Goal
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb
index 02e5d3dd4..3ad9249af 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb
@@ -7,7 +7,7 @@ class USCore301ImmunizationSequence < SequenceBase
 
       description 'Verify that Immunization resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Immunization' # change me
+      test_id_prefix 'USCI'
 
       requires :token, :patient_id
       conformance_supports :Immunization
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb
index 408920c26..bede328c9 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb
@@ -7,7 +7,7 @@ class USCore301ImplantableDeviceSequence < SequenceBase
 
       description 'Verify that Device resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Device' # change me
+      test_id_prefix 'USCID'
 
       requires :token, :patient_id
       conformance_supports :Device
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
index 843301f5c..fea720d9f 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
@@ -7,7 +7,7 @@ class USCore301LocationSequence < SequenceBase
 
       description 'Verify that Location resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Location' # change me
+      test_id_prefix 'USCL'
 
       requires :token
       conformance_supports :Location
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_medication_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_medication_sequence.rb
index 2b6e89e9d..bfdbeb957 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_medication_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_medication_sequence.rb
@@ -7,7 +7,7 @@ class USCore301MedicationSequence < SequenceBase
 
       description 'Verify that Medication resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Medication' # change me
+      test_id_prefix 'USCM'
 
       requires :token
       conformance_supports :Medication
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb
index 1b6de38c2..f423ba001 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb
@@ -7,7 +7,7 @@ class USCore301MedicationrequestSequence < SequenceBase
 
       description 'Verify that MedicationRequest resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'MedicationRequest' # change me
+      test_id_prefix 'USCMR'
 
       requires :token, :patient_id
       conformance_supports :MedicationRequest
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb
index f03aa26a8..85644245a 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb
@@ -7,7 +7,7 @@ class USCore301ObservationLabSequence < SequenceBase
 
       description 'Verify that Observation resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Observation' # change me
+      test_id_prefix 'USCLRO'
 
       requires :token, :patient_id
       conformance_supports :Observation
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
index 0bc656f9a..f24247fdf 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
@@ -7,7 +7,7 @@ class USCore301OrganizationSequence < SequenceBase
 
       description 'Verify that Organization resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Organization' # change me
+      test_id_prefix 'USCO'
 
       requires :token
       conformance_supports :Organization
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb
index ded1f1f32..421502264 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb
@@ -7,7 +7,7 @@ class USCore301PatientSequence < SequenceBase
 
       description 'Verify that Patient resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Patient' # change me
+      test_id_prefix 'USCP'
 
       requires :token, :patient_id
       conformance_supports :Patient
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
index cb7818423..7dace3c1e 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
@@ -7,7 +7,7 @@ class USCore301PractitionerSequence < SequenceBase
 
       description 'Verify that Practitioner resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Practitioner' # change me
+      test_id_prefix 'USCP'
 
       requires :token
       conformance_supports :Practitioner
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
index 53ac64cb2..17867b1da 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
@@ -7,7 +7,7 @@ class USCore301PractitionerroleSequence < SequenceBase
 
       description 'Verify that PractitionerRole resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'PractitionerRole' # change me
+      test_id_prefix 'USCPR'
 
       requires :token
       conformance_supports :PractitionerRole
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
index 9f5acd718..77d0a4499 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
@@ -7,7 +7,7 @@ class USCore301ProcedureSequence < SequenceBase
 
       description 'Verify that Procedure resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Procedure' # change me
+      test_id_prefix 'USCP'
 
       requires :token, :patient_id
       conformance_supports :Procedure
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_provenance_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_provenance_sequence.rb
index 750c2032e..ac0584d29 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_provenance_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_provenance_sequence.rb
@@ -7,7 +7,7 @@ class USCore301ProvenanceSequence < SequenceBase
 
       description 'Verify that Provenance resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Provenance' # change me
+      test_id_prefix 'USCP'
 
       requires :token
       conformance_supports :Provenance
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
index d67a48838..452adca4b 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
@@ -7,7 +7,7 @@ class USCore301PulseOximetrySequence < SequenceBase
 
       description 'Verify that Observation resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Observation' # change me
+      test_id_prefix 'USCPO'
 
       requires :token, :patient_id
       conformance_supports :Observation
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb
index be10d54ed..f854c6683 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb
@@ -7,7 +7,7 @@ class USCore301SmokingstatusSequence < SequenceBase
 
       description 'Verify that Observation resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'Observation' # change me
+      test_id_prefix 'USCSSO'
 
       requires :token, :patient_id
       conformance_supports :Observation

From e27e29cf7621f26b4d3b5c4625f051aa074a6c60 Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Tue, 1 Oct 2019 15:33:11 -0400
Subject: [PATCH 036/144] Minor stylistic updates.

---
 generator/uscore/metadata_extractor.rb | 8 ++------
 1 file changed, 2 insertions(+), 6 deletions(-)

diff --git a/generator/uscore/metadata_extractor.rb b/generator/uscore/metadata_extractor.rb
index bf6ec534c..ca1eede14 100644
--- a/generator/uscore/metadata_extractor.rb
+++ b/generator/uscore/metadata_extractor.rb
@@ -42,12 +42,8 @@ def build_new_sequence(resource, profile)
         reformatted_version = ig_resource['version'].delete('.')
         profile_title = profile_json['title'].gsub(/US\s*Core\s*/, '').gsub(/\s*Profile/, '').strip
         module_prefix = 'USC'
-        test_id_prefix = "#{module_prefix}#{profile_title.split('').select { |c| c.upcase == c && c != ' ' }.join}"
-        class_name = base_name
-          .split('-')
-          .map(&:capitalize)
-          .join
-          .gsub('UsCore', "USCore#{reformatted_version}") + 'Sequence'
+        test_id_prefix = module_prefix + profile_title.split('').select { |c| c.upcase == c && c != ' ' }.join
+        class_name = base_name.split('-').map(&:capitalize).join.gsub('UsCore', "USCore#{reformatted_version}") + 'Sequence'
 
         # In case the profile doesn't start with US Core
         class_name = "USCore#{reformatted_version}#{class_name}" unless class_name.start_with? 'USCore'

From 196b642ced70eee405dad891cce7029a0189e967 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Tue, 1 Oct 2019 16:10:35 -0400
Subject: [PATCH 037/144] missing a file

---
 test/sequence/bulk_data/patient_export_sequence_test.rb | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/test/sequence/bulk_data/patient_export_sequence_test.rb b/test/sequence/bulk_data/patient_export_sequence_test.rb
index d0b66d651..e22191e69 100644
--- a/test/sequence/bulk_data/patient_export_sequence_test.rb
+++ b/test/sequence/bulk_data/patient_export_sequence_test.rb
@@ -224,7 +224,7 @@ def test_file_request_fail_unmatched_type
     include_file_request_stub
 
     assert_raises Inferno::AssertionException do
-      @sequence.assert_file_request(unmatched_type_output)
+      @sequence.check_file_request(unmatched_type_output)
     end
   end
 end

From 86a142e6c7fd7f0b3870323aebdfb33705ca7f82 Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Tue, 1 Oct 2019 22:29:54 -0400
Subject: [PATCH 038/144] Add test to ensure no module has different sequences
 with colliding test_ids.

---
 test/unit/module_validation_test.rb | 21 +++++++++++++++++++++
 1 file changed, 21 insertions(+)
 create mode 100644 test/unit/module_validation_test.rb

diff --git a/test/unit/module_validation_test.rb b/test/unit/module_validation_test.rb
new file mode 100644
index 000000000..90452eaea
--- /dev/null
+++ b/test/unit/module_validation_test.rb
@@ -0,0 +1,21 @@
+# frozen_string_literal: true
+
+require_relative '../test_helper'
+
+# These test requirements of modules that are currently loaded
+class ModuleValidationTest < MiniTest::Test
+  def setup
+    @modules = Inferno::Module.available_modules&.values
+  end
+
+  # Within any module, multiple sequences with the same test_id should not ever be loaded.
+  # Note that we currently allow duplicates if the same sequence is referenced multiple times.
+  def test_no_duplicate_test_ids
+    @modules&.each do |inferno_module|
+      unique_sequences = inferno_module.sequences.uniq
+      test_ids = unique_sequences.flat_map(&:tests).map { |test| test[:test_id] }
+      duplicate_id = test_ids.detect { |t| test_ids.count(t) > 1 }
+      assert duplicate_id.nil?, "Found at least one duplicated test-id in module #{inferno_module.name}: #{duplicate_id}"
+    end
+  end
+end

From e2c3f114c535f4ca1d30bfb39a3d4d0a7d4832c3 Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Tue, 1 Oct 2019 22:31:18 -0400
Subject: [PATCH 039/144] Fix typo.

---
 test/unit/module_validation_test.rb | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/test/unit/module_validation_test.rb b/test/unit/module_validation_test.rb
index 90452eaea..7e9240171 100644
--- a/test/unit/module_validation_test.rb
+++ b/test/unit/module_validation_test.rb
@@ -15,7 +15,7 @@ def test_no_duplicate_test_ids
       unique_sequences = inferno_module.sequences.uniq
       test_ids = unique_sequences.flat_map(&:tests).map { |test| test[:test_id] }
       duplicate_id = test_ids.detect { |t| test_ids.count(t) > 1 }
-      assert duplicate_id.nil?, "Found at least one duplicated test-id in module #{inferno_module.name}: #{duplicate_id}"
+      assert duplicate_id.nil?, "Found at least one duplicated test_id in module #{inferno_module.name}: #{duplicate_id}."
     end
   end
 end

From ff1a7144c6bffac9a16464b1b4848d989d6159b0 Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Tue, 1 Oct 2019 22:40:54 -0400
Subject: [PATCH 040/144] Add better error messaging in duplicate test_id
 check.

---
 test/unit/module_validation_test.rb | 5 ++++-
 1 file changed, 4 insertions(+), 1 deletion(-)

diff --git a/test/unit/module_validation_test.rb b/test/unit/module_validation_test.rb
index 7e9240171..d5c7939e3 100644
--- a/test/unit/module_validation_test.rb
+++ b/test/unit/module_validation_test.rb
@@ -11,11 +11,14 @@ def setup
   # Within any module, multiple sequences with the same test_id should not ever be loaded.
   # Note that we currently allow duplicates if the same sequence is referenced multiple times.
   def test_no_duplicate_test_ids
+    errors = []
     @modules&.each do |inferno_module|
       unique_sequences = inferno_module.sequences.uniq
       test_ids = unique_sequences.flat_map(&:tests).map { |test| test[:test_id] }
       duplicate_id = test_ids.detect { |t| test_ids.count(t) > 1 }
-      assert duplicate_id.nil?, "Found at least one duplicated test_id in module #{inferno_module.name}: #{duplicate_id}."
+      errors << "#{inferno_module.name} (#{duplicate_id})" unless duplicate_id.nil?
     end
+
+    assert errors.empty?, "Found at least one duplicate test_id in the following modules: #{errors.join(', ')}"
   end
 end

From 25838fde82772ee8d6a3d9aa36193c9f3df90004 Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Tue, 1 Oct 2019 23:29:56 -0400
Subject: [PATCH 041/144] Ensure generator for uscore creates unique test id
 prefixes.

---
 generator/generator_base.rb                   |  7 ++++++-
 generator/uscore/metadata_extractor.rb        | 21 +++++++++++++++++--
 .../us_core_practitioner_sequence.rb          |  2 +-
 .../us_core_practitionerrole_sequence.rb      |  2 +-
 .../us_core_procedure_sequence.rb             |  2 +-
 .../us_core_practitioner_sequence.rb          |  2 +-
 .../us_core_practitionerrole_sequence.rb      |  2 +-
 .../us_core_procedure_sequence.rb             |  2 +-
 .../us_core_provenance_sequence.rb            |  2 +-
 9 files changed, 32 insertions(+), 10 deletions(-)

diff --git a/generator/generator_base.rb b/generator/generator_base.rb
index 15dc167a9..926b8ea53 100644
--- a/generator/generator_base.rb
+++ b/generator/generator_base.rb
@@ -9,11 +9,16 @@
 module Inferno
   module Generator
     class Base
-      attr_accessor :path, :extras, :resource_by_path, :resources_by_type
+      attr_accessor :path
+      attr_accessor :extras
+      attr_accessor :resource_by_path
+      attr_accessor :resources_by_type
+      attr_accessor :claimed_test_id_prefixes
 
       def initialize(path, extras)
         @path = path
         @extras = extras
+        @claimed_test_id_prefixes = Set.new
         load_resources
       end
 
diff --git a/generator/uscore/metadata_extractor.rb b/generator/uscore/metadata_extractor.rb
index ca1eede14..ad09cd4bf 100644
--- a/generator/uscore/metadata_extractor.rb
+++ b/generator/uscore/metadata_extractor.rb
@@ -35,14 +35,31 @@ def add_metadata_from_ig(metadata, implementation_guide)
         metadata[:description] = "#{implementation_guide['title']} v#{implementation_guide['version']}"
       end
 
+      def generate_unique_test_id_prefix(title)
+        module_prefix = 'USC'
+        test_id_prefix = module_prefix + title.split('').select { |c| c.upcase == c && c != ' ' }.join
+        last_title_word = title.split(test_id_prefix.last).last
+        index = 0
+
+        while claimed_test_id_prefixes.include?(test_id_prefix)
+          raise "Could not generate a unique test_if prefix for #{title}" if index > last_title_word.length
+
+          test_id_prefix += last_title_word[index].upcase
+          index += 1
+        end
+
+        claimed_test_id_prefixes << test_id_prefix
+
+        test_id_prefix
+      end
+
       def build_new_sequence(resource, profile)
         base_path = profile.split('us/core/').last
         base_name = profile.split('StructureDefinition/').last
         profile_json = @resource_by_path[base_path]
         reformatted_version = ig_resource['version'].delete('.')
         profile_title = profile_json['title'].gsub(/US\s*Core\s*/, '').gsub(/\s*Profile/, '').strip
-        module_prefix = 'USC'
-        test_id_prefix = module_prefix + profile_title.split('').select { |c| c.upcase == c && c != ' ' }.join
+        test_id_prefix = generate_unique_test_id_prefix(profile_title)
         class_name = base_name.split('-').map(&:capitalize).join.gsub('UsCore', "USCore#{reformatted_version}") + 'Sequence'
 
         # In case the profile doesn't start with US Core
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
index 8f525c06d..98945b3ae 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
@@ -7,7 +7,7 @@ class USCore300PractitionerSequence < SequenceBase
 
       description 'Verify that Practitioner resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'USCP'
+      test_id_prefix 'USCPR'
 
       requires :token
       conformance_supports :Practitioner
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
index 44e379bef..ecd68bd4d 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
@@ -7,7 +7,7 @@ class USCore300PractitionerroleSequence < SequenceBase
 
       description 'Verify that PractitionerRole resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'USCPR'
+      test_id_prefix 'USCPRO'
 
       requires :token
       conformance_supports :PractitionerRole
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
index 47ed79bb7..f5b6b754d 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
@@ -7,7 +7,7 @@ class USCore300ProcedureSequence < SequenceBase
 
       description 'Verify that Procedure resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'USCP'
+      test_id_prefix 'USCPROC'
 
       requires :token, :patient_id
       conformance_supports :Procedure
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
index 7dace3c1e..a42d2f609 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
@@ -7,7 +7,7 @@ class USCore301PractitionerSequence < SequenceBase
 
       description 'Verify that Practitioner resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'USCP'
+      test_id_prefix 'USCPR'
 
       requires :token
       conformance_supports :Practitioner
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
index 17867b1da..2ea1ab063 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
@@ -7,7 +7,7 @@ class USCore301PractitionerroleSequence < SequenceBase
 
       description 'Verify that PractitionerRole resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'USCPR'
+      test_id_prefix 'USCPRO'
 
       requires :token
       conformance_supports :PractitionerRole
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
index 77d0a4499..f63f7534d 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
@@ -7,7 +7,7 @@ class USCore301ProcedureSequence < SequenceBase
 
       description 'Verify that Procedure resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'USCP'
+      test_id_prefix 'USCPROC'
 
       requires :token, :patient_id
       conformance_supports :Procedure
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_provenance_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_provenance_sequence.rb
index ac0584d29..fe6f99a5d 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_provenance_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_provenance_sequence.rb
@@ -7,7 +7,7 @@ class USCore301ProvenanceSequence < SequenceBase
 
       description 'Verify that Provenance resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'USCP'
+      test_id_prefix 'USCPROV'
 
       requires :token
       conformance_supports :Provenance

From 55c562a937fdeed8ad3dd35c051807111a057f9b Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Tue, 1 Oct 2019 23:35:10 -0400
Subject: [PATCH 042/144] Fix duplicate test_ids in other tests.

---
 lib/app/modules/argonaut/argonaut_patient_search_sequence.rb    | 2 +-
 .../bulk_data/bulk_data_capability_statement_sequence.rb        | 2 +-
 2 files changed, 2 insertions(+), 2 deletions(-)

diff --git a/lib/app/modules/argonaut/argonaut_patient_search_sequence.rb b/lib/app/modules/argonaut/argonaut_patient_search_sequence.rb
index 7d46bd339..8eb0ec8d1 100644
--- a/lib/app/modules/argonaut/argonaut_patient_search_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_patient_search_sequence.rb
@@ -7,7 +7,7 @@ class ArgonautPatientSequence < SequenceBase
 
       description 'Verify that Patient resources on the FHIR server follow the Argonaut Data Query Implementation Guide'
 
-      test_id_prefix 'ARPA'
+      test_id_prefix 'ARPS'
 
       requires :token, :patient_id
       conformance_supports :Patient
diff --git a/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb b/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
index 8b4b36202..46f145734 100644
--- a/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
@@ -156,7 +156,7 @@ def assert_operation(op_name); end
 
       test 'FHIR server capability SHOULD have group-export operation' do
         metadata do
-          id '07'
+          id '08'
           link 'https://build.fhir.org/ig/HL7/bulk-data/operations/index.html'
           desc %(
 

From c7526dec82d4e9964466515028f9fffbd3f39b08 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Wed, 2 Oct 2019 11:22:27 -0400
Subject: [PATCH 043/144] fix PR comments

---
 .../bulk_data/bulk_data_patient_export_sequence.rb   |  8 +++-----
 test/fixtures/bulk_data_patient.ndjson               |  6 +++---
 .../bulk_data/patient_export_sequence_test.rb        | 12 +-----------
 3 files changed, 7 insertions(+), 19 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
index c101e3709..9d7f0e701 100644
--- a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
@@ -52,10 +52,10 @@ def check_export_status(url, timeout: 180)
 
         @output = response_body['output']
 
-        assert_output_files(@output)
+        assert_output_has_type_url(@output)
       end
 
-      def assert_output_files(output)
+      def assert_output_has_type_url(output)
         output.each do |file|
           ['type', 'url'].each do |key|
             assert file.key?(key), "Output file did not contain \"#{key}\" as required"
@@ -70,15 +70,13 @@ def check_file_request(output)
           type = file['type']
           reply = @client.get(url, @client.fhir_headers(headers))
           assert_response_content_type(reply, 'application/fhir+ndjson')
-          lines = reply.body.split("\n")
-          lines.each do |line|
+          reply.body.each_line do |line|
             resource = FHIR.from_contents(line)
             assert resource.class.name.demodulize == type, "Resource in output file did not have type of \"#{type}\""
             errors = resource.validate
             message = errors.join("<br/>\n") unless errors.empty?
             assert errors.empty?, message
           end
-          # assert each line is a valid FHIR resource
         end
       end
 
diff --git a/test/fixtures/bulk_data_patient.ndjson b/test/fixtures/bulk_data_patient.ndjson
index e830af7f3..588f7ce63 100644
--- a/test/fixtures/bulk_data_patient.ndjson
+++ b/test/fixtures/bulk_data_patient.ndjson
@@ -1,3 +1,3 @@
-{"id":"5c41cecf-cf81-434f-9da7-e24e5a99dbc2","name":[{"given":["Brenda"],"family":["Jackson"]}],"gender":"female","birthDate":"1956-10-14T00:00:00.000Z","resourceType":"Patient"}
-{"id":"3fabcb98-0995-447d-a03f-314d202b32f4","name":[{"given":["Bram"],"family":["Sandeep"]}],"gender":"male","birthDate":"1994-11-01T00:00:00.000Z","resourceType":"Patient"}
-{"id":"945e5c7f-504b-43bd-9562-a2ef82c244b2","name":[{"given":["Sandy"],"family":["Hamlin"]}],"gender":"female","birthDate":"1988-01-24T00:00:00.000Z","resourceType":"Patient"}
\ No newline at end of file
+{"id":"5c41cecf-cf81-434f-9da7-e24e5a99dbc2","name":[{"given":["Brenda"],"family":"Jackson"}],"gender":"female","birthDate":"1956-10-14T00:00:00.000Z","resourceType":"Patient"}
+{"id":"3fabcb98-0995-447d-a03f-314d202b32f4","name":[{"given":["Bram"],"family":"Sandeep"}],"gender":"male","birthDate":"1994-11-01T00:00:00.000Z","resourceType":"Patient"}
+{"id":"945e5c7f-504b-43bd-9562-a2ef82c244b2","name":[{"given":["Sandy"],"family":"Hamlin"}],"gender":"female","birthDate":"1988-01-24T00:00:00.000Z","resourceType":"Patient"}
\ No newline at end of file
diff --git a/test/sequence/bulk_data/patient_export_sequence_test.rb b/test/sequence/bulk_data/patient_export_sequence_test.rb
index e22191e69..7074a96b3 100644
--- a/test/sequence/bulk_data/patient_export_sequence_test.rb
+++ b/test/sequence/bulk_data/patient_export_sequence_test.rb
@@ -115,16 +115,6 @@ def include_file_request_stub(response_headers: { content_type: 'application/fhi
       )
   end
 
-  def include_file_request_stub_unmatched_type(response_headers: { content_type: 'application/fhir+ndjson' })
-    stub_request(:get, @file_location)
-      .with(headers: @file_request_headers)
-      .to_return(
-        status: 200,
-        headers: response_headers,
-        body: @patient_export
-      )
-  end
-
   def test_all_pass
     WebMock.reset!
 
@@ -213,7 +203,7 @@ def test_output_file_fail_no_url
     output = [{ 'type' => 'Patient', 'count' => 1 }]
 
     assert_raises Inferno::AssertionException do
-      @sequence.assert_output_files(output)
+      @sequence.assert_output_has_type_url(output)
     end
   end
 

From 911f1ac319782dc695c28b6f0934acd9b3ff5f7c Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Wed, 2 Oct 2019 12:31:37 -0400
Subject: [PATCH 044/144] Fix PR comments

---
 .../bulk_data_patient_export_sequence.rb      | 20 ++++++++++++-------
 .../bulk_data/patient_export_sequence_test.rb | 14 +++++++++++++
 2 files changed, 27 insertions(+), 7 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
index 9d7f0e701..4de369114 100644
--- a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
@@ -33,7 +33,9 @@ def check_export_kick_off_fail_invalid_prefer(klass)
         assert_response_bad(reply)
       end
 
-      def check_export_status(url, timeout: 180)
+      def check_export_status(url = @content_location, timeout: 180)
+        skip 'Server response did not have Content-Location in header' unless url.present?
+
         reply = export_status_check(url, timeout)
 
         # server response status code could be 202 (still processing), 200 (complete) or 4xx/5xx error code
@@ -52,10 +54,12 @@ def check_export_status(url, timeout: 180)
 
         @output = response_body['output']
 
-        assert_output_has_type_url(@output)
+        assert_output_has_type_url
       end
 
-      def assert_output_has_type_url(output)
+      def assert_output_has_type_url(output = @output)
+        skip 'Sever response did not have output data' unless output.present?
+
         output.each do |file|
           ['type', 'url'].each do |key|
             assert file.key?(key), "Output file did not contain \"#{key}\" as required"
@@ -63,7 +67,9 @@ def assert_output_has_type_url(output)
         end
       end
 
-      def check_file_request(output)
+      def check_file_request(output = @output)
+        skip 'Content-Location from server response was emtpy' unless output.present?
+
         headers = { accept: 'application/fhir+ndjson' }
         output.each do |file|
           url = file['url']
@@ -148,7 +154,7 @@ def check_file_request(output)
           )
         end
 
-        check_export_status(@content_location)
+        check_export_status
       end
 
       test 'Server shall return file in ndjson format' do
@@ -159,7 +165,7 @@ def check_file_request(output)
           )
         end
 
-        check_file_request(@output)
+        check_file_request
       end
 
       private
@@ -167,7 +173,7 @@ def check_file_request(output)
       def export_kick_off(klass, id: nil, headers: { accept: 'application/fhir+json', prefer: 'respond-async' })
         url = ''
         url += "/#{klass}" if klass.present?
-        url += "/#{id}" if id.present?
+        url += "/#{id}" if klass.present? && id.present?
         url += '/$export'
 
         @client.get(url, @client.fhir_headers(headers))
diff --git a/test/sequence/bulk_data/patient_export_sequence_test.rb b/test/sequence/bulk_data/patient_export_sequence_test.rb
index 7074a96b3..1e5e5e19c 100644
--- a/test/sequence/bulk_data/patient_export_sequence_test.rb
+++ b/test/sequence/bulk_data/patient_export_sequence_test.rb
@@ -152,6 +152,12 @@ def test_export_fail_no_content_location
     end
   end
 
+  def test_status_check_skip_no_content_location
+    assert_raises Inferno::SkipException do
+      @sequence.check_export_status('')
+    end
+  end
+
   def test_status_check_skip_timeout
     WebMock.reset!
     stub_request(:get, @content_location)
@@ -199,6 +205,14 @@ def test_status_check_fail_invalid_response_header
     end
   end
 
+  def test_output_file_skip_empty_output
+    output = []
+
+    assert_raises Inferno::SkipException do
+      @sequence.assert_output_has_type_url(output)
+    end
+  end
+
   def test_output_file_fail_no_url
     output = [{ 'type' => 'Patient', 'count' => 1 }]
 

From 6c25ab84f024bee9a4c4d20c854c377d2daf0ce5 Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Wed, 2 Oct 2019 15:36:56 -0400
Subject: [PATCH 045/144] Use chars instead of split('')

Co-Authored-By: Stephen MacVicar <Jammjammjamm@users.noreply.github.com>
---
 generator/uscore/metadata_extractor.rb | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/generator/uscore/metadata_extractor.rb b/generator/uscore/metadata_extractor.rb
index ad09cd4bf..47046d0d5 100644
--- a/generator/uscore/metadata_extractor.rb
+++ b/generator/uscore/metadata_extractor.rb
@@ -37,7 +37,7 @@ def add_metadata_from_ig(metadata, implementation_guide)
 
       def generate_unique_test_id_prefix(title)
         module_prefix = 'USC'
-        test_id_prefix = module_prefix + title.split('').select { |c| c.upcase == c && c != ' ' }.join
+        test_id_prefix = module_prefix + title.chars.select { |c| c.upcase == c && c != ' ' }.join
         last_title_word = title.split(test_id_prefix.last).last
         index = 0
 

From d5e14f328b8d8f07c0da69e0a0e9103d037ba4fc Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Wed, 2 Oct 2019 15:43:17 -0400
Subject: [PATCH 046/144] Typo

---
 generator/uscore/metadata_extractor.rb | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/generator/uscore/metadata_extractor.rb b/generator/uscore/metadata_extractor.rb
index 47046d0d5..264a2784a 100644
--- a/generator/uscore/metadata_extractor.rb
+++ b/generator/uscore/metadata_extractor.rb
@@ -42,7 +42,7 @@ def generate_unique_test_id_prefix(title)
         index = 0
 
         while claimed_test_id_prefixes.include?(test_id_prefix)
-          raise "Could not generate a unique test_if prefix for #{title}" if index > last_title_word.length
+          raise "Could not generate a unique test_id prefix for #{title}" if index > last_title_word.length
 
           test_id_prefix += last_title_word[index].upcase
           index += 1

From 631c6881efc109cfeb455616fa4e98b42f526051 Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Wed, 2 Oct 2019 15:49:29 -0400
Subject: [PATCH 047/144] Condense attr_accessor statement for stylistic
 purposes.

---
 generator/generator_base.rb | 7 ++-----
 1 file changed, 2 insertions(+), 5 deletions(-)

diff --git a/generator/generator_base.rb b/generator/generator_base.rb
index 926b8ea53..c4c223bf1 100644
--- a/generator/generator_base.rb
+++ b/generator/generator_base.rb
@@ -9,11 +9,8 @@
 module Inferno
   module Generator
     class Base
-      attr_accessor :path
-      attr_accessor :extras
-      attr_accessor :resource_by_path
-      attr_accessor :resources_by_type
-      attr_accessor :claimed_test_id_prefixes
+      attr_accessor :path, :extras, :resource_by_path, :resources_by_type,
+                    :claimed_test_id_prefixes
 
       def initialize(path, extras)
         @path = path

From 6c35da56e3a02163c87651ce75afc02cf7ec91fb Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Wed, 2 Oct 2019 16:06:19 -0400
Subject: [PATCH 048/144] reduct function complexity

---
 .../bulk_data_patient_export_sequence.rb       | 18 +++++++++++-------
 .../bulk_data/patient_export_sequence_test.rb  |  8 ++++++++
 2 files changed, 19 insertions(+), 7 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
index 4de369114..b017db151 100644
--- a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
@@ -76,13 +76,17 @@ def check_file_request(output = @output)
           type = file['type']
           reply = @client.get(url, @client.fhir_headers(headers))
           assert_response_content_type(reply, 'application/fhir+ndjson')
-          reply.body.each_line do |line|
-            resource = FHIR.from_contents(line)
-            assert resource.class.name.demodulize == type, "Resource in output file did not have type of \"#{type}\""
-            errors = resource.validate
-            message = errors.join("<br/>\n") unless errors.empty?
-            assert errors.empty?, message
-          end
+
+          check_ndjson(reply.body, type)
+        end
+      end
+
+      def check_ndjson(ndjson, type)
+        ndjson.each_line do |line|
+          resource = FHIR.from_contents(line)
+          assert resource.class.name.demodulize == type, "Resource in output file did not have type of \"#{type}\""
+          errors = resource.validate
+          assert errors.empty?, errors.to_s
         end
       end
 
diff --git a/test/sequence/bulk_data/patient_export_sequence_test.rb b/test/sequence/bulk_data/patient_export_sequence_test.rb
index 1e5e5e19c..c403718dc 100644
--- a/test/sequence/bulk_data/patient_export_sequence_test.rb
+++ b/test/sequence/bulk_data/patient_export_sequence_test.rb
@@ -231,4 +231,12 @@ def test_file_request_fail_unmatched_type
       @sequence.check_file_request(unmatched_type_output)
     end
   end
+
+  def test_file_request_fail_invalid_resource
+    invalid_patient_export = @patient_export.sub('male', '001')
+
+    assert_raises Inferno::AssertionException do
+      @sequence.check_ndjson(invalid_patient_export, 'Patient')
+    end
+  end
 end

From 91fe8cd44868c42d26479930edab0e80b54cb338 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Wed, 2 Oct 2019 17:01:15 -0400
Subject: [PATCH 049/144] ruby-version

---
 .gitignore    | 1 -
 .ruby-version | 1 +
 2 files changed, 1 insertion(+), 1 deletion(-)
 create mode 100644 .ruby-version

diff --git a/.gitignore b/.gitignore
index 26674d9c3..680204130 100644
--- a/.gitignore
+++ b/.gitignore
@@ -12,4 +12,3 @@ coverage
 tmp/*
 .vscode/*
 resources/terminology/*
-.ruby-version
diff --git a/.ruby-version b/.ruby-version
new file mode 100644
index 000000000..1b03fe63d
--- /dev/null
+++ b/.ruby-version
@@ -0,0 +1 @@
+2.5.6
\ No newline at end of file

From 7f7a08b40c487b9956a224c2e023795a7944ab3c Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Wed, 25 Sep 2019 11:46:33 -0400
Subject: [PATCH 050/144] add initial test class

---
 lib/app/models/inferno_test.rb | 45 ++++++++++++++++++++++++++++++++++
 1 file changed, 45 insertions(+)
 create mode 100644 lib/app/models/inferno_test.rb

diff --git a/lib/app/models/inferno_test.rb b/lib/app/models/inferno_test.rb
new file mode 100644
index 000000000..572c4d9ef
--- /dev/null
+++ b/lib/app/models/inferno_test.rb
@@ -0,0 +1,45 @@
+module Inferno
+  module Sequence
+    class InfernoTest
+      attr_reader :sequence, :test_block
+
+      def initialize(sequence, &test_block)
+        @sequence = sequence
+        @test_block = test_block
+        load_metadata
+      end
+
+      def metadata
+        yield
+        raise MetadataException
+      end
+
+      def load_metadata
+        begin
+          instance_eval(&test_block)
+        rescue MetadataException
+        end
+      end
+
+      def id(id = nil)
+        @id ||= id
+      end
+
+      def link(link = nil)
+        @link ||= link
+      end
+
+      def optional
+        @optional ||= true
+      end
+
+      def desc(description = nil)
+        @description ||= description
+      end
+
+      def versions(*versions)
+        @versions ||= versions
+      end
+    end
+  end
+end

From 96036a8eb38832ed0d284b9b47f40f8191f9406d Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Wed, 25 Sep 2019 15:02:13 -0400
Subject: [PATCH 051/144] wip refactor sequence base to use new test model

---
 lib/app/models/inferno_test.rb |  13 ++-
 lib/app/sequence_base.rb       | 180 ++++++++++++---------------------
 lib/app/views/test_list.erb    |   6 +-
 3 files changed, 74 insertions(+), 125 deletions(-)

diff --git a/lib/app/models/inferno_test.rb b/lib/app/models/inferno_test.rb
index 572c4d9ef..8a93298ff 100644
--- a/lib/app/models/inferno_test.rb
+++ b/lib/app/models/inferno_test.rb
@@ -1,11 +1,12 @@
 module Inferno
   module Sequence
     class InfernoTest
-      attr_reader :sequence, :test_block
+      attr_reader :name, :index, :test_block
 
-      def initialize(sequence, &test_block)
-        @sequence = sequence
+      def initialize(name, index, &test_block)
+        @name = name
         @test_block = test_block
+        @index = index
         load_metadata
       end
 
@@ -30,7 +31,11 @@ def link(link = nil)
       end
 
       def optional
-        @optional ||= true
+        @optional = true
+      end
+
+      def optional?
+        @optional
       end
 
       def desc(description = nil)
diff --git a/lib/app/sequence_base.rb b/lib/app/sequence_base.rb
index e997773b2..07cf1acab 100644
--- a/lib/app/sequence_base.rb
+++ b/lib/app/sequence_base.rb
@@ -12,6 +12,7 @@
 require_relative 'utils/result_statuses'
 require_relative 'utils/search_validation'
 require_relative 'models/testing_instance'
+require_relative 'models/inferno_test'
 
 require 'bloomer'
 require 'bloomer/msgpackable'
@@ -38,7 +39,6 @@ class SequenceBase
       @@conformance_supports = {}
       @@defines = {}
       @@versions = {}
-      @@test_metadata = Hash.new { |hash, key| hash[key] = [] }
 
       @@optional = []
       @@show_uris = []
@@ -62,7 +62,7 @@ def initialize(instance, client, disable_tls_tests = false, sequence_result = ni
         @sequence_result = sequence_result
         @disable_tls_tests = disable_tls_tests
         @test_warnings = []
-        @metadata_only = metadata_only
+        # @metadata_only = metadata_only
       end
 
       def resume(request = nil, headers = nil, params = nil, fail_message = nil, &block)
@@ -115,9 +115,7 @@ def start(test_set_id = nil, test_case_id = nil, &block)
 
         output_results = save_output(sequence_name)
 
-        methods = self.methods.grep(/_test$/).sort[start_at..-1]
-
-        run_tests(methods, &block)
+        run_tests(self.class.tests[start_at..-1], &block)
 
         update_output(sequence_name, output_results)
 
@@ -165,11 +163,11 @@ def update_output(sequence_name, output_results)
           end
       end
 
-      def run_tests(methods)
-        methods.each do |test_method|
+      def run_tests(inferno_tests)
+        inferno_tests.each do |inferno_test|
           @client.requests = [] unless @client.nil?
           LoggedRestClient.clear_log
-          result = method(test_method).call
+          result = instance_eval(&wrap_test(inferno_test))
 
           # Check to see if we are in headless mode and should redirect
 
@@ -212,11 +210,11 @@ def run_tests(methods)
       end
 
       def self.test_count
-        new(nil, nil).test_count
+        tests.length
       end
 
       def test_count
-        methods.grep(/_test$/).length
+        self.class.test_count
       end
 
       def sequence_name
@@ -311,7 +309,7 @@ def self.test_id_prefix(test_id_prefix = nil)
       end
 
       def self.tests
-        @@test_metadata[sequence_name]
+        @tests ||= []
       end
 
       def optional?
@@ -354,10 +352,7 @@ def self.preconditions_met_for?(instance)
 
       # this must be called to ensure that the child class is referenced in self.sequence_name
       def self.extends_sequence(klass)
-        @@test_metadata[klass.sequence_name].each do |metadata|
-          @@test_metadata[sequence_name] << metadata
-          define_method metadata[:method_name], metadata[:method]
-        end
+        tests.concat(klass.tests)
       end
 
       # Defines a new test.
@@ -367,119 +362,68 @@ def self.extends_sequence(klass)
       def self.test(name, &block)
         @@test_index += 1
 
-        test_index = @@test_index
-
-        test_method = "#{@@test_index.to_s.rjust(4, '0')} #{name} test".downcase.tr(' ', '_').to_sym
-        @@test_metadata[sequence_name] << { name: name,
-                                            test_index: test_index,
-                                            required: true,
-                                            versions: FHIR::VERSIONS }
-
-        current_test = @@test_metadata[sequence_name].last
-
-        wrapped = lambda do
-          instance_eval(&block) if @metadata_only # just run the test to hit the metadata block
+        tests << InfernoTest.new(name, @@test_index, &block)
+      end
 
+      def wrap_test(test)
+        lambda do |sequence|
           @test_warnings = []
           @links = []
           @requires = []
           @validates = []
-          test_id = current_test[:test_id]
-          versions = current_test[:versions]
-          result = Models::TestResult.new(
-            test_id: test_id,
-            name: name,
-            ref: current_test[:ref],
-            required: current_test[:required],
-            description: current_test[:description],
-            url: current_test[:url],
-            versions: versions.join(','),
+          Models::TestResult.new(
+            test_id: test.id,
+            name: test.name,
+            required: !test.optional?,
+            description: test.desc,
+            versions: test.versions.join(','),
             result: ResultStatuses::PASS,
-            test_index: test_index
-          )
-          begin
-            fhir_version_included = @instance.fhir_version.present? && versions.include?(@instance.fhir_version&.to_sym)
-            skip_unless(fhir_version_included, 'This test does not run with this FHIR version')
-            Inferno.logger.info "Starting Test: #{test_id} [#{name}]"
-            instance_eval(&block)
-          rescue AssertionException, ClientException => e
-            result.fail!
-            result.message = e.message
-            result.details = e.details
-          rescue PassException => e
-            result.pass!
-            result.message = e.message
-          rescue TodoException => e
-            result.todo!
-            result.message = e.message
-          rescue WaitException => e
-            result.wait!
-            result.wait_at_endpoint = e.endpoint
-          rescue RedirectException => e
-            result.wait!
-            result.wait_at_endpoint = e.endpoint
-            result.redirect_to_url = e.url
-          rescue SkipException => e
-            result.skip!
-            result.message = e.message
-            result.details = e.details
-          rescue OmitException => e
-            result.omit!
-            result.message = e.message
-          rescue StandardError => e
-            Inferno.logger.error "Fatal Error: #{e.message}"
-            Inferno.logger.error e.backtrace
-            result.error!
-            result.message = "Fatal Error: #{e.message}"
-          end
-          result.test_warnings = @test_warnings.map { |w| Models::TestWarning.new(message: w) }
-          Inferno.logger.info "Finished Test: #{test_id} [#{result.result}]"
-          result
-        end
-
-        define_method test_method, wrapped
-
-        current_test[:method] = wrapped
-        current_test[:method_name] = test_method
+            test_index: test.index
+          ).tap do |result|
+            begin
+              fhir_version_included = @instance.fhir_version.present? && self.class.versions.include?(@instance.fhir_version&.to_sym)
+              skip_unless(fhir_version_included, 'This test does not run with this FHIR version')
+              Inferno.logger.info "Starting Test: #{test.id} [#{test.name}]"
+              instance_eval(&test.test_block)
+            rescue AssertionException, ClientException => e
+              result.fail!
+              result.message = e.message
+              result.details = e.details
+            rescue PassException => e
+              result.pass!
+              result.message = e.message
+            rescue TodoException => e
+              result.todo!
+              result.message = e.message
+            rescue WaitException => e
+              result.wait!
+              result.wait_at_endpoint = e.endpoint
+            rescue RedirectException => e
+              result.wait!
+              result.wait_at_endpoint = e.endpoint
+              result.redirect_to_url = e.url
+            rescue SkipException => e
+              result.skip!
+              result.message = e.message
+              result.details = e.details
+            rescue OmitException => e
+              result.omit!
+              result.message = e.message
+            rescue StandardError => e
+              Inferno.logger.error "Fatal Error: #{e.message}"
+              Inferno.logger.error e.backtrace
+              result.error!
+              result.message = "Fatal Error: #{e.message}"
+            end
 
-        instance = new(nil, nil, nil, nil, true)
-        begin
-          instance.send(test_method)
-        rescue MetadataException
+            result.test_warnings = @test_warnings.map { |w| Models::TestWarning.new(message: w) }
+            Inferno.logger.info "Finished Test: #{test.id} [#{result.result}]"
+          end
         end
       end
 
-      def metadata
-        return unless @metadata_only
-
-        yield
-        raise MetadataException
-      end
-
-      def id(test_id)
-        complete_test_id = @@test_id_prefixes[sequence_name] + '-' + test_id
-        @@test_metadata[sequence_name].last[:test_id] = complete_test_id
-      end
-
-      def link(link)
-        @@test_metadata[sequence_name].last[:url] = link
-      end
-
-      def ref(_ref)
-        @@test_metadata[sequence_name].last[:ref] = requirement
-      end
-
-      def optional
-        @@test_metadata[sequence_name].last[:required] = false
-      end
-
-      def desc(description)
-        @@test_metadata[sequence_name].last[:description] = description
-      end
-
-      def versions(*versions)
-        @@test_metadata[sequence_name].last[:versions] = versions
-      end
+      # Metadata loading is handled by InfernoTest
+      def metadata; end
 
       def todo(message = '')
         raise TodoException, message
diff --git a/lib/app/views/test_list.erb b/lib/app/views/test_list.erb
index dc8b6d45d..ddf6f16c5 100644
--- a/lib/app/views/test_list.erb
+++ b/lib/app/views/test_list.erb
@@ -77,9 +77,9 @@
   <% start_at = [sequence_result.test_results.length, sequence_class.tests.length].min unless sequence_result.nil? %>
   <% sequence_class.tests[start_at..-1].each_with_index do |test, index| %>
     <li>
-      <strong><%= test[:test_id] %></strong>:
-        <% unless test[:required] %> OPTIONAL |  <% end %>
-        <%= test[:name] %>
+      <strong><%= test.id %></strong>:
+        <% if test.optional? %> OPTIONAL |  <% end %>
+        <%= test.name %>
         <button class="test-list-more"
                 data-module="<%=instance.module.name%>"
                 data-sequence-name="<%=sequence_class.sequence_name%>"

From ed15438a02d1502d55ff66d2f602a59cab02876b Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Wed, 25 Sep 2019 15:18:56 -0400
Subject: [PATCH 052/144] make tests pass

---
 lib/app/models/inferno_test.rb        | 14 ++++++++++++++
 lib/app/sequence_base.rb              |  1 +
 lib/tasks/tasks.rake                  | 16 ++++++++++++----
 test/unit/sequence_validation_test.rb | 17 ++++++++---------
 4 files changed, 35 insertions(+), 13 deletions(-)

diff --git a/lib/app/models/inferno_test.rb b/lib/app/models/inferno_test.rb
index 8a93298ff..7ba00f656 100644
--- a/lib/app/models/inferno_test.rb
+++ b/lib/app/models/inferno_test.rb
@@ -38,6 +38,10 @@ def optional?
         @optional
       end
 
+      def required?
+        !optional?
+      end
+
       def desc(description = nil)
         @description ||= description
       end
@@ -45,6 +49,16 @@ def desc(description = nil)
       def versions(*versions)
         @versions ||= versions
       end
+
+      def metadata_hash
+        {
+          test_id: id,
+          name: name,
+          description: desc,
+          required: required?,
+          url: link
+        }
+      end
     end
   end
 end
diff --git a/lib/app/sequence_base.rb b/lib/app/sequence_base.rb
index 07cf1acab..bdea89e0c 100644
--- a/lib/app/sequence_base.rb
+++ b/lib/app/sequence_base.rb
@@ -376,6 +376,7 @@ def wrap_test(test)
             name: test.name,
             required: !test.optional?,
             description: test.desc,
+            url: test.link,
             versions: test.versions.join(','),
             result: ResultStatuses::PASS,
             test_index: test.index
diff --git a/lib/tasks/tasks.rake b/lib/tasks/tasks.rake
index 6b2a869e3..566f66455 100644
--- a/lib/tasks/tasks.rake
+++ b/lib/tasks/tasks.rake
@@ -174,9 +174,10 @@ namespace :inferno do |_argv|
 
     flat_tests = sequences.map do |klass|
       klass.tests.map do |test|
-        test[:sequence] = klass.to_s
-        test[:sequence_required] = !klass.optional?
-        test
+        test.metadata_hash.merge(
+          sequence: klass.to_s,
+          sequence_required: !klass.optional?
+        )
       end
     end.flatten
 
@@ -185,7 +186,14 @@ namespace :inferno do |_argv|
       csv << ['', '', '', '', '']
       csv << ['Test ID', 'Reference', 'Sequence/Group', 'Test Name', 'Required?', 'Reference URI']
       flat_tests.each do |test|
-        csv << [test[:test_id], test[:ref], test[:sequence].split('::').last, test[:name], test[:sequence_required] && test[:required], test[:url]]
+        csv << [
+          test[:test_id],
+          test[:ref],
+          test[:sequence].split('::').last,
+          test[:name],
+          test[:sequence_required] && test[:required],
+          test[:url]
+        ]
       end
     end
 
diff --git a/test/unit/sequence_validation_test.rb b/test/unit/sequence_validation_test.rb
index 72c2bfe9d..fd7797616 100644
--- a/test/unit/sequence_validation_test.rb
+++ b/test/unit/sequence_validation_test.rb
@@ -16,9 +16,9 @@ def test_metadata
     # questionable requirements
     excluded_tests << 'Patient supports $everything operation'
 
-    test_list = @sequences.map do |sequence|
-      test_list = sequence.tests.map { |test| test[:sequence] = sequence.name; test }
-    end.flatten
+    test_list = @sequences.flat_map do |sequence|
+      sequence.tests.map { |test| test.metadata_hash.merge(sequence: sequence.name) }
+    end
 
     test_list.reject! { |test| excluded_tests.include?(test[:name]) }
 
@@ -27,7 +27,6 @@ def test_metadata
         test[:description].nil? ||
         !valid_uri?(test[:url]) ||
         test[:test_id].nil?
-      # || test[:ref].nil? # no refs yet
     end
 
     empty = incomplete_metadata_tests.empty?
@@ -56,16 +55,16 @@ def test_ids_sequential
 
     errors = []
 
-    Inferno::Sequence::SequenceBase.subclasses.each do |seq|
-      ids = seq.tests.reduce([]) do |out, hash|
-        if hash[:test_id].nil?
+    Inferno::Sequence::SequenceBase.subclasses.each do |sequence|
+      ids = sequence.tests.map(&:metadata_hash).reduce([]) do |out, metadata|
+        if metadata[:test_id].nil?
           out
         else
-          out << hash[:test_id].scan(/\d{2}/)[0, 2].join.to_i
+          out << metadata[:test_id].scan(/\d{2}/)[0, 2].join.to_i
         end
       end.sort
       all_in_order = ids.each_cons(2).all? { |x, y| y == x + 1 }
-      errors << seq.sequence_name unless all_in_order && (ids.first != 0)
+      errors << sequence.sequence_name unless all_in_order && (ids.first != 0)
     end
 
     assert errors.empty?, "Sequence(s) #{errors.join(',')} do not have incrementing test id numbers"\

From 5700fa03bbc19942085601d5918be8d86e1eadf3 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Wed, 25 Sep 2019 15:54:30 -0400
Subject: [PATCH 053/144] remove metadata_only from SequenceBase constructor

---
 lib/app/sequence_base.rb | 3 +--
 1 file changed, 1 insertion(+), 2 deletions(-)

diff --git a/lib/app/sequence_base.rb b/lib/app/sequence_base.rb
index bdea89e0c..58577e3d2 100644
--- a/lib/app/sequence_base.rb
+++ b/lib/app/sequence_base.rb
@@ -54,7 +54,7 @@ class SequenceBase
       delegate :versioned_conformance_class, to: :@instance
       delegate :save_resource_ids_in_bundle, to: :@instance
 
-      def initialize(instance, client, disable_tls_tests = false, sequence_result = nil, metadata_only = false)
+      def initialize(instance, client, disable_tls_tests = false, sequence_result = nil)
         @client = client
         @instance = instance
         @client.set_bearer_token(@instance.token) unless @client.nil? || @instance.nil? || @instance.token.nil?
@@ -62,7 +62,6 @@ def initialize(instance, client, disable_tls_tests = false, sequence_result = ni
         @sequence_result = sequence_result
         @disable_tls_tests = disable_tls_tests
         @test_warnings = []
-        # @metadata_only = metadata_only
       end
 
       def resume(request = nil, headers = nil, params = nil, fail_message = nil, &block)

From 7ee938b69e839740dc56afa7cba21119af355bcc Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Thu, 26 Sep 2019 11:30:22 -0400
Subject: [PATCH 054/144] add sequence prefix to test ids

---
 lib/app/models/inferno_test.rb | 14 +++++++++-----
 lib/app/sequence_base.rb       |  2 +-
 2 files changed, 10 insertions(+), 6 deletions(-)

diff --git a/lib/app/models/inferno_test.rb b/lib/app/models/inferno_test.rb
index 7ba00f656..e9a9fbc6e 100644
--- a/lib/app/models/inferno_test.rb
+++ b/lib/app/models/inferno_test.rb
@@ -1,18 +1,21 @@
+# frozen_string_literal: true
+
 module Inferno
   module Sequence
     class InfernoTest
-      attr_reader :name, :index, :test_block
+      attr_reader :name, :index, :id_prefix, :test_block
 
-      def initialize(name, index, &test_block)
+      def initialize(name, index, id_prefix, &test_block)
         @name = name
-        @test_block = test_block
         @index = index
+        @id_prefix = id_prefix
+        @test_block = test_block
         load_metadata
       end
 
       def metadata
         yield
-        raise MetadataException
+        raise MetadataException # Prevent the rest of the test from running
       end
 
       def load_metadata
@@ -23,7 +26,8 @@ def load_metadata
       end
 
       def id(id = nil)
-        @id ||= id
+        return @id if id.blank?
+        @id = "#{id_prefix}-#{id}"
       end
 
       def link(link = nil)
diff --git a/lib/app/sequence_base.rb b/lib/app/sequence_base.rb
index 58577e3d2..930bc4ef5 100644
--- a/lib/app/sequence_base.rb
+++ b/lib/app/sequence_base.rb
@@ -361,7 +361,7 @@ def self.extends_sequence(klass)
       def self.test(name, &block)
         @@test_index += 1
 
-        tests << InfernoTest.new(name, @@test_index, &block)
+        tests << InfernoTest.new(name, @@test_index, @@test_id_prefixes[sequence_name], &block)
       end
 
       def wrap_test(test)

From 4c2db5bebc34b58148f3bb10f7be24002a6d0595 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Thu, 26 Sep 2019 11:42:19 -0400
Subject: [PATCH 055/144] add tests and fix linting errors

---
 lib/app/models/inferno_test.rb  |  27 ++++----
 lib/app/sequence_base.rb        |   2 +-
 test/model/inferno_test_test.rb | 107 ++++++++++++++++++++++++++++++++
 3 files changed, 122 insertions(+), 14 deletions(-)
 create mode 100644 test/model/inferno_test_test.rb

diff --git a/lib/app/models/inferno_test.rb b/lib/app/models/inferno_test.rb
index e9a9fbc6e..51b36b275 100644
--- a/lib/app/models/inferno_test.rb
+++ b/lib/app/models/inferno_test.rb
@@ -13,20 +13,9 @@ def initialize(name, index, id_prefix, &test_block)
         load_metadata
       end
 
-      def metadata
-        yield
-        raise MetadataException # Prevent the rest of the test from running
-      end
-
-      def load_metadata
-        begin
-          instance_eval(&test_block)
-        rescue MetadataException
-        end
-      end
-
       def id(id = nil)
         return @id if id.blank?
+
         @id = "#{id_prefix}-#{id}"
       end
 
@@ -47,7 +36,7 @@ def required?
       end
 
       def desc(description = nil)
-        @description ||= description
+        @desc ||= description
       end
 
       def versions(*versions)
@@ -63,6 +52,18 @@ def metadata_hash
           url: link
         }
       end
+
+      private
+
+      def metadata
+        yield
+        raise MetadataException # Prevent the rest of the test from running
+      end
+
+      def load_metadata
+        instance_eval(&test_block)
+      rescue MetadataException # rubocop:disable Lint/HandleExceptions
+      end
     end
   end
 end
diff --git a/lib/app/sequence_base.rb b/lib/app/sequence_base.rb
index 930bc4ef5..817092978 100644
--- a/lib/app/sequence_base.rb
+++ b/lib/app/sequence_base.rb
@@ -365,7 +365,7 @@ def self.test(name, &block)
       end
 
       def wrap_test(test)
-        lambda do |sequence|
+        lambda do |_sequence|
           @test_warnings = []
           @links = []
           @requires = []
diff --git a/test/model/inferno_test_test.rb b/test/model/inferno_test_test.rb
new file mode 100644
index 000000000..1dbfac68f
--- /dev/null
+++ b/test/model/inferno_test_test.rb
@@ -0,0 +1,107 @@
+# frozen_string_literal: true
+
+require File.expand_path '../test_helper.rb', __dir__
+
+InfernoTest = Inferno::Sequence::InfernoTest
+
+describe InfernoTest do
+  NAME = 'NAME'
+  INDEX = 1
+  PREFIX = 'PREFIX'
+  TEST_ID = 123
+  LINK = 'LINK'
+  DESCRIPTION = 'DESCRIPTION'
+
+  before do
+    @base_test = InfernoTest.new(NAME, INDEX, PREFIX, &proc {})
+  end
+
+  describe '.initialize' do
+    it 'creates an InfernoTest instance' do
+      assert @base_test.instance_of? InfernoTest
+    end
+  end
+
+  describe '#id' do
+    it 'returns nil if no id has been set' do
+      assert @base_test.id.nil?
+    end
+
+    it 'sets the id with a prefix' do
+      @base_test.id(TEST_ID)
+      assert @base_test.id == "#{PREFIX}-#{TEST_ID}"
+    end
+  end
+
+  describe '#link' do
+    it 'returns nil if no link has been set' do
+      assert @base_test.link.nil?
+    end
+
+    it 'sets and returns the link' do
+      @base_test.link(LINK)
+      assert @base_test.link == LINK
+    end
+  end
+
+  describe '#desc' do
+    it 'returns nil if no description has been set' do
+      assert @base_test.desc.nil?
+    end
+
+    it 'sets and returns the description' do
+      @base_test.desc(DESCRIPTION)
+      assert @base_test.desc == DESCRIPTION
+    end
+  end
+
+  describe '#versions' do
+    it 'returns an empty array if no versions have been set' do
+      assert @base_test.versions == []
+    end
+
+    it 'sets and returns the versions' do
+      versions = :version
+      @base_test.versions(versions)
+      assert @base_test.versions == [versions]
+    end
+  end
+
+  describe '#optional' do
+    it 'sets a test as optional' do
+      @base_test.optional
+      assert @base_test.optional?
+    end
+  end
+
+  describe '#optional?' do
+    it 'returns whether a test is optional' do
+      assert !@base_test.optional?
+      @base_test.optional
+      assert @base_test.optional?
+    end
+  end
+
+  describe '#required?' do
+    it 'returns whether a test is required' do
+      assert @base_test.required?
+      @base_test.optional
+      assert !@base_test.required?
+    end
+  end
+
+  describe '#metadata_hash' do
+    it 'returns a metadata hash' do
+      @base_test.id(TEST_ID)
+      @base_test.desc(DESCRIPTION)
+      @base_test.link(LINK)
+      assert @base_test.metadata_hash == {
+        test_id: "#{PREFIX}-#{TEST_ID}",
+        name: NAME,
+        description: DESCRIPTION,
+        required: true,
+        url: LINK
+      }
+    end
+  end
+end

From c26a7c43d4310b093d5816eef22e7bbd2889511c Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Thu, 26 Sep 2019 13:46:43 -0400
Subject: [PATCH 056/144] remove reference from csv

---
 lib/tasks/tasks.rake | 3 +--
 1 file changed, 1 insertion(+), 2 deletions(-)

diff --git a/lib/tasks/tasks.rake b/lib/tasks/tasks.rake
index 566f66455..2afef5137 100644
--- a/lib/tasks/tasks.rake
+++ b/lib/tasks/tasks.rake
@@ -184,11 +184,10 @@ namespace :inferno do |_argv|
     csv_out = CSV.generate do |csv|
       csv << ['Version', VERSION, 'Generated', Time.now]
       csv << ['', '', '', '', '']
-      csv << ['Test ID', 'Reference', 'Sequence/Group', 'Test Name', 'Required?', 'Reference URI']
+      csv << ['Test ID', 'Sequence/Group', 'Test Name', 'Required?', 'Reference URI']
       flat_tests.each do |test|
         csv << [
           test[:test_id],
-          test[:ref],
           test[:sequence].split('::').last,
           test[:name],
           test[:sequence_required] && test[:required],

From 4ce8e1a4f3835ba933830a4b7b9b93cb329f5d9e Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Thu, 26 Sep 2019 15:22:26 -0400
Subject: [PATCH 057/144] refactor wrap_test

---
 lib/app/sequence_base.rb     |  36 +++--------
 lib/app/utils/exceptions.rb  |  46 +++++++++++++
 test/unit/exceptions_test.rb | 121 +++++++++++++++++++++++++++++++++++
 3 files changed, 175 insertions(+), 28 deletions(-)
 create mode 100644 test/unit/exceptions_test.rb

diff --git a/lib/app/sequence_base.rb b/lib/app/sequence_base.rb
index 817092978..cefa32c84 100644
--- a/lib/app/sequence_base.rb
+++ b/lib/app/sequence_base.rb
@@ -385,35 +385,15 @@ def wrap_test(test)
               skip_unless(fhir_version_included, 'This test does not run with this FHIR version')
               Inferno.logger.info "Starting Test: #{test.id} [#{test.name}]"
               instance_eval(&test.test_block)
-            rescue AssertionException, ClientException => e
-              result.fail!
-              result.message = e.message
-              result.details = e.details
-            rescue PassException => e
-              result.pass!
-              result.message = e.message
-            rescue TodoException => e
-              result.todo!
-              result.message = e.message
-            rescue WaitException => e
-              result.wait!
-              result.wait_at_endpoint = e.endpoint
-            rescue RedirectException => e
-              result.wait!
-              result.wait_at_endpoint = e.endpoint
-              result.redirect_to_url = e.url
-            rescue SkipException => e
-              result.skip!
-              result.message = e.message
-              result.details = e.details
-            rescue OmitException => e
-              result.omit!
-              result.message = e.message
             rescue StandardError => e
-              Inferno.logger.error "Fatal Error: #{e.message}"
-              Inferno.logger.error e.backtrace
-              result.error!
-              result.message = "Fatal Error: #{e.message}"
+              if e.respond_to? :update_result
+                e.update_result(result)
+              else
+                Inferno.logger.error "Fatal Error: #{e.message}"
+                Inferno.logger.error e.backtrace
+                result.error!
+                result.message = "Fatal Error: #{e.message}"
+              end
             end
 
             result.test_warnings = @test_warnings.map { |w| Models::TestWarning.new(message: w) }
diff --git a/lib/app/utils/exceptions.rb b/lib/app/utils/exceptions.rb
index 2c9b047ae..a246bc6f6 100644
--- a/lib/app/utils/exceptions.rb
+++ b/lib/app/utils/exceptions.rb
@@ -8,6 +8,12 @@ def initialize(message, details = nil)
       Inferno.logger.error "AssertionException: #{message}"
       @details = details
     end
+
+    def update_result(result)
+      result.fail!
+      result.message = message
+      result.details = details
+    end
   end
 
   class SkipException < RuntimeError
@@ -17,6 +23,12 @@ def initialize(message = '', details = nil)
       Inferno.logger.info "SkipException: #{message}"
       @details = details
     end
+
+    def update_result(result)
+      result.skip!
+      result.message = message
+      result.details = details
+    end
   end
 
   class TodoException < RuntimeError
@@ -24,6 +36,11 @@ def initialize(message = '')
       super(message)
       Inferno.logger.info "TodoException: #{message}"
     end
+
+    def update_result(result)
+      result.todo!
+      result.message = message
+    end
   end
 
   class PassException < RuntimeError
@@ -31,6 +48,11 @@ def initialize(message = '')
       super(message)
       Inferno.logger.info "PassException: #{message}"
     end
+
+    def update_result(result)
+      result.pass!
+      result.message = message
+    end
   end
 
   class OmitException < RuntimeError
@@ -38,6 +60,11 @@ def initialize(message = '')
       super(message)
       Inferno.logger.info "OmitException: #{message}"
     end
+
+    def update_result(result)
+      result.omit!
+      result.message = message
+    end
   end
 
   class WaitException < RuntimeError
@@ -46,6 +73,11 @@ def initialize(endpoint)
       super("Waiting at endpoint #{endpoint}")
       @endpoint = endpoint
     end
+
+    def update_result(result)
+      result.wait!
+      result.wait_at_endpoint = endpoint
+    end
   end
 
   class RedirectException < RuntimeError
@@ -56,8 +88,22 @@ def initialize(url, endpoint)
       @url = url
       @endpoint = endpoint
     end
+
+    def update_result(result)
+      result.wait!
+      result.wait_at_endpoint = endpoint
+      result.redirect_to_url = url
+    end
   end
 
   class MetadataException < RuntimeError
   end
 end
+
+# monkey patch this exception from fhir_client
+class ClientException
+  def update_result(result)
+    result.fail!
+    result.message = message
+  end
+end
diff --git a/test/unit/exceptions_test.rb b/test/unit/exceptions_test.rb
new file mode 100644
index 000000000..acaa7fb26
--- /dev/null
+++ b/test/unit/exceptions_test.rb
@@ -0,0 +1,121 @@
+# frozen_string_literal: true
+
+require File.expand_path '../test_helper.rb', __dir__
+
+describe Inferno::AssertionException do
+  describe '#update_result' do
+    it 'fails the test and sets message and details' do
+      message = 'MESSAGE'
+      details = 'DETAILS'
+      result = Inferno::Models::TestResult.new
+
+      Inferno::AssertionException.new(message, details).update_result(result)
+
+      assert result.fail?
+      assert result.message == message
+      assert result.details == details
+    end
+  end
+end
+
+describe Inferno::SkipException do
+  describe '#update_result' do
+    it 'skips the test and sets message and details' do
+      message = 'MESSAGE'
+      details = 'DETAILS'
+      result = Inferno::Models::TestResult.new
+
+      Inferno::SkipException.new(message, details).update_result(result)
+
+      assert result.skip?
+      assert result.message == message
+      assert result.details == details
+    end
+  end
+end
+
+describe Inferno::TodoException do
+  describe '#update_result' do
+    it 'todos the test and sets message' do
+      message = 'MESSAGE'
+      result = Inferno::Models::TestResult.new
+
+      Inferno::TodoException.new(message).update_result(result)
+
+      assert result.todo?
+      assert result.message == message
+    end
+  end
+end
+
+describe Inferno::PassException do
+  describe '#update_result' do
+    it 'passes the test and sets message' do
+      message = 'MESSAGE'
+      result = Inferno::Models::TestResult.new
+
+      Inferno::PassException.new(message).update_result(result)
+
+      assert result.pass?
+      assert result.message == message
+    end
+  end
+end
+
+describe Inferno::OmitException do
+  describe '#update_result' do
+    it 'omits the test and sets message' do
+      message = 'MESSAGE'
+      result = Inferno::Models::TestResult.new
+
+      Inferno::OmitException.new(message).update_result(result)
+
+      assert result.omit?
+      assert result.message == message
+    end
+  end
+end
+
+describe Inferno::WaitException do
+  describe '#update_result' do
+    it 'waits and sets endpoint' do
+      endpoint = 'ENDPOINT'
+      result = Inferno::Models::TestResult.new
+
+      Inferno::WaitException.new(endpoint).update_result(result)
+
+      assert result.wait?
+      assert result.wait_at_endpoint == endpoint
+    end
+  end
+end
+
+describe Inferno::RedirectException do
+  describe '#update_result' do
+    it 'waits and sets endpoint and redirection url' do
+      endpoint = 'ENDPOINT'
+      url = 'URL'
+      result = Inferno::Models::TestResult.new
+
+      Inferno::RedirectException.new(url, endpoint).update_result(result)
+
+      assert result.wait?
+      assert result.wait_at_endpoint == endpoint
+      assert result.redirect_to_url == url
+    end
+  end
+end
+
+describe ClientException do
+  describe '#update_result' do
+    it 'fails the test and sets message' do
+      message = 'MESSAGE'
+      result = Inferno::Models::TestResult.new
+
+      ClientException.new(message).update_result(result)
+
+      assert result.fail?
+      assert result.message == message
+    end
+  end
+end

From a17985d1f851fa4f6170b94fa59acfd062f99da2 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Mon, 30 Sep 2019 11:35:56 -0400
Subject: [PATCH 058/144] use instance_exec instead of instance_eval

---
 lib/app/sequence_base.rb | 7 ++-----
 1 file changed, 2 insertions(+), 5 deletions(-)

diff --git a/lib/app/sequence_base.rb b/lib/app/sequence_base.rb
index cefa32c84..8be9ba328 100644
--- a/lib/app/sequence_base.rb
+++ b/lib/app/sequence_base.rb
@@ -166,7 +166,7 @@ def run_tests(inferno_tests)
         inferno_tests.each do |inferno_test|
           @client.requests = [] unless @client.nil?
           LoggedRestClient.clear_log
-          result = instance_eval(&wrap_test(inferno_test))
+          result = instance_exec(&wrap_test(inferno_test))
 
           # Check to see if we are in headless mode and should redirect
 
@@ -365,11 +365,8 @@ def self.test(name, &block)
       end
 
       def wrap_test(test)
-        lambda do |_sequence|
+        lambda do
           @test_warnings = []
-          @links = []
-          @requires = []
-          @validates = []
           Models::TestResult.new(
             test_id: test.id,
             name: test.name,

From 04f756d14cabbfc94c18150d5c80b03a360aa7b6 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Mon, 30 Sep 2019 11:40:12 -0400
Subject: [PATCH 059/144] add ref back

---
 lib/app/models/inferno_test.rb  |  7 ++++++-
 lib/app/sequence_base.rb        |  1 +
 lib/tasks/tasks.rake            |  3 ++-
 test/model/inferno_test_test.rb | 16 +++++++++++++++-
 4 files changed, 24 insertions(+), 3 deletions(-)

diff --git a/lib/app/models/inferno_test.rb b/lib/app/models/inferno_test.rb
index 51b36b275..ebe6a8d44 100644
--- a/lib/app/models/inferno_test.rb
+++ b/lib/app/models/inferno_test.rb
@@ -23,6 +23,10 @@ def link(link = nil)
         @link ||= link
       end
 
+      def ref(ref = nil)
+        @ref ||= ref
+      end
+
       def optional
         @optional = true
       end
@@ -49,7 +53,8 @@ def metadata_hash
           name: name,
           description: desc,
           required: required?,
-          url: link
+          url: link,
+          ref: ref
         }
       end
 
diff --git a/lib/app/sequence_base.rb b/lib/app/sequence_base.rb
index 8be9ba328..baf413215 100644
--- a/lib/app/sequence_base.rb
+++ b/lib/app/sequence_base.rb
@@ -370,6 +370,7 @@ def wrap_test(test)
           Models::TestResult.new(
             test_id: test.id,
             name: test.name,
+            ref: test.ref,
             required: !test.optional?,
             description: test.desc,
             url: test.link,
diff --git a/lib/tasks/tasks.rake b/lib/tasks/tasks.rake
index 2afef5137..566f66455 100644
--- a/lib/tasks/tasks.rake
+++ b/lib/tasks/tasks.rake
@@ -184,10 +184,11 @@ namespace :inferno do |_argv|
     csv_out = CSV.generate do |csv|
       csv << ['Version', VERSION, 'Generated', Time.now]
       csv << ['', '', '', '', '']
-      csv << ['Test ID', 'Sequence/Group', 'Test Name', 'Required?', 'Reference URI']
+      csv << ['Test ID', 'Reference', 'Sequence/Group', 'Test Name', 'Required?', 'Reference URI']
       flat_tests.each do |test|
         csv << [
           test[:test_id],
+          test[:ref],
           test[:sequence].split('::').last,
           test[:name],
           test[:sequence_required] && test[:required],
diff --git a/test/model/inferno_test_test.rb b/test/model/inferno_test_test.rb
index 1dbfac68f..c111b47bf 100644
--- a/test/model/inferno_test_test.rb
+++ b/test/model/inferno_test_test.rb
@@ -10,6 +10,7 @@
   PREFIX = 'PREFIX'
   TEST_ID = 123
   LINK = 'LINK'
+  REF = 'REF'
   DESCRIPTION = 'DESCRIPTION'
 
   before do
@@ -44,6 +45,17 @@
     end
   end
 
+  describe '#ref' do
+    it 'returns nil if no ref has been set' do
+      assert @base_test.ref.nil?
+    end
+
+    it 'sets and returns the ref' do
+      @base_test.ref(REF)
+      assert @base_test.ref == REF
+    end
+  end
+
   describe '#desc' do
     it 'returns nil if no description has been set' do
       assert @base_test.desc.nil?
@@ -95,12 +107,14 @@
       @base_test.id(TEST_ID)
       @base_test.desc(DESCRIPTION)
       @base_test.link(LINK)
+      @base_test.ref(REF)
       assert @base_test.metadata_hash == {
         test_id: "#{PREFIX}-#{TEST_ID}",
         name: NAME,
         description: DESCRIPTION,
         required: true,
-        url: LINK
+        url: LINK,
+        ref: REF
       }
     end
   end

From 4c384f199b9545187c8109e8f37d2ee66cb7fb23 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Tue, 1 Oct 2019 08:03:41 -0400
Subject: [PATCH 060/144] deprecate `desc`

---
 generator/uscore/templates/sequence.rb.erb    |  2 +-
 lib/app/models/inferno_test.rb                |  9 ++++--
 .../pediatric_bmi_for_age_sequence.rb         | 24 +++++++-------
 .../pediatric_weight_for_height_sequence.rb   | 24 +++++++-------
 .../us_core_allergyintolerance_sequence.rb    | 18 +++++------
 .../us_core_careplan_sequence.rb              | 22 ++++++-------
 .../us_core_careteam_sequence.rb              | 16 +++++-----
 .../us_core_condition_sequence.rb             | 24 +++++++-------
 .../uscore_v3.0.0/us_core_device_sequence.rb  | 18 +++++------
 .../us_core_diagnosticreport_lab_sequence.rb  | 30 ++++++++---------
 .../us_core_diagnosticreport_note_sequence.rb | 30 ++++++++---------
 .../us_core_documentreference_sequence.rb     | 30 ++++++++---------
 .../us_core_encounter_sequence.rb             | 28 ++++++++--------
 .../uscore_v3.0.0/us_core_goal_sequence.rb    | 20 ++++++------
 .../us_core_immunization_sequence.rb          | 20 ++++++------
 .../us_core_location_sequence.rb              | 24 +++++++-------
 .../us_core_medication_sequence.rb            | 12 +++----
 .../us_core_medicationrequest_sequence.rb     | 20 ++++++------
 .../us_core_medicationstatement_sequence.rb   | 20 ++++++------
 .../us_core_observation_lab_sequence.rb       | 24 +++++++-------
 .../us_core_organization_sequence.rb          | 18 +++++------
 .../uscore_v3.0.0/us_core_patient_sequence.rb | 28 ++++++++--------
 .../us_core_practitioner_sequence.rb          | 18 +++++------
 .../us_core_practitionerrole_sequence.rb      | 18 +++++------
 .../us_core_procedure_sequence.rb             | 22 ++++++-------
 .../us_core_smokingstatus_sequence.rb         | 24 +++++++-------
 .../pediatric_bmi_for_age_sequence.rb         | 24 +++++++-------
 .../pediatric_weight_for_height_sequence.rb   | 24 +++++++-------
 .../us_core_allergyintolerance_sequence.rb    | 18 +++++------
 .../us_core_careplan_sequence.rb              | 22 ++++++-------
 .../us_core_careteam_sequence.rb              | 16 +++++-----
 .../us_core_condition_sequence.rb             | 24 +++++++-------
 .../us_core_diagnosticreport_lab_sequence.rb  | 32 +++++++++----------
 .../us_core_diagnosticreport_note_sequence.rb | 32 +++++++++----------
 .../us_core_documentreference_sequence.rb     | 30 ++++++++---------
 .../us_core_encounter_sequence.rb             | 28 ++++++++--------
 .../uscore_v3.0.1/us_core_goal_sequence.rb    | 20 ++++++------
 .../us_core_immunization_sequence.rb          | 20 ++++++------
 .../us_core_implantable_device_sequence.rb    | 18 +++++------
 .../us_core_location_sequence.rb              | 24 +++++++-------
 .../us_core_medication_sequence.rb            | 12 +++----
 .../us_core_medicationrequest_sequence.rb     | 22 ++++++-------
 .../us_core_observation_lab_sequence.rb       | 24 +++++++-------
 .../us_core_organization_sequence.rb          | 18 +++++------
 .../uscore_v3.0.1/us_core_patient_sequence.rb | 28 ++++++++--------
 .../us_core_practitioner_sequence.rb          | 18 +++++------
 .../us_core_practitionerrole_sequence.rb      | 18 +++++------
 .../us_core_procedure_sequence.rb             | 22 ++++++-------
 .../us_core_provenance_sequence.rb            | 12 +++----
 .../us_core_pulse_oximetry_sequence.rb        | 24 +++++++-------
 .../us_core_smokingstatus_sequence.rb         | 24 +++++++-------
 51 files changed, 551 insertions(+), 546 deletions(-)

diff --git a/generator/uscore/templates/sequence.rb.erb b/generator/uscore/templates/sequence.rb.erb
index f5acb5942..0d0bfb1ad 100644
--- a/generator/uscore/templates/sequence.rb.erb
+++ b/generator/uscore/templates/sequence.rb.erb
@@ -26,7 +26,7 @@ module Inferno
           id '<%=format('%02d', test[:index])%>'
           link '<%=test[:link]%>'<%if test[:optional]%>
           optional<%end%>
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/models/inferno_test.rb b/lib/app/models/inferno_test.rb
index ebe6a8d44..e3bf9f26d 100644
--- a/lib/app/models/inferno_test.rb
+++ b/lib/app/models/inferno_test.rb
@@ -39,8 +39,13 @@ def required?
         !optional?
       end
 
-      def desc(description = nil)
-        @desc ||= description
+      def description(description = nil)
+        @description ||= description
+      end
+
+      def desc(desc = nil)
+        Inferno.logger.warn "'desc' has been deprecated. Use 'description' instead. Called from #{caller.first}"
+        description(desc)
       end
 
       def versions(*versions)
diff --git a/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb b/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb
index f77a21f02..e916e7415 100644
--- a/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb
@@ -52,7 +52,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -71,7 +71,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -98,7 +98,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -120,7 +120,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -152,7 +152,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -184,7 +184,7 @@ def validate_resource_item(resource, property, value)
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -207,7 +207,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -222,7 +222,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -237,7 +237,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -252,7 +252,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -265,7 +265,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -319,7 +319,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '12'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb b/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb
index 251029dc7..fd6466d08 100644
--- a/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb
@@ -52,7 +52,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -71,7 +71,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -98,7 +98,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -120,7 +120,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -152,7 +152,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -184,7 +184,7 @@ def validate_resource_item(resource, property, value)
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -207,7 +207,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -222,7 +222,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -237,7 +237,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -252,7 +252,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -265,7 +265,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -319,7 +319,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '12'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb
index 6bf987ff7..1a7507db0 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb
@@ -38,7 +38,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -59,7 +59,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -89,7 +89,7 @@ def validate_resource_item(resource, property, value)
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -111,7 +111,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -126,7 +126,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -141,7 +141,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -156,7 +156,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -169,7 +169,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -199,7 +199,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb
index 1cfd626bc..99b1292d7 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb
@@ -48,7 +48,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -67,7 +67,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -95,7 +95,7 @@ def validate_resource_item(resource, property, value)
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -119,7 +119,7 @@ def validate_resource_item(resource, property, value)
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -152,7 +152,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -183,7 +183,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -198,7 +198,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -213,7 +213,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -228,7 +228,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -241,7 +241,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -274,7 +274,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb
index c785d7c3b..ae895f3cd 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_careteam_sequence.rb
@@ -38,7 +38,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -57,7 +57,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -84,7 +84,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -99,7 +99,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -114,7 +114,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -129,7 +129,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -142,7 +142,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -173,7 +173,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb
index e7ba1fab7..4702f04cb 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb
@@ -52,7 +52,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -73,7 +73,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -103,7 +103,7 @@ def validate_resource_item(resource, property, value)
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -134,7 +134,7 @@ def validate_resource_item(resource, property, value)
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -157,7 +157,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -180,7 +180,7 @@ def validate_resource_item(resource, property, value)
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -202,7 +202,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -217,7 +217,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -232,7 +232,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -247,7 +247,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -260,7 +260,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -291,7 +291,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '12'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb
index 8903c896a..d1087bf0a 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb
@@ -38,7 +38,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -59,7 +59,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -89,7 +89,7 @@ def validate_resource_item(resource, property, value)
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -111,7 +111,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -126,7 +126,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -141,7 +141,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -156,7 +156,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-device'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -169,7 +169,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -200,7 +200,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb
index 9c8eccae0..7f281c77d 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb
@@ -52,7 +52,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -71,7 +71,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -98,7 +98,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -120,7 +120,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -152,7 +152,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -184,7 +184,7 @@ def validate_resource_item(resource, property, value)
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -207,7 +207,7 @@ def validate_resource_item(resource, property, value)
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -227,7 +227,7 @@ def validate_resource_item(resource, property, value)
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -258,7 +258,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -273,7 +273,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -288,7 +288,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -303,7 +303,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '12'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -318,7 +318,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '13'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -331,7 +331,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '14'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -368,7 +368,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '15'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb
index be19d9394..6ef23645f 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb
@@ -52,7 +52,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -71,7 +71,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -98,7 +98,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -120,7 +120,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -152,7 +152,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -184,7 +184,7 @@ def validate_resource_item(resource, property, value)
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -207,7 +207,7 @@ def validate_resource_item(resource, property, value)
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -227,7 +227,7 @@ def validate_resource_item(resource, property, value)
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -258,7 +258,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -273,7 +273,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -288,7 +288,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -303,7 +303,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '12'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -318,7 +318,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '13'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -331,7 +331,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '14'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -368,7 +368,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '15'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb
index 9ef7cf8fd..f7caf2632 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb
@@ -60,7 +60,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -81,7 +81,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -110,7 +110,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -131,7 +131,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -153,7 +153,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -176,7 +176,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -199,7 +199,7 @@ def validate_resource_item(resource, property, value)
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -222,7 +222,7 @@ def validate_resource_item(resource, property, value)
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -253,7 +253,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -268,7 +268,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -283,7 +283,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -298,7 +298,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '12'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -313,7 +313,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '13'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -326,7 +326,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '14'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -369,7 +369,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '15'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb
index 5c9b2f7de..ff560b02a 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb
@@ -60,7 +60,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -81,7 +81,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -110,7 +110,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -131,7 +131,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -162,7 +162,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -184,7 +184,7 @@ def validate_resource_item(resource, property, value)
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -207,7 +207,7 @@ def validate_resource_item(resource, property, value)
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -230,7 +230,7 @@ def validate_resource_item(resource, property, value)
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -252,7 +252,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -267,7 +267,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -282,7 +282,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -297,7 +297,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '12'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -310,7 +310,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '13'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -353,7 +353,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '14'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb
index 9c66d0fcd..857ca8a28 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb
@@ -44,7 +44,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -65,7 +65,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -95,7 +95,7 @@ def validate_resource_item(resource, property, value)
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -126,7 +126,7 @@ def validate_resource_item(resource, property, value)
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -148,7 +148,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -163,7 +163,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -178,7 +178,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -193,7 +193,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -206,7 +206,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -238,7 +238,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb
index db92e0de1..56bf864c3 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb
@@ -44,7 +44,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -65,7 +65,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -95,7 +95,7 @@ def validate_resource_item(resource, property, value)
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -126,7 +126,7 @@ def validate_resource_item(resource, property, value)
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -148,7 +148,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -163,7 +163,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -178,7 +178,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -193,7 +193,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -206,7 +206,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -239,7 +239,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
index 77f64aabc..d78a2e3e1 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
@@ -51,7 +51,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -66,7 +66,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -87,7 +87,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -116,7 +116,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -138,7 +138,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -160,7 +160,7 @@ def validate_resource_item(resource, property, value)
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -182,7 +182,7 @@ def validate_resource_item(resource, property, value)
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -203,7 +203,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -218,7 +218,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -233,7 +233,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-location'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -246,7 +246,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -281,7 +281,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '12'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_medication_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_medication_sequence.rb
index 55183da59..4ed9e70cf 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_medication_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_medication_sequence.rb
@@ -25,7 +25,7 @@ class USCore300MedicationSequence < SequenceBase
         metadata do
           id '01'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -40,7 +40,7 @@ class USCore300MedicationSequence < SequenceBase
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -55,7 +55,7 @@ class USCore300MedicationSequence < SequenceBase
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -70,7 +70,7 @@ class USCore300MedicationSequence < SequenceBase
         metadata do
           id '04'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -83,7 +83,7 @@ class USCore300MedicationSequence < SequenceBase
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -110,7 +110,7 @@ class USCore300MedicationSequence < SequenceBase
         metadata do
           id '06'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb
index fa9194bbb..755f5c7ff 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb
@@ -42,7 +42,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -63,7 +63,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -92,7 +92,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -115,7 +115,7 @@ def validate_resource_item(resource, property, value)
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -137,7 +137,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -152,7 +152,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -167,7 +167,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -182,7 +182,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -195,7 +195,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -229,7 +229,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb
index f1a47a799..e63dd9c41 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb
@@ -44,7 +44,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -65,7 +65,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -95,7 +95,7 @@ def validate_resource_item(resource, property, value)
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -126,7 +126,7 @@ def validate_resource_item(resource, property, value)
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -148,7 +148,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -163,7 +163,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -178,7 +178,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -193,7 +193,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationstatement'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -206,7 +206,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -240,7 +240,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb
index 558c12a57..f0ec1925c 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb
@@ -52,7 +52,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -71,7 +71,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -98,7 +98,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -120,7 +120,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -152,7 +152,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -184,7 +184,7 @@ def validate_resource_item(resource, property, value)
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -207,7 +207,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -222,7 +222,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -237,7 +237,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -252,7 +252,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -265,7 +265,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -309,7 +309,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '12'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
index 28dfa4781..6ab5f477b 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
@@ -39,7 +39,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -54,7 +54,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -75,7 +75,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -104,7 +104,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -125,7 +125,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -140,7 +140,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -155,7 +155,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -168,7 +168,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -206,7 +206,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb
index 36bc590c1..3020db678 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb
@@ -67,7 +67,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -86,7 +86,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -113,7 +113,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -134,7 +134,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -155,7 +155,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -177,7 +177,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -200,7 +200,7 @@ def validate_resource_item(resource, property, value)
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -223,7 +223,7 @@ def validate_resource_item(resource, property, value)
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -245,7 +245,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -260,7 +260,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -275,7 +275,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -290,7 +290,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '12'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -303,7 +303,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '13'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -361,7 +361,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '14'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
index 60a43507f..31c9e8f1c 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
@@ -46,7 +46,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -61,7 +61,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -82,7 +82,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -111,7 +111,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -132,7 +132,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -147,7 +147,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -162,7 +162,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -175,7 +175,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -208,7 +208,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
index 03569dd5d..bfe661681 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
@@ -39,7 +39,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -54,7 +54,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -75,7 +75,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -104,7 +104,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -125,7 +125,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -140,7 +140,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -155,7 +155,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -168,7 +168,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -203,7 +203,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
index 76b2c395e..4681dfd12 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
@@ -48,7 +48,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -69,7 +69,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -98,7 +98,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -129,7 +129,7 @@ def validate_resource_item(resource, property, value)
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -161,7 +161,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -183,7 +183,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -198,7 +198,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -213,7 +213,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -228,7 +228,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -241,7 +241,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -272,7 +272,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb
index 431d55796..74b63c412 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb
@@ -52,7 +52,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -71,7 +71,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -98,7 +98,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -120,7 +120,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -152,7 +152,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -184,7 +184,7 @@ def validate_resource_item(resource, property, value)
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -207,7 +207,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -222,7 +222,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -237,7 +237,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -252,7 +252,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -265,7 +265,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -296,7 +296,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '12'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb b/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb
index b16278be5..980d17749 100644
--- a/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb
@@ -52,7 +52,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -71,7 +71,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -98,7 +98,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -121,7 +121,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -144,7 +144,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -168,7 +168,7 @@ def validate_resource_item(resource, property, value)
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -191,7 +191,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -206,7 +206,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -221,7 +221,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -236,7 +236,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -249,7 +249,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -304,7 +304,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '12'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb b/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb
index dc2e82453..a2c58359b 100644
--- a/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb
@@ -52,7 +52,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -71,7 +71,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -98,7 +98,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -121,7 +121,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -144,7 +144,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -168,7 +168,7 @@ def validate_resource_item(resource, property, value)
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -191,7 +191,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -206,7 +206,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -221,7 +221,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -236,7 +236,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -249,7 +249,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -304,7 +304,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '12'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb
index 6e8bc3523..ae424d4bd 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb
@@ -38,7 +38,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -59,7 +59,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -89,7 +89,7 @@ def validate_resource_item(resource, property, value)
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -111,7 +111,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -126,7 +126,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -141,7 +141,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -156,7 +156,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -169,7 +169,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -199,7 +199,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb
index 1404adaa1..cc04ed95a 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb
@@ -48,7 +48,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -67,7 +67,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -95,7 +95,7 @@ def validate_resource_item(resource, property, value)
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -119,7 +119,7 @@ def validate_resource_item(resource, property, value)
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -151,7 +151,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -183,7 +183,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -198,7 +198,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -213,7 +213,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -228,7 +228,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -241,7 +241,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -274,7 +274,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb
index 824e60d02..262f8d66d 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_careteam_sequence.rb
@@ -38,7 +38,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -57,7 +57,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -84,7 +84,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -99,7 +99,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -114,7 +114,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -129,7 +129,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -142,7 +142,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -173,7 +173,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb
index 5b30c1a96..47142a509 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb
@@ -52,7 +52,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -73,7 +73,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -103,7 +103,7 @@ def validate_resource_item(resource, property, value)
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -126,7 +126,7 @@ def validate_resource_item(resource, property, value)
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -157,7 +157,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -180,7 +180,7 @@ def validate_resource_item(resource, property, value)
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -202,7 +202,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -217,7 +217,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -232,7 +232,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -247,7 +247,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -260,7 +260,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -291,7 +291,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '12'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb
index a2fc46a9e..bf3b8956f 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb
@@ -52,7 +52,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -71,7 +71,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -98,7 +98,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -119,7 +119,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -141,7 +141,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -173,7 +173,7 @@ def validate_resource_item(resource, property, value)
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -205,7 +205,7 @@ def validate_resource_item(resource, property, value)
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -228,7 +228,7 @@ def validate_resource_item(resource, property, value)
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -248,7 +248,7 @@ def validate_resource_item(resource, property, value)
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -279,7 +279,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -294,7 +294,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -309,7 +309,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '12'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -324,7 +324,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '13'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -339,7 +339,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '14'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -352,7 +352,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '15'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -390,7 +390,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '16'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb
index 79917f7c4..8cf6d1d0b 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb
@@ -52,7 +52,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -71,7 +71,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -98,7 +98,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -119,7 +119,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -141,7 +141,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -173,7 +173,7 @@ def validate_resource_item(resource, property, value)
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -205,7 +205,7 @@ def validate_resource_item(resource, property, value)
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -228,7 +228,7 @@ def validate_resource_item(resource, property, value)
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -248,7 +248,7 @@ def validate_resource_item(resource, property, value)
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -279,7 +279,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -294,7 +294,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -309,7 +309,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '12'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -324,7 +324,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '13'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -339,7 +339,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '14'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -352,7 +352,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '15'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -389,7 +389,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '16'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb
index cabc811ca..93e6e6aa3 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb
@@ -60,7 +60,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -81,7 +81,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -110,7 +110,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -131,7 +131,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -154,7 +154,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -176,7 +176,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -199,7 +199,7 @@ def validate_resource_item(resource, property, value)
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -222,7 +222,7 @@ def validate_resource_item(resource, property, value)
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -245,7 +245,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -260,7 +260,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -275,7 +275,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -290,7 +290,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '12'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -305,7 +305,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '13'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -318,7 +318,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '14'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -361,7 +361,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '15'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb
index a00dc8947..be156bd3d 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb
@@ -60,7 +60,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -81,7 +81,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -110,7 +110,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -131,7 +131,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -162,7 +162,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -184,7 +184,7 @@ def validate_resource_item(resource, property, value)
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -207,7 +207,7 @@ def validate_resource_item(resource, property, value)
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -230,7 +230,7 @@ def validate_resource_item(resource, property, value)
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -252,7 +252,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -267,7 +267,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -282,7 +282,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -297,7 +297,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '12'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -310,7 +310,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '13'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -353,7 +353,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '14'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb
index 216afa40a..d0454d0ba 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb
@@ -44,7 +44,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -65,7 +65,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -95,7 +95,7 @@ def validate_resource_item(resource, property, value)
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -126,7 +126,7 @@ def validate_resource_item(resource, property, value)
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -148,7 +148,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -163,7 +163,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -178,7 +178,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -193,7 +193,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -206,7 +206,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -237,7 +237,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb
index 40cb64623..5a92d26e8 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb
@@ -44,7 +44,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -65,7 +65,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -95,7 +95,7 @@ def validate_resource_item(resource, property, value)
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -118,7 +118,7 @@ def validate_resource_item(resource, property, value)
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -148,7 +148,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -163,7 +163,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -178,7 +178,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -193,7 +193,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -206,7 +206,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -239,7 +239,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb
index ed34b1beb..d79c1548c 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb
@@ -38,7 +38,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -59,7 +59,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -89,7 +89,7 @@ def validate_resource_item(resource, property, value)
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -111,7 +111,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -126,7 +126,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -141,7 +141,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -156,7 +156,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -169,7 +169,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -206,7 +206,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
index adece7a5e..e7f5e433b 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
@@ -51,7 +51,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -66,7 +66,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -87,7 +87,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -116,7 +116,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -138,7 +138,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -160,7 +160,7 @@ def validate_resource_item(resource, property, value)
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -182,7 +182,7 @@ def validate_resource_item(resource, property, value)
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -203,7 +203,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -218,7 +218,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -233,7 +233,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-location'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -246,7 +246,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -281,7 +281,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '12'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_medication_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_medication_sequence.rb
index bfdbeb957..421711bc6 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_medication_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_medication_sequence.rb
@@ -25,7 +25,7 @@ class USCore301MedicationSequence < SequenceBase
         metadata do
           id '01'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -40,7 +40,7 @@ class USCore301MedicationSequence < SequenceBase
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -55,7 +55,7 @@ class USCore301MedicationSequence < SequenceBase
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -70,7 +70,7 @@ class USCore301MedicationSequence < SequenceBase
         metadata do
           id '04'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -83,7 +83,7 @@ class USCore301MedicationSequence < SequenceBase
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -110,7 +110,7 @@ class USCore301MedicationSequence < SequenceBase
         metadata do
           id '06'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb
index 64fb76520..436375773 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb
@@ -50,7 +50,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -72,7 +72,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -102,7 +102,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -126,7 +126,7 @@ def validate_resource_item(resource, property, value)
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -150,7 +150,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -173,7 +173,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -188,7 +188,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -203,7 +203,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -218,7 +218,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -231,7 +231,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -269,7 +269,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb
index f4f287ca7..95ae8bbe9 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb
@@ -52,7 +52,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -71,7 +71,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -98,7 +98,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -120,7 +120,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -144,7 +144,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -168,7 +168,7 @@ def validate_resource_item(resource, property, value)
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -191,7 +191,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -206,7 +206,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -221,7 +221,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -236,7 +236,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -249,7 +249,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -294,7 +294,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '12'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
index 79a8a4749..04f1c7969 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
@@ -39,7 +39,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -54,7 +54,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -75,7 +75,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -104,7 +104,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -125,7 +125,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -140,7 +140,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -155,7 +155,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -168,7 +168,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -209,7 +209,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb
index 57e2fc64f..f2c2ed687 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb
@@ -67,7 +67,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -86,7 +86,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -113,7 +113,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -134,7 +134,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -155,7 +155,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -177,7 +177,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -200,7 +200,7 @@ def validate_resource_item(resource, property, value)
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -223,7 +223,7 @@ def validate_resource_item(resource, property, value)
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -245,7 +245,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -260,7 +260,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -275,7 +275,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -290,7 +290,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '12'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -303,7 +303,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '13'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -363,7 +363,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '14'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
index 99906fd07..4bc0b4298 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
@@ -46,7 +46,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -61,7 +61,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -82,7 +82,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -111,7 +111,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -132,7 +132,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -147,7 +147,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -162,7 +162,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -175,7 +175,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -207,7 +207,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
index 108d1676a..2f5094a97 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
@@ -39,7 +39,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -54,7 +54,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -75,7 +75,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -104,7 +104,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -125,7 +125,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -140,7 +140,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -155,7 +155,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -168,7 +168,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -203,7 +203,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
index c28b38b9d..014798445 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
@@ -48,7 +48,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -69,7 +69,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -98,7 +98,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -121,7 +121,7 @@ def validate_resource_item(resource, property, value)
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -145,7 +145,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -167,7 +167,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -182,7 +182,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -197,7 +197,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -212,7 +212,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -225,7 +225,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -256,7 +256,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_provenance_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_provenance_sequence.rb
index fe6f99a5d..1a9195396 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_provenance_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_provenance_sequence.rb
@@ -25,7 +25,7 @@ class USCore301ProvenanceSequence < SequenceBase
         metadata do
           id '01'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -40,7 +40,7 @@ class USCore301ProvenanceSequence < SequenceBase
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -55,7 +55,7 @@ class USCore301ProvenanceSequence < SequenceBase
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -70,7 +70,7 @@ class USCore301ProvenanceSequence < SequenceBase
         metadata do
           id '04'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-provenance'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -83,7 +83,7 @@ class USCore301ProvenanceSequence < SequenceBase
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -119,7 +119,7 @@ class USCore301ProvenanceSequence < SequenceBase
         metadata do
           id '06'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
index b216ee97c..39879ed9a 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
@@ -52,7 +52,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -74,7 +74,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -104,7 +104,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -127,7 +127,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -150,7 +150,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -174,7 +174,7 @@ def validate_resource_item(resource, property, value)
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -197,7 +197,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -212,7 +212,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -227,7 +227,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -242,7 +242,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -255,7 +255,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -431,7 +431,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '12'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb
index 53fc9c996..16bfdf090 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb
@@ -52,7 +52,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -71,7 +71,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -98,7 +98,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -121,7 +121,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -144,7 +144,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -168,7 +168,7 @@ def validate_resource_item(resource, property, value)
           id '06'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
           optional
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -191,7 +191,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -206,7 +206,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -221,7 +221,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -236,7 +236,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -249,7 +249,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html/#must-support'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -280,7 +280,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '12'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
           )
           versions :r4
         end

From a9004ff6556a31596da794a1662aaac3a355fd66 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Tue, 1 Oct 2019 08:14:55 -0400
Subject: [PATCH 061/144] fix test details view

---
 lib/app/endpoint/home.rb       |  4 ++--
 lib/app/models/inferno_test.rb |  2 +-
 lib/app/views/test_details.erb | 17 +++++------------
 3 files changed, 8 insertions(+), 15 deletions(-)

diff --git a/lib/app/endpoint/home.rb b/lib/app/endpoint/home.rb
index 3dd157a3f..cdd870d70 100644
--- a/lib/app/endpoint/home.rb
+++ b/lib/app/endpoint/home.rb
@@ -79,8 +79,8 @@ class Home < Endpoint
             x.sequence_name == params[:sequence_name]
           end
           halt 404 unless sequence
-          @test_metadata = sequence.tests[params[:test_index].to_i]
-          halt 404 unless @test_metadata
+          @test = sequence.tests[params[:test_index].to_i]
+          halt 404 unless @test.present?
           erb :test_details, layout: false
         end
 
diff --git a/lib/app/models/inferno_test.rb b/lib/app/models/inferno_test.rb
index e3bf9f26d..501dcaf47 100644
--- a/lib/app/models/inferno_test.rb
+++ b/lib/app/models/inferno_test.rb
@@ -56,7 +56,7 @@ def metadata_hash
         {
           test_id: id,
           name: name,
-          description: desc,
+          description: description,
           required: required?,
           url: link,
           ref: ref
diff --git a/lib/app/views/test_details.erb b/lib/app/views/test_details.erb
index 847df9084..b3587397c 100644
--- a/lib/app/views/test_details.erb
+++ b/lib/app/views/test_details.erb
@@ -1,7 +1,7 @@
 <div class="modal-header">
   <h5 class="modal-title" id="exampleModalLabel">
-    <%=@test_metadata[:test_id] %>:
-    Test Details: <%=@test_metadata[:name] %>
+    <%=@test.id %>:
+    Test Details: <%=@test.name %>
   </h5>
   <button type="button" class="close" data-dismiss="modal" aria-label="Close">
     <span aria-hidden="true">&times;</span>
@@ -10,19 +10,12 @@
 <div class="modal-body">
   <div class="test-result-details">
 
-    <% unless @test_metadata[:description].nil? %>
+    <% if @test.description.present? %>
       <div class="test-result-details-description">
-        <%= markdown_to_html(@test_metadata[:description]) %>
-        <a class="test-result-details-url"target="_blank" href="<%= @test_metadata[:url] %>"><%= @test_metadata[:url] %></a>
-      </div>
-    <% end %>
-
-    <% unless @test_metadata[:details].nil? %>
-      <div class="test-result-details-details">
-        <%= markdown_to_html(@test_metadata[:details]) %>
+        <%= markdown_to_html(@test.description) %>
+        <a class="test-result-details-url"target="_blank" href="<%= @test.link %>"><%= @test.link %></a>
       </div>
     <% end %>
   </div>
-
 </div>
 

From aafe1e9ff1592cb54653606ac43505c7b1e6793c Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Tue, 1 Oct 2019 08:22:19 -0400
Subject: [PATCH 062/144] set generated us core sequences as generated in
 gitattributes

---
 .gitattributes | 1 +
 1 file changed, 1 insertion(+)
 create mode 100644 .gitattributes

diff --git a/.gitattributes b/.gitattributes
new file mode 100644
index 000000000..b5ca975e3
--- /dev/null
+++ b/.gitattributes
@@ -0,0 +1 @@
+lib/app/modules/uscore_v*/* linguist-generated=true

From 3fcf6e67422a89672582d2fea98d9996698202fe Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Tue, 1 Oct 2019 08:24:24 -0400
Subject: [PATCH 063/144] fix caller linting error

---
 lib/app/models/inferno_test.rb | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/lib/app/models/inferno_test.rb b/lib/app/models/inferno_test.rb
index 501dcaf47..c5f89cc57 100644
--- a/lib/app/models/inferno_test.rb
+++ b/lib/app/models/inferno_test.rb
@@ -44,7 +44,7 @@ def description(description = nil)
       end
 
       def desc(desc = nil)
-        Inferno.logger.warn "'desc' has been deprecated. Use 'description' instead. Called from #{caller.first}"
+        Inferno.logger.warn "'desc' has been deprecated. Use 'description' instead. Called from #{caller(0..0).first}"
         description(desc)
       end
 

From 26df3aa737223a0fcb9bc5a38bd9b665e18d3eef Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Tue, 1 Oct 2019 08:26:30 -0400
Subject: [PATCH 064/144] rename InfernoTest to Test

---
 lib/app/models/inferno_test.rb                    |  2 +-
 lib/app/sequence_base.rb                          |  4 ++--
 test/model/{inferno_test_test.rb => test_test.rb} | 10 +++++-----
 3 files changed, 8 insertions(+), 8 deletions(-)
 rename test/model/{inferno_test_test.rb => test_test.rb} (91%)

diff --git a/lib/app/models/inferno_test.rb b/lib/app/models/inferno_test.rb
index c5f89cc57..ecde8fb66 100644
--- a/lib/app/models/inferno_test.rb
+++ b/lib/app/models/inferno_test.rb
@@ -2,7 +2,7 @@
 
 module Inferno
   module Sequence
-    class InfernoTest
+    class Test
       attr_reader :name, :index, :id_prefix, :test_block
 
       def initialize(name, index, id_prefix, &test_block)
diff --git a/lib/app/sequence_base.rb b/lib/app/sequence_base.rb
index baf413215..162d7034e 100644
--- a/lib/app/sequence_base.rb
+++ b/lib/app/sequence_base.rb
@@ -361,7 +361,7 @@ def self.extends_sequence(klass)
       def self.test(name, &block)
         @@test_index += 1
 
-        tests << InfernoTest.new(name, @@test_index, @@test_id_prefixes[sequence_name], &block)
+        tests << Test.new(name, @@test_index, @@test_id_prefixes[sequence_name], &block)
       end
 
       def wrap_test(test)
@@ -400,7 +400,7 @@ def wrap_test(test)
         end
       end
 
-      # Metadata loading is handled by InfernoTest
+      # Metadata loading is handled by Test
       def metadata; end
 
       def todo(message = '')
diff --git a/test/model/inferno_test_test.rb b/test/model/test_test.rb
similarity index 91%
rename from test/model/inferno_test_test.rb
rename to test/model/test_test.rb
index c111b47bf..0759fb086 100644
--- a/test/model/inferno_test_test.rb
+++ b/test/model/test_test.rb
@@ -2,9 +2,9 @@
 
 require File.expand_path '../test_helper.rb', __dir__
 
-InfernoTest = Inferno::Sequence::InfernoTest
+Test = Inferno::Sequence::Test
 
-describe InfernoTest do
+describe Test do
   NAME = 'NAME'
   INDEX = 1
   PREFIX = 'PREFIX'
@@ -14,12 +14,12 @@
   DESCRIPTION = 'DESCRIPTION'
 
   before do
-    @base_test = InfernoTest.new(NAME, INDEX, PREFIX, &proc {})
+    @base_test = Test.new(NAME, INDEX, PREFIX, &proc {})
   end
 
   describe '.initialize' do
-    it 'creates an InfernoTest instance' do
-      assert @base_test.instance_of? InfernoTest
+    it 'creates an Test instance' do
+      assert @base_test.instance_of? Test
     end
   end
 

From b4c055d12572ea9fe2d207379082725fbf6459b5 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Tue, 1 Oct 2019 15:01:46 -0400
Subject: [PATCH 065/144] rename test model file

---
 lib/app/models/{inferno_test.rb => test.rb} | 0
 1 file changed, 0 insertions(+), 0 deletions(-)
 rename lib/app/models/{inferno_test.rb => test.rb} (100%)

diff --git a/lib/app/models/inferno_test.rb b/lib/app/models/test.rb
similarity index 100%
rename from lib/app/models/inferno_test.rb
rename to lib/app/models/test.rb

From ee70b418b2d015fe994a50f8611b065a214c6479 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Wed, 2 Oct 2019 09:09:19 -0400
Subject: [PATCH 066/144] fix require path

---
 lib/app/sequence_base.rb | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/lib/app/sequence_base.rb b/lib/app/sequence_base.rb
index 162d7034e..91652a992 100644
--- a/lib/app/sequence_base.rb
+++ b/lib/app/sequence_base.rb
@@ -12,7 +12,7 @@
 require_relative 'utils/result_statuses'
 require_relative 'utils/search_validation'
 require_relative 'models/testing_instance'
-require_relative 'models/inferno_test'
+require_relative 'models/test'
 
 require 'bloomer'
 require 'bloomer/msgpackable'

From ea033f015ed23a20e9006050c8cfe784bf5b66f2 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <Jammjammjamm@users.noreply.github.com>
Date: Thu, 3 Oct 2019 07:39:39 -0400
Subject: [PATCH 067/144] update deprecation warning

Co-Authored-By: Rob Scanlon <robscanlon@gmail.com>
---
 lib/app/models/test.rb | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/lib/app/models/test.rb b/lib/app/models/test.rb
index ecde8fb66..8a4b4ee75 100644
--- a/lib/app/models/test.rb
+++ b/lib/app/models/test.rb
@@ -44,7 +44,7 @@ def description(description = nil)
       end
 
       def desc(desc = nil)
-        Inferno.logger.warn "'desc' has been deprecated. Use 'description' instead. Called from #{caller(0..0).first}"
+        Inferno.logger.warn "Use of 'desc' in test metadata has been deprecated. Use 'description' instead. Called from #{caller(1..1).first}"
         description(desc)
       end
 

From da25add77de4c7e24035a4c61172a987efa4a263 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Thu, 3 Oct 2019 07:40:50 -0400
Subject: [PATCH 068/144] revert InfernoTest rename

---
 lib/app/models/{test.rb => inferno_test.rb}       |  2 +-
 lib/app/sequence_base.rb                          |  6 +++---
 test/model/{test_test.rb => inferno_test_test.rb} | 10 +++++-----
 3 files changed, 9 insertions(+), 9 deletions(-)
 rename lib/app/models/{test.rb => inferno_test.rb} (98%)
 rename test/model/{test_test.rb => inferno_test_test.rb} (91%)

diff --git a/lib/app/models/test.rb b/lib/app/models/inferno_test.rb
similarity index 98%
rename from lib/app/models/test.rb
rename to lib/app/models/inferno_test.rb
index 8a4b4ee75..1b6b344fc 100644
--- a/lib/app/models/test.rb
+++ b/lib/app/models/inferno_test.rb
@@ -2,7 +2,7 @@
 
 module Inferno
   module Sequence
-    class Test
+    class InfernoTest
       attr_reader :name, :index, :id_prefix, :test_block
 
       def initialize(name, index, id_prefix, &test_block)
diff --git a/lib/app/sequence_base.rb b/lib/app/sequence_base.rb
index 91652a992..baf413215 100644
--- a/lib/app/sequence_base.rb
+++ b/lib/app/sequence_base.rb
@@ -12,7 +12,7 @@
 require_relative 'utils/result_statuses'
 require_relative 'utils/search_validation'
 require_relative 'models/testing_instance'
-require_relative 'models/test'
+require_relative 'models/inferno_test'
 
 require 'bloomer'
 require 'bloomer/msgpackable'
@@ -361,7 +361,7 @@ def self.extends_sequence(klass)
       def self.test(name, &block)
         @@test_index += 1
 
-        tests << Test.new(name, @@test_index, @@test_id_prefixes[sequence_name], &block)
+        tests << InfernoTest.new(name, @@test_index, @@test_id_prefixes[sequence_name], &block)
       end
 
       def wrap_test(test)
@@ -400,7 +400,7 @@ def wrap_test(test)
         end
       end
 
-      # Metadata loading is handled by Test
+      # Metadata loading is handled by InfernoTest
       def metadata; end
 
       def todo(message = '')
diff --git a/test/model/test_test.rb b/test/model/inferno_test_test.rb
similarity index 91%
rename from test/model/test_test.rb
rename to test/model/inferno_test_test.rb
index 0759fb086..c111b47bf 100644
--- a/test/model/test_test.rb
+++ b/test/model/inferno_test_test.rb
@@ -2,9 +2,9 @@
 
 require File.expand_path '../test_helper.rb', __dir__
 
-Test = Inferno::Sequence::Test
+InfernoTest = Inferno::Sequence::InfernoTest
 
-describe Test do
+describe InfernoTest do
   NAME = 'NAME'
   INDEX = 1
   PREFIX = 'PREFIX'
@@ -14,12 +14,12 @@
   DESCRIPTION = 'DESCRIPTION'
 
   before do
-    @base_test = Test.new(NAME, INDEX, PREFIX, &proc {})
+    @base_test = InfernoTest.new(NAME, INDEX, PREFIX, &proc {})
   end
 
   describe '.initialize' do
-    it 'creates an Test instance' do
-      assert @base_test.instance_of? Test
+    it 'creates an InfernoTest instance' do
+      assert @base_test.instance_of? InfernoTest
     end
   end
 

From 2864d4136f1493a158831a5f83da0b418ecc3f5b Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Thu, 3 Oct 2019 08:09:31 -0400
Subject: [PATCH 069/144] update duplicate id test

---
 test/unit/module_validation_test.rb | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/test/unit/module_validation_test.rb b/test/unit/module_validation_test.rb
index d5c7939e3..c8bf87c65 100644
--- a/test/unit/module_validation_test.rb
+++ b/test/unit/module_validation_test.rb
@@ -14,7 +14,7 @@ def test_no_duplicate_test_ids
     errors = []
     @modules&.each do |inferno_module|
       unique_sequences = inferno_module.sequences.uniq
-      test_ids = unique_sequences.flat_map(&:tests).map { |test| test[:test_id] }
+      test_ids = unique_sequences.flat_map(&:tests).map(&:id)
       duplicate_id = test_ids.detect { |t| test_ids.count(t) > 1 }
       errors << "#{inferno_module.name} (#{duplicate_id})" unless duplicate_id.nil?
     end

From 29bb8e41718dfbaeb33e77533f42a94311af1a86 Mon Sep 17 00:00:00 2001
From: Reece Adamson <41651655+radamson@users.noreply.github.com>
Date: Thu, 3 Oct 2019 08:12:17 -0400
Subject: [PATCH 070/144] Update
 lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb

Co-Authored-By: Stephen MacVicar <Jammjammjamm@users.noreply.github.com>
---
 .../bulk_data/bulk_data_capability_statement_sequence.rb        | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb b/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
index aca4b73c4..b632f4b35 100644
--- a/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
@@ -73,7 +73,7 @@ def assert_operation(op_name); end
             The FHIR capability interaction require servers to describe which formats are available for clients to use.
             The server must explicitly state that JSON is supported.  This is located in the
             [format element](https://www.hl7.org/fhir/capabilitystatement-definitions.html#CapabilityStatement.format)
-            of the Capability Resource.
+            of the CapabilityStatement Resource.
 
             This test checks that one of the following values are located in the format field.
 

From 334e7f067b40f3e17565eb1e30279ee1f1ba5f09 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Thu, 3 Oct 2019 09:05:03 -0400
Subject: [PATCH 071/144] change desc to description in sequences

---
 .../argonaut_allergy_intolerance_sequence.rb  | 14 +++++-----
 .../argonaut/argonaut_careplan_sequence.rb    | 20 ++++++-------
 .../argonaut/argonaut_careteam_sequence.rb    |  6 ++--
 .../argonaut/argonaut_condition_sequence.rb   | 20 ++++++-------
 .../argonaut/argonaut_conformance_sequence.rb |  6 ++--
 .../argonaut/argonaut_device_sequence.rb      | 14 +++++-----
 .../argonaut_diagnostic_report_sequence.rb    | 20 ++++++-------
 .../argonaut/argonaut_goal_sequence.rb        | 16 +++++------
 .../argonaut_immunization_sequence.rb         | 14 +++++-----
 .../argonaut_medication_order_sequence.rb     | 18 ++++++------
 .../argonaut/argonaut_medication_sequence.rb  | 14 +++++-----
 .../argonaut_medication_statement_sequence.rb | 18 ++++++------
 .../argonaut/argonaut_observation_sequence.rb | 24 ++++++++--------
 .../argonaut_patient_read_only_sequence.rb    | 14 +++++-----
 .../argonaut_patient_search_sequence.rb       | 28 +++++++++----------
 .../argonaut/argonaut_procedure_sequence.rb   | 16 +++++------
 .../argonaut_smoking_status_sequence.rb       |  6 ++--
 ...gonaut_vital_signs_observation_sequence.rb | 12 ++++----
 ...luebutton_explanationofbenefit_sequence.rb | 20 ++++++-------
 .../bluebutton_patient_sequence.rb            |  8 +++---
 ...bulk_data_capability_statement_sequence.rb | 10 +++----
 .../bulk_data_patient_export_sequence.rb      | 12 ++++----
 .../core/capability_statement_sequence.rb     |  6 ++--
 .../document_reference_sequence.rb            | 12 ++++----
 .../onc_program/onc_ehr_launch_sequence.rb    |  2 +-
 .../onc_standalone_launch_sequence.rb         |  2 +-
 .../onc_program/provenance_sequence.rb        |  6 ++--
 .../smart/dynamic_registration_sequence.rb    |  8 +++---
 lib/app/modules/smart/ehr_launch_sequence.rb  | 20 ++++++-------
 .../smart/manual_registration_sequence.rb     |  2 +-
 .../modules/smart/openid_connect_sequence.rb  | 14 +++++-----
 .../modules/smart/smart_discovery_sequence.rb |  6 ++--
 .../smart/standalone_launch_sequence.rb       | 16 +++++------
 .../smart/token_introspection_sequence.rb     | 14 +++++-----
 .../modules/smart/token_refresh_sequence.rb   |  8 +++---
 .../clinicalnotes_sequence.rb                 | 20 ++++++-------
 .../r4_provenance_sequence.rb                 |  6 ++--
 .../us_core_patient_read_only_sequence.rb     | 14 +++++-----
 ...s_core_r4_capability_statement_sequence.rb |  6 ++--
 39 files changed, 246 insertions(+), 246 deletions(-)

diff --git a/lib/app/modules/argonaut/argonaut_allergy_intolerance_sequence.rb b/lib/app/modules/argonaut/argonaut_allergy_intolerance_sequence.rb
index c431a51c9..43273f8ea 100644
--- a/lib/app/modules/argonaut/argonaut_allergy_intolerance_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_allergy_intolerance_sequence.rb
@@ -52,7 +52,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             An AllergyIntolerance search does not work without proper authorization.
           )
           versions :dstu2
@@ -70,7 +70,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server is capable of returning a patient's allergies.
           )
           versions :dstu2
@@ -95,7 +95,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             All servers SHALL make available the read interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -112,7 +112,7 @@ def validate_resource_item(resource, property, value)
           id '04'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -128,7 +128,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -144,7 +144,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'http://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-allergyintolerance.html'
-          desc %(
+          description %(
             AllergyIntolerance resources associated with Patient conform to Argonaut profiles
           )
           versions :dstu2
@@ -157,7 +157,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
             All references in the AllergyIntolerance resource should be resolveable.
           )
           versions :dstu2
diff --git a/lib/app/modules/argonaut/argonaut_careplan_sequence.rb b/lib/app/modules/argonaut/argonaut_careplan_sequence.rb
index cc9659ee2..fb8c0e2bb 100644
--- a/lib/app/modules/argonaut/argonaut_careplan_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_careplan_sequence.rb
@@ -68,7 +68,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A CarePlan search does not work without proper authorization.
           )
           versions :dstu2
@@ -86,7 +86,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server is capable of returning all of a patient's Assessment and Plan of Treatment information.
           )
           versions :dstu2
@@ -112,7 +112,7 @@ def validate_resource_item(resource, property, value)
           id '03'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             A server SHOULD be capable of returning a patient's Assessment and Plan of Treatment information over a specified time period.
           )
           versions :dstu2
@@ -135,7 +135,7 @@ def validate_resource_item(resource, property, value)
           id '04'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             A server SHOULD be capable returning all of a patient's active Assessment and Plan of Treatment information.
           )
           versions :dstu2
@@ -154,7 +154,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             A server SHOULD be capable returning a patient's active Assessment and Plan of Treatment information over a specified time period.
           )
           versions :dstu2
@@ -175,7 +175,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             All servers SHALL make available the read interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -192,7 +192,7 @@ def validate_resource_item(resource, property, value)
           id '07'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -209,7 +209,7 @@ def validate_resource_item(resource, property, value)
           id '08'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -225,7 +225,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'http://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-careplan.html'
-          desc %(
+          description %(
             CarePlan resources associated with Patient conform to Argonaut profiles.
           )
           versions :dstu2
@@ -239,7 +239,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
             All references in the CarePlan resource should be resolveable.
           )
           versions :dstu2
diff --git a/lib/app/modules/argonaut/argonaut_careteam_sequence.rb b/lib/app/modules/argonaut/argonaut_careteam_sequence.rb
index d5dadf8b6..349b3edc9 100644
--- a/lib/app/modules/argonaut/argonaut_careteam_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_careteam_sequence.rb
@@ -64,7 +64,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server is capable of returning all of a patient's Assessment and Plan of Treatment information.
           )
           versions :dstu2
@@ -85,7 +85,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-careteam.html'
-          desc %(
+          description %(
             CareTeam resources associated with Patient conform to Argonaut profiles.
           )
           versions :dstu2
@@ -99,7 +99,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
             All references in the CareTeam resource should be resolveable.
           )
           versions :dstu2
diff --git a/lib/app/modules/argonaut/argonaut_condition_sequence.rb b/lib/app/modules/argonaut/argonaut_condition_sequence.rb
index c79044370..6a7e8c102 100644
--- a/lib/app/modules/argonaut/argonaut_condition_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_condition_sequence.rb
@@ -61,7 +61,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A Condition search does not work without proper authorization.
           )
           versions :dstu2
@@ -79,7 +79,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server is capable of returning a patients conditions list.
           )
           versions :dstu2
@@ -105,7 +105,7 @@ def validate_resource_item(resource, property, value)
           id '03'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             A server SHOULD be capable returning all of a patients active problems and health concerns.
           )
           versions :dstu2
@@ -124,7 +124,7 @@ def validate_resource_item(resource, property, value)
           id '04'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             A server SHOULD be capable returning all of a patients problems or all of patients health concerns.
 
             This test will fail unless the server returns at least one `Condition` in the `problem`
@@ -148,7 +148,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             A server SHOULD be capable returning all of a patients problems or all of patients health concerns.
 
             This test will fail unless the server returns at least one `Condition` in the `health-concern`
@@ -171,7 +171,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             All servers SHALL make available the read interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -188,7 +188,7 @@ def validate_resource_item(resource, property, value)
           id '07'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -205,7 +205,7 @@ def validate_resource_item(resource, property, value)
           id '08'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -221,7 +221,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'http://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-condition.html'
-          desc %(
+          description %(
             Condition resources associated with Patient conform to Argonaut profiles.
           )
           versions :dstu2
@@ -233,7 +233,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
             All references in the Condition resource should be resolveable.
           )
           versions :dstu2
diff --git a/lib/app/modules/argonaut/argonaut_conformance_sequence.rb b/lib/app/modules/argonaut/argonaut_conformance_sequence.rb
index c27034b53..66f76555a 100644
--- a/lib/app/modules/argonaut/argonaut_conformance_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_conformance_sequence.rb
@@ -61,7 +61,7 @@ class ArgonautConformanceSequence < CapabilityStatementSequence
         metadata do
           id '04'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
 
             FHIR provides multiple [representation formats](https://www.hl7.org/fhir/DSTU2/formats.html) for resources, including JSON and XML.
             Argonaut profiles require servers to use the JSON representation:
@@ -97,7 +97,7 @@ class ArgonautConformanceSequence < CapabilityStatementSequence
           id '05'
           link 'http://www.hl7.org/fhir/smart-app-launch/conformance/'
           optional
-          desc %(
+          description %(
 
            A SMART on FHIR server can convey its capabilities to app developers by listing a set of the capabilities.
 
@@ -128,7 +128,7 @@ class ArgonautConformanceSequence < CapabilityStatementSequence
         metadata do
           id '06'
           link 'https://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
            The Argonaut Data Query Implementation Guide states:
 
            ```
diff --git a/lib/app/modules/argonaut/argonaut_device_sequence.rb b/lib/app/modules/argonaut/argonaut_device_sequence.rb
index 593e376db..3445a802f 100644
--- a/lib/app/modules/argonaut/argonaut_device_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_device_sequence.rb
@@ -52,7 +52,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A Device search does not work without proper authorization.
           )
           versions :dstu2
@@ -70,7 +70,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server is capable of returning all Unique device identifier(s)(UDI) for a patient's implanted device(s).
           )
           versions :dstu2
@@ -95,7 +95,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             All servers SHALL make available the read interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -112,7 +112,7 @@ def validate_resource_item(resource, property, value)
           id '04'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -129,7 +129,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -145,7 +145,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'http://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-device.html'
-          desc %(
+          description %(
             Device resources associated with Patient conform to Argonaut profiles
           )
           versions :dstu2
@@ -157,7 +157,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
             All references in the Device resource should be resolveable.
           )
           versions :dstu2
diff --git a/lib/app/modules/argonaut/argonaut_diagnostic_report_sequence.rb b/lib/app/modules/argonaut/argonaut_diagnostic_report_sequence.rb
index e07bf8e85..a13fd6d53 100644
--- a/lib/app/modules/argonaut/argonaut_diagnostic_report_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_diagnostic_report_sequence.rb
@@ -58,7 +58,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A DiagnosticReport search does not work without proper authorization.
           )
           versions :dstu2
@@ -76,7 +76,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server is capable of returning all of a patient's laboratory diagnostic reports queried by category.
           )
           versions :dstu2
@@ -101,7 +101,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server is capable of returning all of a patient's laboratory diagnostic reports queried by category code and date range.
           )
           versions :dstu2
@@ -122,7 +122,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server is capable of returning all of a patient's laboratory diagnostic reports queried by category and code.
           )
           versions :dstu2
@@ -143,7 +143,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             A server SHOULD be capable of returning all of a patient's laboratory diagnostic reports queried by category and one or more codes and date range.
           )
           versions :dstu2
@@ -166,7 +166,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             All servers SHALL make available the read interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -183,7 +183,7 @@ def validate_resource_item(resource, property, value)
           id '07'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -200,7 +200,7 @@ def validate_resource_item(resource, property, value)
           id '08'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -216,7 +216,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'http://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-diagnosticreport.html'
-          desc %(
+          description %(
             DiagnosticReport resources associated with Patient conform to Argonaut profiles.
           )
           versions :dstu2
@@ -228,7 +228,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
             All references in the DiagnosticReport resource should be resolveable.
           )
           versions :dstu2
diff --git a/lib/app/modules/argonaut/argonaut_goal_sequence.rb b/lib/app/modules/argonaut/argonaut_goal_sequence.rb
index b53d1d234..4a1a89021 100644
--- a/lib/app/modules/argonaut/argonaut_goal_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_goal_sequence.rb
@@ -51,7 +51,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A Goal search does not work without proper authorization.
           )
           versions :dstu2
@@ -69,7 +69,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server is capable of returning all of a patient's goals.
           )
           versions :dstu2
@@ -94,7 +94,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server is capable of returning all of all of a patient's goals over a specified time period.
           )
           versions :dstu2
@@ -115,7 +115,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             All servers SHALL make available the read interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -132,7 +132,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -149,7 +149,7 @@ def validate_resource_item(resource, property, value)
           id '06'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -165,7 +165,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'http://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-goal.html'
-          desc %(
+          description %(
             Goal resources associated with Patient conform to Argonaut profiles.
           )
           versions :dstu2
@@ -177,7 +177,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
             All references in the Goal resource should be resolveable.
           )
           versions :dstu2
diff --git a/lib/app/modules/argonaut/argonaut_immunization_sequence.rb b/lib/app/modules/argonaut/argonaut_immunization_sequence.rb
index 1fc351b35..c23879433 100644
--- a/lib/app/modules/argonaut/argonaut_immunization_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_immunization_sequence.rb
@@ -48,7 +48,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             An Immunization search does not work without proper authorization.
           )
           versions :dstu2
@@ -66,7 +66,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A client has connected to a server and fetched all immunizations for a patient.          )
           versions :dstu2
         end
@@ -90,7 +90,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             All servers SHALL make available the read interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -107,7 +107,7 @@ def validate_resource_item(resource, property, value)
           id '04'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -124,7 +124,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -140,7 +140,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'http://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-immunization.html'
-          desc %(
+          description %(
             Immunization resources associated with Patient conform to Argonaut profiles.
           )
           versions :dstu2
@@ -152,7 +152,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
             All references in the Immunization resource should be resolveable.
           )
           versions :dstu2
diff --git a/lib/app/modules/argonaut/argonaut_medication_order_sequence.rb b/lib/app/modules/argonaut/argonaut_medication_order_sequence.rb
index bcd974917..dc08ab2f2 100644
--- a/lib/app/modules/argonaut/argonaut_medication_order_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_medication_order_sequence.rb
@@ -51,7 +51,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             An MedicationOrder search does not work without proper authorization.
           )
           versions :dstu2
@@ -72,7 +72,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server is capable of returning a patient's medications.
           )
           versions :dstu2
@@ -101,7 +101,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             All servers SHALL make available the read interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -122,7 +122,7 @@ def validate_resource_item(resource, property, value)
           id '04'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -141,7 +141,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -159,7 +159,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'http://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-medicationorder.html'
-          desc %(
+          description %(
             MedicationOrder resources associated with Patient conform to Argonaut profiles.
           )
           versions :dstu2
@@ -171,7 +171,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-medication.html'
-          desc %(
+          description %(
             Medication resources must conform to the Argonaut profile
                )
         end
@@ -197,7 +197,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
             All references in the MedicationOrder resource should be resolveable.
           )
           versions :dstu2
@@ -215,7 +215,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'https://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-medication.html'
-          desc %(
+          description %(
             Medication resources must conform to the Argonaut profile
                )
         end
diff --git a/lib/app/modules/argonaut/argonaut_medication_sequence.rb b/lib/app/modules/argonaut/argonaut_medication_sequence.rb
index ed1aa468e..0e3d3c59f 100644
--- a/lib/app/modules/argonaut/argonaut_medication_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_medication_sequence.rb
@@ -47,7 +47,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             An MedicationStatement search does not work without proper authorization.
           )
           versions :dstu2
@@ -67,7 +67,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server is capable of returning a patient's medications.
           )
           versions :dstu2
@@ -94,7 +94,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             All servers SHALL make available the read interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -111,7 +111,7 @@ def validate_resource_item(resource, property, value)
           id '04'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -128,7 +128,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -144,7 +144,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'http://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-medication.html'
-          desc %(
+          description %(
             MedicationSatement resources associated with Patient conform to Argonaut profiles.
           )
           versions :dstu2
@@ -156,7 +156,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
             All references in the MedicationStatement resource should be resolveable.
           )
           versions :dstu2
diff --git a/lib/app/modules/argonaut/argonaut_medication_statement_sequence.rb b/lib/app/modules/argonaut/argonaut_medication_statement_sequence.rb
index a6f51d420..b58c8157a 100644
--- a/lib/app/modules/argonaut/argonaut_medication_statement_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_medication_statement_sequence.rb
@@ -45,7 +45,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'https://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-medicationstatement.html'
-          desc %(
+          description %(
             A MedicationStatement search does not work without proper authorization.
           )
           versions :dstu2
@@ -65,7 +65,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'https://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-medicationstatement.html'
-          desc %(
+          description %(
             A server is capable of returning a patient's medications.
           )
           versions :dstu2
@@ -94,7 +94,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'https://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-medicationstatement.html'
-          desc %(
+          description %(
             All servers SHALL make available the read interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -113,7 +113,7 @@ def validate_resource_item(resource, property, value)
           id '04'
           link 'https://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-medicationstatement.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -132,7 +132,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'https://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-medicationstatement.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -150,7 +150,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'https://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-medicationstatement.html'
-          desc %(
+          description %(
             MedicationStatement resources associated with Patient conform to Argonaut profiles.
           )
           versions :dstu2
@@ -166,7 +166,7 @@ def validate_resource_item(resource, property, value)
           id '07'
           link 'https://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-medication.html'
           versions :dstu2
-          desc %(
+          description %(
             Medication resources must conform to the Argonaut profile
                )
         end
@@ -188,7 +188,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
             All references in the MedicationStatement resource should be resolveable.
           )
           versions :dstu2
@@ -207,7 +207,7 @@ def validate_resource_item(resource, property, value)
           id '09'
           link 'https://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-medication.html'
           versions :dstu2
-          desc %(
+          description %(
             Medication resources must conform to the Argonaut profile
                )
         end
diff --git a/lib/app/modules/argonaut/argonaut_observation_sequence.rb b/lib/app/modules/argonaut/argonaut_observation_sequence.rb
index e78f9ac83..b83e47247 100644
--- a/lib/app/modules/argonaut/argonaut_observation_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_observation_sequence.rb
@@ -59,7 +59,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             An Observation Results search does not work without proper authorization.
           )
           versions :dstu2
@@ -77,7 +77,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server is capable of returning all of a patient's laboratory results queried by category.
           )
           versions :dstu2
@@ -102,7 +102,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server is capable of returning all of a patient's laboratory results queried by category code and date range.
           )
           versions :dstu2
@@ -123,7 +123,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server is capable of returning all of a patient's laboratory results queried by category and code.
           )
           versions :dstu2
@@ -145,7 +145,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           optional
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server SHOULD be capable of returning all of a patient's laboratory results queried by category and one or more codes and date range.
           )
           versions :dstu2
@@ -168,7 +168,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A Smoking Status search does not work without proper authorization.
           )
           versions :dstu2
@@ -189,7 +189,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server is capable of returning a patient's smoking status.
           )
           versions :dstu2
@@ -208,7 +208,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             All servers SHALL make available the read interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -225,7 +225,7 @@ def validate_resource_item(resource, property, value)
           id '09'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -242,7 +242,7 @@ def validate_resource_item(resource, property, value)
           id '10'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -258,7 +258,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '11'
           link 'http://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-observationresults.html'
-          desc %(
+          description %(
             Observation Result resources associated with Patient conform to Argonaut profiles.
           )
           versions :dstu2
@@ -273,7 +273,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '12'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
             All references in the Observation resource should be resolveable.
           )
           versions :dstu2
diff --git a/lib/app/modules/argonaut/argonaut_patient_read_only_sequence.rb b/lib/app/modules/argonaut/argonaut_patient_read_only_sequence.rb
index 15fa38879..c915780ed 100644
--- a/lib/app/modules/argonaut/argonaut_patient_read_only_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_patient_read_only_sequence.rb
@@ -16,7 +16,7 @@ class ArgonautPatientReadOnlySequence < SequenceBase
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A patient read does not work without authorization.
           )
           versions :dstu2
@@ -34,7 +34,7 @@ class ArgonautPatientReadOnlySequence < SequenceBase
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             All servers SHALL make available the read interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -51,7 +51,7 @@ class ArgonautPatientReadOnlySequence < SequenceBase
         metadata do
           id '03'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server returns valid FHIR Patient resources according to the [Data Access Framework (DAF) Patient Profile](http://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-patient.html).
           )
           versions :dstu2
@@ -67,7 +67,7 @@ class ArgonautPatientReadOnlySequence < SequenceBase
       test 'Patient has address' do
         metadata do
           id '04'
-          desc %(
+          description %(
             Additional Patient resource requirement
           )
           versions :dstu2
@@ -82,7 +82,7 @@ class ArgonautPatientReadOnlySequence < SequenceBase
       test 'Patient has telecom' do
         metadata do
           id '05'
-          desc %(
+          description %(
             Additional Patient resource requirement
           )
           versions :dstu2
@@ -99,7 +99,7 @@ class ArgonautPatientReadOnlySequence < SequenceBase
       #   metadata {
       #     id '00'
       #     optional
-      #     desc %(
+      #     description %(
       #       Additional Patient resource requirement
       #     )
       #   }
@@ -115,7 +115,7 @@ class ArgonautPatientReadOnlySequence < SequenceBase
         metadata do
           id '06'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
             All references in the Patient resource should be resolveable.
           )
           versions :dstu2
diff --git a/lib/app/modules/argonaut/argonaut_patient_search_sequence.rb b/lib/app/modules/argonaut/argonaut_patient_search_sequence.rb
index 8eb0ec8d1..9715d7646 100644
--- a/lib/app/modules/argonaut/argonaut_patient_search_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_patient_search_sequence.rb
@@ -38,7 +38,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A patient read does not work without authorization.
           )
           versions :dstu2
@@ -56,7 +56,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             All servers SHALL make available the read interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -73,7 +73,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server returns valid FHIR Patient resources according to the [Data Access Framework (DAF) Patient Profile](http://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-patient.html).
           )
           versions :dstu2
@@ -89,7 +89,7 @@ def validate_resource_item(resource, property, value)
       test 'Patient has address' do
         metadata do
           id '04'
-          desc %(
+          description %(
             Additional Patient resource requirement
           )
           versions :dstu2
@@ -104,7 +104,7 @@ def validate_resource_item(resource, property, value)
       test 'Patient has telecom' do
         metadata do
           id '05'
-          desc %(
+          description %(
             Additional Patient resource requirement
           )
           versions :dstu2
@@ -121,7 +121,7 @@ def validate_resource_item(resource, property, value)
       #   metadata {
       #     id '00'
       #     optional
-      #     desc %(
+      #     description %(
       #       Additional Patient resource requirement
       #     )
       #   }
@@ -137,7 +137,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A Patient search does not work without proper authorization.          )
           versions :dstu2
         end
@@ -157,7 +157,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server has exposed a FHIR Patient search endpoint supporting at a minimum the following search parameters: identifier.
           )
           versions :dstu2
@@ -175,7 +175,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server has exposed a FHIR Patient search endpoint supporting at a minimum the following search parameters when at least 2 (example name and gender) are present: name, gender, birthdate.
           )
           versions :dstu2
@@ -197,7 +197,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server has exposed a FHIR Patient search endpoint supporting at a minimum the following search parameters when at least 2 (example name and gender) are present: name, gender, birthdate.
           )
           versions :dstu2
@@ -219,7 +219,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server has exposed a FHIR Patient search endpoint supporting at a minimum the following search parameters when at least 2 (example name and gender) are present: name, gender, birthdate.
           )
           versions :dstu2
@@ -240,7 +240,7 @@ def validate_resource_item(resource, property, value)
           id '11'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.          )
           versions :dstu2
         end
@@ -253,7 +253,7 @@ def validate_resource_item(resource, property, value)
           id '12'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -266,7 +266,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '13'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
             All references in the Patient resource should be resolveable.
           )
           versions :dstu2
diff --git a/lib/app/modules/argonaut/argonaut_procedure_sequence.rb b/lib/app/modules/argonaut/argonaut_procedure_sequence.rb
index 4af496541..bb6cd3a48 100644
--- a/lib/app/modules/argonaut/argonaut_procedure_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_procedure_sequence.rb
@@ -50,7 +50,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A Procedure search does not work without proper authorization.
           )
           versions :dstu2
@@ -68,7 +68,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server is capable of returning a patient's procedures.
           )
           versions :dstu2
@@ -93,7 +93,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server is capable of returning all of all of a patient's procedures over a specified time period.
           )
           versions :dstu2
@@ -114,7 +114,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             All servers SHALL make available the read interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -131,7 +131,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -148,7 +148,7 @@ def validate_resource_item(resource, property, value)
           id '06'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           optional
-          desc %(
+          description %(
             All servers SHOULD make available the vread and history-instance interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :dstu2
@@ -164,7 +164,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             Procedure resources associated with Patient conform to Argonaut profiles.
           )
           versions :dstu2
@@ -176,7 +176,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
             All references in the Procedure resource should be resolveable.
           )
           versions :dstu2
diff --git a/lib/app/modules/argonaut/argonaut_smoking_status_sequence.rb b/lib/app/modules/argonaut/argonaut_smoking_status_sequence.rb
index 908a22fd4..de2ef88d5 100644
--- a/lib/app/modules/argonaut/argonaut_smoking_status_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_smoking_status_sequence.rb
@@ -52,7 +52,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A Smoking Status search does not work without proper authorization.
           )
           versions :dstu2
@@ -72,7 +72,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server is capable of returning a patient's smoking status.
           )
           versions :dstu2
@@ -93,7 +93,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'http://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-smokingstatus.html'
-          desc %(
+          description %(
             Smoking Status resources associated with Patient conform to Argonaut profiles
           )
           versions :dstu2
diff --git a/lib/app/modules/argonaut/argonaut_vital_signs_observation_sequence.rb b/lib/app/modules/argonaut/argonaut_vital_signs_observation_sequence.rb
index 588d44db3..39f72cd2d 100644
--- a/lib/app/modules/argonaut/argonaut_vital_signs_observation_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_vital_signs_observation_sequence.rb
@@ -58,7 +58,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A Vital Signs search does not work without proper authorization.
           )
           versions :dstu2
@@ -76,7 +76,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server is capable of returning all of a patient's vital signs that it supports.
           )
           versions :dstu2
@@ -101,7 +101,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server is capable of returning all of a patient's vital signs queried by date range.
           )
           versions :dstu2
@@ -122,7 +122,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server is capable of returning any of a patient's vital signs queried by one or more of the specified codes.
           )
           versions :dstu2
@@ -143,7 +143,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server SHOULD be capable of returning any of a patient's vital signs queried by one or more of the codes listed below and date range.
           )
           versions :dstu2
@@ -166,7 +166,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             Vital Signs resources associated with Patient conform to Argonaut profiles.
           )
           versions :dstu2
diff --git a/lib/app/modules/bluebutton_demo/bluebutton_explanationofbenefit_sequence.rb b/lib/app/modules/bluebutton_demo/bluebutton_explanationofbenefit_sequence.rb
index 7f6b10048..043ada56b 100644
--- a/lib/app/modules/bluebutton_demo/bluebutton_explanationofbenefit_sequence.rb
+++ b/lib/app/modules/bluebutton_demo/bluebutton_explanationofbenefit_sequence.rb
@@ -24,7 +24,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :stu3
         end
@@ -43,7 +43,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
           )
           versions :stu3
         end
@@ -60,7 +60,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '03'
           link 'http://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-smokingstatus.html'
-          desc %(
+          description %(
           )
           versions :stu3
         end
@@ -73,7 +73,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '04'
           link 'http://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-smokingstatus.html'
-          desc %(
+          description %(
           )
           versions :stu3
         end
@@ -86,7 +86,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '05'
           link 'http://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-smokingstatus.html'
-          desc %(
+          description %(
           )
           versions :stu3
         end
@@ -99,7 +99,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '06'
           link 'http://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-smokingstatus.html'
-          desc %(
+          description %(
           )
           versions :stu3
         end
@@ -112,7 +112,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '07'
           link 'http://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-smokingstatus.html'
-          desc %(
+          description %(
           )
           versions :stu3
         end
@@ -125,7 +125,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '08'
           link 'http://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-smokingstatus.html'
-          desc %(
+          description %(
           )
           versions :stu3
         end
@@ -138,7 +138,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '09'
           link 'http://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-smokingstatus.html'
-          desc %(
+          description %(
           )
           versions :stu3
         end
@@ -151,7 +151,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '10'
           link 'http://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-smokingstatus.html'
-          desc %(
+          description %(
           )
           versions :stu3
         end
diff --git a/lib/app/modules/bluebutton_demo/bluebutton_patient_sequence.rb b/lib/app/modules/bluebutton_demo/bluebutton_patient_sequence.rb
index aacf9b1d7..270ba606b 100644
--- a/lib/app/modules/bluebutton_demo/bluebutton_patient_sequence.rb
+++ b/lib/app/modules/bluebutton_demo/bluebutton_patient_sequence.rb
@@ -15,7 +15,7 @@ class BlueButtonPatientSequence < SequenceBase
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A patient read does not work without authorization.
           )
           versions :stu3
@@ -33,7 +33,7 @@ class BlueButtonPatientSequence < SequenceBase
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             All servers SHALL make available the read interactions for the BlueButton Profiles the server chooses to support.
           )
           versions :stu3
@@ -50,7 +50,7 @@ class BlueButtonPatientSequence < SequenceBase
         metadata do
           id '03'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server returns valid FHIR Patient resources according to the [Data Access Framework (DAF) Patient Profile](http://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-patient.html).
           )
           versions :stu3
@@ -67,7 +67,7 @@ class BlueButtonPatientSequence < SequenceBase
         metadata do
           id '04'
           link 'https://www.hl7.org/fhir/DSTU2/references.html'
-          desc %(
+          description %(
             All references in the Patient resource should be resolveable.
           )
           versions :stu3
diff --git a/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb b/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
index 46f145734..9b06845eb 100644
--- a/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
@@ -63,7 +63,7 @@ def assert_operation(op_name); end
         metadata do
           id '04'
           link 'http://hl7.org/fhir/us/core/2019Jan/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
 
             FHIR provides multiple [representation formats](https://www.hl7.org/fhir/DSTU2/formats.html) for resources, including JSON and XML.
             Argonaut profiles require servers to use the JSON representation:
@@ -97,7 +97,7 @@ def assert_operation(op_name); end
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/bulk-data/operations/index.html'
-          desc %(
+          description %(
 
             To declare conformance with this IG, a server should include the following URL in its own CapabilityStatement.instantiates:
             http://www.hl7.org/fhir/bulk-data/CapabilityStatement-bulk-data.html
@@ -113,7 +113,7 @@ def assert_operation(op_name); end
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/bulk-data/operations/index.html'
-          desc %(
+          description %(
 
             These OperationDefinitions have been defined for this implementation guide.
               * Export: export any data from a FHIR server
@@ -140,7 +140,7 @@ def assert_operation(op_name); end
         metadata do
           id '07'
           link 'https://build.fhir.org/ig/HL7/bulk-data/operations/index.html'
-          desc %(
+          description %(
 
             These OperationDefinitions have been defined for this implementation guide.
               * Export: export any data from a FHIR server
@@ -158,7 +158,7 @@ def assert_operation(op_name); end
         metadata do
           id '08'
           link 'https://build.fhir.org/ig/HL7/bulk-data/operations/index.html'
-          desc %(
+          description %(
 
             These OperationDefinitions have been defined for this implementation guide.
               * Export: export any data from a FHIR server
diff --git a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
index b017db151..e52041c5f 100644
--- a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
@@ -103,7 +103,7 @@ def check_ndjson(ndjson, type)
         metadata do
           id '01'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-kick-off-request'
-          desc %(
+          description %(
           )
         end
 
@@ -119,7 +119,7 @@ def check_ndjson(ndjson, type)
         metadata do
           id '02'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-kick-off-request'
-          desc %(
+          description %(
           )
         end
 
@@ -130,7 +130,7 @@ def check_ndjson(ndjson, type)
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#headers'
-          desc %(
+          description %(
           )
           versions :stu3
         end
@@ -142,7 +142,7 @@ def check_ndjson(ndjson, type)
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#headers'
-          desc %(
+          description %(
           )
           versions :stu3
         end
@@ -154,7 +154,7 @@ def check_ndjson(ndjson, type)
         metadata do
           id '05'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-status-request'
-          desc %(
+          description %(
           )
         end
 
@@ -165,7 +165,7 @@ def check_ndjson(ndjson, type)
         metadata do
           id '06'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
-          desc %(
+          description %(
           )
         end
 
diff --git a/lib/app/modules/core/capability_statement_sequence.rb b/lib/app/modules/core/capability_statement_sequence.rb
index 8ead86db8..f94453562 100644
--- a/lib/app/modules/core/capability_statement_sequence.rb
+++ b/lib/app/modules/core/capability_statement_sequence.rb
@@ -57,7 +57,7 @@ class CapabilityStatementSequence < SequenceBase
         metadata do
           id '01'
           link 'https://www.hl7.org/fhir/security.html'
-          desc %(
+          description %(
             All exchange of production data should be secured with TLS/SSL v1.2.
           )
         end
@@ -75,7 +75,7 @@ class CapabilityStatementSequence < SequenceBase
         metadata do
           id '02'
           link 'http://www.hl7.org/fhir/directory.cfml'
-          desc %(
+          description %(
             Checks that the FHIR version of the server matches the FHIR version expected by the tests.
             This test will inspect the CapabilityStatement returned by the server to verify the FHIR version of the server.
           )
@@ -91,7 +91,7 @@ class CapabilityStatementSequence < SequenceBase
         metadata do
           id '03'
           link 'http://hl7.org/fhir/DSTU2/http.html#conformance'
-          desc %(
+          description %(
             The conformance 'whole system' interaction provides a method to get the conformance statement for
             the FHIR server.  This test checks that the server responds to a `GET` request at the following endpoint:
 
diff --git a/lib/app/modules/onc_program/document_reference_sequence.rb b/lib/app/modules/onc_program/document_reference_sequence.rb
index 07776c650..5e9922dd1 100644
--- a/lib/app/modules/onc_program/document_reference_sequence.rb
+++ b/lib/app/modules/onc_program/document_reference_sequence.rb
@@ -25,7 +25,7 @@ def validate_resource_item(resource, property, value)
         metadata do
           id '01'
           link 'https://www.hl7.org/fhir/DSTU2/documentreference.html'
-          desc %(
+          description %(
             A DocumentReference search should not work without providing proper authorization.
           )
         end
@@ -43,7 +43,7 @@ def validate_resource_item(resource, property, value)
           id '02'
           link 'https://www.hl7.org/fhir/DSTU2/documentreference.html'
           optional
-          desc %(
+          description %(
             A server should be capable of returning DocumentReferences related to a patient.
           )
         end
@@ -59,7 +59,7 @@ def validate_resource_item(resource, property, value)
           id '03'
           link 'https://www.hl7.org/fhir/DSTU2/documentreference.html'
           optional
-          desc %(
+          description %(
             The server should make read interactions available for DocumentReference resources.
           )
         end
@@ -72,7 +72,7 @@ def validate_resource_item(resource, property, value)
           id '04'
           link 'https://www.hl7.org/fhir/DSTU2/documentreference.html'
           optional
-          desc %(
+          description %(
             The server should make history interactions available for DocumentReference resources.
           )
         end
@@ -84,7 +84,7 @@ def validate_resource_item(resource, property, value)
           id '05'
           link 'https://www.hl7.org/fhir/DSTU2/documentreference.html'
           optional
-          desc %(
+          description %(
             The server should make vread interactions available for DocumentReference resources.
           )
         end
@@ -97,7 +97,7 @@ def validate_resource_item(resource, property, value)
           id '06'
           optional
           link 'https://www.hl7.org/fhir/DSTU2/documentreference.html'
-          desc %(
+          description %(
             DocumentReferences should contain content regarding the document.
           )
         end
diff --git a/lib/app/modules/onc_program/onc_ehr_launch_sequence.rb b/lib/app/modules/onc_program/onc_ehr_launch_sequence.rb
index ce918fd90..688882321 100644
--- a/lib/app/modules/onc_program/onc_ehr_launch_sequence.rb
+++ b/lib/app/modules/onc_program/onc_ehr_launch_sequence.rb
@@ -43,7 +43,7 @@ class OncEHRLaunchSequence < EHRLaunchSequence
         metadata do
           id '11'
           link 'http://www.hl7.org/fhir/smart-app-launch/scopes-and-launch-context/index.html#quick-start'
-          desc %(
+          description %(
             The scopes being input must follow the guidelines specified in the smart-app-launch guide
           )
         end
diff --git a/lib/app/modules/onc_program/onc_standalone_launch_sequence.rb b/lib/app/modules/onc_program/onc_standalone_launch_sequence.rb
index 5a88248b5..bc6bcfbb0 100644
--- a/lib/app/modules/onc_program/onc_standalone_launch_sequence.rb
+++ b/lib/app/modules/onc_program/onc_standalone_launch_sequence.rb
@@ -43,7 +43,7 @@ class OncStandaloneLaunchSequence < StandaloneLaunchSequence
         metadata do
           id '09'
           link 'http://www.hl7.org/fhir/smart-app-launch/scopes-and-launch-context/index.html#quick-start'
-          desc %(
+          description %(
             The scopes being input must follow the guidelines specified in the smart-app-launch guide
           )
         end
diff --git a/lib/app/modules/onc_program/provenance_sequence.rb b/lib/app/modules/onc_program/provenance_sequence.rb
index 716df7f5e..69d37e92e 100644
--- a/lib/app/modules/onc_program/provenance_sequence.rb
+++ b/lib/app/modules/onc_program/provenance_sequence.rb
@@ -25,7 +25,7 @@ def validate_resource_item(resource, property, _value)
         metadata do
           id '01'
           link 'https://www.hl7.org/fhir/DSTU2/provenance.html'
-          desc %(
+          description %(
             A Provenance search should not work without providing proper authorization. This test
             attempts to search for Provenance resources associated with a patient without providing
             a bearer token as is required.
@@ -45,7 +45,7 @@ def validate_resource_item(resource, property, _value)
           id '02'
           link 'https://www.hl7.org/fhir/DSTU2/provenance.html'
           optional
-          desc %(
+          description %(
             A server should be capable of returning Provenance resources related to a patient resource.
 
             This test uses the `target` search paramenter as it can be used more generically than the `patient` search parameter.
@@ -65,7 +65,7 @@ def validate_resource_item(resource, property, _value)
           id '03'
           link 'https://www.hl7.org/fhir/DSTU2/provenance.html'
           optional
-          desc %(
+          description %(
             The server should make read interactions available for Provenance resources.
           )
         end
diff --git a/lib/app/modules/smart/dynamic_registration_sequence.rb b/lib/app/modules/smart/dynamic_registration_sequence.rb
index 339adf3ce..bc08c3ec8 100644
--- a/lib/app/modules/smart/dynamic_registration_sequence.rb
+++ b/lib/app/modules/smart/dynamic_registration_sequence.rb
@@ -39,7 +39,7 @@ class DynamicRegistrationSequence < SequenceBase
         metadata do
           id '01'
           link 'https://www.hl7.org/fhir/security.html'
-          desc %(
+          description %(
             The client registration endpoint MUST be protected by a transport layer security.
           )
         end
@@ -57,7 +57,7 @@ class DynamicRegistrationSequence < SequenceBase
         metadata do
           id '02'
           link 'https://tools.ietf.org/html/rfc7591'
-          desc %(
+          description %(
             The client registration endpoint MUST accept HTTP POST messages with request parameters encoded in the entity body using the "application/json" format.
           )
         end
@@ -91,7 +91,7 @@ class DynamicRegistrationSequence < SequenceBase
         metadata do
           id '03'
           link 'https://tools.ietf.org/html/rfc7591'
-          desc %(
+          description %(
             When an OAuth 2.0 error condition occurs, such as the client presenting an invalid initial access token, the authorization server returns an error response appropriate to the OAuth 2.0 token type.
           )
         end
@@ -106,7 +106,7 @@ class DynamicRegistrationSequence < SequenceBase
         metadata do
           id '04'
           link 'https://tools.ietf.org/html/rfc7591'
-          desc %(
+          description %(
             The server responds with an HTTP 201 Created status code and a body of type "application/json" with content as described in Section 3.2.1.
           )
         end
diff --git a/lib/app/modules/smart/ehr_launch_sequence.rb b/lib/app/modules/smart/ehr_launch_sequence.rb
index 729291c6c..04d271961 100644
--- a/lib/app/modules/smart/ehr_launch_sequence.rb
+++ b/lib/app/modules/smart/ehr_launch_sequence.rb
@@ -37,7 +37,7 @@ class EHRLaunchSequence < SequenceBase
         metadata do
           id '01'
           link 'http://www.hl7.org/fhir/smart-app-launch/'
-          desc %(
+          description %(
             Client browser sent from EHR server to launch URI of client app as described in SMART EHR Launch Sequence.
           )
         end
@@ -49,7 +49,7 @@ class EHRLaunchSequence < SequenceBase
         metadata do
           id '02'
           link 'http://www.hl7.org/fhir/smart-app-launch/'
-          desc %(
+          description %(
             The EHR is required to provide a reference to the EHR FHIR endpoint in the iss queystring parameter, and an
             opaque identifier for the launch in the launch querystring parameter.
           )
@@ -67,7 +67,7 @@ class EHRLaunchSequence < SequenceBase
         metadata do
           id '03'
           link 'http://www.hl7.org/fhir/smart-app-launch/'
-          desc %(
+          description %(
             Apps MUST assure that sensitive information (authentication secrets, authorization codes, tokens) is transmitted ONLY to authenticated servers, over TLS-secured channels.
             opaque identifier for the launch in the launch querystring parameter.
           )
@@ -84,7 +84,7 @@ class EHRLaunchSequence < SequenceBase
         metadata do
           id '04'
           link 'http://www.hl7.org/fhir/smart-app-launch/'
-          desc %(
+          description %(
            Client browser redirected from OAuth server to redirect URI of client app as described in SMART authorization sequence.
           )
         end
@@ -115,7 +115,7 @@ class EHRLaunchSequence < SequenceBase
         metadata do
           id '05'
           link 'http://www.hl7.org/fhir/smart-app-launch/'
-          desc %(
+          description %(
             Code and state are required querystring parameters. State must be the exact value received from the client.
           )
         end
@@ -129,7 +129,7 @@ class EHRLaunchSequence < SequenceBase
         metadata do
           id '06'
           link 'http://www.hl7.org/fhir/smart-app-launch/'
-          desc %(
+          description %(
             Apps MUST assure that sensitive information (authentication secrets, authorization codes, tokens) is transmitted ONLY to authenticated servers, over TLS-secured channels.
           )
         end
@@ -145,7 +145,7 @@ class EHRLaunchSequence < SequenceBase
         metadata do
           id '07'
           link 'https://tools.ietf.org/html/rfc6749'
-          desc %(
+          description %(
             If the request failed verification or is invalid, the authorization server returns an error response.
           )
         end
@@ -174,7 +174,7 @@ class EHRLaunchSequence < SequenceBase
         metadata do
           id '08'
           link 'http://www.hl7.org/fhir/smart-app-launch/'
-          desc %(
+          description %(
             After obtaining an authorization code, the app trades the code for an access token via HTTP POST to the
             EHR authorization server's token endpoint URL, using content-type application/x-www-form-urlencoded,
             as described in section [4.1.3 of RFC6749](https://tools.ietf.org/html/rfc6749#section-4.1.3).          )
@@ -202,7 +202,7 @@ class EHRLaunchSequence < SequenceBase
         metadata do
           id '09'
           link 'http://www.hl7.org/fhir/smart-app-launch/'
-          desc %(
+          description %(
             The EHR authorization server shall return a JSON structure that includes an access token or a message indicating that the authorization request has been denied.
             access_token, token_type, and scope are required. access_token must be Bearer.
           )
@@ -260,7 +260,7 @@ class EHRLaunchSequence < SequenceBase
         metadata do
           id '10'
           link 'http://www.hl7.org/fhir/smart-app-launch/'
-          desc %(
+          description %(
             The authorization servers response must include the HTTP Cache-Control response header field with a value of no-store, as well as the Pragma response header field with a value of no-cache.
           )
         end
diff --git a/lib/app/modules/smart/manual_registration_sequence.rb b/lib/app/modules/smart/manual_registration_sequence.rb
index 4938c1f17..8c6f67503 100644
--- a/lib/app/modules/smart/manual_registration_sequence.rb
+++ b/lib/app/modules/smart/manual_registration_sequence.rb
@@ -42,7 +42,7 @@ class ManualRegistrationSequence < SequenceBase
         metadata do
           id '01'
           link 'https://www.hl7.org/fhir/security.html'
-          desc %(
+          description %(
             Received client id (and client secret if necessary)
           )
         end
diff --git a/lib/app/modules/smart/openid_connect_sequence.rb b/lib/app/modules/smart/openid_connect_sequence.rb
index 473ebc0e4..6c927ab72 100644
--- a/lib/app/modules/smart/openid_connect_sequence.rb
+++ b/lib/app/modules/smart/openid_connect_sequence.rb
@@ -39,7 +39,7 @@ class OpenIDConnectSequence < SequenceBase
         metadata do
           id '01'
           link 'http://docs.smarthealthit.org/authorization/scopes-and-launch-context/'
-          desc %(
+          description %(
             Examine the ID token for its issuer property.
           )
         end
@@ -63,7 +63,7 @@ class OpenIDConnectSequence < SequenceBase
         metadata do
           id '02'
           link 'http://docs.smarthealthit.org/authorization/scopes-and-launch-context/'
-          desc %(
+          description %(
             Examine the ID token for its issuer property.
           )
         end
@@ -78,7 +78,7 @@ class OpenIDConnectSequence < SequenceBase
         metadata do
           id '03'
           link 'http://docs.smarthealthit.org/authorization/scopes-and-launch-context/'
-          desc %(
+          description %(
             Perform a GET {issuer}/.well-known/openid-configuration.
           )
         end
@@ -99,7 +99,7 @@ class OpenIDConnectSequence < SequenceBase
         metadata do
           id '04'
           link 'http://docs.smarthealthit.org/authorization/scopes-and-launch-context/'
-          desc %(
+          description %(
             Fetch the JSON Web Key of the server by following the "jwks_uri" property.
           )
         end
@@ -120,7 +120,7 @@ class OpenIDConnectSequence < SequenceBase
         metadata do
           id '05'
           link 'http://docs.smarthealthit.org/authorization/scopes-and-launch-context/'
-          desc %(
+          description %(
             Validate the token's signature against the public key.
           )
         end
@@ -141,7 +141,7 @@ class OpenIDConnectSequence < SequenceBase
         metadata do
           id '06'
           link 'http://openid.net/specs/openid-connect-core-1_0.html#IDTokenValidation'
-          desc %(
+          description %(
             Validate the ID token claims.
           )
         end
@@ -168,7 +168,7 @@ class OpenIDConnectSequence < SequenceBase
         metadata do
           id '07'
           link 'http://docs.smarthealthit.org/authorization/scopes-and-launch-context/'
-          desc %(
+          description %(
             Extract the fhirUser claim and treat it as the URL of a FHIR resource.
           )
         end
diff --git a/lib/app/modules/smart/smart_discovery_sequence.rb b/lib/app/modules/smart/smart_discovery_sequence.rb
index b4306f5d7..d3804ca30 100644
--- a/lib/app/modules/smart/smart_discovery_sequence.rb
+++ b/lib/app/modules/smart/smart_discovery_sequence.rb
@@ -43,7 +43,7 @@ class SMARTDiscoverySequence < SequenceBase
         metadata do
           id '01'
           link 'http://www.hl7.org/fhir/smart-app-launch/conformance/#using-well-known'
-          desc %(
+          description %(
             The authorization endpoints accepted by a FHIR resource server can be exposed as a Well-Known Uniform Resource Identifier
           )
         end
@@ -71,7 +71,7 @@ class SMARTDiscoverySequence < SequenceBase
         metadata do
           id '02'
           link 'http://www.hl7.org/fhir/smart-app-launch/capability-statement/'
-          desc %(
+          description %(
 
            If a server requires SMART on FHIR authorization for access, its metadata must support automated discovery of OAuth2 endpoints
 
@@ -123,7 +123,7 @@ class SMARTDiscoverySequence < SequenceBase
         metadata do
           id '03'
           link 'http://www.hl7.org/fhir/smart-app-launch/capability-statement/'
-          desc %(
+          description %(
 
            If a server requires SMART on FHIR authorization for access, its metadata must support automated discovery of OAuth2 endpoints
 
diff --git a/lib/app/modules/smart/standalone_launch_sequence.rb b/lib/app/modules/smart/standalone_launch_sequence.rb
index e87cb37fe..e7cc32bac 100644
--- a/lib/app/modules/smart/standalone_launch_sequence.rb
+++ b/lib/app/modules/smart/standalone_launch_sequence.rb
@@ -42,7 +42,7 @@ class StandaloneLaunchSequence < SequenceBase
         metadata do
           id '01'
           link 'http://www.hl7.org/fhir/smart-app-launch/'
-          desc %(
+          description %(
             The client registration endpoint MUST be protected by a transport layer security.
           )
         end
@@ -58,7 +58,7 @@ class StandaloneLaunchSequence < SequenceBase
         metadata do
           id '02'
           link 'http://www.hl7.org/fhir/smart-app-launch/'
-          desc %(
+          description %(
             Client browser redirected from OAuth server to redirect URI of client app as described in SMART authorization sequence.
           )
         end
@@ -99,7 +99,7 @@ class StandaloneLaunchSequence < SequenceBase
         metadata do
           id '03'
           link 'http://www.hl7.org/fhir/smart-app-launch/'
-          desc %(
+          description %(
             Code and state are required querystring parameters. State must be the exact value received from the client.
           )
         end
@@ -116,7 +116,7 @@ class StandaloneLaunchSequence < SequenceBase
         metadata do
           id '04'
           link 'http://www.hl7.org/fhir/smart-app-launch/'
-          desc %(
+          description %(
             Apps must assure that sensitive information (authentication secrets, authorization codes, tokens) is transmitted ONLY to authenticated servers, over TLS-secured channels.
           )
         end
@@ -132,7 +132,7 @@ class StandaloneLaunchSequence < SequenceBase
         metadata do
           id '05'
           link 'https://tools.ietf.org/html/rfc6749'
-          desc %(
+          description %(
             If the request failed verification or is invalid, the authorization server returns an error response.
           )
         end
@@ -167,7 +167,7 @@ class StandaloneLaunchSequence < SequenceBase
         metadata do
           id '06'
           link 'http://www.hl7.org/fhir/smart-app-launch/'
-          desc %(
+          description %(
             After obtaining an authorization code, the app trades the code for an access token via HTTP POST to the EHR authorization server's token endpoint URL, using content-type application/x-www-form-urlencoded, as described in section 4.1.3 of RFC6749.
           )
         end
@@ -196,7 +196,7 @@ class StandaloneLaunchSequence < SequenceBase
         metadata do
           id '07'
           link 'http://www.hl7.org/fhir/smart-app-launch/'
-          desc %(
+          description %(
             The EHR authorization server shall return a JSON structure that includes an access token or a message indicating that the authorization request has been denied.
             access_token, token_type, and scope are required. access_token must be Bearer.
           )
@@ -257,7 +257,7 @@ class StandaloneLaunchSequence < SequenceBase
         metadata do
           id '08'
           link 'http://www.hl7.org/fhir/smart-app-launch/'
-          desc %(
+          description %(
             The authorization servers response must include the HTTP Cache-Control response header field with a value of no-store, as well as the Pragma response header field with a value of no-cache.
           )
         end
diff --git a/lib/app/modules/smart/token_introspection_sequence.rb b/lib/app/modules/smart/token_introspection_sequence.rb
index 3a868711b..290f28b6e 100644
--- a/lib/app/modules/smart/token_introspection_sequence.rb
+++ b/lib/app/modules/smart/token_introspection_sequence.rb
@@ -34,7 +34,7 @@ class TokenIntrospectionSequence < SequenceBase
         metadata do
           id '01'
           link 'https://tools.ietf.org/html/rfc7662'
-          desc %(
+          description %(
             The server MUST support Transport Layer Security (TLS) 1.2.
           )
         end
@@ -50,7 +50,7 @@ class TokenIntrospectionSequence < SequenceBase
         metadata do
           id '02'
           link 'https://tools.ietf.org/html/rfc7662'
-          desc %(
+          description %(
             A resource server is capable of calling the introspection endpoint.
           )
         end
@@ -79,7 +79,7 @@ class TokenIntrospectionSequence < SequenceBase
         metadata do
           id '03'
           link 'https://tools.ietf.org/html/rfc7662'
-          desc %(
+          description %(
             A current access token is listed as active.
           )
         end
@@ -96,7 +96,7 @@ class TokenIntrospectionSequence < SequenceBase
           id '04'
           link 'https://tools.ietf.org/html/rfc7662'
           optional
-          desc %(
+          description %(
             The scopes we received alongside the Access token match those from the introspection response.
           )
         end
@@ -120,7 +120,7 @@ class TokenIntrospectionSequence < SequenceBase
         metadata do
           id '05'
           link 'https://tools.ietf.org/html/rfc7662'
-          desc %(
+          description %(
             The Access token should have a lifetime of at least 60 minutes.
           )
         end
@@ -145,7 +145,7 @@ class TokenIntrospectionSequence < SequenceBase
           id '06'
           link 'https://tools.ietf.org/html/rfc7662'
           optional
-          desc %(
+          description %(
             A resource server is capable of calling the introspection endpoint.
           )
         end
@@ -177,7 +177,7 @@ class TokenIntrospectionSequence < SequenceBase
           id '07'
           link 'https://tools.ietf.org/html/rfc7662'
           optional
-          desc %(
+          description %(
             A current access token is listed as active.
           )
         end
diff --git a/lib/app/modules/smart/token_refresh_sequence.rb b/lib/app/modules/smart/token_refresh_sequence.rb
index 81b262f04..95deb1578 100644
--- a/lib/app/modules/smart/token_refresh_sequence.rb
+++ b/lib/app/modules/smart/token_refresh_sequence.rb
@@ -60,7 +60,7 @@ def perform_refresh_request(client_id, refresh_token, provide_scope = false)
         metadata do
           id '01'
           link 'https://tools.ietf.org/html/rfc6749'
-          desc %(
+          description %(
             If the request failed verification or is invalid, the authorization server returns an error response.          )
         end
 
@@ -72,7 +72,7 @@ def perform_refresh_request(client_id, refresh_token, provide_scope = false)
         metadata do
           id '02'
           link 'https://tools.ietf.org/html/rfc6749'
-          desc %(
+          description %(
             If the request failed verification or is invalid, the authorization server returns an error response.          )
         end
 
@@ -148,7 +148,7 @@ def validate_and_save_refresh_response(token_response)
         metadata do
           id '03'
           link 'https://tools.ietf.org/html/rfc6749'
-          desc %(
+          description %(
             Server successfully exchanges refresh token at OAuth token endpoint without providing scope in
             the body of the request.
 
@@ -172,7 +172,7 @@ def validate_and_save_refresh_response(token_response)
         metadata do
           id '04'
           link 'https://tools.ietf.org/html/rfc6749'
-          desc %(
+          description %(
             Server successfully exchanges refresh token at OAuth token endpoint while providing scope in
             the body of the request.
 
diff --git a/lib/app/modules/us_core_guidance/clinicalnotes_sequence.rb b/lib/app/modules/us_core_guidance/clinicalnotes_sequence.rb
index 3a08fb320..c1792ef28 100644
--- a/lib/app/modules/us_core_guidance/clinicalnotes_sequence.rb
+++ b/lib/app/modules/us_core_guidance/clinicalnotes_sequence.rb
@@ -58,7 +58,7 @@ def test_clinical_notes_diagnostic_report(category_code)
         metadata do
           id '01'
           link 'https://www.hl7.org/fhir/us/core/clinical-notes-guidance.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -106,7 +106,7 @@ def test_clinical_notes_diagnostic_report(category_code)
         metadata do
           id '02'
           link 'https://www.hl7.org/fhir/us/core/clinical-notes-guidance.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -118,7 +118,7 @@ def test_clinical_notes_diagnostic_report(category_code)
         metadata do
           id '03'
           link 'https://www.hl7.org/fhir/us/core/clinical-notes-guidance.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -130,7 +130,7 @@ def test_clinical_notes_diagnostic_report(category_code)
         metadata do
           id '04'
           link 'https://www.hl7.org/fhir/us/core/clinical-notes-guidance.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -142,7 +142,7 @@ def test_clinical_notes_diagnostic_report(category_code)
         metadata do
           id '05'
           link 'https://www.hl7.org/fhir/us/core/clinical-notes-guidance.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -154,7 +154,7 @@ def test_clinical_notes_diagnostic_report(category_code)
         metadata do
           id '06'
           link 'https://www.hl7.org/fhir/us/core/clinical-notes-guidance.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -166,7 +166,7 @@ def test_clinical_notes_diagnostic_report(category_code)
         metadata do
           id '07'
           link 'https://www.hl7.org/fhir/us/core/clinical-notes-guidance.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -178,7 +178,7 @@ def test_clinical_notes_diagnostic_report(category_code)
         metadata do
           id '08'
           link 'https://www.hl7.org/fhir/us/core/clinical-notes-guidance.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -190,7 +190,7 @@ def test_clinical_notes_diagnostic_report(category_code)
         metadata do
           id '09'
           link 'https://www.hl7.org/fhir/us/core/clinical-notes-guidance.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
@@ -202,7 +202,7 @@ def test_clinical_notes_diagnostic_report(category_code)
         metadata do
           id '10'
           link 'https://www.hl7.org/fhir/us/core/clinical-notes-guidance.html'
-          desc %(
+          description %(
           )
           versions :r4
         end
diff --git a/lib/app/modules/us_core_guidance/r4_provenance_sequence.rb b/lib/app/modules/us_core_guidance/r4_provenance_sequence.rb
index 2d227a08e..a22c25f10 100644
--- a/lib/app/modules/us_core_guidance/r4_provenance_sequence.rb
+++ b/lib/app/modules/us_core_guidance/r4_provenance_sequence.rb
@@ -33,7 +33,7 @@ def validate_resource_item(resource, property, _value)
         metadata do
           id '01'
           link 'https://www.hl7.org/fhir/R4/provenance.html'
-          desc %(
+          description %(
             A Provenance search should not work without providing proper
             authorization. This test attempts to search for Provenance resources
             associated with a patient without providing a bearer token as is
@@ -53,7 +53,7 @@ def validate_resource_item(resource, property, _value)
         metadata do
           id '02'
           link 'https://www.hl7.org/fhir/R4/provenance.html'
-          desc %(
+          description %(
             A server should be capable of returning Provenance resources related
             to a patient resource.
 
@@ -74,7 +74,7 @@ def validate_resource_item(resource, property, _value)
         metadata do
           id '03'
           link 'https://www.hl7.org/fhir/R4/provenance.html'
-          desc %(
+          description %(
             The server should make read interactions available for Provenance
             resources.
           )
diff --git a/lib/app/modules/us_core_guidance/us_core_patient_read_only_sequence.rb b/lib/app/modules/us_core_guidance/us_core_patient_read_only_sequence.rb
index 1da1a4861..f5bddfafc 100644
--- a/lib/app/modules/us_core_guidance/us_core_patient_read_only_sequence.rb
+++ b/lib/app/modules/us_core_guidance/us_core_patient_read_only_sequence.rb
@@ -16,7 +16,7 @@ class USCoreR4PatientReadOnlySequence < SequenceBase
         metadata do
           id '01'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A patient read does not work without authorization.
           )
           versions :r4
@@ -34,7 +34,7 @@ class USCoreR4PatientReadOnlySequence < SequenceBase
         metadata do
           id '02'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             All servers SHALL make available the read interactions for the Argonaut Profiles the server chooses to support.
           )
           versions :r4
@@ -51,7 +51,7 @@ class USCoreR4PatientReadOnlySequence < SequenceBase
         metadata do
           id '03'
           link 'http://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
-          desc %(
+          description %(
             A server returns valid FHIR Patient resources according to the [Data Access Framework (DAF) Patient Profile](http://www.fhir.org/guides/argonaut/r2/StructureDefinition-argo-patient.html).
           )
           versions :r4
@@ -67,7 +67,7 @@ class USCoreR4PatientReadOnlySequence < SequenceBase
       test 'Patient has address' do
         metadata do
           id '04'
-          desc %(
+          description %(
             Additional Patient resource requirement
           )
           versions :r4
@@ -82,7 +82,7 @@ class USCoreR4PatientReadOnlySequence < SequenceBase
       test 'Patient has telecom' do
         metadata do
           id '05'
-          desc %(
+          description %(
             Additional Patient resource requirement
           )
           versions :r4
@@ -99,7 +99,7 @@ class USCoreR4PatientReadOnlySequence < SequenceBase
       #   metadata {
       #     id '00'
       #     optional
-      #     desc %(
+      #     description %(
       #       Additional Patient resource requirement
       #     )
       #   }
@@ -115,7 +115,7 @@ class USCoreR4PatientReadOnlySequence < SequenceBase
         metadata do
           id '06'
           link 'https://www.hl7.org/fhir/r4references.html'
-          desc %(
+          description %(
             All references in the Patient resource should be resolveable.
           )
           versions :r4
diff --git a/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb b/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb
index 7905c0a73..137df6cd9 100644
--- a/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb
+++ b/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb
@@ -61,7 +61,7 @@ class UsCoreR4CapabilityStatementSequence < CapabilityStatementSequence
         metadata do
           id '04'
           link 'http://hl7.org/fhir/us/core/2019Jan/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
 
             FHIR provides multiple [representation formats](https://www.hl7.org/fhir/DSTU2/formats.html) for resources, including JSON and XML.
             Argonaut profiles require servers to use the JSON representation:
@@ -97,7 +97,7 @@ class UsCoreR4CapabilityStatementSequence < CapabilityStatementSequence
           id '05'
           link 'http://www.hl7.org/fhir/smart-app-launch/conformance/'
           optional
-          desc %(
+          description %(
 
            A SMART on FHIR server can convey its capabilities to app developers by listing a set of the capabilities.
 
@@ -128,7 +128,7 @@ class UsCoreR4CapabilityStatementSequence < CapabilityStatementSequence
         metadata do
           id '06'
           link 'http://hl7.org/fhir/us/core/2019Jan/CapabilityStatement-us-core-server.html'
-          desc %(
+          description %(
            The Argonaut Data Query Implementation Guide states:
 
            ```

From a21b103a863ee0dd472a93e0bd45b8c52eb2fe0c Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Thu, 3 Oct 2019 09:05:36 -0400
Subject: [PATCH 072/144] change desc to description in SequenceBase

---
 lib/app/sequence_base.rb | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/lib/app/sequence_base.rb b/lib/app/sequence_base.rb
index baf413215..947f57c2a 100644
--- a/lib/app/sequence_base.rb
+++ b/lib/app/sequence_base.rb
@@ -372,7 +372,7 @@ def wrap_test(test)
             name: test.name,
             ref: test.ref,
             required: !test.optional?,
-            description: test.desc,
+            description: test.description,
             url: test.link,
             versions: test.versions.join(','),
             result: ResultStatuses::PASS,

From fc510d451e6111d04492fe5297c7ab85ed4b5d2a Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Thu, 3 Oct 2019 09:13:17 -0400
Subject: [PATCH 073/144] update tests

---
 test/model/inferno_test_test.rb | 13 ++++++++++++-
 1 file changed, 12 insertions(+), 1 deletion(-)

diff --git a/test/model/inferno_test_test.rb b/test/model/inferno_test_test.rb
index c111b47bf..186a4c25a 100644
--- a/test/model/inferno_test_test.rb
+++ b/test/model/inferno_test_test.rb
@@ -67,6 +67,17 @@
     end
   end
 
+  describe '#description' do
+    it 'returns nil if no description has been set' do
+      assert @base_test.description.nil?
+    end
+
+    it 'sets and returns the description' do
+      @base_test.description(DESCRIPTION)
+      assert @base_test.description == DESCRIPTION
+    end
+  end
+
   describe '#versions' do
     it 'returns an empty array if no versions have been set' do
       assert @base_test.versions == []
@@ -105,7 +116,7 @@
   describe '#metadata_hash' do
     it 'returns a metadata hash' do
       @base_test.id(TEST_ID)
-      @base_test.desc(DESCRIPTION)
+      @base_test.description(DESCRIPTION)
       @base_test.link(LINK)
       @base_test.ref(REF)
       assert @base_test.metadata_hash == {

From 9f935687677481916c91656a85b4386d8876e3aa Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Wed, 2 Oct 2019 11:03:44 -0400
Subject: [PATCH 074/144] add sequence base methods to support running
 individual tests

---
 lib/app/sequence_base.rb | 10 +++++++++-
 1 file changed, 9 insertions(+), 1 deletion(-)

diff --git a/lib/app/sequence_base.rb b/lib/app/sequence_base.rb
index 947f57c2a..1b500ffe1 100644
--- a/lib/app/sequence_base.rb
+++ b/lib/app/sequence_base.rb
@@ -311,6 +311,10 @@ def self.tests
         @tests ||= []
       end
 
+      def self.[](name)
+        tests.find { |test| test.name == name }
+      end
+
       def optional?
         self.class.optional?
       end
@@ -382,7 +386,7 @@ def wrap_test(test)
               fhir_version_included = @instance.fhir_version.present? && self.class.versions.include?(@instance.fhir_version&.to_sym)
               skip_unless(fhir_version_included, 'This test does not run with this FHIR version')
               Inferno.logger.info "Starting Test: #{test.id} [#{test.name}]"
-              instance_eval(&test.test_block)
+              run_test(test)
             rescue StandardError => e
               if e.respond_to? :update_result
                 e.update_result(result)
@@ -400,6 +404,10 @@ def wrap_test(test)
         end
       end
 
+      def run_test(test)
+        instance_eval(&test.test_block)
+      end
+
       # Metadata loading is handled by InfernoTest
       def metadata; end
 

From 3a263362ac3b0782d5035e60eafbcf341dfb6fe9 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Wed, 2 Oct 2019 11:04:21 -0400
Subject: [PATCH 075/144] add tests for token refresh sequence

---
 .../modules/smart/token_refresh_sequence.rb   |  14 +-
 .../smart/token_refresh_sequence_test.rb      | 213 ++++++++++++++++++
 2 files changed, 223 insertions(+), 4 deletions(-)
 create mode 100644 test/sequence/smart/token_refresh_sequence_test.rb

diff --git a/lib/app/modules/smart/token_refresh_sequence.rb b/lib/app/modules/smart/token_refresh_sequence.rb
index 95deb1578..c0a9c230f 100644
--- a/lib/app/modules/smart/token_refresh_sequence.rb
+++ b/lib/app/modules/smart/token_refresh_sequence.rb
@@ -56,7 +56,8 @@ def perform_refresh_request(client_id, refresh_token, provide_scope = false)
         LoggedRestClient.post(@instance.oauth_token_endpoint, oauth2_params, oauth2_headers)
       end
 
-      test 'Refresh token exchange fails when provided invalid Refresh Token.' do
+      INVALID_REFRESH_TOKEN_TEST = 'Refresh token exchange fails when provided invalid Refresh Token.'
+      test INVALID_REFRESH_TOKEN_TEST do
         metadata do
           id '01'
           link 'https://tools.ietf.org/html/rfc6749'
@@ -68,7 +69,8 @@ def perform_refresh_request(client_id, refresh_token, provide_scope = false)
         assert_response_bad_or_unauthorized token_response
       end
 
-      test 'Refresh token exchange fails when provided invalid Client ID.' do
+      INVALID_CLIENT_ID_TEST = 'Refresh token exchange fails when provided invalid Client ID.'
+      test INVALID_CLIENT_ID_TEST do
         metadata do
           id '02'
           link 'https://tools.ietf.org/html/rfc6749'
@@ -144,7 +146,9 @@ def validate_and_save_refresh_response(token_response)
         end
       end
 
-      test 'Server successfully refreshes the access token when optional scope parameter omitted.' do
+      REFRESH_WITHOUT_SCOPE_PARAMETER_TEST =
+        'Server successfully refreshes the access token when optional scope parameter omitted.'
+      test REFRESH_WITHOUT_SCOPE_PARAMETER_TEST do
         metadata do
           id '03'
           link 'https://tools.ietf.org/html/rfc6749'
@@ -168,7 +172,9 @@ def validate_and_save_refresh_response(token_response)
         validate_and_save_refresh_response(token_response)
       end
 
-      test 'Server successfully refreshes the access token when optional scope parameter provided.' do
+      REFRESH_WITH_SCOPE_PARAMETER_TEST =
+        'Server successfully refreshes the access token when optional scope parameter provided.'
+      test REFRESH_WITH_SCOPE_PARAMETER_TEST do
         metadata do
           id '04'
           link 'https://tools.ietf.org/html/rfc6749'
diff --git a/test/sequence/smart/token_refresh_sequence_test.rb b/test/sequence/smart/token_refresh_sequence_test.rb
new file mode 100644
index 000000000..3c4be8385
--- /dev/null
+++ b/test/sequence/smart/token_refresh_sequence_test.rb
@@ -0,0 +1,213 @@
+# frozen_string_literal: true
+
+require_relative '../../test_helper'
+
+describe Inferno::Sequence::TokenRefreshSequence do
+  SEQUENCE = Inferno::Sequence::TokenRefreshSequence
+  INVALID_REFRESH_TOKEN_TEST = SEQUENCE::INVALID_REFRESH_TOKEN_TEST
+  INVALID_CLIENT_ID_TEST = SEQUENCE::INVALID_CLIENT_ID_TEST
+  REFRESH_WITH_SCOPE_PARAMETER_TEST = SEQUENCE::REFRESH_WITH_SCOPE_PARAMETER_TEST
+  REFRESH_WITHOUT_SCOPE_PARAMETER_TEST = SEQUENCE::REFRESH_WITHOUT_SCOPE_PARAMETER_TEST
+
+  let(:full_body) do
+    {
+      'access_token' => 'abc',
+      'expires_in' => 'def',
+      'token_type' => 'Bearer',
+      'scope' => 'jkl'
+    }
+  end
+
+  before do
+    @token_endpoint = 'http://www.example.com/token'
+    @client = FHIR::Client.new('http://www.example.com/fhir')
+    @instance = Inferno::Models::TestingInstance.new(oauth_token_endpoint: @token_endpoint, scopes: 'jkl')
+  end
+
+  describe INVALID_REFRESH_TOKEN_TEST do
+    before do
+      @test = SEQUENCE[INVALID_REFRESH_TOKEN_TEST]
+      @sequence = SEQUENCE.new(@instance, @client)
+    end
+
+    it 'fails when the token refresh response has a success status' do
+      stub_request(:post, @token_endpoint)
+        .with(body: hash_including(refresh_token: SEQUENCE::INVALID_REFRESH_TOKEN))
+        .to_return(status: 200)
+
+      assert_raises(Inferno::AssertionException) { @sequence.run_test(@test) }
+    end
+
+    it 'succeeds when the token refresh response has an error status' do
+      stub_request(:post, @token_endpoint)
+        .with(body: hash_including(refresh_token: SEQUENCE::INVALID_REFRESH_TOKEN))
+        .to_return(status: 400)
+
+      @sequence.run_test(@test)
+    end
+  end
+
+  describe INVALID_CLIENT_ID_TEST do
+    before do
+      @test = SEQUENCE[INVALID_CLIENT_ID_TEST]
+      @sequence = SEQUENCE.new(@instance, @client)
+    end
+
+    it 'fails when the token refresh response has a success status' do
+      stub_request(:post, @token_endpoint)
+        .with(body: hash_including(client_id: SEQUENCE::INVALID_CLIENT_ID))
+        .to_return(status: 200)
+
+      assert_raises(Inferno::AssertionException) { @sequence.run_test(@test) }
+    end
+
+    it 'succeeds when the token refresh has an error status' do
+      stub_request(:post, @token_endpoint)
+        .with(body: hash_including(client_id: SEQUENCE::INVALID_CLIENT_ID))
+        .to_return(status: 400)
+
+      @sequence.run_test(@test)
+    end
+  end
+
+  describe REFRESH_WITH_SCOPE_PARAMETER_TEST do
+    before do
+      @test = SEQUENCE[REFRESH_WITH_SCOPE_PARAMETER_TEST]
+      @sequence = SEQUENCE.new(@instance, @client)
+    end
+
+    it 'succeeds when the token refresh succeeds' do
+      stub_request(:post, @token_endpoint)
+        .with(body: hash_including(scope: 'jkl'))
+        .to_return(status: 200, body: full_body.to_json, headers: {})
+
+      @sequence.run_test(@test)
+    end
+
+    it 'fails when the token refresh fails' do
+      stub_request(:post, @token_endpoint)
+        .with(body: hash_including(scope: 'jkl'))
+        .to_return(status: 400)
+
+      assert_raises(Inferno::AssertionException) { @sequence.run_test(@test) }
+    end
+  end
+
+  describe REFRESH_WITHOUT_SCOPE_PARAMETER_TEST do
+    before do
+      @test = SEQUENCE[REFRESH_WITHOUT_SCOPE_PARAMETER_TEST]
+      @sequence = SEQUENCE.new(@instance, @client)
+    end
+
+    it 'succeeds when the token refresh succeeds' do
+      stub_request(:post, @token_endpoint)
+        .with { |request| !request.body.include? 'scope' }
+        .to_return(status: 200, body: full_body.to_json, headers: {})
+
+      @sequence.run_test(@test)
+    end
+
+    it 'fails when the token refresh fails' do
+      stub_request(:post, @token_endpoint)
+        .with { |request| !request.body.include? 'scope' }
+        .to_return(status: 400)
+
+      assert_raises(Inferno::AssertionException) { @sequence.run_test(@test) }
+    end
+  end
+
+  describe '#validate_and_save_refresh_response' do
+    let(:successful_response) do
+      OpenStruct.new(
+        code: 200,
+        body: full_body.to_json,
+        headers: {}
+      )
+    end
+
+    before do
+      @sequence = SEQUENCE.new(@instance, @client)
+    end
+
+    it 'fails when the token response has an error status' do
+      response = OpenStruct.new(code: 400)
+      exception = assert_raises(Inferno::AssertionException) { @sequence.validate_and_save_refresh_response(response) }
+      assert_equal('Bad response code: expected 200, 201, but found 400. ', exception.message)
+    end
+
+    it 'fails when the token response body is invalid json' do
+      response = OpenStruct.new(code: 200, body: '{')
+      exception = assert_raises(Inferno::AssertionException) { @sequence.validate_and_save_refresh_response(response) }
+      assert_equal('Invalid JSON', exception.message)
+    end
+
+    it 'fails when the token response does not contain an access token' do
+      response = OpenStruct.new(code: 200, body: '{"not_access_token":"abc"}')
+      exception = assert_raises(Inferno::AssertionException) { @sequence.validate_and_save_refresh_response(response) }
+      assert_equal('Token response did not contain access_token as required', exception.message)
+    end
+
+    it 'fails when the token response does not contain a required field' do
+      required_fields = ['expires_in', 'token_type', 'scope']
+      required_fields.each do |field|
+        body = full_body.reject { |key, _| key == field }.to_json
+        response = OpenStruct.new(code: 200, body: body)
+        exception = assert_raises(Inferno::AssertionException) { @sequence.validate_and_save_refresh_response(response) }
+        assert_equal("Token response did not contain #{field} as required", exception.message)
+      end
+    end
+
+    it 'fails when the token_type is not "Bearer"' do
+      full_body['token_type'] = 'ghi'
+      response = OpenStruct.new(code: 200, body: full_body.to_json)
+      exception = assert_raises(Inferno::AssertionException) { @sequence.validate_and_save_refresh_response(response) }
+      assert_equal('Token type must be Bearer.', exception.message)
+    end
+
+    it 'creates a warning when scopes are missing' do
+      @instance.scopes = 'jkl mno'
+      @sequence.validate_and_save_refresh_response(successful_response)
+
+      warnings = @sequence.instance_variable_get(:'@test_warnings')
+      assert_includes(warnings, 'Token exchange response did not include expected scopes: ["mno"]')
+    end
+
+    it 'creates a warning when the body has no patient field' do
+      @sequence.validate_and_save_refresh_response(successful_response)
+
+      warnings = @sequence.instance_variable_get(:'@test_warnings')
+      assert_includes(warnings, 'No patient id provided in token exchange.')
+    end
+
+    it 'creates a warning when the cache_control header is missing' do
+      @sequence.validate_and_save_refresh_response(successful_response)
+
+      warnings = @sequence.instance_variable_get(:'@test_warnings')
+      assert_includes(warnings, 'Token response headers did not contain cache_control as is recommended for token exchanges.')
+    end
+
+    it 'creates a warning when the pragma header is missing' do
+      successful_response.headers = { cache_control: 'abc' }
+      @sequence.validate_and_save_refresh_response(successful_response)
+
+      warnings = @sequence.instance_variable_get(:'@test_warnings')
+      assert_includes(warnings, 'Token response headers did not contain pragma as is recommended for token exchanges.')
+    end
+
+    it 'creates a warning when the cache_control header is not set to "no-store"' do
+      successful_response.headers = { cache_control: 'abc', pragma: 'def' }
+      @sequence.validate_and_save_refresh_response(successful_response)
+
+      warnings = @sequence.instance_variable_get(:'@test_warnings')
+      assert_includes(warnings, 'Token response header should have cache_control containing no-store.')
+    end
+
+    it 'creates a warning when the pragma header is not set to "no-cache"' do
+      successful_response.headers = { cache_control: 'no-store', pragma: 'def' }
+      @sequence.validate_and_save_refresh_response(successful_response)
+
+      warnings = @sequence.instance_variable_get(:'@test_warnings')
+      assert_includes(warnings, 'Token response header should have pragma containing no-cache.')
+    end
+  end
+end

From 4ddbc9ac65a70fc3a002d7ff1a5a640e4895412f Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Thu, 3 Oct 2019 12:07:03 -0400
Subject: [PATCH 076/144] two more files

---
 .../bulk_data_patient_export_sequence.rb      | 26 +++++++++++--------
 .../bulk_data/patient_export_sequence_test.rb |  1 +
 2 files changed, 16 insertions(+), 11 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
index 8982f674f..a054c2186 100644
--- a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
@@ -14,6 +14,8 @@ class BulkDataPatientExportSequence < SequenceBase
       requires :token
       conformance_supports :Patient
 
+      attr_writer :run_all_kick_off_tests
+
       def check_export_kick_off(klass, search_params: nil)
         reply = export_kick_off(klass, search_params: search_params)
 
@@ -27,7 +29,7 @@ def check_export_kick_off(klass, search_params: nil)
           skip message
         end
 
-        @search_params_applied = true
+        @skip_export_no_parameter = true
 
         assert_response_accepted(reply)
         @content_location = reply.response[:headers]['content-location']
@@ -72,6 +74,8 @@ def check_export_status(url = @content_location, timeout: 180)
       def assert_output_has_type_url(output = @output, check_parameters = @search_params)
         skip 'Sever response did not have output data' unless output.present?
 
+        search_type = @search_params['_type'].split(',').map(&:strip) if @search_params.present?
+
         output.each do |file|
           ['type', 'url'].each do |key|
             assert file.key?(key), "Output file did not contain \"#{key}\" as required"
@@ -108,16 +112,16 @@ def check_ndjson(ndjson, type)
         end
       end
 
-      def assert_delete_request(url)
+      def check_delete_request(url)
         reply = @client.delete(url, {})
         skip 'Server did not accept client request to delete export file after export completed' if reply.code > 400
         assert_response_accepted(reply)
       end
 
-      def assert_cancel_request(_klass)
+      def check_cancel_request(_klass)
         @content_location = nil
-        assert_export_kick_off('Patient')
-        assert_delete_request(@content_location)
+        check_export_kick_off('Patient')
+        check_delete_request(@content_location)
       end
 
       details %(
@@ -154,7 +158,7 @@ def assert_cancel_request(_klass)
         end
 
         @search_params = { '_type' => 'Patient' }
-        assert_export_kick_off('Patient', search_params: @search_params)
+        check_export_kick_off('Patient', search_params: @search_params)
       end
 
       test 'Server shall return "202 Accepted" and "Content-location" for $export operation' do
@@ -165,7 +169,7 @@ def assert_cancel_request(_klass)
           )
         end
 
-        skip 'Skip testing $export without parameters' if @search_params_applied
+        skip 'Skip testing $export without parameters' if @search_params_applied && !@run_all_kick_off_tests
 
         check_export_kick_off('Patient')
       end
@@ -223,7 +227,7 @@ def assert_cancel_request(_klass)
           optional
         end
 
-        assert_delete_request(@content_location)
+        check_delete_request(@content_location)
       end
 
       test 'Server shall return "202 Accepted" for cancel export request' do
@@ -234,14 +238,14 @@ def assert_cancel_request(_klass)
           )
         end
 
-        assert_cancel_request('Patient')
+        check_cancel_request('Patient')
       end
 
       private
 
-      def export_kick_off(klass,
-                          search_params: nil,
+      def export_kick_off(klass = nil,
                           id: nil,
+                          search_params: nil,
                           headers: { accept: 'application/fhir+json', prefer: 'respond-async' })
         url = ''
         url += "/#{klass}" if klass.present?
diff --git a/test/sequence/bulk_data/patient_export_sequence_test.rb b/test/sequence/bulk_data/patient_export_sequence_test.rb
index becbf2c33..7d4701e1f 100644
--- a/test/sequence/bulk_data/patient_export_sequence_test.rb
+++ b/test/sequence/bulk_data/patient_export_sequence_test.rb
@@ -50,6 +50,7 @@ def setup
     client.use_stu3
     client.default_json
     @sequence = Inferno::Sequence::BulkDataPatientExportSequence.new(@instance, client, true)
+    @sequence.run_all_kick_off_tests = true
   end
 
   def include_export_stub_no_token

From df48edc0e2a4d46ad95643f03e7e30ce4efe0c8f Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Thu, 3 Oct 2019 13:05:48 -0400
Subject: [PATCH 077/144] Reverse FHIR version check

---
 .../bulk_data/bulk_data_capability_statement_sequence.rb      | 3 +--
 lib/app/modules/bulk_data_module.yml                          | 1 +
 lib/app/modules/core/capability_statement_sequence.rb         | 4 ----
 lib/app/sequence_base.rb                                      | 2 +-
 test/fixtures/bulk_data_conformance.json                      | 2 +-
 5 files changed, 4 insertions(+), 8 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb b/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
index f61e21aaa..6ebe90b33 100644
--- a/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
@@ -88,7 +88,6 @@ def assert_operation(op_name); end
           )
         end
 
-        assert @conformance.class.name.demodulize == versioned_conformance_class.name.demodulize, 'Expected valid Conformance resource'
         formats = ['json', 'applcation/json', 'application/json+fhir', 'application/fhir+json']
         assert formats.any? { |format| @conformance.format.include? format }, 'Conformance does not state support for json.'
       end
@@ -100,7 +99,7 @@ def assert_operation(op_name); end
           desc %(
 
             To declare conformance with this IG, a server should include the following URL in its own CapabilityStatement.instantiates:
-            http://www.hl7.org/fhir/bulk-data/CapabilityStatement-bulk-data.html
+            http://hl7.org/fhir/uv/bulkdata/CapabilityStatement/bulk-data
 
           )
           optional
diff --git a/lib/app/modules/bulk_data_module.yml b/lib/app/modules/bulk_data_module.yml
index e1e5d7dcc..c61f83a4c 100644
--- a/lib/app/modules/bulk_data_module.yml
+++ b/lib/app/modules/bulk_data_module.yml
@@ -2,6 +2,7 @@ name: bulk_data
 title: FHIR Bulk Data Access Implementation Guide STU1
 description: Bulk Data Access Testing
 default_test_set: developer
+fhir_version: stu3
 test_sets:
   developer:
     view: default
diff --git a/lib/app/modules/core/capability_statement_sequence.rb b/lib/app/modules/core/capability_statement_sequence.rb
index 5b7c672ad..8ead86db8 100644
--- a/lib/app/modules/core/capability_statement_sequence.rb
+++ b/lib/app/modules/core/capability_statement_sequence.rb
@@ -134,10 +134,6 @@ class CapabilityStatementSequence < SequenceBase
         @conformance = @client.conformance_statement
         assert_response_ok @client.reply
 
-        # if @instance.fhir_version.blank?
-        #   assert @conformance.class.name.demodulize == versioned_conformance_class.name.demodulize, 'Expected valid Conformance resource.'
-        # else
-        #   assert @conformance.class == versioned_conformance_class, 'Expected valid Conformance resource.'
         assert_valid_conformance
 
         begin
diff --git a/lib/app/sequence_base.rb b/lib/app/sequence_base.rb
index 255c0f0a5..e997773b2 100644
--- a/lib/app/sequence_base.rb
+++ b/lib/app/sequence_base.rb
@@ -398,7 +398,7 @@ def self.test(name, &block)
             test_index: test_index
           )
           begin
-            fhir_version_included = !@instance.fhir_version.present? || versions.include?(@instance.fhir_version&.to_sym)
+            fhir_version_included = @instance.fhir_version.present? && versions.include?(@instance.fhir_version&.to_sym)
             skip_unless(fhir_version_included, 'This test does not run with this FHIR version')
             Inferno.logger.info "Starting Test: #{test_id} [#{name}]"
             instance_eval(&block)
diff --git a/test/fixtures/bulk_data_conformance.json b/test/fixtures/bulk_data_conformance.json
index e754424e5..61aa44700 100644
--- a/test/fixtures/bulk_data_conformance.json
+++ b/test/fixtures/bulk_data_conformance.json
@@ -12,7 +12,7 @@
       "description": "SMART Sample Bulk FHIR Server"
   },
   "instantiates": [
-    "http://www.hl7.org/fhir/bulk-data/CapabilityStatement-bulk-data.html"
+    "http://hl7.org/fhir/uv/bulkdata/CapabilityStatement/bulk-data"
   ],  
   "fhirVersion": "3.0.1",
   "acceptUnknown": "extensions",

From 7ac75a7c146c93bc592f2cc4899e7b050d43f27e Mon Sep 17 00:00:00 2001
From: Reece Adamson <radamson@mitre.org>
Date: Mon, 1 Jul 2019 13:10:05 -0400
Subject: [PATCH 078/144] add us core r4 terminology

---
 download-argonaut-valuesets.sh                |    5 -
 lib/app/utils/terminology.rb                  |   98 +-
 lib/app/utils/valueset.rb                     |   12 +-
 lib/tasks/tasks.rake                          |  101 -
 ...System-terminology-condition-category.json |   55 +
 .../CodeSystem-careplan-category.json         |   36 +
 resources/us_core_r4/CodeSystem-cdcrec.json   | 4914 +++++++++++++++++
 .../CodeSystem-condition-category.json        |   65 +
 ...em-us-core-documentreference-category.json |   37 +
 resources/us_core_r4/ValueSet-birthsex.json   |   69 +
 .../ValueSet-detailed-ethnicity.json          |   54 +
 .../us_core_r4/ValueSet-detailed-race.json    |   63 +
 .../ValueSet-omb-ethnicity-category.json      |   44 +
 .../ValueSet-omb-race-category.json           |   93 +
 .../ValueSet-us-core-allergy-substance.json   | 3118 +++++++++++
 ...ueSet-us-core-careteam-provider-roles.json |   66 +
 .../ValueSet-us-core-clinical-note-type.json  |   62 +
 .../ValueSet-us-core-condition-category.json  |   44 +
 ...Set-us-core-diagnosticreport-category.json |   48 +
 ...iagnosticreport-report-and-note-codes.json |   46 +
 ...et-us-core-documentreference-category.json |   44 +
 .../ValueSet-us-core-encounter-type.json      |   51 +
 .../ValueSet-us-core-medication-codes.json    |   57 +
 .../ValueSet-us-core-narrative-status.json    |   55 +
 .../ValueSet-us-core-ndc-vaccine-codes.json   | 1337 +++++
 ...ore-observation-smoking-status-status.json |   52 +
 ...Set-us-core-observation-smokingstatus.json |   85 +
 ...ueSet-us-core-observation-value-codes.json |   49 +
 .../us_core_r4/ValueSet-us-core-problem.json  |   76 +
 .../ValueSet-us-core-procedure-code.json      |   61 +
 .../ValueSet-us-core-procedure-icd10pcs.json  |   45 +
 .../ValueSet-us-core-provider-role.json       |  995 ++++
 .../ValueSet-us-core-provider-specialty.json  |   45 +
 ...core-smoking-status-observation-codes.json |   50 +
 .../ValueSet-us-core-usps-state.json          |  293 +
 .../ValueSet-us-core-vaccines-cvx.json        |  744 +++
 36 files changed, 12867 insertions(+), 202 deletions(-)
 delete mode 100755 download-argonaut-valuesets.sh
 create mode 100644 resources/misc_valuesets/CodeSystem-terminology-condition-category.json
 create mode 100755 resources/us_core_r4/CodeSystem-careplan-category.json
 create mode 100755 resources/us_core_r4/CodeSystem-cdcrec.json
 create mode 100755 resources/us_core_r4/CodeSystem-condition-category.json
 create mode 100755 resources/us_core_r4/CodeSystem-us-core-documentreference-category.json
 create mode 100755 resources/us_core_r4/ValueSet-birthsex.json
 create mode 100755 resources/us_core_r4/ValueSet-detailed-ethnicity.json
 create mode 100755 resources/us_core_r4/ValueSet-detailed-race.json
 create mode 100755 resources/us_core_r4/ValueSet-omb-ethnicity-category.json
 create mode 100755 resources/us_core_r4/ValueSet-omb-race-category.json
 create mode 100755 resources/us_core_r4/ValueSet-us-core-allergy-substance.json
 create mode 100755 resources/us_core_r4/ValueSet-us-core-careteam-provider-roles.json
 create mode 100755 resources/us_core_r4/ValueSet-us-core-clinical-note-type.json
 create mode 100755 resources/us_core_r4/ValueSet-us-core-condition-category.json
 create mode 100755 resources/us_core_r4/ValueSet-us-core-diagnosticreport-category.json
 create mode 100755 resources/us_core_r4/ValueSet-us-core-diagnosticreport-report-and-note-codes.json
 create mode 100755 resources/us_core_r4/ValueSet-us-core-documentreference-category.json
 create mode 100755 resources/us_core_r4/ValueSet-us-core-encounter-type.json
 create mode 100755 resources/us_core_r4/ValueSet-us-core-medication-codes.json
 create mode 100755 resources/us_core_r4/ValueSet-us-core-narrative-status.json
 create mode 100755 resources/us_core_r4/ValueSet-us-core-ndc-vaccine-codes.json
 create mode 100755 resources/us_core_r4/ValueSet-us-core-observation-smoking-status-status.json
 create mode 100755 resources/us_core_r4/ValueSet-us-core-observation-smokingstatus.json
 create mode 100755 resources/us_core_r4/ValueSet-us-core-observation-value-codes.json
 create mode 100755 resources/us_core_r4/ValueSet-us-core-problem.json
 create mode 100755 resources/us_core_r4/ValueSet-us-core-procedure-code.json
 create mode 100755 resources/us_core_r4/ValueSet-us-core-procedure-icd10pcs.json
 create mode 100755 resources/us_core_r4/ValueSet-us-core-provider-role.json
 create mode 100755 resources/us_core_r4/ValueSet-us-core-provider-specialty.json
 create mode 100755 resources/us_core_r4/ValueSet-us-core-smoking-status-observation-codes.json
 create mode 100755 resources/us_core_r4/ValueSet-us-core-usps-state.json
 create mode 100755 resources/us_core_r4/ValueSet-us-core-vaccines-cvx.json

diff --git a/download-argonaut-valuesets.sh b/download-argonaut-valuesets.sh
deleted file mode 100755
index 9d7c5580c..000000000
--- a/download-argonaut-valuesets.sh
+++ /dev/null
@@ -1,5 +0,0 @@
-#!/bin/sh
-
-wget https://github.com/jmandel/umls-bloomer/archive/bloom-filters.zip
-unzip bloom-filters.zip -d data
-rm bloom-filters.zip
diff --git a/lib/app/utils/terminology.rb b/lib/app/utils/terminology.rb
index d7e0bdd97..88597fc5c 100644
--- a/lib/app/utils/terminology.rb
+++ b/lib/app/utils/terminology.rb
@@ -18,103 +18,8 @@ class Terminology
       'http://hl7.org/fhir/sid/cvx' => 'CVX'
     }.freeze
 
-    @@term_root = File.join('resources', 'terminology')
-
-    @@loaded = false
-    @@top_lab_code_descriptions = {}
-    @@known_codes = {}
-    @@core_snomed = {}
-    @@common_ucum = []
-
     @known_valuesets = {}
 
-    def self.reset
-      @@loaded = false
-      @@top_lab_code_descriptions = {}
-      @@known_codes = {}
-      @@core_snomed = {}
-      @@common_ucum = []
-    end
-    private_class_method :reset
-
-    def self.load_terminology
-      return if @@loaded
-
-      begin
-        # load the top lab codes
-        filename = File.join(@@term_root, 'terminology_loinc_2000.txt')
-        raw = File.open(filename, 'r:UTF-8', &:read)
-        raw.split("\n").each do |line|
-          row = line.split('|')
-          @@top_lab_code_descriptions[row[0]] = row[1] unless row[1].nil?
-        end
-      rescue StandardError => e
-        Inferno.logger.error e
-      end
-
-      begin
-        # load the known codes
-        filename = File.join(@@term_root, 'terminology_umls.txt')
-        raw = File.open(filename, 'r:UTF-8', &:read)
-        raw.split("\n").each do |line|
-          row = line.split('|')
-          code_system = row[0]
-          code = row[1]
-          description = row[2]
-          if @@known_codes[code_system]
-            code_system_hash = @@known_codes[code_system]
-          else
-            code_system_hash = {}
-            @@known_codes[code_system] = code_system_hash
-          end
-          code_system_hash[code] = description
-        end
-      rescue StandardError => e
-        Inferno.logger.error e
-      end
-
-      begin
-        # load the core snomed codes
-        @@known_codes['SNOMED'] = {} if @@known_codes['SNOMED'].nil?
-        code_system_hash = @@known_codes['SNOMED']
-        filename = File.join(@@term_root, 'terminology_snomed_core.txt')
-        raw = File.open(filename, 'r:UTF-8', &:read)
-        raw.split("\n").each do |line|
-          row = line.split('|')
-          code = row[0]
-          description = row[1]
-          code_system_hash[code] = description if code_system_hash[code].nil?
-          @@core_snomed[code] = description
-        end
-      rescue StandardError => e
-        Inferno.logger.error e
-      end
-
-      begin
-        # load common UCUM codes
-        filename = File.join(@@term_root, 'terminology_ucum.txt')
-        raw = File.open(filename, 'r:UTF-8', &:read)
-        raw.split("\n").each do |code|
-          @@common_ucum << code
-        end
-        @@common_ucum.uniq!
-      rescue StandardError => e
-        Inferno.logger.error e
-      end
-
-      @@loaded = true
-    end
-
-    def self.get_description(system, code)
-      load_terminology
-      @@known_codes[system][code] if @@known_codes[system]
-    end
-
-    def self.lab_description(code)
-      load_terminology
-      @@top_lab_code_descriptions[code]
-    end
-
     def self.load_valuesets_from_directory(directory, include_subdirectories = false)
       directory += '/**/' if include_subdirectories
       valueset_files = Dir["#{directory}/ValueSet*"]
@@ -219,7 +124,10 @@ def self.load_validators(directory = 'resources/terminology/validators/bloom')
           probe = "#{coding['system']}|#{coding['code']}"
           bfilter.include? probe
         end
+        # Register the validators with FHIR Models for validation
         FHIR::DSTU2::StructureDefinition.validates_vs(validator[:url], &validate_fn)
+        FHIR::STU3::StructureDefinition.validates_vs(validator[:url], &validate_fn)
+        FHIR::StructureDefinition.validates_vs(validator[:url], &validate_fn)
       end
     end
 
diff --git a/lib/app/utils/valueset.rb b/lib/app/utils/valueset.rb
index f4c662aee..fc35ba20d 100644
--- a/lib/app/utils/valueset.rb
+++ b/lib/app/utils/valueset.rb
@@ -32,7 +32,17 @@ class Valueset
       CODE_SYS = {
         'http://hl7.org/fhir/v3/Ethnicity' => 'resources/misc_valuesets/CodeSystem-v3-Ethnicity.json',
         'http://hl7.org/fhir/v3/Race' => 'resources/misc_valuesets/CodeSystem-v3-Race.json',
-        'http://hl7.org/fhir/condition-category' => 'resources/misc_valuesets/CodeSystem-condition-category.json'
+        'http://hl7.org/fhir/condition-category' => 'resources/misc_valuesets/CodeSystem-condition-category.json',
+        'http://hl7.org/fhir/us/core/CodeSystem/careplan-category' => 'resources/us_core_r4/CodeSystem-careplan-category.json',
+        'urn:oid:2.16.840.1.113883.6.238' => 'resources/us_core_r4/CodeSystem-cdcrec.json',
+        'http://hl7.org/fhir/us/core/CodeSystem/condition-category' => 'resources/us_core_r4/CodeSystem-condition-category.json',
+        'http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category' => 'resources/us_core_r4/CodeSystem-us-core-documentreference-category.json',
+        'http://terminology.hl7.org/CodeSystem/condition-category' => 'resources/misc_valuesets/CodeSystem-terminology-condition-category.json'
+      }.freeze
+
+      # https://www.nlm.nih.gov/research/umls/knowledge_sources/metathesaurus/release/attribute_names.html
+      FILTER_PROP = {
+          'SCALE_TYP' => 'LOINC_SCALE_TYP'
       }.freeze
 
       def initialize(database)
diff --git a/lib/tasks/tasks.rake b/lib/tasks/tasks.rake
index 566f66455..2d1e3fdd1 100644
--- a/lib/tasks/tasks.rake
+++ b/lib/tasks/tasks.rake
@@ -392,107 +392,6 @@ namespace :inferno do |_argv|
 end
 
 namespace :terminology do |_argv|
-  desc 'post-process LOINC Top 2000 common lab results CSV'
-  task :process_loinc, [] do |_t, _args|
-    require 'find'
-    require 'csv'
-    puts 'Looking for `./resources/terminology/Top2000*.csv`...'
-    loinc_file = Find.find('resources/terminology').find { |f| /Top2000.*\.csv$/ =~f }
-    if loinc_file
-      output_filename = 'resources/terminology/terminology_loinc_2000.txt'
-      puts "Writing to #{output_filename}..."
-      output = File.open(output_filename, 'w:UTF-8')
-      line = 0
-      begin
-        CSV.foreach(loinc_file, encoding: 'iso-8859-1:utf-8', headers: true) do |row|
-          line += 1
-          next if row.length <= 1 || row[1].nil? # skip the categories
-
-          #              CODE    | DESC
-          output.write("#{row[0]}|#{row[1]}\n")
-        end
-      rescue StandardError => e
-        puts "Error at line #{line}"
-        puts e.message
-      end
-      output.close
-      puts 'Done.'
-    else
-      puts 'LOINC file not found.'
-      puts 'Download the LOINC Top 2000 Common Lab Results file'
-      puts '  -> https://loinc.org/download/loinc-top-2000-lab-observations-us-csv/'
-      puts 'copy it into your `./resources/terminology` folder, and rerun this task.'
-    end
-  end
-
-  desc 'post-process SNOMED Core Subset file'
-  task :process_snomed, [] do |_t, _args|
-    require 'find'
-    puts 'Looking for `./resources/terminology/SNOMEDCT_CORE_SUBSET*.txt`...'
-    snomed_file = Find.find('resources/terminology').find { |f| /SNOMEDCT_CORE_SUBSET.*\.txt$/ =~f }
-    if snomed_file
-      output_filename = 'resources/terminology/terminology_snomed_core.txt'
-      output = File.open(output_filename, 'w:UTF-8')
-      line = 0
-      begin
-        entire_file = File.read(snomed_file)
-        puts "Writing to #{output_filename}..."
-        entire_file.split("\n").each do |l|
-          row = l.split('|')
-          line += 1
-          next if line == 1 # skip the headers
-
-          #              CODE    | DESC
-          output.write("#{row[0]}|#{row[1]}\n")
-        end
-      rescue StandardError => e
-        puts "Error at line #{line}"
-        puts e.message
-      end
-      output.close
-      puts 'Done.'
-    else
-      puts 'SNOMEDCT file not found.'
-      puts 'Download the SNOMEDCT Core Subset file'
-      puts '  -> https://www.nlm.nih.gov/research/umls/Snomed/core_subset.html'
-      puts 'copy it into your `./resources/terminology` folder, and rerun this task.'
-    end
-  end
-
-  desc 'post-process common UCUM codes'
-  task :process_ucum, [] do |_t, _args|
-    require 'find'
-    puts 'Looking for `./resources/terminology/concepts.tsv`...'
-    ucum_file = Find.find('resources/terminology').find { |f| /concepts.tsv$/ =~f }
-    if ucum_file
-      output_filename = 'resources/terminology/terminology_ucum.txt'
-      output = File.open(output_filename, 'w:UTF-8')
-      line = 0
-      begin
-        entire_file = File.read(ucum_file)
-        puts "Writing to #{output_filename}..."
-        entire_file.split("\n").each do |l|
-          row = l.split("\t")
-          line += 1
-          next if line == 1 # skip the headers
-
-          output.write("#{row[0]}\n") # code
-          output.write("#{row[5]}\n") if row[0] != row[5] # synonym
-        end
-      rescue StandardError => e
-        puts "Error at line #{line}"
-        puts e.message
-      end
-      output.close
-      puts 'Done.'
-    else
-      puts 'UCUM concepts file not found.'
-      puts 'Download the UCUM concepts file'
-      puts '  -> http://download.hl7.de/documents/ucum/concepts.tsv'
-      puts 'copy it into your `./resources/terminology` folder, and rerun this task.'
-    end
-  end
-
   desc 'download and execute UMLS terminology data'
   task :download_umls, [:username, :password] do |_t, args|
     # Adapted from python https://github.com/jmandel/umls-bloomer/blob/master/01-download.py
diff --git a/resources/misc_valuesets/CodeSystem-terminology-condition-category.json b/resources/misc_valuesets/CodeSystem-terminology-condition-category.json
new file mode 100644
index 000000000..2976da39c
--- /dev/null
+++ b/resources/misc_valuesets/CodeSystem-terminology-condition-category.json
@@ -0,0 +1,55 @@
+{
+  "resourceType" : "CodeSystem",
+  "id" : "condition-category",
+  "meta" : {
+    "lastUpdated" : "2018-12-27T22:37:54.724+11:00",
+    "profile" : ["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"]
+  },
+  "text" : {
+    "status" : "generated",
+    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Condition Category Codes</h2><div><p>Preferred value set for Condition Categories.</p>\n</div><p>This code system http://terminology.hl7.org/CodeSystem/condition-category defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">problem-list-item<a name=\"condition-category-problem-list-item\"> </a></td><td>Problem List Item</td><td>An item on a problem list that can be managed over time and can be expressed by a practitioner (e.g. physician, nurse), patient, or related person.</td></tr><tr><td style=\"white-space:nowrap\">encounter-diagnosis<a name=\"condition-category-encounter-diagnosis\"> </a></td><td>Encounter Diagnosis</td><td>A point in time diagnosis (e.g. from a physician or nurse) in context of an encounter.</td></tr></table></div>"
+  },
+  "extension" : [{
+    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
+    "valueCode" : "pc"
+  },
+  {
+    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
+    "valueCode" : "trial-use"
+  },
+  {
+    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
+    "valueInteger" : 3
+  }],
+  "url" : "http://terminology.hl7.org/CodeSystem/condition-category",
+  "identifier" : [{
+    "system" : "urn:ietf:rfc:3986",
+    "value" : "urn:oid:2.16.840.1.113883.4.642.1.1073"
+  }],
+  "version" : "4.0.0",
+  "name" : "ConditionCategoryCodes",
+  "title" : "Condition Category Codes",
+  "status" : "draft",
+  "experimental" : false,
+  "publisher" : "FHIR Project team",
+  "contact" : [{
+    "telecom" : [{
+      "system" : "url",
+      "value" : "http://hl7.org/fhir"
+    }]
+  }],
+  "description" : "Preferred value set for Condition Categories.",
+  "caseSensitive" : true,
+  "valueSet" : "http://hl7.org/fhir/ValueSet/condition-category",
+  "content" : "complete",
+  "concept" : [{
+    "code" : "problem-list-item",
+    "display" : "Problem List Item",
+    "definition" : "An item on a problem list that can be managed over time and can be expressed by a practitioner (e.g. physician, nurse), patient, or related person."
+  },
+  {
+    "code" : "encounter-diagnosis",
+    "display" : "Encounter Diagnosis",
+    "definition" : "A point in time diagnosis (e.g. from a physician or nurse) in context of an encounter."
+  }]
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/CodeSystem-careplan-category.json b/resources/us_core_r4/CodeSystem-careplan-category.json
new file mode 100755
index 000000000..1b9948490
--- /dev/null
+++ b/resources/us_core_r4/CodeSystem-careplan-category.json
@@ -0,0 +1,36 @@
+{
+  "resourceType": "CodeSystem",
+  "id": "careplan-category",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core CarePlan Category Extension Codes</h2><div><p>Set of codes that are needed for implementation of the US-Core profiles. These codes are used as extensions to the FHIR and US Core value sets.</p>\n</div><p>This code system http://hl7.org/fhir/us/core/CodeSystem/careplan-category defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">assess-plan<a name=\"careplan-category-assess-plan\"> </a></td><td>Assessment and Plan of Treatment</td><td>The clinical conclusions and assumptions that guide the patient's treatment and the clinical activities formulated for a patient.</td></tr></table></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
+  "version": "3.0.0",
+  "name": "USCoreCarePlanCategoryExtensionCodes",
+  "title": "US Core CarePlan Category Extension Codes",
+  "status": "active",
+  "date": "2019-06-19T22:32:01+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "description": "Set of codes that are needed for implementation of the US-Core profiles. These codes are used as extensions to the FHIR and US Core value sets.\n",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "caseSensitive": true,
+  "content": "complete",
+  "concept": [
+    {
+      "code": "assess-plan",
+      "display": "Assessment and Plan of Treatment",
+      "definition": "The clinical conclusions and assumptions that guide the patient's treatment and the clinical activities formulated for a patient."
+    }
+  ]
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/CodeSystem-cdcrec.json b/resources/us_core_r4/CodeSystem-cdcrec.json
new file mode 100755
index 000000000..1c3369160
--- /dev/null
+++ b/resources/us_core_r4/CodeSystem-cdcrec.json
@@ -0,0 +1,4914 @@
+{
+  "resourceType": "CodeSystem",
+  "id": "cdcrec",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Race &amp; Ethnicity - CDC</h2><div><p>The U.S. Centers for Disease Control and Prevention (CDC) has prepared a code set for use in codingrace and ethnicity data. This code set is based on current federal standards for classifying data onrace and ethnicity, specifically the minimum race and ethnicity categories defined by the U.S. Office ofManagement and Budget (OMB) and a more detailed set of race and ethnicity categories maintainedby the U.S. Bureau of the Census (BC). The main purpose of the code set is to facilitate use of federalstandards for classifying data on race and ethnicity when these data are exchanged, stored, retrieved,or analyzed in electronic form. At the same time, the code set can be applied to paper-based recordsystems to the extent that these systems are used to collect, maintain, and report data on race andethnicity in accordance with current federal standards. Source: <a href=\"https://www.cdc.gov/phin/resources/vocabulary/documents/cdc-race--ethnicity-background-and-purpose.pdf\">Race and Ethnicity Code Set Version 1.0</a>.</p>\n</div><p><b>Properties</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>URL</b></td><td><b>Description</b></td><td><b>Type</b></td></tr><tr><td>abstract</td><td/><td>True if an element is considered 'abstract' - in other words, the code is not for use as a real concept</td><td>boolean</td></tr></table><p>This code system urn:oid:2.16.840.1.113883.6.238 defines the following codes:</p><table class=\"codes\"><tr><td><b>Lvl</b></td><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td>1</td><td style=\"white-space:nowrap\">1000-9<a name=\"cdcrec-1000-9\"> </a></td><td>Race</td><td>Race, Note that this is an abstract 'grouping' concept and not for use as a real concept</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  1002-5<a name=\"cdcrec-1002-5\"> </a></td><td>American Indian or Alaska Native</td><td>American Indian or Alaska Native</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1004-1<a name=\"cdcrec-1004-1\"> </a></td><td>American Indian</td><td>American Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1735-0<a name=\"cdcrec-1735-0\"> </a></td><td>Alaska Native</td><td>Alaska Native</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1006-6<a name=\"cdcrec-1006-6\"> </a></td><td>Abenaki</td><td>Abenaki</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1008-2<a name=\"cdcrec-1008-2\"> </a></td><td>Algonquian</td><td>Algonquian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1010-8<a name=\"cdcrec-1010-8\"> </a></td><td>Apache</td><td>Apache</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1021-5<a name=\"cdcrec-1021-5\"> </a></td><td>Arapaho</td><td>Arapaho</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1026-4<a name=\"cdcrec-1026-4\"> </a></td><td>Arikara</td><td>Arikara</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1028-0<a name=\"cdcrec-1028-0\"> </a></td><td>Assiniboine</td><td>Assiniboine</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1030-6<a name=\"cdcrec-1030-6\"> </a></td><td>Assiniboine Sioux</td><td>Assiniboine Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1033-0<a name=\"cdcrec-1033-0\"> </a></td><td>Bannock</td><td>Bannock</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1035-5<a name=\"cdcrec-1035-5\"> </a></td><td>Blackfeet</td><td>Blackfeet</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1037-1<a name=\"cdcrec-1037-1\"> </a></td><td>Brotherton</td><td>Brotherton</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1039-7<a name=\"cdcrec-1039-7\"> </a></td><td>Burt Lake Band</td><td>Burt Lake Band</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1041-3<a name=\"cdcrec-1041-3\"> </a></td><td>Caddo</td><td>Caddo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1044-7<a name=\"cdcrec-1044-7\"> </a></td><td>Cahuilla</td><td>Cahuilla</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1053-8<a name=\"cdcrec-1053-8\"> </a></td><td>California Tribes</td><td>California Tribes</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1068-6<a name=\"cdcrec-1068-6\"> </a></td><td>Canadian and Latin American Indian</td><td>Canadian and Latin American Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1076-9<a name=\"cdcrec-1076-9\"> </a></td><td>Catawba</td><td>Catawba</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1078-5<a name=\"cdcrec-1078-5\"> </a></td><td>Cayuse</td><td>Cayuse</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1080-1<a name=\"cdcrec-1080-1\"> </a></td><td>Chehalis</td><td>Chehalis</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1082-7<a name=\"cdcrec-1082-7\"> </a></td><td>Chemakuan</td><td>Chemakuan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1086-8<a name=\"cdcrec-1086-8\"> </a></td><td>Chemehuevi</td><td>Chemehuevi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1088-4<a name=\"cdcrec-1088-4\"> </a></td><td>Cherokee</td><td>Cherokee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1100-7<a name=\"cdcrec-1100-7\"> </a></td><td>Cherokee Shawnee</td><td>Cherokee Shawnee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1102-3<a name=\"cdcrec-1102-3\"> </a></td><td>Cheyenne</td><td>Cheyenne</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1106-4<a name=\"cdcrec-1106-4\"> </a></td><td>Cheyenne-Arapaho</td><td>Cheyenne-Arapaho</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1108-0<a name=\"cdcrec-1108-0\"> </a></td><td>Chickahominy</td><td>Chickahominy</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1112-2<a name=\"cdcrec-1112-2\"> </a></td><td>Chickasaw</td><td>Chickasaw</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1114-8<a name=\"cdcrec-1114-8\"> </a></td><td>Chinook</td><td>Chinook</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1123-9<a name=\"cdcrec-1123-9\"> </a></td><td>Chippewa</td><td>Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1150-2<a name=\"cdcrec-1150-2\"> </a></td><td>Chippewa Cree</td><td>Chippewa Cree</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1153-6<a name=\"cdcrec-1153-6\"> </a></td><td>Chitimacha</td><td>Chitimacha</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1155-1<a name=\"cdcrec-1155-1\"> </a></td><td>Choctaw</td><td>Choctaw</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1162-7<a name=\"cdcrec-1162-7\"> </a></td><td>Chumash</td><td>Chumash</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1165-0<a name=\"cdcrec-1165-0\"> </a></td><td>Clear Lake</td><td>Clear Lake</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1167-6<a name=\"cdcrec-1167-6\"> </a></td><td>Coeur D'Alene</td><td>Coeur D'Alene</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1169-2<a name=\"cdcrec-1169-2\"> </a></td><td>Coharie</td><td>Coharie</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1171-8<a name=\"cdcrec-1171-8\"> </a></td><td>Colorado River</td><td>Colorado River</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1173-4<a name=\"cdcrec-1173-4\"> </a></td><td>Colville</td><td>Colville</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1175-9<a name=\"cdcrec-1175-9\"> </a></td><td>Comanche</td><td>Comanche</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1178-3<a name=\"cdcrec-1178-3\"> </a></td><td>Coos, Lower Umpqua, Siuslaw</td><td>Coos, Lower Umpqua, Siuslaw</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1180-9<a name=\"cdcrec-1180-9\"> </a></td><td>Coos</td><td>Coos</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1182-5<a name=\"cdcrec-1182-5\"> </a></td><td>Coquilles</td><td>Coquilles</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1184-1<a name=\"cdcrec-1184-1\"> </a></td><td>Costanoan</td><td>Costanoan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1186-6<a name=\"cdcrec-1186-6\"> </a></td><td>Coushatta</td><td>Coushatta</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1189-0<a name=\"cdcrec-1189-0\"> </a></td><td>Cowlitz</td><td>Cowlitz</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1191-6<a name=\"cdcrec-1191-6\"> </a></td><td>Cree</td><td>Cree</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1193-2<a name=\"cdcrec-1193-2\"> </a></td><td>Creek</td><td>Creek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1207-0<a name=\"cdcrec-1207-0\"> </a></td><td>Croatan</td><td>Croatan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1209-6<a name=\"cdcrec-1209-6\"> </a></td><td>Crow</td><td>Crow</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1211-2<a name=\"cdcrec-1211-2\"> </a></td><td>Cupeno</td><td>Cupeno</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1214-6<a name=\"cdcrec-1214-6\"> </a></td><td>Delaware</td><td>Delaware</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1222-9<a name=\"cdcrec-1222-9\"> </a></td><td>Diegueno</td><td>Diegueno</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1233-6<a name=\"cdcrec-1233-6\"> </a></td><td>Eastern Tribes</td><td>Eastern Tribes</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1250-0<a name=\"cdcrec-1250-0\"> </a></td><td>Esselen</td><td>Esselen</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1252-6<a name=\"cdcrec-1252-6\"> </a></td><td>Fort Belknap</td><td>Fort Belknap</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1254-2<a name=\"cdcrec-1254-2\"> </a></td><td>Fort Berthold</td><td>Fort Berthold</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1256-7<a name=\"cdcrec-1256-7\"> </a></td><td>Fort Mcdowell</td><td>Fort Mcdowell</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1258-3<a name=\"cdcrec-1258-3\"> </a></td><td>Fort Hall</td><td>Fort Hall</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1260-9<a name=\"cdcrec-1260-9\"> </a></td><td>Gabrieleno</td><td>Gabrieleno</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1262-5<a name=\"cdcrec-1262-5\"> </a></td><td>Grand Ronde</td><td>Grand Ronde</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1264-1<a name=\"cdcrec-1264-1\"> </a></td><td>Gros Ventres</td><td>Gros Ventres</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1267-4<a name=\"cdcrec-1267-4\"> </a></td><td>Haliwa</td><td>Haliwa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1269-0<a name=\"cdcrec-1269-0\"> </a></td><td>Hidatsa</td><td>Hidatsa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1271-6<a name=\"cdcrec-1271-6\"> </a></td><td>Hoopa</td><td>Hoopa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1275-7<a name=\"cdcrec-1275-7\"> </a></td><td>Hoopa Extension</td><td>Hoopa Extension</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1277-3<a name=\"cdcrec-1277-3\"> </a></td><td>Houma</td><td>Houma</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1279-9<a name=\"cdcrec-1279-9\"> </a></td><td>Inaja-Cosmit</td><td>Inaja-Cosmit</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1281-5<a name=\"cdcrec-1281-5\"> </a></td><td>Iowa</td><td>Iowa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1285-6<a name=\"cdcrec-1285-6\"> </a></td><td>Iroquois</td><td>Iroquois</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1297-1<a name=\"cdcrec-1297-1\"> </a></td><td>Juaneno</td><td>Juaneno</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1299-7<a name=\"cdcrec-1299-7\"> </a></td><td>Kalispel</td><td>Kalispel</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1301-1<a name=\"cdcrec-1301-1\"> </a></td><td>Karuk</td><td>Karuk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1303-7<a name=\"cdcrec-1303-7\"> </a></td><td>Kaw</td><td>Kaw</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1305-2<a name=\"cdcrec-1305-2\"> </a></td><td>Kickapoo</td><td>Kickapoo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1309-4<a name=\"cdcrec-1309-4\"> </a></td><td>Kiowa</td><td>Kiowa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1312-8<a name=\"cdcrec-1312-8\"> </a></td><td>Klallam</td><td>Klallam</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1317-7<a name=\"cdcrec-1317-7\"> </a></td><td>Klamath</td><td>Klamath</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1319-3<a name=\"cdcrec-1319-3\"> </a></td><td>Konkow</td><td>Konkow</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1321-9<a name=\"cdcrec-1321-9\"> </a></td><td>Kootenai</td><td>Kootenai</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1323-5<a name=\"cdcrec-1323-5\"> </a></td><td>Lassik</td><td>Lassik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1325-0<a name=\"cdcrec-1325-0\"> </a></td><td>Long Island</td><td>Long Island</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1331-8<a name=\"cdcrec-1331-8\"> </a></td><td>Luiseno</td><td>Luiseno</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1340-9<a name=\"cdcrec-1340-9\"> </a></td><td>Lumbee</td><td>Lumbee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1342-5<a name=\"cdcrec-1342-5\"> </a></td><td>Lummi</td><td>Lummi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1344-1<a name=\"cdcrec-1344-1\"> </a></td><td>Maidu</td><td>Maidu</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1348-2<a name=\"cdcrec-1348-2\"> </a></td><td>Makah</td><td>Makah</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1350-8<a name=\"cdcrec-1350-8\"> </a></td><td>Maliseet</td><td>Maliseet</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1352-4<a name=\"cdcrec-1352-4\"> </a></td><td>Mandan</td><td>Mandan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1354-0<a name=\"cdcrec-1354-0\"> </a></td><td>Mattaponi</td><td>Mattaponi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1356-5<a name=\"cdcrec-1356-5\"> </a></td><td>Menominee</td><td>Menominee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1358-1<a name=\"cdcrec-1358-1\"> </a></td><td>Miami</td><td>Miami</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1363-1<a name=\"cdcrec-1363-1\"> </a></td><td>Miccosukee</td><td>Miccosukee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1365-6<a name=\"cdcrec-1365-6\"> </a></td><td>Micmac</td><td>Micmac</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1368-0<a name=\"cdcrec-1368-0\"> </a></td><td>Mission Indians</td><td>Mission Indians</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1370-6<a name=\"cdcrec-1370-6\"> </a></td><td>Miwok</td><td>Miwok</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1372-2<a name=\"cdcrec-1372-2\"> </a></td><td>Modoc</td><td>Modoc</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1374-8<a name=\"cdcrec-1374-8\"> </a></td><td>Mohegan</td><td>Mohegan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1376-3<a name=\"cdcrec-1376-3\"> </a></td><td>Mono</td><td>Mono</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1378-9<a name=\"cdcrec-1378-9\"> </a></td><td>Nanticoke</td><td>Nanticoke</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1380-5<a name=\"cdcrec-1380-5\"> </a></td><td>Narragansett</td><td>Narragansett</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1382-1<a name=\"cdcrec-1382-1\"> </a></td><td>Navajo</td><td>Navajo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1387-0<a name=\"cdcrec-1387-0\"> </a></td><td>Nez Perce</td><td>Nez Perce</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1389-6<a name=\"cdcrec-1389-6\"> </a></td><td>Nomalaki</td><td>Nomalaki</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1391-2<a name=\"cdcrec-1391-2\"> </a></td><td>Northwest Tribes</td><td>Northwest Tribes</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1403-5<a name=\"cdcrec-1403-5\"> </a></td><td>Omaha</td><td>Omaha</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1405-0<a name=\"cdcrec-1405-0\"> </a></td><td>Oregon Athabaskan</td><td>Oregon Athabaskan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1407-6<a name=\"cdcrec-1407-6\"> </a></td><td>Osage</td><td>Osage</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1409-2<a name=\"cdcrec-1409-2\"> </a></td><td>Otoe-Missouria</td><td>Otoe-Missouria</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1411-8<a name=\"cdcrec-1411-8\"> </a></td><td>Ottawa</td><td>Ottawa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1416-7<a name=\"cdcrec-1416-7\"> </a></td><td>Paiute</td><td>Paiute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1439-9<a name=\"cdcrec-1439-9\"> </a></td><td>Pamunkey</td><td>Pamunkey</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1441-5<a name=\"cdcrec-1441-5\"> </a></td><td>Passamaquoddy</td><td>Passamaquoddy</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1445-6<a name=\"cdcrec-1445-6\"> </a></td><td>Pawnee</td><td>Pawnee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1448-0<a name=\"cdcrec-1448-0\"> </a></td><td>Penobscot</td><td>Penobscot</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1450-6<a name=\"cdcrec-1450-6\"> </a></td><td>Peoria</td><td>Peoria</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1453-0<a name=\"cdcrec-1453-0\"> </a></td><td>Pequot</td><td>Pequot</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1456-3<a name=\"cdcrec-1456-3\"> </a></td><td>Pima</td><td>Pima</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1460-5<a name=\"cdcrec-1460-5\"> </a></td><td>Piscataway</td><td>Piscataway</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1462-1<a name=\"cdcrec-1462-1\"> </a></td><td>Pit River</td><td>Pit River</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1464-7<a name=\"cdcrec-1464-7\"> </a></td><td>Pomo</td><td>Pomo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1474-6<a name=\"cdcrec-1474-6\"> </a></td><td>Ponca</td><td>Ponca</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1478-7<a name=\"cdcrec-1478-7\"> </a></td><td>Potawatomi</td><td>Potawatomi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1487-8<a name=\"cdcrec-1487-8\"> </a></td><td>Powhatan</td><td>Powhatan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1489-4<a name=\"cdcrec-1489-4\"> </a></td><td>Pueblo</td><td>Pueblo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1518-0<a name=\"cdcrec-1518-0\"> </a></td><td>Puget Sound Salish</td><td>Puget Sound Salish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1541-2<a name=\"cdcrec-1541-2\"> </a></td><td>Quapaw</td><td>Quapaw</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1543-8<a name=\"cdcrec-1543-8\"> </a></td><td>Quinault</td><td>Quinault</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1545-3<a name=\"cdcrec-1545-3\"> </a></td><td>Rappahannock</td><td>Rappahannock</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1547-9<a name=\"cdcrec-1547-9\"> </a></td><td>Reno-Sparks</td><td>Reno-Sparks</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1549-5<a name=\"cdcrec-1549-5\"> </a></td><td>Round Valley</td><td>Round Valley</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1551-1<a name=\"cdcrec-1551-1\"> </a></td><td>Sac and Fox</td><td>Sac and Fox</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1556-0<a name=\"cdcrec-1556-0\"> </a></td><td>Salinan</td><td>Salinan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1558-6<a name=\"cdcrec-1558-6\"> </a></td><td>Salish</td><td>Salish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1560-2<a name=\"cdcrec-1560-2\"> </a></td><td>Salish and Kootenai</td><td>Salish and Kootenai</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1562-8<a name=\"cdcrec-1562-8\"> </a></td><td>Schaghticoke</td><td>Schaghticoke</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1564-4<a name=\"cdcrec-1564-4\"> </a></td><td>Scott Valley</td><td>Scott Valley</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1566-9<a name=\"cdcrec-1566-9\"> </a></td><td>Seminole</td><td>Seminole</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1573-5<a name=\"cdcrec-1573-5\"> </a></td><td>Serrano</td><td>Serrano</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1576-8<a name=\"cdcrec-1576-8\"> </a></td><td>Shasta</td><td>Shasta</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1578-4<a name=\"cdcrec-1578-4\"> </a></td><td>Shawnee</td><td>Shawnee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1582-6<a name=\"cdcrec-1582-6\"> </a></td><td>Shinnecock</td><td>Shinnecock</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1584-2<a name=\"cdcrec-1584-2\"> </a></td><td>Shoalwater Bay</td><td>Shoalwater Bay</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1586-7<a name=\"cdcrec-1586-7\"> </a></td><td>Shoshone</td><td>Shoshone</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1602-2<a name=\"cdcrec-1602-2\"> </a></td><td>Shoshone Paiute</td><td>Shoshone Paiute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1607-1<a name=\"cdcrec-1607-1\"> </a></td><td>Siletz</td><td>Siletz</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1609-7<a name=\"cdcrec-1609-7\"> </a></td><td>Sioux</td><td>Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1643-6<a name=\"cdcrec-1643-6\"> </a></td><td>Siuslaw</td><td>Siuslaw</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1645-1<a name=\"cdcrec-1645-1\"> </a></td><td>Spokane</td><td>Spokane</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1647-7<a name=\"cdcrec-1647-7\"> </a></td><td>Stewart</td><td>Stewart</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1649-3<a name=\"cdcrec-1649-3\"> </a></td><td>Stockbridge</td><td>Stockbridge</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1651-9<a name=\"cdcrec-1651-9\"> </a></td><td>Susanville</td><td>Susanville</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1653-5<a name=\"cdcrec-1653-5\"> </a></td><td>Tohono O'Odham</td><td>Tohono O'Odham</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1659-2<a name=\"cdcrec-1659-2\"> </a></td><td>Tolowa</td><td>Tolowa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1661-8<a name=\"cdcrec-1661-8\"> </a></td><td>Tonkawa</td><td>Tonkawa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1663-4<a name=\"cdcrec-1663-4\"> </a></td><td>Tygh</td><td>Tygh</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1665-9<a name=\"cdcrec-1665-9\"> </a></td><td>Umatilla</td><td>Umatilla</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1667-5<a name=\"cdcrec-1667-5\"> </a></td><td>Umpqua</td><td>Umpqua</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1670-9<a name=\"cdcrec-1670-9\"> </a></td><td>Ute</td><td>Ute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1675-8<a name=\"cdcrec-1675-8\"> </a></td><td>Wailaki</td><td>Wailaki</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1677-4<a name=\"cdcrec-1677-4\"> </a></td><td>Walla-Walla</td><td>Walla-Walla</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1679-0<a name=\"cdcrec-1679-0\"> </a></td><td>Wampanoag</td><td>Wampanoag</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1683-2<a name=\"cdcrec-1683-2\"> </a></td><td>Warm Springs</td><td>Warm Springs</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1685-7<a name=\"cdcrec-1685-7\"> </a></td><td>Wascopum</td><td>Wascopum</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1687-3<a name=\"cdcrec-1687-3\"> </a></td><td>Washoe</td><td>Washoe</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1692-3<a name=\"cdcrec-1692-3\"> </a></td><td>Wichita</td><td>Wichita</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1694-9<a name=\"cdcrec-1694-9\"> </a></td><td>Wind River</td><td>Wind River</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1696-4<a name=\"cdcrec-1696-4\"> </a></td><td>Winnebago</td><td>Winnebago</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1700-4<a name=\"cdcrec-1700-4\"> </a></td><td>Winnemucca</td><td>Winnemucca</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1702-0<a name=\"cdcrec-1702-0\"> </a></td><td>Wintun</td><td>Wintun</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1704-6<a name=\"cdcrec-1704-6\"> </a></td><td>Wiyot</td><td>Wiyot</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1707-9<a name=\"cdcrec-1707-9\"> </a></td><td>Yakama</td><td>Yakama</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1709-5<a name=\"cdcrec-1709-5\"> </a></td><td>Yakama Cowlitz</td><td>Yakama Cowlitz</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1711-1<a name=\"cdcrec-1711-1\"> </a></td><td>Yaqui</td><td>Yaqui</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1715-2<a name=\"cdcrec-1715-2\"> </a></td><td>Yavapai Apache</td><td>Yavapai Apache</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1717-8<a name=\"cdcrec-1717-8\"> </a></td><td>Yokuts</td><td>Yokuts</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1722-8<a name=\"cdcrec-1722-8\"> </a></td><td>Yuchi</td><td>Yuchi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1724-4<a name=\"cdcrec-1724-4\"> </a></td><td>Yuman</td><td>Yuman</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1732-7<a name=\"cdcrec-1732-7\"> </a></td><td>Yurok</td><td>Yurok</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1011-6<a name=\"cdcrec-1011-6\"> </a></td><td>Chiricahua</td><td>Chiricahua</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1012-4<a name=\"cdcrec-1012-4\"> </a></td><td>Fort Sill Apache</td><td>Fort Sill Apache</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1013-2<a name=\"cdcrec-1013-2\"> </a></td><td>Jicarilla Apache</td><td>Jicarilla Apache</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1014-0<a name=\"cdcrec-1014-0\"> </a></td><td>Lipan Apache</td><td>Lipan Apache</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1015-7<a name=\"cdcrec-1015-7\"> </a></td><td>Mescalero Apache</td><td>Mescalero Apache</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1016-5<a name=\"cdcrec-1016-5\"> </a></td><td>Oklahoma Apache</td><td>Oklahoma Apache</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1017-3<a name=\"cdcrec-1017-3\"> </a></td><td>Payson Apache</td><td>Payson Apache</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1018-1<a name=\"cdcrec-1018-1\"> </a></td><td>San Carlos Apache</td><td>San Carlos Apache</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1019-9<a name=\"cdcrec-1019-9\"> </a></td><td>White Mountain Apache</td><td>White Mountain Apache</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1022-3<a name=\"cdcrec-1022-3\"> </a></td><td>Northern Arapaho</td><td>Northern Arapaho</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1023-1<a name=\"cdcrec-1023-1\"> </a></td><td>Southern Arapaho</td><td>Southern Arapaho</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1024-9<a name=\"cdcrec-1024-9\"> </a></td><td>Wind River Arapaho</td><td>Wind River Arapaho</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1031-4<a name=\"cdcrec-1031-4\"> </a></td><td>Fort Peck Assiniboine Sioux</td><td>Fort Peck Assiniboine Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1042-1<a name=\"cdcrec-1042-1\"> </a></td><td>Oklahoma Cado</td><td>Oklahoma Cado</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1045-4<a name=\"cdcrec-1045-4\"> </a></td><td>Agua Caliente Cahuilla</td><td>Agua Caliente Cahuilla</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1046-2<a name=\"cdcrec-1046-2\"> </a></td><td>Augustine</td><td>Augustine</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1047-0<a name=\"cdcrec-1047-0\"> </a></td><td>Cabazon</td><td>Cabazon</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1048-8<a name=\"cdcrec-1048-8\"> </a></td><td>Los Coyotes</td><td>Los Coyotes</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1049-6<a name=\"cdcrec-1049-6\"> </a></td><td>Morongo</td><td>Morongo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1050-4<a name=\"cdcrec-1050-4\"> </a></td><td>Santa Rosa Cahuilla</td><td>Santa Rosa Cahuilla</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1051-2<a name=\"cdcrec-1051-2\"> </a></td><td>Torres-Martinez</td><td>Torres-Martinez</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1054-6<a name=\"cdcrec-1054-6\"> </a></td><td>Cahto</td><td>Cahto</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1055-3<a name=\"cdcrec-1055-3\"> </a></td><td>Chimariko</td><td>Chimariko</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1056-1<a name=\"cdcrec-1056-1\"> </a></td><td>Coast Miwok</td><td>Coast Miwok</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1057-9<a name=\"cdcrec-1057-9\"> </a></td><td>Digger</td><td>Digger</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1058-7<a name=\"cdcrec-1058-7\"> </a></td><td>Kawaiisu</td><td>Kawaiisu</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1059-5<a name=\"cdcrec-1059-5\"> </a></td><td>Kern River</td><td>Kern River</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1060-3<a name=\"cdcrec-1060-3\"> </a></td><td>Mattole</td><td>Mattole</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1061-1<a name=\"cdcrec-1061-1\"> </a></td><td>Red Wood</td><td>Red Wood</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1062-9<a name=\"cdcrec-1062-9\"> </a></td><td>Santa Rosa</td><td>Santa Rosa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1063-7<a name=\"cdcrec-1063-7\"> </a></td><td>Takelma</td><td>Takelma</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1064-5<a name=\"cdcrec-1064-5\"> </a></td><td>Wappo</td><td>Wappo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1065-2<a name=\"cdcrec-1065-2\"> </a></td><td>Yana</td><td>Yana</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1066-0<a name=\"cdcrec-1066-0\"> </a></td><td>Yuki</td><td>Yuki</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1069-4<a name=\"cdcrec-1069-4\"> </a></td><td>Canadian Indian</td><td>Canadian Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1070-2<a name=\"cdcrec-1070-2\"> </a></td><td>Central American Indian</td><td>Central American Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1071-0<a name=\"cdcrec-1071-0\"> </a></td><td>French American Indian</td><td>French American Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1072-8<a name=\"cdcrec-1072-8\"> </a></td><td>Mexican American Indian</td><td>Mexican American Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1073-6<a name=\"cdcrec-1073-6\"> </a></td><td>South American Indian</td><td>South American Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1074-4<a name=\"cdcrec-1074-4\"> </a></td><td>Spanish American Indian</td><td>Spanish American Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1083-5<a name=\"cdcrec-1083-5\"> </a></td><td>Hoh</td><td>Hoh</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1084-3<a name=\"cdcrec-1084-3\"> </a></td><td>Quileute</td><td>Quileute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1089-2<a name=\"cdcrec-1089-2\"> </a></td><td>Cherokee Alabama</td><td>Cherokee Alabama</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1090-0<a name=\"cdcrec-1090-0\"> </a></td><td>Cherokees of Northeast Alabama</td><td>Cherokees of Northeast Alabama</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1091-8<a name=\"cdcrec-1091-8\"> </a></td><td>Cherokees of Southeast Alabama</td><td>Cherokees of Southeast Alabama</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1092-6<a name=\"cdcrec-1092-6\"> </a></td><td>Eastern Cherokee</td><td>Eastern Cherokee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1093-4<a name=\"cdcrec-1093-4\"> </a></td><td>Echota Cherokee</td><td>Echota Cherokee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1094-2<a name=\"cdcrec-1094-2\"> </a></td><td>Etowah Cherokee</td><td>Etowah Cherokee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1095-9<a name=\"cdcrec-1095-9\"> </a></td><td>Northern Cherokee</td><td>Northern Cherokee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1096-7<a name=\"cdcrec-1096-7\"> </a></td><td>Tuscola</td><td>Tuscola</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1097-5<a name=\"cdcrec-1097-5\"> </a></td><td>United Keetowah Band of Cherokee</td><td>United Keetowah Band of Cherokee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1098-3<a name=\"cdcrec-1098-3\"> </a></td><td>Western Cherokee</td><td>Western Cherokee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1103-1<a name=\"cdcrec-1103-1\"> </a></td><td>Northern Cheyenne</td><td>Northern Cheyenne</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1104-9<a name=\"cdcrec-1104-9\"> </a></td><td>Southern Cheyenne</td><td>Southern Cheyenne</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1109-8<a name=\"cdcrec-1109-8\"> </a></td><td>Eastern Chickahominy</td><td>Eastern Chickahominy</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1110-6<a name=\"cdcrec-1110-6\"> </a></td><td>Western Chickahominy</td><td>Western Chickahominy</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1115-5<a name=\"cdcrec-1115-5\"> </a></td><td>Clatsop</td><td>Clatsop</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1116-3<a name=\"cdcrec-1116-3\"> </a></td><td>Columbia River Chinook</td><td>Columbia River Chinook</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1117-1<a name=\"cdcrec-1117-1\"> </a></td><td>Kathlamet</td><td>Kathlamet</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1118-9<a name=\"cdcrec-1118-9\"> </a></td><td>Upper Chinook</td><td>Upper Chinook</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1119-7<a name=\"cdcrec-1119-7\"> </a></td><td>Wakiakum Chinook</td><td>Wakiakum Chinook</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1120-5<a name=\"cdcrec-1120-5\"> </a></td><td>Willapa Chinook</td><td>Willapa Chinook</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1121-3<a name=\"cdcrec-1121-3\"> </a></td><td>Wishram</td><td>Wishram</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1124-7<a name=\"cdcrec-1124-7\"> </a></td><td>Bad River</td><td>Bad River</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1125-4<a name=\"cdcrec-1125-4\"> </a></td><td>Bay Mills Chippewa</td><td>Bay Mills Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1126-2<a name=\"cdcrec-1126-2\"> </a></td><td>Bois Forte</td><td>Bois Forte</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1127-0<a name=\"cdcrec-1127-0\"> </a></td><td>Burt Lake Chippewa</td><td>Burt Lake Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1128-8<a name=\"cdcrec-1128-8\"> </a></td><td>Fond du Lac</td><td>Fond du Lac</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1129-6<a name=\"cdcrec-1129-6\"> </a></td><td>Grand Portage</td><td>Grand Portage</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1130-4<a name=\"cdcrec-1130-4\"> </a></td><td>Grand Traverse Band of Ottawa/Chippewa</td><td>Grand Traverse Band of Ottawa/Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1131-2<a name=\"cdcrec-1131-2\"> </a></td><td>Keweenaw</td><td>Keweenaw</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1132-0<a name=\"cdcrec-1132-0\"> </a></td><td>Lac Courte Oreilles</td><td>Lac Courte Oreilles</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1133-8<a name=\"cdcrec-1133-8\"> </a></td><td>Lac du Flambeau</td><td>Lac du Flambeau</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1134-6<a name=\"cdcrec-1134-6\"> </a></td><td>Lac Vieux Desert Chippewa</td><td>Lac Vieux Desert Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1135-3<a name=\"cdcrec-1135-3\"> </a></td><td>Lake Superior</td><td>Lake Superior</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1136-1<a name=\"cdcrec-1136-1\"> </a></td><td>Leech Lake</td><td>Leech Lake</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1137-9<a name=\"cdcrec-1137-9\"> </a></td><td>Little Shell Chippewa</td><td>Little Shell Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1138-7<a name=\"cdcrec-1138-7\"> </a></td><td>Mille Lacs</td><td>Mille Lacs</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1139-5<a name=\"cdcrec-1139-5\"> </a></td><td>Minnesota Chippewa</td><td>Minnesota Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1140-3<a name=\"cdcrec-1140-3\"> </a></td><td>Ontonagon</td><td>Ontonagon</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1141-1<a name=\"cdcrec-1141-1\"> </a></td><td>Red Cliff Chippewa</td><td>Red Cliff Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1142-9<a name=\"cdcrec-1142-9\"> </a></td><td>Red Lake Chippewa</td><td>Red Lake Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1143-7<a name=\"cdcrec-1143-7\"> </a></td><td>Saginaw Chippewa</td><td>Saginaw Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1144-5<a name=\"cdcrec-1144-5\"> </a></td><td>St. Croix Chippewa</td><td>St. Croix Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1145-2<a name=\"cdcrec-1145-2\"> </a></td><td>Sault Ste. Marie Chippewa</td><td>Sault Ste. Marie Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1146-0<a name=\"cdcrec-1146-0\"> </a></td><td>Sokoagon Chippewa</td><td>Sokoagon Chippewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1147-8<a name=\"cdcrec-1147-8\"> </a></td><td>Turtle Mountain</td><td>Turtle Mountain</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1148-6<a name=\"cdcrec-1148-6\"> </a></td><td>White Earth</td><td>White Earth</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1151-0<a name=\"cdcrec-1151-0\"> </a></td><td>Rocky Boy's Chippewa Cree</td><td>Rocky Boy's Chippewa Cree</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1156-9<a name=\"cdcrec-1156-9\"> </a></td><td>Clifton Choctaw</td><td>Clifton Choctaw</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1157-7<a name=\"cdcrec-1157-7\"> </a></td><td>Jena Choctaw</td><td>Jena Choctaw</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1158-5<a name=\"cdcrec-1158-5\"> </a></td><td>Mississippi Choctaw</td><td>Mississippi Choctaw</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1159-3<a name=\"cdcrec-1159-3\"> </a></td><td>Mowa Band of Choctaw</td><td>Mowa Band of Choctaw</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1160-1<a name=\"cdcrec-1160-1\"> </a></td><td>Oklahoma Choctaw</td><td>Oklahoma Choctaw</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1163-5<a name=\"cdcrec-1163-5\"> </a></td><td>Santa Ynez</td><td>Santa Ynez</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1176-7<a name=\"cdcrec-1176-7\"> </a></td><td>Oklahoma Comanche</td><td>Oklahoma Comanche</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1187-4<a name=\"cdcrec-1187-4\"> </a></td><td>Alabama Coushatta</td><td>Alabama Coushatta</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1194-0<a name=\"cdcrec-1194-0\"> </a></td><td>Alabama Creek</td><td>Alabama Creek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1195-7<a name=\"cdcrec-1195-7\"> </a></td><td>Alabama Quassarte</td><td>Alabama Quassarte</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1196-5<a name=\"cdcrec-1196-5\"> </a></td><td>Eastern Creek</td><td>Eastern Creek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1197-3<a name=\"cdcrec-1197-3\"> </a></td><td>Eastern Muscogee</td><td>Eastern Muscogee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1198-1<a name=\"cdcrec-1198-1\"> </a></td><td>Kialegee</td><td>Kialegee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1199-9<a name=\"cdcrec-1199-9\"> </a></td><td>Lower Muscogee</td><td>Lower Muscogee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1200-5<a name=\"cdcrec-1200-5\"> </a></td><td>Machis Lower Creek Indian</td><td>Machis Lower Creek Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1201-3<a name=\"cdcrec-1201-3\"> </a></td><td>Poarch Band</td><td>Poarch Band</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1202-1<a name=\"cdcrec-1202-1\"> </a></td><td>Principal Creek Indian Nation</td><td>Principal Creek Indian Nation</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1203-9<a name=\"cdcrec-1203-9\"> </a></td><td>Star Clan of Muscogee Creeks</td><td>Star Clan of Muscogee Creeks</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1204-7<a name=\"cdcrec-1204-7\"> </a></td><td>Thlopthlocco</td><td>Thlopthlocco</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1205-4<a name=\"cdcrec-1205-4\"> </a></td><td>Tuckabachee</td><td>Tuckabachee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1212-0<a name=\"cdcrec-1212-0\"> </a></td><td>Agua Caliente</td><td>Agua Caliente</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1215-3<a name=\"cdcrec-1215-3\"> </a></td><td>Eastern Delaware</td><td>Eastern Delaware</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1216-1<a name=\"cdcrec-1216-1\"> </a></td><td>Lenni-Lenape</td><td>Lenni-Lenape</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1217-9<a name=\"cdcrec-1217-9\"> </a></td><td>Munsee</td><td>Munsee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1218-7<a name=\"cdcrec-1218-7\"> </a></td><td>Oklahoma Delaware</td><td>Oklahoma Delaware</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1219-5<a name=\"cdcrec-1219-5\"> </a></td><td>Rampough Mountain</td><td>Rampough Mountain</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1220-3<a name=\"cdcrec-1220-3\"> </a></td><td>Sand Hill</td><td>Sand Hill</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1223-7<a name=\"cdcrec-1223-7\"> </a></td><td>Campo</td><td>Campo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1224-5<a name=\"cdcrec-1224-5\"> </a></td><td>Capitan Grande</td><td>Capitan Grande</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1225-2<a name=\"cdcrec-1225-2\"> </a></td><td>Cuyapaipe</td><td>Cuyapaipe</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1226-0<a name=\"cdcrec-1226-0\"> </a></td><td>La Posta</td><td>La Posta</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1227-8<a name=\"cdcrec-1227-8\"> </a></td><td>Manzanita</td><td>Manzanita</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1228-6<a name=\"cdcrec-1228-6\"> </a></td><td>Mesa Grande</td><td>Mesa Grande</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1229-4<a name=\"cdcrec-1229-4\"> </a></td><td>San Pasqual</td><td>San Pasqual</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1230-2<a name=\"cdcrec-1230-2\"> </a></td><td>Santa Ysabel</td><td>Santa Ysabel</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1231-0<a name=\"cdcrec-1231-0\"> </a></td><td>Sycuan</td><td>Sycuan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1234-4<a name=\"cdcrec-1234-4\"> </a></td><td>Attacapa</td><td>Attacapa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1235-1<a name=\"cdcrec-1235-1\"> </a></td><td>Biloxi</td><td>Biloxi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1236-9<a name=\"cdcrec-1236-9\"> </a></td><td>Georgetown (Eastern Tribes)</td><td>Georgetown (Eastern Tribes)</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1237-7<a name=\"cdcrec-1237-7\"> </a></td><td>Moor</td><td>Moor</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1238-5<a name=\"cdcrec-1238-5\"> </a></td><td>Nansemond</td><td>Nansemond</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1239-3<a name=\"cdcrec-1239-3\"> </a></td><td>Natchez</td><td>Natchez</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1240-1<a name=\"cdcrec-1240-1\"> </a></td><td>Nausu Waiwash</td><td>Nausu Waiwash</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1241-9<a name=\"cdcrec-1241-9\"> </a></td><td>Nipmuc</td><td>Nipmuc</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1242-7<a name=\"cdcrec-1242-7\"> </a></td><td>Paugussett</td><td>Paugussett</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1243-5<a name=\"cdcrec-1243-5\"> </a></td><td>Pocomoke Acohonock</td><td>Pocomoke Acohonock</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1244-3<a name=\"cdcrec-1244-3\"> </a></td><td>Southeastern Indians</td><td>Southeastern Indians</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1245-0<a name=\"cdcrec-1245-0\"> </a></td><td>Susquehanock</td><td>Susquehanock</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1246-8<a name=\"cdcrec-1246-8\"> </a></td><td>Tunica Biloxi</td><td>Tunica Biloxi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1247-6<a name=\"cdcrec-1247-6\"> </a></td><td>Waccamaw-Siousan</td><td>Waccamaw-Siousan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1248-4<a name=\"cdcrec-1248-4\"> </a></td><td>Wicomico</td><td>Wicomico</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1265-8<a name=\"cdcrec-1265-8\"> </a></td><td>Atsina</td><td>Atsina</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1272-4<a name=\"cdcrec-1272-4\"> </a></td><td>Trinity</td><td>Trinity</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1273-2<a name=\"cdcrec-1273-2\"> </a></td><td>Whilkut</td><td>Whilkut</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1282-3<a name=\"cdcrec-1282-3\"> </a></td><td>Iowa of Kansas-Nebraska</td><td>Iowa of Kansas-Nebraska</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1283-1<a name=\"cdcrec-1283-1\"> </a></td><td>Iowa of Oklahoma</td><td>Iowa of Oklahoma</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1286-4<a name=\"cdcrec-1286-4\"> </a></td><td>Cayuga</td><td>Cayuga</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1287-2<a name=\"cdcrec-1287-2\"> </a></td><td>Mohawk</td><td>Mohawk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1288-0<a name=\"cdcrec-1288-0\"> </a></td><td>Oneida</td><td>Oneida</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1289-8<a name=\"cdcrec-1289-8\"> </a></td><td>Onondaga</td><td>Onondaga</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1290-6<a name=\"cdcrec-1290-6\"> </a></td><td>Seneca</td><td>Seneca</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1291-4<a name=\"cdcrec-1291-4\"> </a></td><td>Seneca Nation</td><td>Seneca Nation</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1292-2<a name=\"cdcrec-1292-2\"> </a></td><td>Seneca-Cayuga</td><td>Seneca-Cayuga</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1293-0<a name=\"cdcrec-1293-0\"> </a></td><td>Tonawanda Seneca</td><td>Tonawanda Seneca</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1294-8<a name=\"cdcrec-1294-8\"> </a></td><td>Tuscarora</td><td>Tuscarora</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1295-5<a name=\"cdcrec-1295-5\"> </a></td><td>Wyandotte</td><td>Wyandotte</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1306-0<a name=\"cdcrec-1306-0\"> </a></td><td>Oklahoma Kickapoo</td><td>Oklahoma Kickapoo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1307-8<a name=\"cdcrec-1307-8\"> </a></td><td>Texas Kickapoo</td><td>Texas Kickapoo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1310-2<a name=\"cdcrec-1310-2\"> </a></td><td>Oklahoma Kiowa</td><td>Oklahoma Kiowa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1313-6<a name=\"cdcrec-1313-6\"> </a></td><td>Jamestown</td><td>Jamestown</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1314-4<a name=\"cdcrec-1314-4\"> </a></td><td>Lower Elwha</td><td>Lower Elwha</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1315-1<a name=\"cdcrec-1315-1\"> </a></td><td>Port Gamble Klallam</td><td>Port Gamble Klallam</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1326-8<a name=\"cdcrec-1326-8\"> </a></td><td>Matinecock</td><td>Matinecock</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1327-6<a name=\"cdcrec-1327-6\"> </a></td><td>Montauk</td><td>Montauk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1328-4<a name=\"cdcrec-1328-4\"> </a></td><td>Poospatuck</td><td>Poospatuck</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1329-2<a name=\"cdcrec-1329-2\"> </a></td><td>Setauket</td><td>Setauket</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1332-6<a name=\"cdcrec-1332-6\"> </a></td><td>La Jolla</td><td>La Jolla</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1333-4<a name=\"cdcrec-1333-4\"> </a></td><td>Pala</td><td>Pala</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1334-2<a name=\"cdcrec-1334-2\"> </a></td><td>Pauma</td><td>Pauma</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1335-9<a name=\"cdcrec-1335-9\"> </a></td><td>Pechanga</td><td>Pechanga</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1336-7<a name=\"cdcrec-1336-7\"> </a></td><td>Soboba</td><td>Soboba</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1337-5<a name=\"cdcrec-1337-5\"> </a></td><td>Twenty-Nine Palms</td><td>Twenty-Nine Palms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1338-3<a name=\"cdcrec-1338-3\"> </a></td><td>Temecula</td><td>Temecula</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1345-8<a name=\"cdcrec-1345-8\"> </a></td><td>Mountain Maidu</td><td>Mountain Maidu</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1346-6<a name=\"cdcrec-1346-6\"> </a></td><td>Nishinam</td><td>Nishinam</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1359-9<a name=\"cdcrec-1359-9\"> </a></td><td>Illinois Miami</td><td>Illinois Miami</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1360-7<a name=\"cdcrec-1360-7\"> </a></td><td>Indiana Miami</td><td>Indiana Miami</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1361-5<a name=\"cdcrec-1361-5\"> </a></td><td>Oklahoma Miami</td><td>Oklahoma Miami</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1366-4<a name=\"cdcrec-1366-4\"> </a></td><td>Aroostook</td><td>Aroostook</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1383-9<a name=\"cdcrec-1383-9\"> </a></td><td>Alamo Navajo</td><td>Alamo Navajo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1384-7<a name=\"cdcrec-1384-7\"> </a></td><td>Canoncito Navajo</td><td>Canoncito Navajo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1385-4<a name=\"cdcrec-1385-4\"> </a></td><td>Ramah Navajo</td><td>Ramah Navajo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1392-0<a name=\"cdcrec-1392-0\"> </a></td><td>Alsea</td><td>Alsea</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1393-8<a name=\"cdcrec-1393-8\"> </a></td><td>Celilo</td><td>Celilo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1394-6<a name=\"cdcrec-1394-6\"> </a></td><td>Columbia</td><td>Columbia</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1395-3<a name=\"cdcrec-1395-3\"> </a></td><td>Kalapuya</td><td>Kalapuya</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1396-1<a name=\"cdcrec-1396-1\"> </a></td><td>Molala</td><td>Molala</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1397-9<a name=\"cdcrec-1397-9\"> </a></td><td>Talakamish</td><td>Talakamish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1398-7<a name=\"cdcrec-1398-7\"> </a></td><td>Tenino</td><td>Tenino</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1399-5<a name=\"cdcrec-1399-5\"> </a></td><td>Tillamook</td><td>Tillamook</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1400-1<a name=\"cdcrec-1400-1\"> </a></td><td>Wenatchee</td><td>Wenatchee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1401-9<a name=\"cdcrec-1401-9\"> </a></td><td>Yahooskin</td><td>Yahooskin</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1412-6<a name=\"cdcrec-1412-6\"> </a></td><td>Burt Lake Ottawa</td><td>Burt Lake Ottawa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1413-4<a name=\"cdcrec-1413-4\"> </a></td><td>Michigan Ottawa</td><td>Michigan Ottawa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1414-2<a name=\"cdcrec-1414-2\"> </a></td><td>Oklahoma Ottawa</td><td>Oklahoma Ottawa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1417-5<a name=\"cdcrec-1417-5\"> </a></td><td>Bishop</td><td>Bishop</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1418-3<a name=\"cdcrec-1418-3\"> </a></td><td>Bridgeport</td><td>Bridgeport</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1419-1<a name=\"cdcrec-1419-1\"> </a></td><td>Burns Paiute</td><td>Burns Paiute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1420-9<a name=\"cdcrec-1420-9\"> </a></td><td>Cedarville</td><td>Cedarville</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1421-7<a name=\"cdcrec-1421-7\"> </a></td><td>Fort Bidwell</td><td>Fort Bidwell</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1422-5<a name=\"cdcrec-1422-5\"> </a></td><td>Fort Independence</td><td>Fort Independence</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1423-3<a name=\"cdcrec-1423-3\"> </a></td><td>Kaibab</td><td>Kaibab</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1424-1<a name=\"cdcrec-1424-1\"> </a></td><td>Las Vegas</td><td>Las Vegas</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1425-8<a name=\"cdcrec-1425-8\"> </a></td><td>Lone Pine</td><td>Lone Pine</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1426-6<a name=\"cdcrec-1426-6\"> </a></td><td>Lovelock</td><td>Lovelock</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1427-4<a name=\"cdcrec-1427-4\"> </a></td><td>Malheur Paiute</td><td>Malheur Paiute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1428-2<a name=\"cdcrec-1428-2\"> </a></td><td>Moapa</td><td>Moapa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1429-0<a name=\"cdcrec-1429-0\"> </a></td><td>Northern Paiute</td><td>Northern Paiute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1430-8<a name=\"cdcrec-1430-8\"> </a></td><td>Owens Valley</td><td>Owens Valley</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1431-6<a name=\"cdcrec-1431-6\"> </a></td><td>Pyramid Lake</td><td>Pyramid Lake</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1432-4<a name=\"cdcrec-1432-4\"> </a></td><td>San Juan Southern Paiute</td><td>San Juan Southern Paiute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1433-2<a name=\"cdcrec-1433-2\"> </a></td><td>Southern Paiute</td><td>Southern Paiute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1434-0<a name=\"cdcrec-1434-0\"> </a></td><td>Summit Lake</td><td>Summit Lake</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1435-7<a name=\"cdcrec-1435-7\"> </a></td><td>Utu Utu Gwaitu Paiute</td><td>Utu Utu Gwaitu Paiute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1436-5<a name=\"cdcrec-1436-5\"> </a></td><td>Walker River</td><td>Walker River</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1437-3<a name=\"cdcrec-1437-3\"> </a></td><td>Yerington Paiute</td><td>Yerington Paiute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1442-3<a name=\"cdcrec-1442-3\"> </a></td><td>Indian Township</td><td>Indian Township</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1443-1<a name=\"cdcrec-1443-1\"> </a></td><td>Pleasant Point Passamaquoddy</td><td>Pleasant Point Passamaquoddy</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1446-4<a name=\"cdcrec-1446-4\"> </a></td><td>Oklahoma Pawnee</td><td>Oklahoma Pawnee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1451-4<a name=\"cdcrec-1451-4\"> </a></td><td>Oklahoma Peoria</td><td>Oklahoma Peoria</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1454-8<a name=\"cdcrec-1454-8\"> </a></td><td>Marshantucket Pequot</td><td>Marshantucket Pequot</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1457-1<a name=\"cdcrec-1457-1\"> </a></td><td>Gila River Pima-Maricopa</td><td>Gila River Pima-Maricopa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1458-9<a name=\"cdcrec-1458-9\"> </a></td><td>Salt River Pima-Maricopa</td><td>Salt River Pima-Maricopa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1465-4<a name=\"cdcrec-1465-4\"> </a></td><td>Central Pomo</td><td>Central Pomo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1466-2<a name=\"cdcrec-1466-2\"> </a></td><td>Dry Creek</td><td>Dry Creek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1467-0<a name=\"cdcrec-1467-0\"> </a></td><td>Eastern Pomo</td><td>Eastern Pomo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1468-8<a name=\"cdcrec-1468-8\"> </a></td><td>Kashia</td><td>Kashia</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1469-6<a name=\"cdcrec-1469-6\"> </a></td><td>Northern Pomo</td><td>Northern Pomo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1470-4<a name=\"cdcrec-1470-4\"> </a></td><td>Scotts Valley</td><td>Scotts Valley</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1471-2<a name=\"cdcrec-1471-2\"> </a></td><td>Stonyford</td><td>Stonyford</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1472-0<a name=\"cdcrec-1472-0\"> </a></td><td>Sulphur Bank</td><td>Sulphur Bank</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1475-3<a name=\"cdcrec-1475-3\"> </a></td><td>Nebraska Ponca</td><td>Nebraska Ponca</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1476-1<a name=\"cdcrec-1476-1\"> </a></td><td>Oklahoma Ponca</td><td>Oklahoma Ponca</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1479-5<a name=\"cdcrec-1479-5\"> </a></td><td>Citizen Band Potawatomi</td><td>Citizen Band Potawatomi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1480-3<a name=\"cdcrec-1480-3\"> </a></td><td>Forest County</td><td>Forest County</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1481-1<a name=\"cdcrec-1481-1\"> </a></td><td>Hannahville</td><td>Hannahville</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1482-9<a name=\"cdcrec-1482-9\"> </a></td><td>Huron Potawatomi</td><td>Huron Potawatomi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1483-7<a name=\"cdcrec-1483-7\"> </a></td><td>Pokagon Potawatomi</td><td>Pokagon Potawatomi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1484-5<a name=\"cdcrec-1484-5\"> </a></td><td>Prairie Band</td><td>Prairie Band</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1485-2<a name=\"cdcrec-1485-2\"> </a></td><td>Wisconsin Potawatomi</td><td>Wisconsin Potawatomi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1490-2<a name=\"cdcrec-1490-2\"> </a></td><td>Acoma</td><td>Acoma</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1491-0<a name=\"cdcrec-1491-0\"> </a></td><td>Arizona Tewa</td><td>Arizona Tewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1492-8<a name=\"cdcrec-1492-8\"> </a></td><td>Cochiti</td><td>Cochiti</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1493-6<a name=\"cdcrec-1493-6\"> </a></td><td>Hopi</td><td>Hopi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1494-4<a name=\"cdcrec-1494-4\"> </a></td><td>Isleta</td><td>Isleta</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1495-1<a name=\"cdcrec-1495-1\"> </a></td><td>Jemez</td><td>Jemez</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1496-9<a name=\"cdcrec-1496-9\"> </a></td><td>Keres</td><td>Keres</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1497-7<a name=\"cdcrec-1497-7\"> </a></td><td>Laguna</td><td>Laguna</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1498-5<a name=\"cdcrec-1498-5\"> </a></td><td>Nambe</td><td>Nambe</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1499-3<a name=\"cdcrec-1499-3\"> </a></td><td>Picuris</td><td>Picuris</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1500-8<a name=\"cdcrec-1500-8\"> </a></td><td>Piro</td><td>Piro</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1501-6<a name=\"cdcrec-1501-6\"> </a></td><td>Pojoaque</td><td>Pojoaque</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1502-4<a name=\"cdcrec-1502-4\"> </a></td><td>San Felipe</td><td>San Felipe</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1503-2<a name=\"cdcrec-1503-2\"> </a></td><td>San Ildefonso</td><td>San Ildefonso</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1504-0<a name=\"cdcrec-1504-0\"> </a></td><td>San Juan Pueblo</td><td>San Juan Pueblo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1505-7<a name=\"cdcrec-1505-7\"> </a></td><td>San Juan De</td><td>San Juan De</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1506-5<a name=\"cdcrec-1506-5\"> </a></td><td>San Juan</td><td>San Juan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1507-3<a name=\"cdcrec-1507-3\"> </a></td><td>Sandia</td><td>Sandia</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1508-1<a name=\"cdcrec-1508-1\"> </a></td><td>Santa Ana</td><td>Santa Ana</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1509-9<a name=\"cdcrec-1509-9\"> </a></td><td>Santa Clara</td><td>Santa Clara</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1510-7<a name=\"cdcrec-1510-7\"> </a></td><td>Santo Domingo</td><td>Santo Domingo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1511-5<a name=\"cdcrec-1511-5\"> </a></td><td>Taos</td><td>Taos</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1512-3<a name=\"cdcrec-1512-3\"> </a></td><td>Tesuque</td><td>Tesuque</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1513-1<a name=\"cdcrec-1513-1\"> </a></td><td>Tewa</td><td>Tewa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1514-9<a name=\"cdcrec-1514-9\"> </a></td><td>Tigua</td><td>Tigua</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1515-6<a name=\"cdcrec-1515-6\"> </a></td><td>Zia</td><td>Zia</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1516-4<a name=\"cdcrec-1516-4\"> </a></td><td>Zuni</td><td>Zuni</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1519-8<a name=\"cdcrec-1519-8\"> </a></td><td>Duwamish</td><td>Duwamish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1520-6<a name=\"cdcrec-1520-6\"> </a></td><td>Kikiallus</td><td>Kikiallus</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1521-4<a name=\"cdcrec-1521-4\"> </a></td><td>Lower Skagit</td><td>Lower Skagit</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1522-2<a name=\"cdcrec-1522-2\"> </a></td><td>Muckleshoot</td><td>Muckleshoot</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1523-0<a name=\"cdcrec-1523-0\"> </a></td><td>Nisqually</td><td>Nisqually</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1524-8<a name=\"cdcrec-1524-8\"> </a></td><td>Nooksack</td><td>Nooksack</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1525-5<a name=\"cdcrec-1525-5\"> </a></td><td>Port Madison</td><td>Port Madison</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1526-3<a name=\"cdcrec-1526-3\"> </a></td><td>Puyallup</td><td>Puyallup</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1527-1<a name=\"cdcrec-1527-1\"> </a></td><td>Samish</td><td>Samish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1528-9<a name=\"cdcrec-1528-9\"> </a></td><td>Sauk-Suiattle</td><td>Sauk-Suiattle</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1529-7<a name=\"cdcrec-1529-7\"> </a></td><td>Skokomish</td><td>Skokomish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1530-5<a name=\"cdcrec-1530-5\"> </a></td><td>Skykomish</td><td>Skykomish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1531-3<a name=\"cdcrec-1531-3\"> </a></td><td>Snohomish</td><td>Snohomish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1532-1<a name=\"cdcrec-1532-1\"> </a></td><td>Snoqualmie</td><td>Snoqualmie</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1533-9<a name=\"cdcrec-1533-9\"> </a></td><td>Squaxin Island</td><td>Squaxin Island</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1534-7<a name=\"cdcrec-1534-7\"> </a></td><td>Steilacoom</td><td>Steilacoom</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1535-4<a name=\"cdcrec-1535-4\"> </a></td><td>Stillaguamish</td><td>Stillaguamish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1536-2<a name=\"cdcrec-1536-2\"> </a></td><td>Suquamish</td><td>Suquamish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1537-0<a name=\"cdcrec-1537-0\"> </a></td><td>Swinomish</td><td>Swinomish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1538-8<a name=\"cdcrec-1538-8\"> </a></td><td>Tulalip</td><td>Tulalip</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1539-6<a name=\"cdcrec-1539-6\"> </a></td><td>Upper Skagit</td><td>Upper Skagit</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1552-9<a name=\"cdcrec-1552-9\"> </a></td><td>Iowa Sac and Fox</td><td>Iowa Sac and Fox</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1553-7<a name=\"cdcrec-1553-7\"> </a></td><td>Missouri Sac and Fox</td><td>Missouri Sac and Fox</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1554-5<a name=\"cdcrec-1554-5\"> </a></td><td>Oklahoma Sac and Fox</td><td>Oklahoma Sac and Fox</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1567-7<a name=\"cdcrec-1567-7\"> </a></td><td>Big Cypress</td><td>Big Cypress</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1568-5<a name=\"cdcrec-1568-5\"> </a></td><td>Brighton</td><td>Brighton</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1569-3<a name=\"cdcrec-1569-3\"> </a></td><td>Florida Seminole</td><td>Florida Seminole</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1570-1<a name=\"cdcrec-1570-1\"> </a></td><td>Hollywood Seminole</td><td>Hollywood Seminole</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1571-9<a name=\"cdcrec-1571-9\"> </a></td><td>Oklahoma Seminole</td><td>Oklahoma Seminole</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1574-3<a name=\"cdcrec-1574-3\"> </a></td><td>San Manual</td><td>San Manual</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1579-2<a name=\"cdcrec-1579-2\"> </a></td><td>Absentee Shawnee</td><td>Absentee Shawnee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1580-0<a name=\"cdcrec-1580-0\"> </a></td><td>Eastern Shawnee</td><td>Eastern Shawnee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1587-5<a name=\"cdcrec-1587-5\"> </a></td><td>Battle Mountain</td><td>Battle Mountain</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1588-3<a name=\"cdcrec-1588-3\"> </a></td><td>Duckwater</td><td>Duckwater</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1589-1<a name=\"cdcrec-1589-1\"> </a></td><td>Elko</td><td>Elko</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1590-9<a name=\"cdcrec-1590-9\"> </a></td><td>Ely</td><td>Ely</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1591-7<a name=\"cdcrec-1591-7\"> </a></td><td>Goshute</td><td>Goshute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1592-5<a name=\"cdcrec-1592-5\"> </a></td><td>Panamint</td><td>Panamint</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1593-3<a name=\"cdcrec-1593-3\"> </a></td><td>Ruby Valley</td><td>Ruby Valley</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1594-1<a name=\"cdcrec-1594-1\"> </a></td><td>Skull Valley</td><td>Skull Valley</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1595-8<a name=\"cdcrec-1595-8\"> </a></td><td>South Fork Shoshone</td><td>South Fork Shoshone</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1596-6<a name=\"cdcrec-1596-6\"> </a></td><td>Te-Moak Western Shoshone</td><td>Te-Moak Western Shoshone</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1597-4<a name=\"cdcrec-1597-4\"> </a></td><td>Timbi-Sha Shoshone</td><td>Timbi-Sha Shoshone</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1598-2<a name=\"cdcrec-1598-2\"> </a></td><td>Washakie</td><td>Washakie</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1599-0<a name=\"cdcrec-1599-0\"> </a></td><td>Wind River Shoshone</td><td>Wind River Shoshone</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1600-6<a name=\"cdcrec-1600-6\"> </a></td><td>Yomba</td><td>Yomba</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1603-0<a name=\"cdcrec-1603-0\"> </a></td><td>Duck Valley</td><td>Duck Valley</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1604-8<a name=\"cdcrec-1604-8\"> </a></td><td>Fallon</td><td>Fallon</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1605-5<a name=\"cdcrec-1605-5\"> </a></td><td>Fort McDermitt</td><td>Fort McDermitt</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1610-5<a name=\"cdcrec-1610-5\"> </a></td><td>Blackfoot Sioux</td><td>Blackfoot Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1611-3<a name=\"cdcrec-1611-3\"> </a></td><td>Brule Sioux</td><td>Brule Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1612-1<a name=\"cdcrec-1612-1\"> </a></td><td>Cheyenne River Sioux</td><td>Cheyenne River Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1613-9<a name=\"cdcrec-1613-9\"> </a></td><td>Crow Creek Sioux</td><td>Crow Creek Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1614-7<a name=\"cdcrec-1614-7\"> </a></td><td>Dakota Sioux</td><td>Dakota Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1615-4<a name=\"cdcrec-1615-4\"> </a></td><td>Flandreau Santee</td><td>Flandreau Santee</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1616-2<a name=\"cdcrec-1616-2\"> </a></td><td>Fort Peck</td><td>Fort Peck</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1617-0<a name=\"cdcrec-1617-0\"> </a></td><td>Lake Traverse Sioux</td><td>Lake Traverse Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1618-8<a name=\"cdcrec-1618-8\"> </a></td><td>Lower Brule Sioux</td><td>Lower Brule Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1619-6<a name=\"cdcrec-1619-6\"> </a></td><td>Lower Sioux</td><td>Lower Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1620-4<a name=\"cdcrec-1620-4\"> </a></td><td>Mdewakanton Sioux</td><td>Mdewakanton Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1621-2<a name=\"cdcrec-1621-2\"> </a></td><td>Miniconjou</td><td>Miniconjou</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1622-0<a name=\"cdcrec-1622-0\"> </a></td><td>Oglala Sioux</td><td>Oglala Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1623-8<a name=\"cdcrec-1623-8\"> </a></td><td>Pine Ridge Sioux</td><td>Pine Ridge Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1624-6<a name=\"cdcrec-1624-6\"> </a></td><td>Pipestone Sioux</td><td>Pipestone Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1625-3<a name=\"cdcrec-1625-3\"> </a></td><td>Prairie Island Sioux</td><td>Prairie Island Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1626-1<a name=\"cdcrec-1626-1\"> </a></td><td>Prior Lake Sioux</td><td>Prior Lake Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1627-9<a name=\"cdcrec-1627-9\"> </a></td><td>Rosebud Sioux</td><td>Rosebud Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1628-7<a name=\"cdcrec-1628-7\"> </a></td><td>Sans Arc Sioux</td><td>Sans Arc Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1629-5<a name=\"cdcrec-1629-5\"> </a></td><td>Santee Sioux</td><td>Santee Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1630-3<a name=\"cdcrec-1630-3\"> </a></td><td>Sisseton-Wahpeton</td><td>Sisseton-Wahpeton</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1631-1<a name=\"cdcrec-1631-1\"> </a></td><td>Sisseton Sioux</td><td>Sisseton Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1632-9<a name=\"cdcrec-1632-9\"> </a></td><td>Spirit Lake Sioux</td><td>Spirit Lake Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1633-7<a name=\"cdcrec-1633-7\"> </a></td><td>Standing Rock Sioux</td><td>Standing Rock Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1634-5<a name=\"cdcrec-1634-5\"> </a></td><td>Teton Sioux</td><td>Teton Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1635-2<a name=\"cdcrec-1635-2\"> </a></td><td>Two Kettle Sioux</td><td>Two Kettle Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1636-0<a name=\"cdcrec-1636-0\"> </a></td><td>Upper Sioux</td><td>Upper Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1637-8<a name=\"cdcrec-1637-8\"> </a></td><td>Wahpekute Sioux</td><td>Wahpekute Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1638-6<a name=\"cdcrec-1638-6\"> </a></td><td>Wahpeton Sioux</td><td>Wahpeton Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1639-4<a name=\"cdcrec-1639-4\"> </a></td><td>Wazhaza Sioux</td><td>Wazhaza Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1640-2<a name=\"cdcrec-1640-2\"> </a></td><td>Yankton Sioux</td><td>Yankton Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1641-0<a name=\"cdcrec-1641-0\"> </a></td><td>Yanktonai Sioux</td><td>Yanktonai Sioux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1654-3<a name=\"cdcrec-1654-3\"> </a></td><td>Ak-Chin</td><td>Ak-Chin</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1655-0<a name=\"cdcrec-1655-0\"> </a></td><td>Gila Bend</td><td>Gila Bend</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1656-8<a name=\"cdcrec-1656-8\"> </a></td><td>San Xavier</td><td>San Xavier</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1657-6<a name=\"cdcrec-1657-6\"> </a></td><td>Sells</td><td>Sells</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1668-3<a name=\"cdcrec-1668-3\"> </a></td><td>Cow Creek Umpqua</td><td>Cow Creek Umpqua</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1671-7<a name=\"cdcrec-1671-7\"> </a></td><td>Allen Canyon</td><td>Allen Canyon</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1672-5<a name=\"cdcrec-1672-5\"> </a></td><td>Uintah Ute</td><td>Uintah Ute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1673-3<a name=\"cdcrec-1673-3\"> </a></td><td>Ute Mountain Ute</td><td>Ute Mountain Ute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1680-8<a name=\"cdcrec-1680-8\"> </a></td><td>Gay Head Wampanoag</td><td>Gay Head Wampanoag</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1681-6<a name=\"cdcrec-1681-6\"> </a></td><td>Mashpee Wampanoag</td><td>Mashpee Wampanoag</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1688-1<a name=\"cdcrec-1688-1\"> </a></td><td>Alpine</td><td>Alpine</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1689-9<a name=\"cdcrec-1689-9\"> </a></td><td>Carson</td><td>Carson</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1690-7<a name=\"cdcrec-1690-7\"> </a></td><td>Dresslerville</td><td>Dresslerville</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1697-2<a name=\"cdcrec-1697-2\"> </a></td><td>Ho-chunk</td><td>Ho-chunk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1698-0<a name=\"cdcrec-1698-0\"> </a></td><td>Nebraska Winnebago</td><td>Nebraska Winnebago</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1705-3<a name=\"cdcrec-1705-3\"> </a></td><td>Table Bluff</td><td>Table Bluff</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1712-9<a name=\"cdcrec-1712-9\"> </a></td><td>Barrio Libre</td><td>Barrio Libre</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1713-7<a name=\"cdcrec-1713-7\"> </a></td><td>Pascua Yaqui</td><td>Pascua Yaqui</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1718-6<a name=\"cdcrec-1718-6\"> </a></td><td>Chukchansi</td><td>Chukchansi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1719-4<a name=\"cdcrec-1719-4\"> </a></td><td>Tachi</td><td>Tachi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1720-2<a name=\"cdcrec-1720-2\"> </a></td><td>Tule River</td><td>Tule River</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1725-1<a name=\"cdcrec-1725-1\"> </a></td><td>Cocopah</td><td>Cocopah</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1726-9<a name=\"cdcrec-1726-9\"> </a></td><td>Havasupai</td><td>Havasupai</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1727-7<a name=\"cdcrec-1727-7\"> </a></td><td>Hualapai</td><td>Hualapai</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1728-5<a name=\"cdcrec-1728-5\"> </a></td><td>Maricopa</td><td>Maricopa</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1729-3<a name=\"cdcrec-1729-3\"> </a></td><td>Mohave</td><td>Mohave</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1730-1<a name=\"cdcrec-1730-1\"> </a></td><td>Quechan</td><td>Quechan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1731-9<a name=\"cdcrec-1731-9\"> </a></td><td>Yavapai</td><td>Yavapai</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1733-5<a name=\"cdcrec-1733-5\"> </a></td><td>Coast Yurok</td><td>Coast Yurok</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1737-6<a name=\"cdcrec-1737-6\"> </a></td><td>Alaska Indian</td><td>Alaska Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1840-8<a name=\"cdcrec-1840-8\"> </a></td><td>Eskimo</td><td>Eskimo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1966-1<a name=\"cdcrec-1966-1\"> </a></td><td>Aleut</td><td>Aleut</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1739-2<a name=\"cdcrec-1739-2\"> </a></td><td>Alaskan Athabascan</td><td>Alaskan Athabascan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1811-9<a name=\"cdcrec-1811-9\"> </a></td><td>Southeast Alaska</td><td>Southeast Alaska</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1740-0<a name=\"cdcrec-1740-0\"> </a></td><td>Ahtna</td><td>Ahtna</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1741-8<a name=\"cdcrec-1741-8\"> </a></td><td>Alatna</td><td>Alatna</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1742-6<a name=\"cdcrec-1742-6\"> </a></td><td>Alexander</td><td>Alexander</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1743-4<a name=\"cdcrec-1743-4\"> </a></td><td>Allakaket</td><td>Allakaket</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1744-2<a name=\"cdcrec-1744-2\"> </a></td><td>Alanvik</td><td>Alanvik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1745-9<a name=\"cdcrec-1745-9\"> </a></td><td>Anvik</td><td>Anvik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1746-7<a name=\"cdcrec-1746-7\"> </a></td><td>Arctic</td><td>Arctic</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1747-5<a name=\"cdcrec-1747-5\"> </a></td><td>Beaver</td><td>Beaver</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1748-3<a name=\"cdcrec-1748-3\"> </a></td><td>Birch Creek</td><td>Birch Creek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1749-1<a name=\"cdcrec-1749-1\"> </a></td><td>Cantwell</td><td>Cantwell</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1750-9<a name=\"cdcrec-1750-9\"> </a></td><td>Chalkyitsik</td><td>Chalkyitsik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1751-7<a name=\"cdcrec-1751-7\"> </a></td><td>Chickaloon</td><td>Chickaloon</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1752-5<a name=\"cdcrec-1752-5\"> </a></td><td>Chistochina</td><td>Chistochina</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1753-3<a name=\"cdcrec-1753-3\"> </a></td><td>Chitina</td><td>Chitina</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1754-1<a name=\"cdcrec-1754-1\"> </a></td><td>Circle</td><td>Circle</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1755-8<a name=\"cdcrec-1755-8\"> </a></td><td>Cook Inlet</td><td>Cook Inlet</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1756-6<a name=\"cdcrec-1756-6\"> </a></td><td>Copper Center</td><td>Copper Center</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1757-4<a name=\"cdcrec-1757-4\"> </a></td><td>Copper River</td><td>Copper River</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1758-2<a name=\"cdcrec-1758-2\"> </a></td><td>Dot Lake</td><td>Dot Lake</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1759-0<a name=\"cdcrec-1759-0\"> </a></td><td>Doyon</td><td>Doyon</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1760-8<a name=\"cdcrec-1760-8\"> </a></td><td>Eagle</td><td>Eagle</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1761-6<a name=\"cdcrec-1761-6\"> </a></td><td>Eklutna</td><td>Eklutna</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1762-4<a name=\"cdcrec-1762-4\"> </a></td><td>Evansville</td><td>Evansville</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1763-2<a name=\"cdcrec-1763-2\"> </a></td><td>Fort Yukon</td><td>Fort Yukon</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1764-0<a name=\"cdcrec-1764-0\"> </a></td><td>Gakona</td><td>Gakona</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1765-7<a name=\"cdcrec-1765-7\"> </a></td><td>Galena</td><td>Galena</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1766-5<a name=\"cdcrec-1766-5\"> </a></td><td>Grayling</td><td>Grayling</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1767-3<a name=\"cdcrec-1767-3\"> </a></td><td>Gulkana</td><td>Gulkana</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1768-1<a name=\"cdcrec-1768-1\"> </a></td><td>Healy Lake</td><td>Healy Lake</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1769-9<a name=\"cdcrec-1769-9\"> </a></td><td>Holy Cross</td><td>Holy Cross</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1770-7<a name=\"cdcrec-1770-7\"> </a></td><td>Hughes</td><td>Hughes</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1771-5<a name=\"cdcrec-1771-5\"> </a></td><td>Huslia</td><td>Huslia</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1772-3<a name=\"cdcrec-1772-3\"> </a></td><td>Iliamna</td><td>Iliamna</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1773-1<a name=\"cdcrec-1773-1\"> </a></td><td>Kaltag</td><td>Kaltag</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1774-9<a name=\"cdcrec-1774-9\"> </a></td><td>Kluti Kaah</td><td>Kluti Kaah</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1775-6<a name=\"cdcrec-1775-6\"> </a></td><td>Knik</td><td>Knik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1776-4<a name=\"cdcrec-1776-4\"> </a></td><td>Koyukuk</td><td>Koyukuk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1777-2<a name=\"cdcrec-1777-2\"> </a></td><td>Lake Minchumina</td><td>Lake Minchumina</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1778-0<a name=\"cdcrec-1778-0\"> </a></td><td>Lime</td><td>Lime</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1779-8<a name=\"cdcrec-1779-8\"> </a></td><td>Mcgrath</td><td>Mcgrath</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1780-6<a name=\"cdcrec-1780-6\"> </a></td><td>Manley Hot Springs</td><td>Manley Hot Springs</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1781-4<a name=\"cdcrec-1781-4\"> </a></td><td>Mentasta Lake</td><td>Mentasta Lake</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1782-2<a name=\"cdcrec-1782-2\"> </a></td><td>Minto</td><td>Minto</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1783-0<a name=\"cdcrec-1783-0\"> </a></td><td>Nenana</td><td>Nenana</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1784-8<a name=\"cdcrec-1784-8\"> </a></td><td>Nikolai</td><td>Nikolai</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1785-5<a name=\"cdcrec-1785-5\"> </a></td><td>Ninilchik</td><td>Ninilchik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1786-3<a name=\"cdcrec-1786-3\"> </a></td><td>Nondalton</td><td>Nondalton</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1787-1<a name=\"cdcrec-1787-1\"> </a></td><td>Northway</td><td>Northway</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1788-9<a name=\"cdcrec-1788-9\"> </a></td><td>Nulato</td><td>Nulato</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1789-7<a name=\"cdcrec-1789-7\"> </a></td><td>Pedro Bay</td><td>Pedro Bay</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1790-5<a name=\"cdcrec-1790-5\"> </a></td><td>Rampart</td><td>Rampart</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1791-3<a name=\"cdcrec-1791-3\"> </a></td><td>Ruby</td><td>Ruby</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1792-1<a name=\"cdcrec-1792-1\"> </a></td><td>Salamatof</td><td>Salamatof</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1793-9<a name=\"cdcrec-1793-9\"> </a></td><td>Seldovia</td><td>Seldovia</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1794-7<a name=\"cdcrec-1794-7\"> </a></td><td>Slana</td><td>Slana</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1795-4<a name=\"cdcrec-1795-4\"> </a></td><td>Shageluk</td><td>Shageluk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1796-2<a name=\"cdcrec-1796-2\"> </a></td><td>Stevens</td><td>Stevens</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1797-0<a name=\"cdcrec-1797-0\"> </a></td><td>Stony River</td><td>Stony River</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1798-8<a name=\"cdcrec-1798-8\"> </a></td><td>Takotna</td><td>Takotna</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1799-6<a name=\"cdcrec-1799-6\"> </a></td><td>Tanacross</td><td>Tanacross</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1800-2<a name=\"cdcrec-1800-2\"> </a></td><td>Tanaina</td><td>Tanaina</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1801-0<a name=\"cdcrec-1801-0\"> </a></td><td>Tanana</td><td>Tanana</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1802-8<a name=\"cdcrec-1802-8\"> </a></td><td>Tanana Chiefs</td><td>Tanana Chiefs</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1803-6<a name=\"cdcrec-1803-6\"> </a></td><td>Tazlina</td><td>Tazlina</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1804-4<a name=\"cdcrec-1804-4\"> </a></td><td>Telida</td><td>Telida</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1805-1<a name=\"cdcrec-1805-1\"> </a></td><td>Tetlin</td><td>Tetlin</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1806-9<a name=\"cdcrec-1806-9\"> </a></td><td>Tok</td><td>Tok</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1807-7<a name=\"cdcrec-1807-7\"> </a></td><td>Tyonek</td><td>Tyonek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1808-5<a name=\"cdcrec-1808-5\"> </a></td><td>Venetie</td><td>Venetie</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1809-3<a name=\"cdcrec-1809-3\"> </a></td><td>Wiseman</td><td>Wiseman</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1813-5<a name=\"cdcrec-1813-5\"> </a></td><td>Tlingit-Haida</td><td>Tlingit-Haida</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1837-4<a name=\"cdcrec-1837-4\"> </a></td><td>Tsimshian</td><td>Tsimshian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1814-3<a name=\"cdcrec-1814-3\"> </a></td><td>Angoon</td><td>Angoon</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1815-0<a name=\"cdcrec-1815-0\"> </a></td><td>Central Council of Tlingit and Haida Tribes</td><td>Central Council of Tlingit and Haida Tribes</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1816-8<a name=\"cdcrec-1816-8\"> </a></td><td>Chilkat</td><td>Chilkat</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1817-6<a name=\"cdcrec-1817-6\"> </a></td><td>Chilkoot</td><td>Chilkoot</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1818-4<a name=\"cdcrec-1818-4\"> </a></td><td>Craig</td><td>Craig</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1819-2<a name=\"cdcrec-1819-2\"> </a></td><td>Douglas</td><td>Douglas</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1820-0<a name=\"cdcrec-1820-0\"> </a></td><td>Haida</td><td>Haida</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1821-8<a name=\"cdcrec-1821-8\"> </a></td><td>Hoonah</td><td>Hoonah</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1822-6<a name=\"cdcrec-1822-6\"> </a></td><td>Hydaburg</td><td>Hydaburg</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1823-4<a name=\"cdcrec-1823-4\"> </a></td><td>Kake</td><td>Kake</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1824-2<a name=\"cdcrec-1824-2\"> </a></td><td>Kasaan</td><td>Kasaan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1825-9<a name=\"cdcrec-1825-9\"> </a></td><td>Kenaitze</td><td>Kenaitze</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1826-7<a name=\"cdcrec-1826-7\"> </a></td><td>Ketchikan</td><td>Ketchikan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1827-5<a name=\"cdcrec-1827-5\"> </a></td><td>Klawock</td><td>Klawock</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1828-3<a name=\"cdcrec-1828-3\"> </a></td><td>Pelican</td><td>Pelican</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1829-1<a name=\"cdcrec-1829-1\"> </a></td><td>Petersburg</td><td>Petersburg</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1830-9<a name=\"cdcrec-1830-9\"> </a></td><td>Saxman</td><td>Saxman</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1831-7<a name=\"cdcrec-1831-7\"> </a></td><td>Sitka</td><td>Sitka</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1832-5<a name=\"cdcrec-1832-5\"> </a></td><td>Tenakee Springs</td><td>Tenakee Springs</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1833-3<a name=\"cdcrec-1833-3\"> </a></td><td>Tlingit</td><td>Tlingit</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1834-1<a name=\"cdcrec-1834-1\"> </a></td><td>Wrangell</td><td>Wrangell</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1835-8<a name=\"cdcrec-1835-8\"> </a></td><td>Yakutat</td><td>Yakutat</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1838-2<a name=\"cdcrec-1838-2\"> </a></td><td>Metlakatla</td><td>Metlakatla</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1842-4<a name=\"cdcrec-1842-4\"> </a></td><td>Greenland Eskimo</td><td>Greenland Eskimo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1844-0<a name=\"cdcrec-1844-0\"> </a></td><td>Inupiat Eskimo</td><td>Inupiat Eskimo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1891-1<a name=\"cdcrec-1891-1\"> </a></td><td>Siberian Eskimo</td><td>Siberian Eskimo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1896-0<a name=\"cdcrec-1896-0\"> </a></td><td>Yupik Eskimo</td><td>Yupik Eskimo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1845-7<a name=\"cdcrec-1845-7\"> </a></td><td>Ambler</td><td>Ambler</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1846-5<a name=\"cdcrec-1846-5\"> </a></td><td>Anaktuvuk</td><td>Anaktuvuk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1847-3<a name=\"cdcrec-1847-3\"> </a></td><td>Anaktuvuk Pass</td><td>Anaktuvuk Pass</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1848-1<a name=\"cdcrec-1848-1\"> </a></td><td>Arctic Slope Inupiat</td><td>Arctic Slope Inupiat</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1849-9<a name=\"cdcrec-1849-9\"> </a></td><td>Arctic Slope Corporation</td><td>Arctic Slope Corporation</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1850-7<a name=\"cdcrec-1850-7\"> </a></td><td>Atqasuk</td><td>Atqasuk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1851-5<a name=\"cdcrec-1851-5\"> </a></td><td>Barrow</td><td>Barrow</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1852-3<a name=\"cdcrec-1852-3\"> </a></td><td>Bering Straits Inupiat</td><td>Bering Straits Inupiat</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1853-1<a name=\"cdcrec-1853-1\"> </a></td><td>Brevig Mission</td><td>Brevig Mission</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1854-9<a name=\"cdcrec-1854-9\"> </a></td><td>Buckland</td><td>Buckland</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1855-6<a name=\"cdcrec-1855-6\"> </a></td><td>Chinik</td><td>Chinik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1856-4<a name=\"cdcrec-1856-4\"> </a></td><td>Council</td><td>Council</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1857-2<a name=\"cdcrec-1857-2\"> </a></td><td>Deering</td><td>Deering</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1858-0<a name=\"cdcrec-1858-0\"> </a></td><td>Elim</td><td>Elim</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1859-8<a name=\"cdcrec-1859-8\"> </a></td><td>Golovin</td><td>Golovin</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1860-6<a name=\"cdcrec-1860-6\"> </a></td><td>Inalik Diomede</td><td>Inalik Diomede</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1861-4<a name=\"cdcrec-1861-4\"> </a></td><td>Inupiaq</td><td>Inupiaq</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1862-2<a name=\"cdcrec-1862-2\"> </a></td><td>Kaktovik</td><td>Kaktovik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1863-0<a name=\"cdcrec-1863-0\"> </a></td><td>Kawerak</td><td>Kawerak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1864-8<a name=\"cdcrec-1864-8\"> </a></td><td>Kiana</td><td>Kiana</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1865-5<a name=\"cdcrec-1865-5\"> </a></td><td>Kivalina</td><td>Kivalina</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1866-3<a name=\"cdcrec-1866-3\"> </a></td><td>Kobuk</td><td>Kobuk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1867-1<a name=\"cdcrec-1867-1\"> </a></td><td>Kotzebue</td><td>Kotzebue</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1868-9<a name=\"cdcrec-1868-9\"> </a></td><td>Koyuk</td><td>Koyuk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1869-7<a name=\"cdcrec-1869-7\"> </a></td><td>Kwiguk</td><td>Kwiguk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1870-5<a name=\"cdcrec-1870-5\"> </a></td><td>Mauneluk Inupiat</td><td>Mauneluk Inupiat</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1871-3<a name=\"cdcrec-1871-3\"> </a></td><td>Nana Inupiat</td><td>Nana Inupiat</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1872-1<a name=\"cdcrec-1872-1\"> </a></td><td>Noatak</td><td>Noatak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1873-9<a name=\"cdcrec-1873-9\"> </a></td><td>Nome</td><td>Nome</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1874-7<a name=\"cdcrec-1874-7\"> </a></td><td>Noorvik</td><td>Noorvik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1875-4<a name=\"cdcrec-1875-4\"> </a></td><td>Nuiqsut</td><td>Nuiqsut</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1876-2<a name=\"cdcrec-1876-2\"> </a></td><td>Point Hope</td><td>Point Hope</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1877-0<a name=\"cdcrec-1877-0\"> </a></td><td>Point Lay</td><td>Point Lay</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1878-8<a name=\"cdcrec-1878-8\"> </a></td><td>Selawik</td><td>Selawik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1879-6<a name=\"cdcrec-1879-6\"> </a></td><td>Shaktoolik</td><td>Shaktoolik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1880-4<a name=\"cdcrec-1880-4\"> </a></td><td>Shishmaref</td><td>Shishmaref</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1881-2<a name=\"cdcrec-1881-2\"> </a></td><td>Shungnak</td><td>Shungnak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1882-0<a name=\"cdcrec-1882-0\"> </a></td><td>Solomon</td><td>Solomon</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1883-8<a name=\"cdcrec-1883-8\"> </a></td><td>Teller</td><td>Teller</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1884-6<a name=\"cdcrec-1884-6\"> </a></td><td>Unalakleet</td><td>Unalakleet</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1885-3<a name=\"cdcrec-1885-3\"> </a></td><td>Wainwright</td><td>Wainwright</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1886-1<a name=\"cdcrec-1886-1\"> </a></td><td>Wales</td><td>Wales</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1887-9<a name=\"cdcrec-1887-9\"> </a></td><td>White Mountain</td><td>White Mountain</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1888-7<a name=\"cdcrec-1888-7\"> </a></td><td>White Mountain Inupiat</td><td>White Mountain Inupiat</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1889-5<a name=\"cdcrec-1889-5\"> </a></td><td>Mary's Igloo</td><td>Mary's Igloo</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1892-9<a name=\"cdcrec-1892-9\"> </a></td><td>Gambell</td><td>Gambell</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1893-7<a name=\"cdcrec-1893-7\"> </a></td><td>Savoonga</td><td>Savoonga</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1894-5<a name=\"cdcrec-1894-5\"> </a></td><td>Siberian Yupik</td><td>Siberian Yupik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1897-8<a name=\"cdcrec-1897-8\"> </a></td><td>Akiachak</td><td>Akiachak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1898-6<a name=\"cdcrec-1898-6\"> </a></td><td>Akiak</td><td>Akiak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1899-4<a name=\"cdcrec-1899-4\"> </a></td><td>Alakanuk</td><td>Alakanuk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1900-0<a name=\"cdcrec-1900-0\"> </a></td><td>Aleknagik</td><td>Aleknagik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1901-8<a name=\"cdcrec-1901-8\"> </a></td><td>Andreafsky</td><td>Andreafsky</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1902-6<a name=\"cdcrec-1902-6\"> </a></td><td>Aniak</td><td>Aniak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1903-4<a name=\"cdcrec-1903-4\"> </a></td><td>Atmautluak</td><td>Atmautluak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1904-2<a name=\"cdcrec-1904-2\"> </a></td><td>Bethel</td><td>Bethel</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1905-9<a name=\"cdcrec-1905-9\"> </a></td><td>Bill Moore's Slough</td><td>Bill Moore's Slough</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1906-7<a name=\"cdcrec-1906-7\"> </a></td><td>Bristol Bay Yupik</td><td>Bristol Bay Yupik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1907-5<a name=\"cdcrec-1907-5\"> </a></td><td>Calista Yupik</td><td>Calista Yupik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1908-3<a name=\"cdcrec-1908-3\"> </a></td><td>Chefornak</td><td>Chefornak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1909-1<a name=\"cdcrec-1909-1\"> </a></td><td>Chevak</td><td>Chevak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1910-9<a name=\"cdcrec-1910-9\"> </a></td><td>Chuathbaluk</td><td>Chuathbaluk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1911-7<a name=\"cdcrec-1911-7\"> </a></td><td>Clark's Point</td><td>Clark's Point</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1912-5<a name=\"cdcrec-1912-5\"> </a></td><td>Crooked Creek</td><td>Crooked Creek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1913-3<a name=\"cdcrec-1913-3\"> </a></td><td>Dillingham</td><td>Dillingham</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1914-1<a name=\"cdcrec-1914-1\"> </a></td><td>Eek</td><td>Eek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1915-8<a name=\"cdcrec-1915-8\"> </a></td><td>Ekuk</td><td>Ekuk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1916-6<a name=\"cdcrec-1916-6\"> </a></td><td>Ekwok</td><td>Ekwok</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1917-4<a name=\"cdcrec-1917-4\"> </a></td><td>Emmonak</td><td>Emmonak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1918-2<a name=\"cdcrec-1918-2\"> </a></td><td>Goodnews Bay</td><td>Goodnews Bay</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1919-0<a name=\"cdcrec-1919-0\"> </a></td><td>Hooper Bay</td><td>Hooper Bay</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1920-8<a name=\"cdcrec-1920-8\"> </a></td><td>Iqurmuit (Russian Mission)</td><td>Iqurmuit (Russian Mission)</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1921-6<a name=\"cdcrec-1921-6\"> </a></td><td>Kalskag</td><td>Kalskag</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1922-4<a name=\"cdcrec-1922-4\"> </a></td><td>Kasigluk</td><td>Kasigluk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1923-2<a name=\"cdcrec-1923-2\"> </a></td><td>Kipnuk</td><td>Kipnuk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1924-0<a name=\"cdcrec-1924-0\"> </a></td><td>Koliganek</td><td>Koliganek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1925-7<a name=\"cdcrec-1925-7\"> </a></td><td>Kongiganak</td><td>Kongiganak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1926-5<a name=\"cdcrec-1926-5\"> </a></td><td>Kotlik</td><td>Kotlik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1927-3<a name=\"cdcrec-1927-3\"> </a></td><td>Kwethluk</td><td>Kwethluk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1928-1<a name=\"cdcrec-1928-1\"> </a></td><td>Kwigillingok</td><td>Kwigillingok</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1929-9<a name=\"cdcrec-1929-9\"> </a></td><td>Levelock</td><td>Levelock</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1930-7<a name=\"cdcrec-1930-7\"> </a></td><td>Lower Kalskag</td><td>Lower Kalskag</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1931-5<a name=\"cdcrec-1931-5\"> </a></td><td>Manokotak</td><td>Manokotak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1932-3<a name=\"cdcrec-1932-3\"> </a></td><td>Marshall</td><td>Marshall</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1933-1<a name=\"cdcrec-1933-1\"> </a></td><td>Mekoryuk</td><td>Mekoryuk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1934-9<a name=\"cdcrec-1934-9\"> </a></td><td>Mountain Village</td><td>Mountain Village</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1935-6<a name=\"cdcrec-1935-6\"> </a></td><td>Naknek</td><td>Naknek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1936-4<a name=\"cdcrec-1936-4\"> </a></td><td>Napaumute</td><td>Napaumute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1937-2<a name=\"cdcrec-1937-2\"> </a></td><td>Napakiak</td><td>Napakiak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1938-0<a name=\"cdcrec-1938-0\"> </a></td><td>Napaskiak</td><td>Napaskiak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1939-8<a name=\"cdcrec-1939-8\"> </a></td><td>Newhalen</td><td>Newhalen</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1940-6<a name=\"cdcrec-1940-6\"> </a></td><td>New Stuyahok</td><td>New Stuyahok</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1941-4<a name=\"cdcrec-1941-4\"> </a></td><td>Newtok</td><td>Newtok</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1942-2<a name=\"cdcrec-1942-2\"> </a></td><td>Nightmute</td><td>Nightmute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1943-0<a name=\"cdcrec-1943-0\"> </a></td><td>Nunapitchukv</td><td>Nunapitchukv</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1944-8<a name=\"cdcrec-1944-8\"> </a></td><td>Oscarville</td><td>Oscarville</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1945-5<a name=\"cdcrec-1945-5\"> </a></td><td>Pilot Station</td><td>Pilot Station</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1946-3<a name=\"cdcrec-1946-3\"> </a></td><td>Pitkas Point</td><td>Pitkas Point</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1947-1<a name=\"cdcrec-1947-1\"> </a></td><td>Platinum</td><td>Platinum</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1948-9<a name=\"cdcrec-1948-9\"> </a></td><td>Portage Creek</td><td>Portage Creek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1949-7<a name=\"cdcrec-1949-7\"> </a></td><td>Quinhagak</td><td>Quinhagak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1950-5<a name=\"cdcrec-1950-5\"> </a></td><td>Red Devil</td><td>Red Devil</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1951-3<a name=\"cdcrec-1951-3\"> </a></td><td>St. Michael</td><td>St. Michael</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1952-1<a name=\"cdcrec-1952-1\"> </a></td><td>Scammon Bay</td><td>Scammon Bay</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1953-9<a name=\"cdcrec-1953-9\"> </a></td><td>Sheldon's Point</td><td>Sheldon's Point</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1954-7<a name=\"cdcrec-1954-7\"> </a></td><td>Sleetmute</td><td>Sleetmute</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1955-4<a name=\"cdcrec-1955-4\"> </a></td><td>Stebbins</td><td>Stebbins</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1956-2<a name=\"cdcrec-1956-2\"> </a></td><td>Togiak</td><td>Togiak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1957-0<a name=\"cdcrec-1957-0\"> </a></td><td>Toksook</td><td>Toksook</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1958-8<a name=\"cdcrec-1958-8\"> </a></td><td>Tulukskak</td><td>Tulukskak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1959-6<a name=\"cdcrec-1959-6\"> </a></td><td>Tuntutuliak</td><td>Tuntutuliak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1960-4<a name=\"cdcrec-1960-4\"> </a></td><td>Tununak</td><td>Tununak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1961-2<a name=\"cdcrec-1961-2\"> </a></td><td>Twin Hills</td><td>Twin Hills</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1962-0<a name=\"cdcrec-1962-0\"> </a></td><td>Georgetown (Yupik-Eskimo)</td><td>Georgetown (Yupik-Eskimo)</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1963-8<a name=\"cdcrec-1963-8\"> </a></td><td>St. Mary's</td><td>St. Mary's</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1964-6<a name=\"cdcrec-1964-6\"> </a></td><td>Umkumiate</td><td>Umkumiate</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1968-7<a name=\"cdcrec-1968-7\"> </a></td><td>Alutiiq Aleut</td><td>Alutiiq Aleut</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1972-9<a name=\"cdcrec-1972-9\"> </a></td><td>Bristol Bay Aleut</td><td>Bristol Bay Aleut</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1984-4<a name=\"cdcrec-1984-4\"> </a></td><td>Chugach Aleut</td><td>Chugach Aleut</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1990-1<a name=\"cdcrec-1990-1\"> </a></td><td>Eyak</td><td>Eyak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1992-7<a name=\"cdcrec-1992-7\"> </a></td><td>Koniag Aleut</td><td>Koniag Aleut</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2002-4<a name=\"cdcrec-2002-4\"> </a></td><td>Sugpiaq</td><td>Sugpiaq</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2004-0<a name=\"cdcrec-2004-0\"> </a></td><td>Suqpigaq</td><td>Suqpigaq</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2006-5<a name=\"cdcrec-2006-5\"> </a></td><td>Unangan Aleut</td><td>Unangan Aleut</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1969-5<a name=\"cdcrec-1969-5\"> </a></td><td>Tatitlek</td><td>Tatitlek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1970-3<a name=\"cdcrec-1970-3\"> </a></td><td>Ugashik</td><td>Ugashik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1973-7<a name=\"cdcrec-1973-7\"> </a></td><td>Chignik</td><td>Chignik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1974-5<a name=\"cdcrec-1974-5\"> </a></td><td>Chignik Lake</td><td>Chignik Lake</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1975-2<a name=\"cdcrec-1975-2\"> </a></td><td>Egegik</td><td>Egegik</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1976-0<a name=\"cdcrec-1976-0\"> </a></td><td>Igiugig</td><td>Igiugig</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1977-8<a name=\"cdcrec-1977-8\"> </a></td><td>Ivanof Bay</td><td>Ivanof Bay</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1978-6<a name=\"cdcrec-1978-6\"> </a></td><td>King Salmon</td><td>King Salmon</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1979-4<a name=\"cdcrec-1979-4\"> </a></td><td>Kokhanok</td><td>Kokhanok</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1980-2<a name=\"cdcrec-1980-2\"> </a></td><td>Perryville</td><td>Perryville</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1981-0<a name=\"cdcrec-1981-0\"> </a></td><td>Pilot Point</td><td>Pilot Point</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1982-8<a name=\"cdcrec-1982-8\"> </a></td><td>Port Heiden</td><td>Port Heiden</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1985-1<a name=\"cdcrec-1985-1\"> </a></td><td>Chenega</td><td>Chenega</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1986-9<a name=\"cdcrec-1986-9\"> </a></td><td>Chugach Corporation</td><td>Chugach Corporation</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1987-7<a name=\"cdcrec-1987-7\"> </a></td><td>English Bay</td><td>English Bay</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1988-5<a name=\"cdcrec-1988-5\"> </a></td><td>Port Graham</td><td>Port Graham</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1993-5<a name=\"cdcrec-1993-5\"> </a></td><td>Akhiok</td><td>Akhiok</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1994-3<a name=\"cdcrec-1994-3\"> </a></td><td>Agdaagux</td><td>Agdaagux</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1995-0<a name=\"cdcrec-1995-0\"> </a></td><td>Karluk</td><td>Karluk</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1996-8<a name=\"cdcrec-1996-8\"> </a></td><td>Kodiak</td><td>Kodiak</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1997-6<a name=\"cdcrec-1997-6\"> </a></td><td>Larsen Bay</td><td>Larsen Bay</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1998-4<a name=\"cdcrec-1998-4\"> </a></td><td>Old Harbor</td><td>Old Harbor</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    1999-2<a name=\"cdcrec-1999-2\"> </a></td><td>Ouzinkie</td><td>Ouzinkie</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2000-8<a name=\"cdcrec-2000-8\"> </a></td><td>Port Lions</td><td>Port Lions</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2007-3<a name=\"cdcrec-2007-3\"> </a></td><td>Akutan</td><td>Akutan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2008-1<a name=\"cdcrec-2008-1\"> </a></td><td>Aleut Corporation</td><td>Aleut Corporation</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2009-9<a name=\"cdcrec-2009-9\"> </a></td><td>Aleutian</td><td>Aleutian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2010-7<a name=\"cdcrec-2010-7\"> </a></td><td>Aleutian Islander</td><td>Aleutian Islander</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2011-5<a name=\"cdcrec-2011-5\"> </a></td><td>Atka</td><td>Atka</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2012-3<a name=\"cdcrec-2012-3\"> </a></td><td>Belkofski</td><td>Belkofski</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2013-1<a name=\"cdcrec-2013-1\"> </a></td><td>Chignik Lagoon</td><td>Chignik Lagoon</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2014-9<a name=\"cdcrec-2014-9\"> </a></td><td>King Cove</td><td>King Cove</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2015-6<a name=\"cdcrec-2015-6\"> </a></td><td>False Pass</td><td>False Pass</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2016-4<a name=\"cdcrec-2016-4\"> </a></td><td>Nelson Lagoon</td><td>Nelson Lagoon</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2017-2<a name=\"cdcrec-2017-2\"> </a></td><td>Nikolski</td><td>Nikolski</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2018-0<a name=\"cdcrec-2018-0\"> </a></td><td>Pauloff Harbor</td><td>Pauloff Harbor</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2019-8<a name=\"cdcrec-2019-8\"> </a></td><td>Qagan Toyagungin</td><td>Qagan Toyagungin</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2020-6<a name=\"cdcrec-2020-6\"> </a></td><td>Qawalangin</td><td>Qawalangin</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2021-4<a name=\"cdcrec-2021-4\"> </a></td><td>St. George</td><td>St. George</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2022-2<a name=\"cdcrec-2022-2\"> </a></td><td>St. Paul</td><td>St. Paul</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2023-0<a name=\"cdcrec-2023-0\"> </a></td><td>Sand Point</td><td>Sand Point</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2024-8<a name=\"cdcrec-2024-8\"> </a></td><td>South Naknek</td><td>South Naknek</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2025-5<a name=\"cdcrec-2025-5\"> </a></td><td>Unalaska</td><td>Unalaska</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2026-3<a name=\"cdcrec-2026-3\"> </a></td><td>Unga</td><td>Unga</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  2028-9<a name=\"cdcrec-2028-9\"> </a></td><td>Asian</td><td>Asian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2029-7<a name=\"cdcrec-2029-7\"> </a></td><td>Asian Indian</td><td>Asian Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2030-5<a name=\"cdcrec-2030-5\"> </a></td><td>Bangladeshi</td><td>Bangladeshi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2031-3<a name=\"cdcrec-2031-3\"> </a></td><td>Bhutanese</td><td>Bhutanese</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2032-1<a name=\"cdcrec-2032-1\"> </a></td><td>Burmese</td><td>Burmese</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2033-9<a name=\"cdcrec-2033-9\"> </a></td><td>Cambodian</td><td>Cambodian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2034-7<a name=\"cdcrec-2034-7\"> </a></td><td>Chinese</td><td>Chinese</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2035-4<a name=\"cdcrec-2035-4\"> </a></td><td>Taiwanese</td><td>Taiwanese</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2036-2<a name=\"cdcrec-2036-2\"> </a></td><td>Filipino</td><td>Filipino</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2037-0<a name=\"cdcrec-2037-0\"> </a></td><td>Hmong</td><td>Hmong</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2038-8<a name=\"cdcrec-2038-8\"> </a></td><td>Indonesian</td><td>Indonesian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2039-6<a name=\"cdcrec-2039-6\"> </a></td><td>Japanese</td><td>Japanese</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2040-4<a name=\"cdcrec-2040-4\"> </a></td><td>Korean</td><td>Korean</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2041-2<a name=\"cdcrec-2041-2\"> </a></td><td>Laotian</td><td>Laotian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2042-0<a name=\"cdcrec-2042-0\"> </a></td><td>Malaysian</td><td>Malaysian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2043-8<a name=\"cdcrec-2043-8\"> </a></td><td>Okinawan</td><td>Okinawan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2044-6<a name=\"cdcrec-2044-6\"> </a></td><td>Pakistani</td><td>Pakistani</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2045-3<a name=\"cdcrec-2045-3\"> </a></td><td>Sri Lankan</td><td>Sri Lankan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2046-1<a name=\"cdcrec-2046-1\"> </a></td><td>Thai</td><td>Thai</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2047-9<a name=\"cdcrec-2047-9\"> </a></td><td>Vietnamese</td><td>Vietnamese</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2048-7<a name=\"cdcrec-2048-7\"> </a></td><td>Iwo Jiman</td><td>Iwo Jiman</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2049-5<a name=\"cdcrec-2049-5\"> </a></td><td>Maldivian</td><td>Maldivian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2050-3<a name=\"cdcrec-2050-3\"> </a></td><td>Nepalese</td><td>Nepalese</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2051-1<a name=\"cdcrec-2051-1\"> </a></td><td>Singaporean</td><td>Singaporean</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2052-9<a name=\"cdcrec-2052-9\"> </a></td><td>Madagascar</td><td>Madagascar</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  2054-5<a name=\"cdcrec-2054-5\"> </a></td><td>Black or African American</td><td>Black or African American</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2056-0<a name=\"cdcrec-2056-0\"> </a></td><td>Black</td><td>Black</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2058-6<a name=\"cdcrec-2058-6\"> </a></td><td>African American</td><td>African American</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2060-2<a name=\"cdcrec-2060-2\"> </a></td><td>African</td><td>African</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2067-7<a name=\"cdcrec-2067-7\"> </a></td><td>Bahamian</td><td>Bahamian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2068-5<a name=\"cdcrec-2068-5\"> </a></td><td>Barbadian</td><td>Barbadian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2069-3<a name=\"cdcrec-2069-3\"> </a></td><td>Dominican</td><td>Dominican</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2070-1<a name=\"cdcrec-2070-1\"> </a></td><td>Dominica Islander</td><td>Dominica Islander</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2071-9<a name=\"cdcrec-2071-9\"> </a></td><td>Haitian</td><td>Haitian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2072-7<a name=\"cdcrec-2072-7\"> </a></td><td>Jamaican</td><td>Jamaican</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2073-5<a name=\"cdcrec-2073-5\"> </a></td><td>Tobagoan</td><td>Tobagoan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2074-3<a name=\"cdcrec-2074-3\"> </a></td><td>Trinidadian</td><td>Trinidadian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2075-0<a name=\"cdcrec-2075-0\"> </a></td><td>West Indian</td><td>West Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2061-0<a name=\"cdcrec-2061-0\"> </a></td><td>Botswanan</td><td>Botswanan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2062-8<a name=\"cdcrec-2062-8\"> </a></td><td>Ethiopian</td><td>Ethiopian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2063-6<a name=\"cdcrec-2063-6\"> </a></td><td>Liberian</td><td>Liberian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2064-4<a name=\"cdcrec-2064-4\"> </a></td><td>Namibian</td><td>Namibian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2065-1<a name=\"cdcrec-2065-1\"> </a></td><td>Nigerian</td><td>Nigerian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2066-9<a name=\"cdcrec-2066-9\"> </a></td><td>Zairean</td><td>Zairean</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  2076-8<a name=\"cdcrec-2076-8\"> </a></td><td>Native Hawaiian or Other Pacific Islander</td><td>Native Hawaiian or Other Pacific Islander</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2078-4<a name=\"cdcrec-2078-4\"> </a></td><td>Polynesian</td><td>Polynesian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2085-9<a name=\"cdcrec-2085-9\"> </a></td><td>Micronesian</td><td>Micronesian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2100-6<a name=\"cdcrec-2100-6\"> </a></td><td>Melanesian</td><td>Melanesian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2500-7<a name=\"cdcrec-2500-7\"> </a></td><td>Other Pacific Islander</td><td>Other Pacific Islander</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2079-2<a name=\"cdcrec-2079-2\"> </a></td><td>Native Hawaiian</td><td>Native Hawaiian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2080-0<a name=\"cdcrec-2080-0\"> </a></td><td>Samoan</td><td>Samoan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2081-8<a name=\"cdcrec-2081-8\"> </a></td><td>Tahitian</td><td>Tahitian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2082-6<a name=\"cdcrec-2082-6\"> </a></td><td>Tongan</td><td>Tongan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2083-4<a name=\"cdcrec-2083-4\"> </a></td><td>Tokelauan</td><td>Tokelauan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2086-7<a name=\"cdcrec-2086-7\"> </a></td><td>Guamanian or Chamorro</td><td>Guamanian or Chamorro</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2087-5<a name=\"cdcrec-2087-5\"> </a></td><td>Guamanian</td><td>Guamanian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2088-3<a name=\"cdcrec-2088-3\"> </a></td><td>Chamorro</td><td>Chamorro</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2089-1<a name=\"cdcrec-2089-1\"> </a></td><td>Mariana Islander</td><td>Mariana Islander</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2090-9<a name=\"cdcrec-2090-9\"> </a></td><td>Marshallese</td><td>Marshallese</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2091-7<a name=\"cdcrec-2091-7\"> </a></td><td>Palauan</td><td>Palauan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2092-5<a name=\"cdcrec-2092-5\"> </a></td><td>Carolinian</td><td>Carolinian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2093-3<a name=\"cdcrec-2093-3\"> </a></td><td>Kosraean</td><td>Kosraean</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2094-1<a name=\"cdcrec-2094-1\"> </a></td><td>Pohnpeian</td><td>Pohnpeian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2095-8<a name=\"cdcrec-2095-8\"> </a></td><td>Saipanese</td><td>Saipanese</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2096-6<a name=\"cdcrec-2096-6\"> </a></td><td>Kiribati</td><td>Kiribati</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2097-4<a name=\"cdcrec-2097-4\"> </a></td><td>Chuukese</td><td>Chuukese</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2098-2<a name=\"cdcrec-2098-2\"> </a></td><td>Yapese</td><td>Yapese</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2101-4<a name=\"cdcrec-2101-4\"> </a></td><td>Fijian</td><td>Fijian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2102-2<a name=\"cdcrec-2102-2\"> </a></td><td>Papua New Guinean</td><td>Papua New Guinean</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2103-0<a name=\"cdcrec-2103-0\"> </a></td><td>Solomon Islander</td><td>Solomon Islander</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2104-8<a name=\"cdcrec-2104-8\"> </a></td><td>New Hebrides</td><td>New Hebrides</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  2106-3<a name=\"cdcrec-2106-3\"> </a></td><td>White</td><td>White</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2108-9<a name=\"cdcrec-2108-9\"> </a></td><td>European</td><td>European</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2118-8<a name=\"cdcrec-2118-8\"> </a></td><td>Middle Eastern or North African</td><td>Middle Eastern or North African</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2129-5<a name=\"cdcrec-2129-5\"> </a></td><td>Arab</td><td>Arab</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2109-7<a name=\"cdcrec-2109-7\"> </a></td><td>Armenian</td><td>Armenian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2110-5<a name=\"cdcrec-2110-5\"> </a></td><td>English</td><td>English</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2111-3<a name=\"cdcrec-2111-3\"> </a></td><td>French</td><td>French</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2112-1<a name=\"cdcrec-2112-1\"> </a></td><td>German</td><td>German</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2113-9<a name=\"cdcrec-2113-9\"> </a></td><td>Irish</td><td>Irish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2114-7<a name=\"cdcrec-2114-7\"> </a></td><td>Italian</td><td>Italian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2115-4<a name=\"cdcrec-2115-4\"> </a></td><td>Polish</td><td>Polish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2116-2<a name=\"cdcrec-2116-2\"> </a></td><td>Scottish</td><td>Scottish</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2119-6<a name=\"cdcrec-2119-6\"> </a></td><td>Assyrian</td><td>Assyrian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2120-4<a name=\"cdcrec-2120-4\"> </a></td><td>Egyptian</td><td>Egyptian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2121-2<a name=\"cdcrec-2121-2\"> </a></td><td>Iranian</td><td>Iranian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2122-0<a name=\"cdcrec-2122-0\"> </a></td><td>Iraqi</td><td>Iraqi</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2123-8<a name=\"cdcrec-2123-8\"> </a></td><td>Lebanese</td><td>Lebanese</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2124-6<a name=\"cdcrec-2124-6\"> </a></td><td>Palestinian</td><td>Palestinian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2125-3<a name=\"cdcrec-2125-3\"> </a></td><td>Syrian</td><td>Syrian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2126-1<a name=\"cdcrec-2126-1\"> </a></td><td>Afghanistani</td><td>Afghanistani</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2127-9<a name=\"cdcrec-2127-9\"> </a></td><td>Israeili</td><td>Israeili</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  2131-1<a name=\"cdcrec-2131-1\"> </a></td><td>Other Race</td><td>Note that this term remains in the table for completeness, even though within HL7, the notion of Other code is deprecated.</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">2133-7<a name=\"cdcrec-2133-7\"> </a></td><td>Ethnicity</td><td>Ethnicity Note that this is an abstract 'grouping' concept and not for use as a real concept</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  2135-2<a name=\"cdcrec-2135-2\"> </a></td><td>Hispanic or Latino</td><td>Hispanic or Latino</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2137-8<a name=\"cdcrec-2137-8\"> </a></td><td>Spaniard</td><td>Spaniard</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2148-5<a name=\"cdcrec-2148-5\"> </a></td><td>Mexican</td><td>Mexican</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2155-0<a name=\"cdcrec-2155-0\"> </a></td><td>Central American</td><td>Central American</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2165-9<a name=\"cdcrec-2165-9\"> </a></td><td>South American</td><td>South American</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2178-2<a name=\"cdcrec-2178-2\"> </a></td><td>Latin American</td><td>Latin American</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2180-8<a name=\"cdcrec-2180-8\"> </a></td><td>Puerto Rican</td><td>Puerto Rican</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2182-4<a name=\"cdcrec-2182-4\"> </a></td><td>Cuban</td><td>Cuban</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2184-0<a name=\"cdcrec-2184-0\"> </a></td><td>Dominican</td><td>Dominican</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2138-6<a name=\"cdcrec-2138-6\"> </a></td><td>Andalusian</td><td>Andalusian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2139-4<a name=\"cdcrec-2139-4\"> </a></td><td>Asturian</td><td>Asturian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2140-2<a name=\"cdcrec-2140-2\"> </a></td><td>Castillian</td><td>Castillian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2141-0<a name=\"cdcrec-2141-0\"> </a></td><td>Catalonian</td><td>Catalonian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2142-8<a name=\"cdcrec-2142-8\"> </a></td><td>Belearic Islander</td><td>Belearic Islander</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2143-6<a name=\"cdcrec-2143-6\"> </a></td><td>Gallego</td><td>Gallego</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2144-4<a name=\"cdcrec-2144-4\"> </a></td><td>Valencian</td><td>Valencian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2145-1<a name=\"cdcrec-2145-1\"> </a></td><td>Canarian</td><td>Canarian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2146-9<a name=\"cdcrec-2146-9\"> </a></td><td>Spanish Basque</td><td>Spanish Basque</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2149-3<a name=\"cdcrec-2149-3\"> </a></td><td>Mexican American</td><td>Mexican American</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2150-1<a name=\"cdcrec-2150-1\"> </a></td><td>Mexicano</td><td>Mexicano</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2151-9<a name=\"cdcrec-2151-9\"> </a></td><td>Chicano</td><td>Chicano</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2152-7<a name=\"cdcrec-2152-7\"> </a></td><td>La Raza</td><td>La Raza</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2153-5<a name=\"cdcrec-2153-5\"> </a></td><td>Mexican American Indian</td><td>Mexican American Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2156-8<a name=\"cdcrec-2156-8\"> </a></td><td>Costa Rican</td><td>Costa Rican</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2157-6<a name=\"cdcrec-2157-6\"> </a></td><td>Guatemalan</td><td>Guatemalan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2158-4<a name=\"cdcrec-2158-4\"> </a></td><td>Honduran</td><td>Honduran</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2159-2<a name=\"cdcrec-2159-2\"> </a></td><td>Nicaraguan</td><td>Nicaraguan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2160-0<a name=\"cdcrec-2160-0\"> </a></td><td>Panamanian</td><td>Panamanian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2161-8<a name=\"cdcrec-2161-8\"> </a></td><td>Salvadoran</td><td>Salvadoran</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2162-6<a name=\"cdcrec-2162-6\"> </a></td><td>Central American Indian</td><td>Central American Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2163-4<a name=\"cdcrec-2163-4\"> </a></td><td>Canal Zone</td><td>Canal Zone</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2166-7<a name=\"cdcrec-2166-7\"> </a></td><td>Argentinean</td><td>Argentinean</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2167-5<a name=\"cdcrec-2167-5\"> </a></td><td>Bolivian</td><td>Bolivian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2168-3<a name=\"cdcrec-2168-3\"> </a></td><td>Chilean</td><td>Chilean</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2169-1<a name=\"cdcrec-2169-1\"> </a></td><td>Colombian</td><td>Colombian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2170-9<a name=\"cdcrec-2170-9\"> </a></td><td>Ecuadorian</td><td>Ecuadorian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2171-7<a name=\"cdcrec-2171-7\"> </a></td><td>Paraguayan</td><td>Paraguayan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2172-5<a name=\"cdcrec-2172-5\"> </a></td><td>Peruvian</td><td>Peruvian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2173-3<a name=\"cdcrec-2173-3\"> </a></td><td>Uruguayan</td><td>Uruguayan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2174-1<a name=\"cdcrec-2174-1\"> </a></td><td>Venezuelan</td><td>Venezuelan</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2175-8<a name=\"cdcrec-2175-8\"> </a></td><td>South American Indian</td><td>South American Indian</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    2176-6<a name=\"cdcrec-2176-6\"> </a></td><td>Criollo</td><td>Criollo</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  2186-5<a name=\"cdcrec-2186-5\"> </a></td><td>Not Hispanic or Latino</td><td>Note that this term remains in the table for completeness, even though within HL7, the notion of &quot;not otherwise coded&quot; term is deprecated.</td></tr></table></div>"
+  },
+  "url": "urn:oid:2.16.840.1.113883.6.238",
+  "identifier": [
+    {
+      "value": "2.16.840.1.113883.6.238"
+    }
+  ],
+  "version": "3.0.0",
+  "name": "RaceAndEthnicityCDC",
+  "title": "Race & Ethnicity - CDC",
+  "status": "active",
+  "experimental": false,
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "url",
+          "value": "http://hl7.org"
+        }
+      ]
+    }
+  ],
+  "description": " The U.S. Centers for Disease Control and Prevention (CDC) has prepared a code set for use in codingrace and ethnicity data. This code set is based on current federal standards for classifying data onrace and ethnicity, specifically the minimum race and ethnicity categories defined by the U.S. Office ofManagement and Budget (OMB) and a more detailed set of race and ethnicity categories maintainedby the U.S. Bureau of the Census (BC). The main purpose of the code set is to facilitate use of federalstandards for classifying data on race and ethnicity when these data are exchanged, stored, retrieved,or analyzed in electronic form. At the same time, the code set can be applied to paper-based recordsystems to the extent that these systems are used to collect, maintain, and report data on race andethnicity in accordance with current federal standards. Source: [Race and Ethnicity Code Set Version 1.0](https://www.cdc.gov/phin/resources/vocabulary/documents/cdc-race--ethnicity-background-and-purpose.pdf).",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "caseSensitive": true,
+  "hierarchyMeaning": "is-a",
+  "content": "complete",
+  "count": 966,
+  "property": [
+    {
+      "code": "abstract",
+      "description": "True if an element is considered 'abstract' - in other words, the code is not for use as a real concept",
+      "type": "boolean"
+    }
+  ],
+  "concept": [
+    {
+      "code": "1000-9",
+      "display": "Race",
+      "definition": "Race, Note that this is an abstract 'grouping' concept and not for use as a real concept",
+      "property": [
+        {
+          "code": "abstract",
+          "valueBoolean": true
+        }
+      ],
+      "concept": [
+        {
+          "code": "1002-5",
+          "display": "American Indian or Alaska Native",
+          "definition": "American Indian or Alaska Native",
+          "concept": [
+            {
+              "code": "1004-1",
+              "display": "American Indian",
+              "definition": "American Indian"
+            },
+            {
+              "code": "1735-0",
+              "display": "Alaska Native",
+              "definition": "Alaska Native"
+            },
+            {
+              "code": "1006-6",
+              "display": "Abenaki",
+              "definition": "Abenaki"
+            },
+            {
+              "code": "1008-2",
+              "display": "Algonquian",
+              "definition": "Algonquian"
+            },
+            {
+              "code": "1010-8",
+              "display": "Apache",
+              "definition": "Apache"
+            },
+            {
+              "code": "1021-5",
+              "display": "Arapaho",
+              "definition": "Arapaho"
+            },
+            {
+              "code": "1026-4",
+              "display": "Arikara",
+              "definition": "Arikara"
+            },
+            {
+              "code": "1028-0",
+              "display": "Assiniboine",
+              "definition": "Assiniboine"
+            },
+            {
+              "code": "1030-6",
+              "display": "Assiniboine Sioux",
+              "definition": "Assiniboine Sioux"
+            },
+            {
+              "code": "1033-0",
+              "display": "Bannock",
+              "definition": "Bannock"
+            },
+            {
+              "code": "1035-5",
+              "display": "Blackfeet",
+              "definition": "Blackfeet"
+            },
+            {
+              "code": "1037-1",
+              "display": "Brotherton",
+              "definition": "Brotherton"
+            },
+            {
+              "code": "1039-7",
+              "display": "Burt Lake Band",
+              "definition": "Burt Lake Band"
+            },
+            {
+              "code": "1041-3",
+              "display": "Caddo",
+              "definition": "Caddo"
+            },
+            {
+              "code": "1044-7",
+              "display": "Cahuilla",
+              "definition": "Cahuilla"
+            },
+            {
+              "code": "1053-8",
+              "display": "California Tribes",
+              "definition": "California Tribes"
+            },
+            {
+              "code": "1068-6",
+              "display": "Canadian and Latin American Indian",
+              "definition": "Canadian and Latin American Indian"
+            },
+            {
+              "code": "1076-9",
+              "display": "Catawba",
+              "definition": "Catawba"
+            },
+            {
+              "code": "1078-5",
+              "display": "Cayuse",
+              "definition": "Cayuse"
+            },
+            {
+              "code": "1080-1",
+              "display": "Chehalis",
+              "definition": "Chehalis"
+            },
+            {
+              "code": "1082-7",
+              "display": "Chemakuan",
+              "definition": "Chemakuan"
+            },
+            {
+              "code": "1086-8",
+              "display": "Chemehuevi",
+              "definition": "Chemehuevi"
+            },
+            {
+              "code": "1088-4",
+              "display": "Cherokee",
+              "definition": "Cherokee"
+            },
+            {
+              "code": "1100-7",
+              "display": "Cherokee Shawnee",
+              "definition": "Cherokee Shawnee"
+            },
+            {
+              "code": "1102-3",
+              "display": "Cheyenne",
+              "definition": "Cheyenne"
+            },
+            {
+              "code": "1106-4",
+              "display": "Cheyenne-Arapaho",
+              "definition": "Cheyenne-Arapaho"
+            },
+            {
+              "code": "1108-0",
+              "display": "Chickahominy",
+              "definition": "Chickahominy"
+            },
+            {
+              "code": "1112-2",
+              "display": "Chickasaw",
+              "definition": "Chickasaw"
+            },
+            {
+              "code": "1114-8",
+              "display": "Chinook",
+              "definition": "Chinook"
+            },
+            {
+              "code": "1123-9",
+              "display": "Chippewa",
+              "definition": "Chippewa"
+            },
+            {
+              "code": "1150-2",
+              "display": "Chippewa Cree",
+              "definition": "Chippewa Cree"
+            },
+            {
+              "code": "1153-6",
+              "display": "Chitimacha",
+              "definition": "Chitimacha"
+            },
+            {
+              "code": "1155-1",
+              "display": "Choctaw",
+              "definition": "Choctaw"
+            },
+            {
+              "code": "1162-7",
+              "display": "Chumash",
+              "definition": "Chumash"
+            },
+            {
+              "code": "1165-0",
+              "display": "Clear Lake",
+              "definition": "Clear Lake"
+            },
+            {
+              "code": "1167-6",
+              "display": "Coeur D'Alene",
+              "definition": "Coeur D'Alene"
+            },
+            {
+              "code": "1169-2",
+              "display": "Coharie",
+              "definition": "Coharie"
+            },
+            {
+              "code": "1171-8",
+              "display": "Colorado River",
+              "definition": "Colorado River"
+            },
+            {
+              "code": "1173-4",
+              "display": "Colville",
+              "definition": "Colville"
+            },
+            {
+              "code": "1175-9",
+              "display": "Comanche",
+              "definition": "Comanche"
+            },
+            {
+              "code": "1178-3",
+              "display": "Coos, Lower Umpqua, Siuslaw",
+              "definition": "Coos, Lower Umpqua, Siuslaw"
+            },
+            {
+              "code": "1180-9",
+              "display": "Coos",
+              "definition": "Coos"
+            },
+            {
+              "code": "1182-5",
+              "display": "Coquilles",
+              "definition": "Coquilles"
+            },
+            {
+              "code": "1184-1",
+              "display": "Costanoan",
+              "definition": "Costanoan"
+            },
+            {
+              "code": "1186-6",
+              "display": "Coushatta",
+              "definition": "Coushatta"
+            },
+            {
+              "code": "1189-0",
+              "display": "Cowlitz",
+              "definition": "Cowlitz"
+            },
+            {
+              "code": "1191-6",
+              "display": "Cree",
+              "definition": "Cree"
+            },
+            {
+              "code": "1193-2",
+              "display": "Creek",
+              "definition": "Creek"
+            },
+            {
+              "code": "1207-0",
+              "display": "Croatan",
+              "definition": "Croatan"
+            },
+            {
+              "code": "1209-6",
+              "display": "Crow",
+              "definition": "Crow"
+            },
+            {
+              "code": "1211-2",
+              "display": "Cupeno",
+              "definition": "Cupeno"
+            },
+            {
+              "code": "1214-6",
+              "display": "Delaware",
+              "definition": "Delaware"
+            },
+            {
+              "code": "1222-9",
+              "display": "Diegueno",
+              "definition": "Diegueno"
+            },
+            {
+              "code": "1233-6",
+              "display": "Eastern Tribes",
+              "definition": "Eastern Tribes"
+            },
+            {
+              "code": "1250-0",
+              "display": "Esselen",
+              "definition": "Esselen"
+            },
+            {
+              "code": "1252-6",
+              "display": "Fort Belknap",
+              "definition": "Fort Belknap"
+            },
+            {
+              "code": "1254-2",
+              "display": "Fort Berthold",
+              "definition": "Fort Berthold"
+            },
+            {
+              "code": "1256-7",
+              "display": "Fort Mcdowell",
+              "definition": "Fort Mcdowell"
+            },
+            {
+              "code": "1258-3",
+              "display": "Fort Hall",
+              "definition": "Fort Hall"
+            },
+            {
+              "code": "1260-9",
+              "display": "Gabrieleno",
+              "definition": "Gabrieleno"
+            },
+            {
+              "code": "1262-5",
+              "display": "Grand Ronde",
+              "definition": "Grand Ronde"
+            },
+            {
+              "code": "1264-1",
+              "display": "Gros Ventres",
+              "definition": "Gros Ventres"
+            },
+            {
+              "code": "1267-4",
+              "display": "Haliwa",
+              "definition": "Haliwa"
+            },
+            {
+              "code": "1269-0",
+              "display": "Hidatsa",
+              "definition": "Hidatsa"
+            },
+            {
+              "code": "1271-6",
+              "display": "Hoopa",
+              "definition": "Hoopa"
+            },
+            {
+              "code": "1275-7",
+              "display": "Hoopa Extension",
+              "definition": "Hoopa Extension"
+            },
+            {
+              "code": "1277-3",
+              "display": "Houma",
+              "definition": "Houma"
+            },
+            {
+              "code": "1279-9",
+              "display": "Inaja-Cosmit",
+              "definition": "Inaja-Cosmit"
+            },
+            {
+              "code": "1281-5",
+              "display": "Iowa",
+              "definition": "Iowa"
+            },
+            {
+              "code": "1285-6",
+              "display": "Iroquois",
+              "definition": "Iroquois"
+            },
+            {
+              "code": "1297-1",
+              "display": "Juaneno",
+              "definition": "Juaneno"
+            },
+            {
+              "code": "1299-7",
+              "display": "Kalispel",
+              "definition": "Kalispel"
+            },
+            {
+              "code": "1301-1",
+              "display": "Karuk",
+              "definition": "Karuk"
+            },
+            {
+              "code": "1303-7",
+              "display": "Kaw",
+              "definition": "Kaw"
+            },
+            {
+              "code": "1305-2",
+              "display": "Kickapoo",
+              "definition": "Kickapoo"
+            },
+            {
+              "code": "1309-4",
+              "display": "Kiowa",
+              "definition": "Kiowa"
+            },
+            {
+              "code": "1312-8",
+              "display": "Klallam",
+              "definition": "Klallam"
+            },
+            {
+              "code": "1317-7",
+              "display": "Klamath",
+              "definition": "Klamath"
+            },
+            {
+              "code": "1319-3",
+              "display": "Konkow",
+              "definition": "Konkow"
+            },
+            {
+              "code": "1321-9",
+              "display": "Kootenai",
+              "definition": "Kootenai"
+            },
+            {
+              "code": "1323-5",
+              "display": "Lassik",
+              "definition": "Lassik"
+            },
+            {
+              "code": "1325-0",
+              "display": "Long Island",
+              "definition": "Long Island"
+            },
+            {
+              "code": "1331-8",
+              "display": "Luiseno",
+              "definition": "Luiseno"
+            },
+            {
+              "code": "1340-9",
+              "display": "Lumbee",
+              "definition": "Lumbee"
+            },
+            {
+              "code": "1342-5",
+              "display": "Lummi",
+              "definition": "Lummi"
+            },
+            {
+              "code": "1344-1",
+              "display": "Maidu",
+              "definition": "Maidu"
+            },
+            {
+              "code": "1348-2",
+              "display": "Makah",
+              "definition": "Makah"
+            },
+            {
+              "code": "1350-8",
+              "display": "Maliseet",
+              "definition": "Maliseet"
+            },
+            {
+              "code": "1352-4",
+              "display": "Mandan",
+              "definition": "Mandan"
+            },
+            {
+              "code": "1354-0",
+              "display": "Mattaponi",
+              "definition": "Mattaponi"
+            },
+            {
+              "code": "1356-5",
+              "display": "Menominee",
+              "definition": "Menominee"
+            },
+            {
+              "code": "1358-1",
+              "display": "Miami",
+              "definition": "Miami"
+            },
+            {
+              "code": "1363-1",
+              "display": "Miccosukee",
+              "definition": "Miccosukee"
+            },
+            {
+              "code": "1365-6",
+              "display": "Micmac",
+              "definition": "Micmac"
+            },
+            {
+              "code": "1368-0",
+              "display": "Mission Indians",
+              "definition": "Mission Indians"
+            },
+            {
+              "code": "1370-6",
+              "display": "Miwok",
+              "definition": "Miwok"
+            },
+            {
+              "code": "1372-2",
+              "display": "Modoc",
+              "definition": "Modoc"
+            },
+            {
+              "code": "1374-8",
+              "display": "Mohegan",
+              "definition": "Mohegan"
+            },
+            {
+              "code": "1376-3",
+              "display": "Mono",
+              "definition": "Mono"
+            },
+            {
+              "code": "1378-9",
+              "display": "Nanticoke",
+              "definition": "Nanticoke"
+            },
+            {
+              "code": "1380-5",
+              "display": "Narragansett",
+              "definition": "Narragansett"
+            },
+            {
+              "code": "1382-1",
+              "display": "Navajo",
+              "definition": "Navajo"
+            },
+            {
+              "code": "1387-0",
+              "display": "Nez Perce",
+              "definition": "Nez Perce"
+            },
+            {
+              "code": "1389-6",
+              "display": "Nomalaki",
+              "definition": "Nomalaki"
+            },
+            {
+              "code": "1391-2",
+              "display": "Northwest Tribes",
+              "definition": "Northwest Tribes"
+            },
+            {
+              "code": "1403-5",
+              "display": "Omaha",
+              "definition": "Omaha"
+            },
+            {
+              "code": "1405-0",
+              "display": "Oregon Athabaskan",
+              "definition": "Oregon Athabaskan"
+            },
+            {
+              "code": "1407-6",
+              "display": "Osage",
+              "definition": "Osage"
+            },
+            {
+              "code": "1409-2",
+              "display": "Otoe-Missouria",
+              "definition": "Otoe-Missouria"
+            },
+            {
+              "code": "1411-8",
+              "display": "Ottawa",
+              "definition": "Ottawa"
+            },
+            {
+              "code": "1416-7",
+              "display": "Paiute",
+              "definition": "Paiute"
+            },
+            {
+              "code": "1439-9",
+              "display": "Pamunkey",
+              "definition": "Pamunkey"
+            },
+            {
+              "code": "1441-5",
+              "display": "Passamaquoddy",
+              "definition": "Passamaquoddy"
+            },
+            {
+              "code": "1445-6",
+              "display": "Pawnee",
+              "definition": "Pawnee"
+            },
+            {
+              "code": "1448-0",
+              "display": "Penobscot",
+              "definition": "Penobscot"
+            },
+            {
+              "code": "1450-6",
+              "display": "Peoria",
+              "definition": "Peoria"
+            },
+            {
+              "code": "1453-0",
+              "display": "Pequot",
+              "definition": "Pequot"
+            },
+            {
+              "code": "1456-3",
+              "display": "Pima",
+              "definition": "Pima"
+            },
+            {
+              "code": "1460-5",
+              "display": "Piscataway",
+              "definition": "Piscataway"
+            },
+            {
+              "code": "1462-1",
+              "display": "Pit River",
+              "definition": "Pit River"
+            },
+            {
+              "code": "1464-7",
+              "display": "Pomo",
+              "definition": "Pomo"
+            },
+            {
+              "code": "1474-6",
+              "display": "Ponca",
+              "definition": "Ponca"
+            },
+            {
+              "code": "1478-7",
+              "display": "Potawatomi",
+              "definition": "Potawatomi"
+            },
+            {
+              "code": "1487-8",
+              "display": "Powhatan",
+              "definition": "Powhatan"
+            },
+            {
+              "code": "1489-4",
+              "display": "Pueblo",
+              "definition": "Pueblo"
+            },
+            {
+              "code": "1518-0",
+              "display": "Puget Sound Salish",
+              "definition": "Puget Sound Salish"
+            },
+            {
+              "code": "1541-2",
+              "display": "Quapaw",
+              "definition": "Quapaw"
+            },
+            {
+              "code": "1543-8",
+              "display": "Quinault",
+              "definition": "Quinault"
+            },
+            {
+              "code": "1545-3",
+              "display": "Rappahannock",
+              "definition": "Rappahannock"
+            },
+            {
+              "code": "1547-9",
+              "display": "Reno-Sparks",
+              "definition": "Reno-Sparks"
+            },
+            {
+              "code": "1549-5",
+              "display": "Round Valley",
+              "definition": "Round Valley"
+            },
+            {
+              "code": "1551-1",
+              "display": "Sac and Fox",
+              "definition": "Sac and Fox"
+            },
+            {
+              "code": "1556-0",
+              "display": "Salinan",
+              "definition": "Salinan"
+            },
+            {
+              "code": "1558-6",
+              "display": "Salish",
+              "definition": "Salish"
+            },
+            {
+              "code": "1560-2",
+              "display": "Salish and Kootenai",
+              "definition": "Salish and Kootenai"
+            },
+            {
+              "code": "1562-8",
+              "display": "Schaghticoke",
+              "definition": "Schaghticoke"
+            },
+            {
+              "code": "1564-4",
+              "display": "Scott Valley",
+              "definition": "Scott Valley"
+            },
+            {
+              "code": "1566-9",
+              "display": "Seminole",
+              "definition": "Seminole"
+            },
+            {
+              "code": "1573-5",
+              "display": "Serrano",
+              "definition": "Serrano"
+            },
+            {
+              "code": "1576-8",
+              "display": "Shasta",
+              "definition": "Shasta"
+            },
+            {
+              "code": "1578-4",
+              "display": "Shawnee",
+              "definition": "Shawnee"
+            },
+            {
+              "code": "1582-6",
+              "display": "Shinnecock",
+              "definition": "Shinnecock"
+            },
+            {
+              "code": "1584-2",
+              "display": "Shoalwater Bay",
+              "definition": "Shoalwater Bay"
+            },
+            {
+              "code": "1586-7",
+              "display": "Shoshone",
+              "definition": "Shoshone"
+            },
+            {
+              "code": "1602-2",
+              "display": "Shoshone Paiute",
+              "definition": "Shoshone Paiute"
+            },
+            {
+              "code": "1607-1",
+              "display": "Siletz",
+              "definition": "Siletz"
+            },
+            {
+              "code": "1609-7",
+              "display": "Sioux",
+              "definition": "Sioux"
+            },
+            {
+              "code": "1643-6",
+              "display": "Siuslaw",
+              "definition": "Siuslaw"
+            },
+            {
+              "code": "1645-1",
+              "display": "Spokane",
+              "definition": "Spokane"
+            },
+            {
+              "code": "1647-7",
+              "display": "Stewart",
+              "definition": "Stewart"
+            },
+            {
+              "code": "1649-3",
+              "display": "Stockbridge",
+              "definition": "Stockbridge"
+            },
+            {
+              "code": "1651-9",
+              "display": "Susanville",
+              "definition": "Susanville"
+            },
+            {
+              "code": "1653-5",
+              "display": "Tohono O'Odham",
+              "definition": "Tohono O'Odham"
+            },
+            {
+              "code": "1659-2",
+              "display": "Tolowa",
+              "definition": "Tolowa"
+            },
+            {
+              "code": "1661-8",
+              "display": "Tonkawa",
+              "definition": "Tonkawa"
+            },
+            {
+              "code": "1663-4",
+              "display": "Tygh",
+              "definition": "Tygh"
+            },
+            {
+              "code": "1665-9",
+              "display": "Umatilla",
+              "definition": "Umatilla"
+            },
+            {
+              "code": "1667-5",
+              "display": "Umpqua",
+              "definition": "Umpqua"
+            },
+            {
+              "code": "1670-9",
+              "display": "Ute",
+              "definition": "Ute"
+            },
+            {
+              "code": "1675-8",
+              "display": "Wailaki",
+              "definition": "Wailaki"
+            },
+            {
+              "code": "1677-4",
+              "display": "Walla-Walla",
+              "definition": "Walla-Walla"
+            },
+            {
+              "code": "1679-0",
+              "display": "Wampanoag",
+              "definition": "Wampanoag"
+            },
+            {
+              "code": "1683-2",
+              "display": "Warm Springs",
+              "definition": "Warm Springs"
+            },
+            {
+              "code": "1685-7",
+              "display": "Wascopum",
+              "definition": "Wascopum"
+            },
+            {
+              "code": "1687-3",
+              "display": "Washoe",
+              "definition": "Washoe"
+            },
+            {
+              "code": "1692-3",
+              "display": "Wichita",
+              "definition": "Wichita"
+            },
+            {
+              "code": "1694-9",
+              "display": "Wind River",
+              "definition": "Wind River"
+            },
+            {
+              "code": "1696-4",
+              "display": "Winnebago",
+              "definition": "Winnebago"
+            },
+            {
+              "code": "1700-4",
+              "display": "Winnemucca",
+              "definition": "Winnemucca"
+            },
+            {
+              "code": "1702-0",
+              "display": "Wintun",
+              "definition": "Wintun"
+            },
+            {
+              "code": "1704-6",
+              "display": "Wiyot",
+              "definition": "Wiyot"
+            },
+            {
+              "code": "1707-9",
+              "display": "Yakama",
+              "definition": "Yakama"
+            },
+            {
+              "code": "1709-5",
+              "display": "Yakama Cowlitz",
+              "definition": "Yakama Cowlitz"
+            },
+            {
+              "code": "1711-1",
+              "display": "Yaqui",
+              "definition": "Yaqui"
+            },
+            {
+              "code": "1715-2",
+              "display": "Yavapai Apache",
+              "definition": "Yavapai Apache"
+            },
+            {
+              "code": "1717-8",
+              "display": "Yokuts",
+              "definition": "Yokuts"
+            },
+            {
+              "code": "1722-8",
+              "display": "Yuchi",
+              "definition": "Yuchi"
+            },
+            {
+              "code": "1724-4",
+              "display": "Yuman",
+              "definition": "Yuman"
+            },
+            {
+              "code": "1732-7",
+              "display": "Yurok",
+              "definition": "Yurok"
+            },
+            {
+              "code": "1011-6",
+              "display": "Chiricahua",
+              "definition": "Chiricahua"
+            },
+            {
+              "code": "1012-4",
+              "display": "Fort Sill Apache",
+              "definition": "Fort Sill Apache"
+            },
+            {
+              "code": "1013-2",
+              "display": "Jicarilla Apache",
+              "definition": "Jicarilla Apache"
+            },
+            {
+              "code": "1014-0",
+              "display": "Lipan Apache",
+              "definition": "Lipan Apache"
+            },
+            {
+              "code": "1015-7",
+              "display": "Mescalero Apache",
+              "definition": "Mescalero Apache"
+            },
+            {
+              "code": "1016-5",
+              "display": "Oklahoma Apache",
+              "definition": "Oklahoma Apache"
+            },
+            {
+              "code": "1017-3",
+              "display": "Payson Apache",
+              "definition": "Payson Apache"
+            },
+            {
+              "code": "1018-1",
+              "display": "San Carlos Apache",
+              "definition": "San Carlos Apache"
+            },
+            {
+              "code": "1019-9",
+              "display": "White Mountain Apache",
+              "definition": "White Mountain Apache"
+            },
+            {
+              "code": "1022-3",
+              "display": "Northern Arapaho",
+              "definition": "Northern Arapaho"
+            },
+            {
+              "code": "1023-1",
+              "display": "Southern Arapaho",
+              "definition": "Southern Arapaho"
+            },
+            {
+              "code": "1024-9",
+              "display": "Wind River Arapaho",
+              "definition": "Wind River Arapaho"
+            },
+            {
+              "code": "1031-4",
+              "display": "Fort Peck Assiniboine Sioux",
+              "definition": "Fort Peck Assiniboine Sioux"
+            },
+            {
+              "code": "1042-1",
+              "display": "Oklahoma Cado",
+              "definition": "Oklahoma Cado"
+            },
+            {
+              "code": "1045-4",
+              "display": "Agua Caliente Cahuilla",
+              "definition": "Agua Caliente Cahuilla"
+            },
+            {
+              "code": "1046-2",
+              "display": "Augustine",
+              "definition": "Augustine"
+            },
+            {
+              "code": "1047-0",
+              "display": "Cabazon",
+              "definition": "Cabazon"
+            },
+            {
+              "code": "1048-8",
+              "display": "Los Coyotes",
+              "definition": "Los Coyotes"
+            },
+            {
+              "code": "1049-6",
+              "display": "Morongo",
+              "definition": "Morongo"
+            },
+            {
+              "code": "1050-4",
+              "display": "Santa Rosa Cahuilla",
+              "definition": "Santa Rosa Cahuilla"
+            },
+            {
+              "code": "1051-2",
+              "display": "Torres-Martinez",
+              "definition": "Torres-Martinez"
+            },
+            {
+              "code": "1054-6",
+              "display": "Cahto",
+              "definition": "Cahto"
+            },
+            {
+              "code": "1055-3",
+              "display": "Chimariko",
+              "definition": "Chimariko"
+            },
+            {
+              "code": "1056-1",
+              "display": "Coast Miwok",
+              "definition": "Coast Miwok"
+            },
+            {
+              "code": "1057-9",
+              "display": "Digger",
+              "definition": "Digger"
+            },
+            {
+              "code": "1058-7",
+              "display": "Kawaiisu",
+              "definition": "Kawaiisu"
+            },
+            {
+              "code": "1059-5",
+              "display": "Kern River",
+              "definition": "Kern River"
+            },
+            {
+              "code": "1060-3",
+              "display": "Mattole",
+              "definition": "Mattole"
+            },
+            {
+              "code": "1061-1",
+              "display": "Red Wood",
+              "definition": "Red Wood"
+            },
+            {
+              "code": "1062-9",
+              "display": "Santa Rosa",
+              "definition": "Santa Rosa"
+            },
+            {
+              "code": "1063-7",
+              "display": "Takelma",
+              "definition": "Takelma"
+            },
+            {
+              "code": "1064-5",
+              "display": "Wappo",
+              "definition": "Wappo"
+            },
+            {
+              "code": "1065-2",
+              "display": "Yana",
+              "definition": "Yana"
+            },
+            {
+              "code": "1066-0",
+              "display": "Yuki",
+              "definition": "Yuki"
+            },
+            {
+              "code": "1069-4",
+              "display": "Canadian Indian",
+              "definition": "Canadian Indian"
+            },
+            {
+              "code": "1070-2",
+              "display": "Central American Indian",
+              "definition": "Central American Indian"
+            },
+            {
+              "code": "1071-0",
+              "display": "French American Indian",
+              "definition": "French American Indian"
+            },
+            {
+              "code": "1072-8",
+              "display": "Mexican American Indian",
+              "definition": "Mexican American Indian"
+            },
+            {
+              "code": "1073-6",
+              "display": "South American Indian",
+              "definition": "South American Indian"
+            },
+            {
+              "code": "1074-4",
+              "display": "Spanish American Indian",
+              "definition": "Spanish American Indian"
+            },
+            {
+              "code": "1083-5",
+              "display": "Hoh",
+              "definition": "Hoh"
+            },
+            {
+              "code": "1084-3",
+              "display": "Quileute",
+              "definition": "Quileute"
+            },
+            {
+              "code": "1089-2",
+              "display": "Cherokee Alabama",
+              "definition": "Cherokee Alabama"
+            },
+            {
+              "code": "1090-0",
+              "display": "Cherokees of Northeast Alabama",
+              "definition": "Cherokees of Northeast Alabama"
+            },
+            {
+              "code": "1091-8",
+              "display": "Cherokees of Southeast Alabama",
+              "definition": "Cherokees of Southeast Alabama"
+            },
+            {
+              "code": "1092-6",
+              "display": "Eastern Cherokee",
+              "definition": "Eastern Cherokee"
+            },
+            {
+              "code": "1093-4",
+              "display": "Echota Cherokee",
+              "definition": "Echota Cherokee"
+            },
+            {
+              "code": "1094-2",
+              "display": "Etowah Cherokee",
+              "definition": "Etowah Cherokee"
+            },
+            {
+              "code": "1095-9",
+              "display": "Northern Cherokee",
+              "definition": "Northern Cherokee"
+            },
+            {
+              "code": "1096-7",
+              "display": "Tuscola",
+              "definition": "Tuscola"
+            },
+            {
+              "code": "1097-5",
+              "display": "United Keetowah Band of Cherokee",
+              "definition": "United Keetowah Band of Cherokee"
+            },
+            {
+              "code": "1098-3",
+              "display": "Western Cherokee",
+              "definition": "Western Cherokee"
+            },
+            {
+              "code": "1103-1",
+              "display": "Northern Cheyenne",
+              "definition": "Northern Cheyenne"
+            },
+            {
+              "code": "1104-9",
+              "display": "Southern Cheyenne",
+              "definition": "Southern Cheyenne"
+            },
+            {
+              "code": "1109-8",
+              "display": "Eastern Chickahominy",
+              "definition": "Eastern Chickahominy"
+            },
+            {
+              "code": "1110-6",
+              "display": "Western Chickahominy",
+              "definition": "Western Chickahominy"
+            },
+            {
+              "code": "1115-5",
+              "display": "Clatsop",
+              "definition": "Clatsop"
+            },
+            {
+              "code": "1116-3",
+              "display": "Columbia River Chinook",
+              "definition": "Columbia River Chinook"
+            },
+            {
+              "code": "1117-1",
+              "display": "Kathlamet",
+              "definition": "Kathlamet"
+            },
+            {
+              "code": "1118-9",
+              "display": "Upper Chinook",
+              "definition": "Upper Chinook"
+            },
+            {
+              "code": "1119-7",
+              "display": "Wakiakum Chinook",
+              "definition": "Wakiakum Chinook"
+            },
+            {
+              "code": "1120-5",
+              "display": "Willapa Chinook",
+              "definition": "Willapa Chinook"
+            },
+            {
+              "code": "1121-3",
+              "display": "Wishram",
+              "definition": "Wishram"
+            },
+            {
+              "code": "1124-7",
+              "display": "Bad River",
+              "definition": "Bad River"
+            },
+            {
+              "code": "1125-4",
+              "display": "Bay Mills Chippewa",
+              "definition": "Bay Mills Chippewa"
+            },
+            {
+              "code": "1126-2",
+              "display": "Bois Forte",
+              "definition": "Bois Forte"
+            },
+            {
+              "code": "1127-0",
+              "display": "Burt Lake Chippewa",
+              "definition": "Burt Lake Chippewa"
+            },
+            {
+              "code": "1128-8",
+              "display": "Fond du Lac",
+              "definition": "Fond du Lac"
+            },
+            {
+              "code": "1129-6",
+              "display": "Grand Portage",
+              "definition": "Grand Portage"
+            },
+            {
+              "code": "1130-4",
+              "display": "Grand Traverse Band of Ottawa/Chippewa",
+              "definition": "Grand Traverse Band of Ottawa/Chippewa"
+            },
+            {
+              "code": "1131-2",
+              "display": "Keweenaw",
+              "definition": "Keweenaw"
+            },
+            {
+              "code": "1132-0",
+              "display": "Lac Courte Oreilles",
+              "definition": "Lac Courte Oreilles"
+            },
+            {
+              "code": "1133-8",
+              "display": "Lac du Flambeau",
+              "definition": "Lac du Flambeau"
+            },
+            {
+              "code": "1134-6",
+              "display": "Lac Vieux Desert Chippewa",
+              "definition": "Lac Vieux Desert Chippewa"
+            },
+            {
+              "code": "1135-3",
+              "display": "Lake Superior",
+              "definition": "Lake Superior"
+            },
+            {
+              "code": "1136-1",
+              "display": "Leech Lake",
+              "definition": "Leech Lake"
+            },
+            {
+              "code": "1137-9",
+              "display": "Little Shell Chippewa",
+              "definition": "Little Shell Chippewa"
+            },
+            {
+              "code": "1138-7",
+              "display": "Mille Lacs",
+              "definition": "Mille Lacs"
+            },
+            {
+              "code": "1139-5",
+              "display": "Minnesota Chippewa",
+              "definition": "Minnesota Chippewa"
+            },
+            {
+              "code": "1140-3",
+              "display": "Ontonagon",
+              "definition": "Ontonagon"
+            },
+            {
+              "code": "1141-1",
+              "display": "Red Cliff Chippewa",
+              "definition": "Red Cliff Chippewa"
+            },
+            {
+              "code": "1142-9",
+              "display": "Red Lake Chippewa",
+              "definition": "Red Lake Chippewa"
+            },
+            {
+              "code": "1143-7",
+              "display": "Saginaw Chippewa",
+              "definition": "Saginaw Chippewa"
+            },
+            {
+              "code": "1144-5",
+              "display": "St. Croix Chippewa",
+              "definition": "St. Croix Chippewa"
+            },
+            {
+              "code": "1145-2",
+              "display": "Sault Ste. Marie Chippewa",
+              "definition": "Sault Ste. Marie Chippewa"
+            },
+            {
+              "code": "1146-0",
+              "display": "Sokoagon Chippewa",
+              "definition": "Sokoagon Chippewa"
+            },
+            {
+              "code": "1147-8",
+              "display": "Turtle Mountain",
+              "definition": "Turtle Mountain"
+            },
+            {
+              "code": "1148-6",
+              "display": "White Earth",
+              "definition": "White Earth"
+            },
+            {
+              "code": "1151-0",
+              "display": "Rocky Boy's Chippewa Cree",
+              "definition": "Rocky Boy's Chippewa Cree"
+            },
+            {
+              "code": "1156-9",
+              "display": "Clifton Choctaw",
+              "definition": "Clifton Choctaw"
+            },
+            {
+              "code": "1157-7",
+              "display": "Jena Choctaw",
+              "definition": "Jena Choctaw"
+            },
+            {
+              "code": "1158-5",
+              "display": "Mississippi Choctaw",
+              "definition": "Mississippi Choctaw"
+            },
+            {
+              "code": "1159-3",
+              "display": "Mowa Band of Choctaw",
+              "definition": "Mowa Band of Choctaw"
+            },
+            {
+              "code": "1160-1",
+              "display": "Oklahoma Choctaw",
+              "definition": "Oklahoma Choctaw"
+            },
+            {
+              "code": "1163-5",
+              "display": "Santa Ynez",
+              "definition": "Santa Ynez"
+            },
+            {
+              "code": "1176-7",
+              "display": "Oklahoma Comanche",
+              "definition": "Oklahoma Comanche"
+            },
+            {
+              "code": "1187-4",
+              "display": "Alabama Coushatta",
+              "definition": "Alabama Coushatta"
+            },
+            {
+              "code": "1194-0",
+              "display": "Alabama Creek",
+              "definition": "Alabama Creek"
+            },
+            {
+              "code": "1195-7",
+              "display": "Alabama Quassarte",
+              "definition": "Alabama Quassarte"
+            },
+            {
+              "code": "1196-5",
+              "display": "Eastern Creek",
+              "definition": "Eastern Creek"
+            },
+            {
+              "code": "1197-3",
+              "display": "Eastern Muscogee",
+              "definition": "Eastern Muscogee"
+            },
+            {
+              "code": "1198-1",
+              "display": "Kialegee",
+              "definition": "Kialegee"
+            },
+            {
+              "code": "1199-9",
+              "display": "Lower Muscogee",
+              "definition": "Lower Muscogee"
+            },
+            {
+              "code": "1200-5",
+              "display": "Machis Lower Creek Indian",
+              "definition": "Machis Lower Creek Indian"
+            },
+            {
+              "code": "1201-3",
+              "display": "Poarch Band",
+              "definition": "Poarch Band"
+            },
+            {
+              "code": "1202-1",
+              "display": "Principal Creek Indian Nation",
+              "definition": "Principal Creek Indian Nation"
+            },
+            {
+              "code": "1203-9",
+              "display": "Star Clan of Muscogee Creeks",
+              "definition": "Star Clan of Muscogee Creeks"
+            },
+            {
+              "code": "1204-7",
+              "display": "Thlopthlocco",
+              "definition": "Thlopthlocco"
+            },
+            {
+              "code": "1205-4",
+              "display": "Tuckabachee",
+              "definition": "Tuckabachee"
+            },
+            {
+              "code": "1212-0",
+              "display": "Agua Caliente",
+              "definition": "Agua Caliente"
+            },
+            {
+              "code": "1215-3",
+              "display": "Eastern Delaware",
+              "definition": "Eastern Delaware"
+            },
+            {
+              "code": "1216-1",
+              "display": "Lenni-Lenape",
+              "definition": "Lenni-Lenape"
+            },
+            {
+              "code": "1217-9",
+              "display": "Munsee",
+              "definition": "Munsee"
+            },
+            {
+              "code": "1218-7",
+              "display": "Oklahoma Delaware",
+              "definition": "Oklahoma Delaware"
+            },
+            {
+              "code": "1219-5",
+              "display": "Rampough Mountain",
+              "definition": "Rampough Mountain"
+            },
+            {
+              "code": "1220-3",
+              "display": "Sand Hill",
+              "definition": "Sand Hill"
+            },
+            {
+              "code": "1223-7",
+              "display": "Campo",
+              "definition": "Campo"
+            },
+            {
+              "code": "1224-5",
+              "display": "Capitan Grande",
+              "definition": "Capitan Grande"
+            },
+            {
+              "code": "1225-2",
+              "display": "Cuyapaipe",
+              "definition": "Cuyapaipe"
+            },
+            {
+              "code": "1226-0",
+              "display": "La Posta",
+              "definition": "La Posta"
+            },
+            {
+              "code": "1227-8",
+              "display": "Manzanita",
+              "definition": "Manzanita"
+            },
+            {
+              "code": "1228-6",
+              "display": "Mesa Grande",
+              "definition": "Mesa Grande"
+            },
+            {
+              "code": "1229-4",
+              "display": "San Pasqual",
+              "definition": "San Pasqual"
+            },
+            {
+              "code": "1230-2",
+              "display": "Santa Ysabel",
+              "definition": "Santa Ysabel"
+            },
+            {
+              "code": "1231-0",
+              "display": "Sycuan",
+              "definition": "Sycuan"
+            },
+            {
+              "code": "1234-4",
+              "display": "Attacapa",
+              "definition": "Attacapa"
+            },
+            {
+              "code": "1235-1",
+              "display": "Biloxi",
+              "definition": "Biloxi"
+            },
+            {
+              "code": "1236-9",
+              "display": "Georgetown (Eastern Tribes)",
+              "definition": "Georgetown (Eastern Tribes)"
+            },
+            {
+              "code": "1237-7",
+              "display": "Moor",
+              "definition": "Moor"
+            },
+            {
+              "code": "1238-5",
+              "display": "Nansemond",
+              "definition": "Nansemond"
+            },
+            {
+              "code": "1239-3",
+              "display": "Natchez",
+              "definition": "Natchez"
+            },
+            {
+              "code": "1240-1",
+              "display": "Nausu Waiwash",
+              "definition": "Nausu Waiwash"
+            },
+            {
+              "code": "1241-9",
+              "display": "Nipmuc",
+              "definition": "Nipmuc"
+            },
+            {
+              "code": "1242-7",
+              "display": "Paugussett",
+              "definition": "Paugussett"
+            },
+            {
+              "code": "1243-5",
+              "display": "Pocomoke Acohonock",
+              "definition": "Pocomoke Acohonock"
+            },
+            {
+              "code": "1244-3",
+              "display": "Southeastern Indians",
+              "definition": "Southeastern Indians"
+            },
+            {
+              "code": "1245-0",
+              "display": "Susquehanock",
+              "definition": "Susquehanock"
+            },
+            {
+              "code": "1246-8",
+              "display": "Tunica Biloxi",
+              "definition": "Tunica Biloxi"
+            },
+            {
+              "code": "1247-6",
+              "display": "Waccamaw-Siousan",
+              "definition": "Waccamaw-Siousan"
+            },
+            {
+              "code": "1248-4",
+              "display": "Wicomico",
+              "definition": "Wicomico"
+            },
+            {
+              "code": "1265-8",
+              "display": "Atsina",
+              "definition": "Atsina"
+            },
+            {
+              "code": "1272-4",
+              "display": "Trinity",
+              "definition": "Trinity"
+            },
+            {
+              "code": "1273-2",
+              "display": "Whilkut",
+              "definition": "Whilkut"
+            },
+            {
+              "code": "1282-3",
+              "display": "Iowa of Kansas-Nebraska",
+              "definition": "Iowa of Kansas-Nebraska"
+            },
+            {
+              "code": "1283-1",
+              "display": "Iowa of Oklahoma",
+              "definition": "Iowa of Oklahoma"
+            },
+            {
+              "code": "1286-4",
+              "display": "Cayuga",
+              "definition": "Cayuga"
+            },
+            {
+              "code": "1287-2",
+              "display": "Mohawk",
+              "definition": "Mohawk"
+            },
+            {
+              "code": "1288-0",
+              "display": "Oneida",
+              "definition": "Oneida"
+            },
+            {
+              "code": "1289-8",
+              "display": "Onondaga",
+              "definition": "Onondaga"
+            },
+            {
+              "code": "1290-6",
+              "display": "Seneca",
+              "definition": "Seneca"
+            },
+            {
+              "code": "1291-4",
+              "display": "Seneca Nation",
+              "definition": "Seneca Nation"
+            },
+            {
+              "code": "1292-2",
+              "display": "Seneca-Cayuga",
+              "definition": "Seneca-Cayuga"
+            },
+            {
+              "code": "1293-0",
+              "display": "Tonawanda Seneca",
+              "definition": "Tonawanda Seneca"
+            },
+            {
+              "code": "1294-8",
+              "display": "Tuscarora",
+              "definition": "Tuscarora"
+            },
+            {
+              "code": "1295-5",
+              "display": "Wyandotte",
+              "definition": "Wyandotte"
+            },
+            {
+              "code": "1306-0",
+              "display": "Oklahoma Kickapoo",
+              "definition": "Oklahoma Kickapoo"
+            },
+            {
+              "code": "1307-8",
+              "display": "Texas Kickapoo",
+              "definition": "Texas Kickapoo"
+            },
+            {
+              "code": "1310-2",
+              "display": "Oklahoma Kiowa",
+              "definition": "Oklahoma Kiowa"
+            },
+            {
+              "code": "1313-6",
+              "display": "Jamestown",
+              "definition": "Jamestown"
+            },
+            {
+              "code": "1314-4",
+              "display": "Lower Elwha",
+              "definition": "Lower Elwha"
+            },
+            {
+              "code": "1315-1",
+              "display": "Port Gamble Klallam",
+              "definition": "Port Gamble Klallam"
+            },
+            {
+              "code": "1326-8",
+              "display": "Matinecock",
+              "definition": "Matinecock"
+            },
+            {
+              "code": "1327-6",
+              "display": "Montauk",
+              "definition": "Montauk"
+            },
+            {
+              "code": "1328-4",
+              "display": "Poospatuck",
+              "definition": "Poospatuck"
+            },
+            {
+              "code": "1329-2",
+              "display": "Setauket",
+              "definition": "Setauket"
+            },
+            {
+              "code": "1332-6",
+              "display": "La Jolla",
+              "definition": "La Jolla"
+            },
+            {
+              "code": "1333-4",
+              "display": "Pala",
+              "definition": "Pala"
+            },
+            {
+              "code": "1334-2",
+              "display": "Pauma",
+              "definition": "Pauma"
+            },
+            {
+              "code": "1335-9",
+              "display": "Pechanga",
+              "definition": "Pechanga"
+            },
+            {
+              "code": "1336-7",
+              "display": "Soboba",
+              "definition": "Soboba"
+            },
+            {
+              "code": "1337-5",
+              "display": "Twenty-Nine Palms",
+              "definition": "Twenty-Nine Palms"
+            },
+            {
+              "code": "1338-3",
+              "display": "Temecula",
+              "definition": "Temecula"
+            },
+            {
+              "code": "1345-8",
+              "display": "Mountain Maidu",
+              "definition": "Mountain Maidu"
+            },
+            {
+              "code": "1346-6",
+              "display": "Nishinam",
+              "definition": "Nishinam"
+            },
+            {
+              "code": "1359-9",
+              "display": "Illinois Miami",
+              "definition": "Illinois Miami"
+            },
+            {
+              "code": "1360-7",
+              "display": "Indiana Miami",
+              "definition": "Indiana Miami"
+            },
+            {
+              "code": "1361-5",
+              "display": "Oklahoma Miami",
+              "definition": "Oklahoma Miami"
+            },
+            {
+              "code": "1366-4",
+              "display": "Aroostook",
+              "definition": "Aroostook"
+            },
+            {
+              "code": "1383-9",
+              "display": "Alamo Navajo",
+              "definition": "Alamo Navajo"
+            },
+            {
+              "code": "1384-7",
+              "display": "Canoncito Navajo",
+              "definition": "Canoncito Navajo"
+            },
+            {
+              "code": "1385-4",
+              "display": "Ramah Navajo",
+              "definition": "Ramah Navajo"
+            },
+            {
+              "code": "1392-0",
+              "display": "Alsea",
+              "definition": "Alsea"
+            },
+            {
+              "code": "1393-8",
+              "display": "Celilo",
+              "definition": "Celilo"
+            },
+            {
+              "code": "1394-6",
+              "display": "Columbia",
+              "definition": "Columbia"
+            },
+            {
+              "code": "1395-3",
+              "display": "Kalapuya",
+              "definition": "Kalapuya"
+            },
+            {
+              "code": "1396-1",
+              "display": "Molala",
+              "definition": "Molala"
+            },
+            {
+              "code": "1397-9",
+              "display": "Talakamish",
+              "definition": "Talakamish"
+            },
+            {
+              "code": "1398-7",
+              "display": "Tenino",
+              "definition": "Tenino"
+            },
+            {
+              "code": "1399-5",
+              "display": "Tillamook",
+              "definition": "Tillamook"
+            },
+            {
+              "code": "1400-1",
+              "display": "Wenatchee",
+              "definition": "Wenatchee"
+            },
+            {
+              "code": "1401-9",
+              "display": "Yahooskin",
+              "definition": "Yahooskin"
+            },
+            {
+              "code": "1412-6",
+              "display": "Burt Lake Ottawa",
+              "definition": "Burt Lake Ottawa"
+            },
+            {
+              "code": "1413-4",
+              "display": "Michigan Ottawa",
+              "definition": "Michigan Ottawa"
+            },
+            {
+              "code": "1414-2",
+              "display": "Oklahoma Ottawa",
+              "definition": "Oklahoma Ottawa"
+            },
+            {
+              "code": "1417-5",
+              "display": "Bishop",
+              "definition": "Bishop"
+            },
+            {
+              "code": "1418-3",
+              "display": "Bridgeport",
+              "definition": "Bridgeport"
+            },
+            {
+              "code": "1419-1",
+              "display": "Burns Paiute",
+              "definition": "Burns Paiute"
+            },
+            {
+              "code": "1420-9",
+              "display": "Cedarville",
+              "definition": "Cedarville"
+            },
+            {
+              "code": "1421-7",
+              "display": "Fort Bidwell",
+              "definition": "Fort Bidwell"
+            },
+            {
+              "code": "1422-5",
+              "display": "Fort Independence",
+              "definition": "Fort Independence"
+            },
+            {
+              "code": "1423-3",
+              "display": "Kaibab",
+              "definition": "Kaibab"
+            },
+            {
+              "code": "1424-1",
+              "display": "Las Vegas",
+              "definition": "Las Vegas"
+            },
+            {
+              "code": "1425-8",
+              "display": "Lone Pine",
+              "definition": "Lone Pine"
+            },
+            {
+              "code": "1426-6",
+              "display": "Lovelock",
+              "definition": "Lovelock"
+            },
+            {
+              "code": "1427-4",
+              "display": "Malheur Paiute",
+              "definition": "Malheur Paiute"
+            },
+            {
+              "code": "1428-2",
+              "display": "Moapa",
+              "definition": "Moapa"
+            },
+            {
+              "code": "1429-0",
+              "display": "Northern Paiute",
+              "definition": "Northern Paiute"
+            },
+            {
+              "code": "1430-8",
+              "display": "Owens Valley",
+              "definition": "Owens Valley"
+            },
+            {
+              "code": "1431-6",
+              "display": "Pyramid Lake",
+              "definition": "Pyramid Lake"
+            },
+            {
+              "code": "1432-4",
+              "display": "San Juan Southern Paiute",
+              "definition": "San Juan Southern Paiute"
+            },
+            {
+              "code": "1433-2",
+              "display": "Southern Paiute",
+              "definition": "Southern Paiute"
+            },
+            {
+              "code": "1434-0",
+              "display": "Summit Lake",
+              "definition": "Summit Lake"
+            },
+            {
+              "code": "1435-7",
+              "display": "Utu Utu Gwaitu Paiute",
+              "definition": "Utu Utu Gwaitu Paiute"
+            },
+            {
+              "code": "1436-5",
+              "display": "Walker River",
+              "definition": "Walker River"
+            },
+            {
+              "code": "1437-3",
+              "display": "Yerington Paiute",
+              "definition": "Yerington Paiute"
+            },
+            {
+              "code": "1442-3",
+              "display": "Indian Township",
+              "definition": "Indian Township"
+            },
+            {
+              "code": "1443-1",
+              "display": "Pleasant Point Passamaquoddy",
+              "definition": "Pleasant Point Passamaquoddy"
+            },
+            {
+              "code": "1446-4",
+              "display": "Oklahoma Pawnee",
+              "definition": "Oklahoma Pawnee"
+            },
+            {
+              "code": "1451-4",
+              "display": "Oklahoma Peoria",
+              "definition": "Oklahoma Peoria"
+            },
+            {
+              "code": "1454-8",
+              "display": "Marshantucket Pequot",
+              "definition": "Marshantucket Pequot"
+            },
+            {
+              "code": "1457-1",
+              "display": "Gila River Pima-Maricopa",
+              "definition": "Gila River Pima-Maricopa"
+            },
+            {
+              "code": "1458-9",
+              "display": "Salt River Pima-Maricopa",
+              "definition": "Salt River Pima-Maricopa"
+            },
+            {
+              "code": "1465-4",
+              "display": "Central Pomo",
+              "definition": "Central Pomo"
+            },
+            {
+              "code": "1466-2",
+              "display": "Dry Creek",
+              "definition": "Dry Creek"
+            },
+            {
+              "code": "1467-0",
+              "display": "Eastern Pomo",
+              "definition": "Eastern Pomo"
+            },
+            {
+              "code": "1468-8",
+              "display": "Kashia",
+              "definition": "Kashia"
+            },
+            {
+              "code": "1469-6",
+              "display": "Northern Pomo",
+              "definition": "Northern Pomo"
+            },
+            {
+              "code": "1470-4",
+              "display": "Scotts Valley",
+              "definition": "Scotts Valley"
+            },
+            {
+              "code": "1471-2",
+              "display": "Stonyford",
+              "definition": "Stonyford"
+            },
+            {
+              "code": "1472-0",
+              "display": "Sulphur Bank",
+              "definition": "Sulphur Bank"
+            },
+            {
+              "code": "1475-3",
+              "display": "Nebraska Ponca",
+              "definition": "Nebraska Ponca"
+            },
+            {
+              "code": "1476-1",
+              "display": "Oklahoma Ponca",
+              "definition": "Oklahoma Ponca"
+            },
+            {
+              "code": "1479-5",
+              "display": "Citizen Band Potawatomi",
+              "definition": "Citizen Band Potawatomi"
+            },
+            {
+              "code": "1480-3",
+              "display": "Forest County",
+              "definition": "Forest County"
+            },
+            {
+              "code": "1481-1",
+              "display": "Hannahville",
+              "definition": "Hannahville"
+            },
+            {
+              "code": "1482-9",
+              "display": "Huron Potawatomi",
+              "definition": "Huron Potawatomi"
+            },
+            {
+              "code": "1483-7",
+              "display": "Pokagon Potawatomi",
+              "definition": "Pokagon Potawatomi"
+            },
+            {
+              "code": "1484-5",
+              "display": "Prairie Band",
+              "definition": "Prairie Band"
+            },
+            {
+              "code": "1485-2",
+              "display": "Wisconsin Potawatomi",
+              "definition": "Wisconsin Potawatomi"
+            },
+            {
+              "code": "1490-2",
+              "display": "Acoma",
+              "definition": "Acoma"
+            },
+            {
+              "code": "1491-0",
+              "display": "Arizona Tewa",
+              "definition": "Arizona Tewa"
+            },
+            {
+              "code": "1492-8",
+              "display": "Cochiti",
+              "definition": "Cochiti"
+            },
+            {
+              "code": "1493-6",
+              "display": "Hopi",
+              "definition": "Hopi"
+            },
+            {
+              "code": "1494-4",
+              "display": "Isleta",
+              "definition": "Isleta"
+            },
+            {
+              "code": "1495-1",
+              "display": "Jemez",
+              "definition": "Jemez"
+            },
+            {
+              "code": "1496-9",
+              "display": "Keres",
+              "definition": "Keres"
+            },
+            {
+              "code": "1497-7",
+              "display": "Laguna",
+              "definition": "Laguna"
+            },
+            {
+              "code": "1498-5",
+              "display": "Nambe",
+              "definition": "Nambe"
+            },
+            {
+              "code": "1499-3",
+              "display": "Picuris",
+              "definition": "Picuris"
+            },
+            {
+              "code": "1500-8",
+              "display": "Piro",
+              "definition": "Piro"
+            },
+            {
+              "code": "1501-6",
+              "display": "Pojoaque",
+              "definition": "Pojoaque"
+            },
+            {
+              "code": "1502-4",
+              "display": "San Felipe",
+              "definition": "San Felipe"
+            },
+            {
+              "code": "1503-2",
+              "display": "San Ildefonso",
+              "definition": "San Ildefonso"
+            },
+            {
+              "code": "1504-0",
+              "display": "San Juan Pueblo",
+              "definition": "San Juan Pueblo"
+            },
+            {
+              "code": "1505-7",
+              "display": "San Juan De",
+              "definition": "San Juan De"
+            },
+            {
+              "code": "1506-5",
+              "display": "San Juan",
+              "definition": "San Juan"
+            },
+            {
+              "code": "1507-3",
+              "display": "Sandia",
+              "definition": "Sandia"
+            },
+            {
+              "code": "1508-1",
+              "display": "Santa Ana",
+              "definition": "Santa Ana"
+            },
+            {
+              "code": "1509-9",
+              "display": "Santa Clara",
+              "definition": "Santa Clara"
+            },
+            {
+              "code": "1510-7",
+              "display": "Santo Domingo",
+              "definition": "Santo Domingo"
+            },
+            {
+              "code": "1511-5",
+              "display": "Taos",
+              "definition": "Taos"
+            },
+            {
+              "code": "1512-3",
+              "display": "Tesuque",
+              "definition": "Tesuque"
+            },
+            {
+              "code": "1513-1",
+              "display": "Tewa",
+              "definition": "Tewa"
+            },
+            {
+              "code": "1514-9",
+              "display": "Tigua",
+              "definition": "Tigua"
+            },
+            {
+              "code": "1515-6",
+              "display": "Zia",
+              "definition": "Zia"
+            },
+            {
+              "code": "1516-4",
+              "display": "Zuni",
+              "definition": "Zuni"
+            },
+            {
+              "code": "1519-8",
+              "display": "Duwamish",
+              "definition": "Duwamish"
+            },
+            {
+              "code": "1520-6",
+              "display": "Kikiallus",
+              "definition": "Kikiallus"
+            },
+            {
+              "code": "1521-4",
+              "display": "Lower Skagit",
+              "definition": "Lower Skagit"
+            },
+            {
+              "code": "1522-2",
+              "display": "Muckleshoot",
+              "definition": "Muckleshoot"
+            },
+            {
+              "code": "1523-0",
+              "display": "Nisqually",
+              "definition": "Nisqually"
+            },
+            {
+              "code": "1524-8",
+              "display": "Nooksack",
+              "definition": "Nooksack"
+            },
+            {
+              "code": "1525-5",
+              "display": "Port Madison",
+              "definition": "Port Madison"
+            },
+            {
+              "code": "1526-3",
+              "display": "Puyallup",
+              "definition": "Puyallup"
+            },
+            {
+              "code": "1527-1",
+              "display": "Samish",
+              "definition": "Samish"
+            },
+            {
+              "code": "1528-9",
+              "display": "Sauk-Suiattle",
+              "definition": "Sauk-Suiattle"
+            },
+            {
+              "code": "1529-7",
+              "display": "Skokomish",
+              "definition": "Skokomish"
+            },
+            {
+              "code": "1530-5",
+              "display": "Skykomish",
+              "definition": "Skykomish"
+            },
+            {
+              "code": "1531-3",
+              "display": "Snohomish",
+              "definition": "Snohomish"
+            },
+            {
+              "code": "1532-1",
+              "display": "Snoqualmie",
+              "definition": "Snoqualmie"
+            },
+            {
+              "code": "1533-9",
+              "display": "Squaxin Island",
+              "definition": "Squaxin Island"
+            },
+            {
+              "code": "1534-7",
+              "display": "Steilacoom",
+              "definition": "Steilacoom"
+            },
+            {
+              "code": "1535-4",
+              "display": "Stillaguamish",
+              "definition": "Stillaguamish"
+            },
+            {
+              "code": "1536-2",
+              "display": "Suquamish",
+              "definition": "Suquamish"
+            },
+            {
+              "code": "1537-0",
+              "display": "Swinomish",
+              "definition": "Swinomish"
+            },
+            {
+              "code": "1538-8",
+              "display": "Tulalip",
+              "definition": "Tulalip"
+            },
+            {
+              "code": "1539-6",
+              "display": "Upper Skagit",
+              "definition": "Upper Skagit"
+            },
+            {
+              "code": "1552-9",
+              "display": "Iowa Sac and Fox",
+              "definition": "Iowa Sac and Fox"
+            },
+            {
+              "code": "1553-7",
+              "display": "Missouri Sac and Fox",
+              "definition": "Missouri Sac and Fox"
+            },
+            {
+              "code": "1554-5",
+              "display": "Oklahoma Sac and Fox",
+              "definition": "Oklahoma Sac and Fox"
+            },
+            {
+              "code": "1567-7",
+              "display": "Big Cypress",
+              "definition": "Big Cypress"
+            },
+            {
+              "code": "1568-5",
+              "display": "Brighton",
+              "definition": "Brighton"
+            },
+            {
+              "code": "1569-3",
+              "display": "Florida Seminole",
+              "definition": "Florida Seminole"
+            },
+            {
+              "code": "1570-1",
+              "display": "Hollywood Seminole",
+              "definition": "Hollywood Seminole"
+            },
+            {
+              "code": "1571-9",
+              "display": "Oklahoma Seminole",
+              "definition": "Oklahoma Seminole"
+            },
+            {
+              "code": "1574-3",
+              "display": "San Manual",
+              "definition": "San Manual"
+            },
+            {
+              "code": "1579-2",
+              "display": "Absentee Shawnee",
+              "definition": "Absentee Shawnee"
+            },
+            {
+              "code": "1580-0",
+              "display": "Eastern Shawnee",
+              "definition": "Eastern Shawnee"
+            },
+            {
+              "code": "1587-5",
+              "display": "Battle Mountain",
+              "definition": "Battle Mountain"
+            },
+            {
+              "code": "1588-3",
+              "display": "Duckwater",
+              "definition": "Duckwater"
+            },
+            {
+              "code": "1589-1",
+              "display": "Elko",
+              "definition": "Elko"
+            },
+            {
+              "code": "1590-9",
+              "display": "Ely",
+              "definition": "Ely"
+            },
+            {
+              "code": "1591-7",
+              "display": "Goshute",
+              "definition": "Goshute"
+            },
+            {
+              "code": "1592-5",
+              "display": "Panamint",
+              "definition": "Panamint"
+            },
+            {
+              "code": "1593-3",
+              "display": "Ruby Valley",
+              "definition": "Ruby Valley"
+            },
+            {
+              "code": "1594-1",
+              "display": "Skull Valley",
+              "definition": "Skull Valley"
+            },
+            {
+              "code": "1595-8",
+              "display": "South Fork Shoshone",
+              "definition": "South Fork Shoshone"
+            },
+            {
+              "code": "1596-6",
+              "display": "Te-Moak Western Shoshone",
+              "definition": "Te-Moak Western Shoshone"
+            },
+            {
+              "code": "1597-4",
+              "display": "Timbi-Sha Shoshone",
+              "definition": "Timbi-Sha Shoshone"
+            },
+            {
+              "code": "1598-2",
+              "display": "Washakie",
+              "definition": "Washakie"
+            },
+            {
+              "code": "1599-0",
+              "display": "Wind River Shoshone",
+              "definition": "Wind River Shoshone"
+            },
+            {
+              "code": "1600-6",
+              "display": "Yomba",
+              "definition": "Yomba"
+            },
+            {
+              "code": "1603-0",
+              "display": "Duck Valley",
+              "definition": "Duck Valley"
+            },
+            {
+              "code": "1604-8",
+              "display": "Fallon",
+              "definition": "Fallon"
+            },
+            {
+              "code": "1605-5",
+              "display": "Fort McDermitt",
+              "definition": "Fort McDermitt"
+            },
+            {
+              "code": "1610-5",
+              "display": "Blackfoot Sioux",
+              "definition": "Blackfoot Sioux"
+            },
+            {
+              "code": "1611-3",
+              "display": "Brule Sioux",
+              "definition": "Brule Sioux"
+            },
+            {
+              "code": "1612-1",
+              "display": "Cheyenne River Sioux",
+              "definition": "Cheyenne River Sioux"
+            },
+            {
+              "code": "1613-9",
+              "display": "Crow Creek Sioux",
+              "definition": "Crow Creek Sioux"
+            },
+            {
+              "code": "1614-7",
+              "display": "Dakota Sioux",
+              "definition": "Dakota Sioux"
+            },
+            {
+              "code": "1615-4",
+              "display": "Flandreau Santee",
+              "definition": "Flandreau Santee"
+            },
+            {
+              "code": "1616-2",
+              "display": "Fort Peck",
+              "definition": "Fort Peck"
+            },
+            {
+              "code": "1617-0",
+              "display": "Lake Traverse Sioux",
+              "definition": "Lake Traverse Sioux"
+            },
+            {
+              "code": "1618-8",
+              "display": "Lower Brule Sioux",
+              "definition": "Lower Brule Sioux"
+            },
+            {
+              "code": "1619-6",
+              "display": "Lower Sioux",
+              "definition": "Lower Sioux"
+            },
+            {
+              "code": "1620-4",
+              "display": "Mdewakanton Sioux",
+              "definition": "Mdewakanton Sioux"
+            },
+            {
+              "code": "1621-2",
+              "display": "Miniconjou",
+              "definition": "Miniconjou"
+            },
+            {
+              "code": "1622-0",
+              "display": "Oglala Sioux",
+              "definition": "Oglala Sioux"
+            },
+            {
+              "code": "1623-8",
+              "display": "Pine Ridge Sioux",
+              "definition": "Pine Ridge Sioux"
+            },
+            {
+              "code": "1624-6",
+              "display": "Pipestone Sioux",
+              "definition": "Pipestone Sioux"
+            },
+            {
+              "code": "1625-3",
+              "display": "Prairie Island Sioux",
+              "definition": "Prairie Island Sioux"
+            },
+            {
+              "code": "1626-1",
+              "display": "Prior Lake Sioux",
+              "definition": "Prior Lake Sioux"
+            },
+            {
+              "code": "1627-9",
+              "display": "Rosebud Sioux",
+              "definition": "Rosebud Sioux"
+            },
+            {
+              "code": "1628-7",
+              "display": "Sans Arc Sioux",
+              "definition": "Sans Arc Sioux"
+            },
+            {
+              "code": "1629-5",
+              "display": "Santee Sioux",
+              "definition": "Santee Sioux"
+            },
+            {
+              "code": "1630-3",
+              "display": "Sisseton-Wahpeton",
+              "definition": "Sisseton-Wahpeton"
+            },
+            {
+              "code": "1631-1",
+              "display": "Sisseton Sioux",
+              "definition": "Sisseton Sioux"
+            },
+            {
+              "code": "1632-9",
+              "display": "Spirit Lake Sioux",
+              "definition": "Spirit Lake Sioux"
+            },
+            {
+              "code": "1633-7",
+              "display": "Standing Rock Sioux",
+              "definition": "Standing Rock Sioux"
+            },
+            {
+              "code": "1634-5",
+              "display": "Teton Sioux",
+              "definition": "Teton Sioux"
+            },
+            {
+              "code": "1635-2",
+              "display": "Two Kettle Sioux",
+              "definition": "Two Kettle Sioux"
+            },
+            {
+              "code": "1636-0",
+              "display": "Upper Sioux",
+              "definition": "Upper Sioux"
+            },
+            {
+              "code": "1637-8",
+              "display": "Wahpekute Sioux",
+              "definition": "Wahpekute Sioux"
+            },
+            {
+              "code": "1638-6",
+              "display": "Wahpeton Sioux",
+              "definition": "Wahpeton Sioux"
+            },
+            {
+              "code": "1639-4",
+              "display": "Wazhaza Sioux",
+              "definition": "Wazhaza Sioux"
+            },
+            {
+              "code": "1640-2",
+              "display": "Yankton Sioux",
+              "definition": "Yankton Sioux"
+            },
+            {
+              "code": "1641-0",
+              "display": "Yanktonai Sioux",
+              "definition": "Yanktonai Sioux"
+            },
+            {
+              "code": "1654-3",
+              "display": "Ak-Chin",
+              "definition": "Ak-Chin"
+            },
+            {
+              "code": "1655-0",
+              "display": "Gila Bend",
+              "definition": "Gila Bend"
+            },
+            {
+              "code": "1656-8",
+              "display": "San Xavier",
+              "definition": "San Xavier"
+            },
+            {
+              "code": "1657-6",
+              "display": "Sells",
+              "definition": "Sells"
+            },
+            {
+              "code": "1668-3",
+              "display": "Cow Creek Umpqua",
+              "definition": "Cow Creek Umpqua"
+            },
+            {
+              "code": "1671-7",
+              "display": "Allen Canyon",
+              "definition": "Allen Canyon"
+            },
+            {
+              "code": "1672-5",
+              "display": "Uintah Ute",
+              "definition": "Uintah Ute"
+            },
+            {
+              "code": "1673-3",
+              "display": "Ute Mountain Ute",
+              "definition": "Ute Mountain Ute"
+            },
+            {
+              "code": "1680-8",
+              "display": "Gay Head Wampanoag",
+              "definition": "Gay Head Wampanoag"
+            },
+            {
+              "code": "1681-6",
+              "display": "Mashpee Wampanoag",
+              "definition": "Mashpee Wampanoag"
+            },
+            {
+              "code": "1688-1",
+              "display": "Alpine",
+              "definition": "Alpine"
+            },
+            {
+              "code": "1689-9",
+              "display": "Carson",
+              "definition": "Carson"
+            },
+            {
+              "code": "1690-7",
+              "display": "Dresslerville",
+              "definition": "Dresslerville"
+            },
+            {
+              "code": "1697-2",
+              "display": "Ho-chunk",
+              "definition": "Ho-chunk"
+            },
+            {
+              "code": "1698-0",
+              "display": "Nebraska Winnebago",
+              "definition": "Nebraska Winnebago"
+            },
+            {
+              "code": "1705-3",
+              "display": "Table Bluff",
+              "definition": "Table Bluff"
+            },
+            {
+              "code": "1712-9",
+              "display": "Barrio Libre",
+              "definition": "Barrio Libre"
+            },
+            {
+              "code": "1713-7",
+              "display": "Pascua Yaqui",
+              "definition": "Pascua Yaqui"
+            },
+            {
+              "code": "1718-6",
+              "display": "Chukchansi",
+              "definition": "Chukchansi"
+            },
+            {
+              "code": "1719-4",
+              "display": "Tachi",
+              "definition": "Tachi"
+            },
+            {
+              "code": "1720-2",
+              "display": "Tule River",
+              "definition": "Tule River"
+            },
+            {
+              "code": "1725-1",
+              "display": "Cocopah",
+              "definition": "Cocopah"
+            },
+            {
+              "code": "1726-9",
+              "display": "Havasupai",
+              "definition": "Havasupai"
+            },
+            {
+              "code": "1727-7",
+              "display": "Hualapai",
+              "definition": "Hualapai"
+            },
+            {
+              "code": "1728-5",
+              "display": "Maricopa",
+              "definition": "Maricopa"
+            },
+            {
+              "code": "1729-3",
+              "display": "Mohave",
+              "definition": "Mohave"
+            },
+            {
+              "code": "1730-1",
+              "display": "Quechan",
+              "definition": "Quechan"
+            },
+            {
+              "code": "1731-9",
+              "display": "Yavapai",
+              "definition": "Yavapai"
+            },
+            {
+              "code": "1733-5",
+              "display": "Coast Yurok",
+              "definition": "Coast Yurok"
+            },
+            {
+              "code": "1737-6",
+              "display": "Alaska Indian",
+              "definition": "Alaska Indian"
+            },
+            {
+              "code": "1840-8",
+              "display": "Eskimo",
+              "definition": "Eskimo"
+            },
+            {
+              "code": "1966-1",
+              "display": "Aleut",
+              "definition": "Aleut"
+            },
+            {
+              "code": "1739-2",
+              "display": "Alaskan Athabascan",
+              "definition": "Alaskan Athabascan"
+            },
+            {
+              "code": "1811-9",
+              "display": "Southeast Alaska",
+              "definition": "Southeast Alaska"
+            },
+            {
+              "code": "1740-0",
+              "display": "Ahtna",
+              "definition": "Ahtna"
+            },
+            {
+              "code": "1741-8",
+              "display": "Alatna",
+              "definition": "Alatna"
+            },
+            {
+              "code": "1742-6",
+              "display": "Alexander",
+              "definition": "Alexander"
+            },
+            {
+              "code": "1743-4",
+              "display": "Allakaket",
+              "definition": "Allakaket"
+            },
+            {
+              "code": "1744-2",
+              "display": "Alanvik",
+              "definition": "Alanvik"
+            },
+            {
+              "code": "1745-9",
+              "display": "Anvik",
+              "definition": "Anvik"
+            },
+            {
+              "code": "1746-7",
+              "display": "Arctic",
+              "definition": "Arctic"
+            },
+            {
+              "code": "1747-5",
+              "display": "Beaver",
+              "definition": "Beaver"
+            },
+            {
+              "code": "1748-3",
+              "display": "Birch Creek",
+              "definition": "Birch Creek"
+            },
+            {
+              "code": "1749-1",
+              "display": "Cantwell",
+              "definition": "Cantwell"
+            },
+            {
+              "code": "1750-9",
+              "display": "Chalkyitsik",
+              "definition": "Chalkyitsik"
+            },
+            {
+              "code": "1751-7",
+              "display": "Chickaloon",
+              "definition": "Chickaloon"
+            },
+            {
+              "code": "1752-5",
+              "display": "Chistochina",
+              "definition": "Chistochina"
+            },
+            {
+              "code": "1753-3",
+              "display": "Chitina",
+              "definition": "Chitina"
+            },
+            {
+              "code": "1754-1",
+              "display": "Circle",
+              "definition": "Circle"
+            },
+            {
+              "code": "1755-8",
+              "display": "Cook Inlet",
+              "definition": "Cook Inlet"
+            },
+            {
+              "code": "1756-6",
+              "display": "Copper Center",
+              "definition": "Copper Center"
+            },
+            {
+              "code": "1757-4",
+              "display": "Copper River",
+              "definition": "Copper River"
+            },
+            {
+              "code": "1758-2",
+              "display": "Dot Lake",
+              "definition": "Dot Lake"
+            },
+            {
+              "code": "1759-0",
+              "display": "Doyon",
+              "definition": "Doyon"
+            },
+            {
+              "code": "1760-8",
+              "display": "Eagle",
+              "definition": "Eagle"
+            },
+            {
+              "code": "1761-6",
+              "display": "Eklutna",
+              "definition": "Eklutna"
+            },
+            {
+              "code": "1762-4",
+              "display": "Evansville",
+              "definition": "Evansville"
+            },
+            {
+              "code": "1763-2",
+              "display": "Fort Yukon",
+              "definition": "Fort Yukon"
+            },
+            {
+              "code": "1764-0",
+              "display": "Gakona",
+              "definition": "Gakona"
+            },
+            {
+              "code": "1765-7",
+              "display": "Galena",
+              "definition": "Galena"
+            },
+            {
+              "code": "1766-5",
+              "display": "Grayling",
+              "definition": "Grayling"
+            },
+            {
+              "code": "1767-3",
+              "display": "Gulkana",
+              "definition": "Gulkana"
+            },
+            {
+              "code": "1768-1",
+              "display": "Healy Lake",
+              "definition": "Healy Lake"
+            },
+            {
+              "code": "1769-9",
+              "display": "Holy Cross",
+              "definition": "Holy Cross"
+            },
+            {
+              "code": "1770-7",
+              "display": "Hughes",
+              "definition": "Hughes"
+            },
+            {
+              "code": "1771-5",
+              "display": "Huslia",
+              "definition": "Huslia"
+            },
+            {
+              "code": "1772-3",
+              "display": "Iliamna",
+              "definition": "Iliamna"
+            },
+            {
+              "code": "1773-1",
+              "display": "Kaltag",
+              "definition": "Kaltag"
+            },
+            {
+              "code": "1774-9",
+              "display": "Kluti Kaah",
+              "definition": "Kluti Kaah"
+            },
+            {
+              "code": "1775-6",
+              "display": "Knik",
+              "definition": "Knik"
+            },
+            {
+              "code": "1776-4",
+              "display": "Koyukuk",
+              "definition": "Koyukuk"
+            },
+            {
+              "code": "1777-2",
+              "display": "Lake Minchumina",
+              "definition": "Lake Minchumina"
+            },
+            {
+              "code": "1778-0",
+              "display": "Lime",
+              "definition": "Lime"
+            },
+            {
+              "code": "1779-8",
+              "display": "Mcgrath",
+              "definition": "Mcgrath"
+            },
+            {
+              "code": "1780-6",
+              "display": "Manley Hot Springs",
+              "definition": "Manley Hot Springs"
+            },
+            {
+              "code": "1781-4",
+              "display": "Mentasta Lake",
+              "definition": "Mentasta Lake"
+            },
+            {
+              "code": "1782-2",
+              "display": "Minto",
+              "definition": "Minto"
+            },
+            {
+              "code": "1783-0",
+              "display": "Nenana",
+              "definition": "Nenana"
+            },
+            {
+              "code": "1784-8",
+              "display": "Nikolai",
+              "definition": "Nikolai"
+            },
+            {
+              "code": "1785-5",
+              "display": "Ninilchik",
+              "definition": "Ninilchik"
+            },
+            {
+              "code": "1786-3",
+              "display": "Nondalton",
+              "definition": "Nondalton"
+            },
+            {
+              "code": "1787-1",
+              "display": "Northway",
+              "definition": "Northway"
+            },
+            {
+              "code": "1788-9",
+              "display": "Nulato",
+              "definition": "Nulato"
+            },
+            {
+              "code": "1789-7",
+              "display": "Pedro Bay",
+              "definition": "Pedro Bay"
+            },
+            {
+              "code": "1790-5",
+              "display": "Rampart",
+              "definition": "Rampart"
+            },
+            {
+              "code": "1791-3",
+              "display": "Ruby",
+              "definition": "Ruby"
+            },
+            {
+              "code": "1792-1",
+              "display": "Salamatof",
+              "definition": "Salamatof"
+            },
+            {
+              "code": "1793-9",
+              "display": "Seldovia",
+              "definition": "Seldovia"
+            },
+            {
+              "code": "1794-7",
+              "display": "Slana",
+              "definition": "Slana"
+            },
+            {
+              "code": "1795-4",
+              "display": "Shageluk",
+              "definition": "Shageluk"
+            },
+            {
+              "code": "1796-2",
+              "display": "Stevens",
+              "definition": "Stevens"
+            },
+            {
+              "code": "1797-0",
+              "display": "Stony River",
+              "definition": "Stony River"
+            },
+            {
+              "code": "1798-8",
+              "display": "Takotna",
+              "definition": "Takotna"
+            },
+            {
+              "code": "1799-6",
+              "display": "Tanacross",
+              "definition": "Tanacross"
+            },
+            {
+              "code": "1800-2",
+              "display": "Tanaina",
+              "definition": "Tanaina"
+            },
+            {
+              "code": "1801-0",
+              "display": "Tanana",
+              "definition": "Tanana"
+            },
+            {
+              "code": "1802-8",
+              "display": "Tanana Chiefs",
+              "definition": "Tanana Chiefs"
+            },
+            {
+              "code": "1803-6",
+              "display": "Tazlina",
+              "definition": "Tazlina"
+            },
+            {
+              "code": "1804-4",
+              "display": "Telida",
+              "definition": "Telida"
+            },
+            {
+              "code": "1805-1",
+              "display": "Tetlin",
+              "definition": "Tetlin"
+            },
+            {
+              "code": "1806-9",
+              "display": "Tok",
+              "definition": "Tok"
+            },
+            {
+              "code": "1807-7",
+              "display": "Tyonek",
+              "definition": "Tyonek"
+            },
+            {
+              "code": "1808-5",
+              "display": "Venetie",
+              "definition": "Venetie"
+            },
+            {
+              "code": "1809-3",
+              "display": "Wiseman",
+              "definition": "Wiseman"
+            },
+            {
+              "code": "1813-5",
+              "display": "Tlingit-Haida",
+              "definition": "Tlingit-Haida"
+            },
+            {
+              "code": "1837-4",
+              "display": "Tsimshian",
+              "definition": "Tsimshian"
+            },
+            {
+              "code": "1814-3",
+              "display": "Angoon",
+              "definition": "Angoon"
+            },
+            {
+              "code": "1815-0",
+              "display": "Central Council of Tlingit and Haida Tribes",
+              "definition": "Central Council of Tlingit and Haida Tribes"
+            },
+            {
+              "code": "1816-8",
+              "display": "Chilkat",
+              "definition": "Chilkat"
+            },
+            {
+              "code": "1817-6",
+              "display": "Chilkoot",
+              "definition": "Chilkoot"
+            },
+            {
+              "code": "1818-4",
+              "display": "Craig",
+              "definition": "Craig"
+            },
+            {
+              "code": "1819-2",
+              "display": "Douglas",
+              "definition": "Douglas"
+            },
+            {
+              "code": "1820-0",
+              "display": "Haida",
+              "definition": "Haida"
+            },
+            {
+              "code": "1821-8",
+              "display": "Hoonah",
+              "definition": "Hoonah"
+            },
+            {
+              "code": "1822-6",
+              "display": "Hydaburg",
+              "definition": "Hydaburg"
+            },
+            {
+              "code": "1823-4",
+              "display": "Kake",
+              "definition": "Kake"
+            },
+            {
+              "code": "1824-2",
+              "display": "Kasaan",
+              "definition": "Kasaan"
+            },
+            {
+              "code": "1825-9",
+              "display": "Kenaitze",
+              "definition": "Kenaitze"
+            },
+            {
+              "code": "1826-7",
+              "display": "Ketchikan",
+              "definition": "Ketchikan"
+            },
+            {
+              "code": "1827-5",
+              "display": "Klawock",
+              "definition": "Klawock"
+            },
+            {
+              "code": "1828-3",
+              "display": "Pelican",
+              "definition": "Pelican"
+            },
+            {
+              "code": "1829-1",
+              "display": "Petersburg",
+              "definition": "Petersburg"
+            },
+            {
+              "code": "1830-9",
+              "display": "Saxman",
+              "definition": "Saxman"
+            },
+            {
+              "code": "1831-7",
+              "display": "Sitka",
+              "definition": "Sitka"
+            },
+            {
+              "code": "1832-5",
+              "display": "Tenakee Springs",
+              "definition": "Tenakee Springs"
+            },
+            {
+              "code": "1833-3",
+              "display": "Tlingit",
+              "definition": "Tlingit"
+            },
+            {
+              "code": "1834-1",
+              "display": "Wrangell",
+              "definition": "Wrangell"
+            },
+            {
+              "code": "1835-8",
+              "display": "Yakutat",
+              "definition": "Yakutat"
+            },
+            {
+              "code": "1838-2",
+              "display": "Metlakatla",
+              "definition": "Metlakatla"
+            },
+            {
+              "code": "1842-4",
+              "display": "Greenland Eskimo",
+              "definition": "Greenland Eskimo"
+            },
+            {
+              "code": "1844-0",
+              "display": "Inupiat Eskimo",
+              "definition": "Inupiat Eskimo"
+            },
+            {
+              "code": "1891-1",
+              "display": "Siberian Eskimo",
+              "definition": "Siberian Eskimo"
+            },
+            {
+              "code": "1896-0",
+              "display": "Yupik Eskimo",
+              "definition": "Yupik Eskimo"
+            },
+            {
+              "code": "1845-7",
+              "display": "Ambler",
+              "definition": "Ambler"
+            },
+            {
+              "code": "1846-5",
+              "display": "Anaktuvuk",
+              "definition": "Anaktuvuk"
+            },
+            {
+              "code": "1847-3",
+              "display": "Anaktuvuk Pass",
+              "definition": "Anaktuvuk Pass"
+            },
+            {
+              "code": "1848-1",
+              "display": "Arctic Slope Inupiat",
+              "definition": "Arctic Slope Inupiat"
+            },
+            {
+              "code": "1849-9",
+              "display": "Arctic Slope Corporation",
+              "definition": "Arctic Slope Corporation"
+            },
+            {
+              "code": "1850-7",
+              "display": "Atqasuk",
+              "definition": "Atqasuk"
+            },
+            {
+              "code": "1851-5",
+              "display": "Barrow",
+              "definition": "Barrow"
+            },
+            {
+              "code": "1852-3",
+              "display": "Bering Straits Inupiat",
+              "definition": "Bering Straits Inupiat"
+            },
+            {
+              "code": "1853-1",
+              "display": "Brevig Mission",
+              "definition": "Brevig Mission"
+            },
+            {
+              "code": "1854-9",
+              "display": "Buckland",
+              "definition": "Buckland"
+            },
+            {
+              "code": "1855-6",
+              "display": "Chinik",
+              "definition": "Chinik"
+            },
+            {
+              "code": "1856-4",
+              "display": "Council",
+              "definition": "Council"
+            },
+            {
+              "code": "1857-2",
+              "display": "Deering",
+              "definition": "Deering"
+            },
+            {
+              "code": "1858-0",
+              "display": "Elim",
+              "definition": "Elim"
+            },
+            {
+              "code": "1859-8",
+              "display": "Golovin",
+              "definition": "Golovin"
+            },
+            {
+              "code": "1860-6",
+              "display": "Inalik Diomede",
+              "definition": "Inalik Diomede"
+            },
+            {
+              "code": "1861-4",
+              "display": "Inupiaq",
+              "definition": "Inupiaq"
+            },
+            {
+              "code": "1862-2",
+              "display": "Kaktovik",
+              "definition": "Kaktovik"
+            },
+            {
+              "code": "1863-0",
+              "display": "Kawerak",
+              "definition": "Kawerak"
+            },
+            {
+              "code": "1864-8",
+              "display": "Kiana",
+              "definition": "Kiana"
+            },
+            {
+              "code": "1865-5",
+              "display": "Kivalina",
+              "definition": "Kivalina"
+            },
+            {
+              "code": "1866-3",
+              "display": "Kobuk",
+              "definition": "Kobuk"
+            },
+            {
+              "code": "1867-1",
+              "display": "Kotzebue",
+              "definition": "Kotzebue"
+            },
+            {
+              "code": "1868-9",
+              "display": "Koyuk",
+              "definition": "Koyuk"
+            },
+            {
+              "code": "1869-7",
+              "display": "Kwiguk",
+              "definition": "Kwiguk"
+            },
+            {
+              "code": "1870-5",
+              "display": "Mauneluk Inupiat",
+              "definition": "Mauneluk Inupiat"
+            },
+            {
+              "code": "1871-3",
+              "display": "Nana Inupiat",
+              "definition": "Nana Inupiat"
+            },
+            {
+              "code": "1872-1",
+              "display": "Noatak",
+              "definition": "Noatak"
+            },
+            {
+              "code": "1873-9",
+              "display": "Nome",
+              "definition": "Nome"
+            },
+            {
+              "code": "1874-7",
+              "display": "Noorvik",
+              "definition": "Noorvik"
+            },
+            {
+              "code": "1875-4",
+              "display": "Nuiqsut",
+              "definition": "Nuiqsut"
+            },
+            {
+              "code": "1876-2",
+              "display": "Point Hope",
+              "definition": "Point Hope"
+            },
+            {
+              "code": "1877-0",
+              "display": "Point Lay",
+              "definition": "Point Lay"
+            },
+            {
+              "code": "1878-8",
+              "display": "Selawik",
+              "definition": "Selawik"
+            },
+            {
+              "code": "1879-6",
+              "display": "Shaktoolik",
+              "definition": "Shaktoolik"
+            },
+            {
+              "code": "1880-4",
+              "display": "Shishmaref",
+              "definition": "Shishmaref"
+            },
+            {
+              "code": "1881-2",
+              "display": "Shungnak",
+              "definition": "Shungnak"
+            },
+            {
+              "code": "1882-0",
+              "display": "Solomon",
+              "definition": "Solomon"
+            },
+            {
+              "code": "1883-8",
+              "display": "Teller",
+              "definition": "Teller"
+            },
+            {
+              "code": "1884-6",
+              "display": "Unalakleet",
+              "definition": "Unalakleet"
+            },
+            {
+              "code": "1885-3",
+              "display": "Wainwright",
+              "definition": "Wainwright"
+            },
+            {
+              "code": "1886-1",
+              "display": "Wales",
+              "definition": "Wales"
+            },
+            {
+              "code": "1887-9",
+              "display": "White Mountain",
+              "definition": "White Mountain"
+            },
+            {
+              "code": "1888-7",
+              "display": "White Mountain Inupiat",
+              "definition": "White Mountain Inupiat"
+            },
+            {
+              "code": "1889-5",
+              "display": "Mary's Igloo",
+              "definition": "Mary's Igloo"
+            },
+            {
+              "code": "1892-9",
+              "display": "Gambell",
+              "definition": "Gambell"
+            },
+            {
+              "code": "1893-7",
+              "display": "Savoonga",
+              "definition": "Savoonga"
+            },
+            {
+              "code": "1894-5",
+              "display": "Siberian Yupik",
+              "definition": "Siberian Yupik"
+            },
+            {
+              "code": "1897-8",
+              "display": "Akiachak",
+              "definition": "Akiachak"
+            },
+            {
+              "code": "1898-6",
+              "display": "Akiak",
+              "definition": "Akiak"
+            },
+            {
+              "code": "1899-4",
+              "display": "Alakanuk",
+              "definition": "Alakanuk"
+            },
+            {
+              "code": "1900-0",
+              "display": "Aleknagik",
+              "definition": "Aleknagik"
+            },
+            {
+              "code": "1901-8",
+              "display": "Andreafsky",
+              "definition": "Andreafsky"
+            },
+            {
+              "code": "1902-6",
+              "display": "Aniak",
+              "definition": "Aniak"
+            },
+            {
+              "code": "1903-4",
+              "display": "Atmautluak",
+              "definition": "Atmautluak"
+            },
+            {
+              "code": "1904-2",
+              "display": "Bethel",
+              "definition": "Bethel"
+            },
+            {
+              "code": "1905-9",
+              "display": "Bill Moore's Slough",
+              "definition": "Bill Moore's Slough"
+            },
+            {
+              "code": "1906-7",
+              "display": "Bristol Bay Yupik",
+              "definition": "Bristol Bay Yupik"
+            },
+            {
+              "code": "1907-5",
+              "display": "Calista Yupik",
+              "definition": "Calista Yupik"
+            },
+            {
+              "code": "1908-3",
+              "display": "Chefornak",
+              "definition": "Chefornak"
+            },
+            {
+              "code": "1909-1",
+              "display": "Chevak",
+              "definition": "Chevak"
+            },
+            {
+              "code": "1910-9",
+              "display": "Chuathbaluk",
+              "definition": "Chuathbaluk"
+            },
+            {
+              "code": "1911-7",
+              "display": "Clark's Point",
+              "definition": "Clark's Point"
+            },
+            {
+              "code": "1912-5",
+              "display": "Crooked Creek",
+              "definition": "Crooked Creek"
+            },
+            {
+              "code": "1913-3",
+              "display": "Dillingham",
+              "definition": "Dillingham"
+            },
+            {
+              "code": "1914-1",
+              "display": "Eek",
+              "definition": "Eek"
+            },
+            {
+              "code": "1915-8",
+              "display": "Ekuk",
+              "definition": "Ekuk"
+            },
+            {
+              "code": "1916-6",
+              "display": "Ekwok",
+              "definition": "Ekwok"
+            },
+            {
+              "code": "1917-4",
+              "display": "Emmonak",
+              "definition": "Emmonak"
+            },
+            {
+              "code": "1918-2",
+              "display": "Goodnews Bay",
+              "definition": "Goodnews Bay"
+            },
+            {
+              "code": "1919-0",
+              "display": "Hooper Bay",
+              "definition": "Hooper Bay"
+            },
+            {
+              "code": "1920-8",
+              "display": "Iqurmuit (Russian Mission)",
+              "definition": "Iqurmuit (Russian Mission)"
+            },
+            {
+              "code": "1921-6",
+              "display": "Kalskag",
+              "definition": "Kalskag"
+            },
+            {
+              "code": "1922-4",
+              "display": "Kasigluk",
+              "definition": "Kasigluk"
+            },
+            {
+              "code": "1923-2",
+              "display": "Kipnuk",
+              "definition": "Kipnuk"
+            },
+            {
+              "code": "1924-0",
+              "display": "Koliganek",
+              "definition": "Koliganek"
+            },
+            {
+              "code": "1925-7",
+              "display": "Kongiganak",
+              "definition": "Kongiganak"
+            },
+            {
+              "code": "1926-5",
+              "display": "Kotlik",
+              "definition": "Kotlik"
+            },
+            {
+              "code": "1927-3",
+              "display": "Kwethluk",
+              "definition": "Kwethluk"
+            },
+            {
+              "code": "1928-1",
+              "display": "Kwigillingok",
+              "definition": "Kwigillingok"
+            },
+            {
+              "code": "1929-9",
+              "display": "Levelock",
+              "definition": "Levelock"
+            },
+            {
+              "code": "1930-7",
+              "display": "Lower Kalskag",
+              "definition": "Lower Kalskag"
+            },
+            {
+              "code": "1931-5",
+              "display": "Manokotak",
+              "definition": "Manokotak"
+            },
+            {
+              "code": "1932-3",
+              "display": "Marshall",
+              "definition": "Marshall"
+            },
+            {
+              "code": "1933-1",
+              "display": "Mekoryuk",
+              "definition": "Mekoryuk"
+            },
+            {
+              "code": "1934-9",
+              "display": "Mountain Village",
+              "definition": "Mountain Village"
+            },
+            {
+              "code": "1935-6",
+              "display": "Naknek",
+              "definition": "Naknek"
+            },
+            {
+              "code": "1936-4",
+              "display": "Napaumute",
+              "definition": "Napaumute"
+            },
+            {
+              "code": "1937-2",
+              "display": "Napakiak",
+              "definition": "Napakiak"
+            },
+            {
+              "code": "1938-0",
+              "display": "Napaskiak",
+              "definition": "Napaskiak"
+            },
+            {
+              "code": "1939-8",
+              "display": "Newhalen",
+              "definition": "Newhalen"
+            },
+            {
+              "code": "1940-6",
+              "display": "New Stuyahok",
+              "definition": "New Stuyahok"
+            },
+            {
+              "code": "1941-4",
+              "display": "Newtok",
+              "definition": "Newtok"
+            },
+            {
+              "code": "1942-2",
+              "display": "Nightmute",
+              "definition": "Nightmute"
+            },
+            {
+              "code": "1943-0",
+              "display": "Nunapitchukv",
+              "definition": "Nunapitchukv"
+            },
+            {
+              "code": "1944-8",
+              "display": "Oscarville",
+              "definition": "Oscarville"
+            },
+            {
+              "code": "1945-5",
+              "display": "Pilot Station",
+              "definition": "Pilot Station"
+            },
+            {
+              "code": "1946-3",
+              "display": "Pitkas Point",
+              "definition": "Pitkas Point"
+            },
+            {
+              "code": "1947-1",
+              "display": "Platinum",
+              "definition": "Platinum"
+            },
+            {
+              "code": "1948-9",
+              "display": "Portage Creek",
+              "definition": "Portage Creek"
+            },
+            {
+              "code": "1949-7",
+              "display": "Quinhagak",
+              "definition": "Quinhagak"
+            },
+            {
+              "code": "1950-5",
+              "display": "Red Devil",
+              "definition": "Red Devil"
+            },
+            {
+              "code": "1951-3",
+              "display": "St. Michael",
+              "definition": "St. Michael"
+            },
+            {
+              "code": "1952-1",
+              "display": "Scammon Bay",
+              "definition": "Scammon Bay"
+            },
+            {
+              "code": "1953-9",
+              "display": "Sheldon's Point",
+              "definition": "Sheldon's Point"
+            },
+            {
+              "code": "1954-7",
+              "display": "Sleetmute",
+              "definition": "Sleetmute"
+            },
+            {
+              "code": "1955-4",
+              "display": "Stebbins",
+              "definition": "Stebbins"
+            },
+            {
+              "code": "1956-2",
+              "display": "Togiak",
+              "definition": "Togiak"
+            },
+            {
+              "code": "1957-0",
+              "display": "Toksook",
+              "definition": "Toksook"
+            },
+            {
+              "code": "1958-8",
+              "display": "Tulukskak",
+              "definition": "Tulukskak"
+            },
+            {
+              "code": "1959-6",
+              "display": "Tuntutuliak",
+              "definition": "Tuntutuliak"
+            },
+            {
+              "code": "1960-4",
+              "display": "Tununak",
+              "definition": "Tununak"
+            },
+            {
+              "code": "1961-2",
+              "display": "Twin Hills",
+              "definition": "Twin Hills"
+            },
+            {
+              "code": "1962-0",
+              "display": "Georgetown (Yupik-Eskimo)",
+              "definition": "Georgetown (Yupik-Eskimo)"
+            },
+            {
+              "code": "1963-8",
+              "display": "St. Mary's",
+              "definition": "St. Mary's"
+            },
+            {
+              "code": "1964-6",
+              "display": "Umkumiate",
+              "definition": "Umkumiate"
+            },
+            {
+              "code": "1968-7",
+              "display": "Alutiiq Aleut",
+              "definition": "Alutiiq Aleut"
+            },
+            {
+              "code": "1972-9",
+              "display": "Bristol Bay Aleut",
+              "definition": "Bristol Bay Aleut"
+            },
+            {
+              "code": "1984-4",
+              "display": "Chugach Aleut",
+              "definition": "Chugach Aleut"
+            },
+            {
+              "code": "1990-1",
+              "display": "Eyak",
+              "definition": "Eyak"
+            },
+            {
+              "code": "1992-7",
+              "display": "Koniag Aleut",
+              "definition": "Koniag Aleut"
+            },
+            {
+              "code": "2002-4",
+              "display": "Sugpiaq",
+              "definition": "Sugpiaq"
+            },
+            {
+              "code": "2004-0",
+              "display": "Suqpigaq",
+              "definition": "Suqpigaq"
+            },
+            {
+              "code": "2006-5",
+              "display": "Unangan Aleut",
+              "definition": "Unangan Aleut"
+            },
+            {
+              "code": "1969-5",
+              "display": "Tatitlek",
+              "definition": "Tatitlek"
+            },
+            {
+              "code": "1970-3",
+              "display": "Ugashik",
+              "definition": "Ugashik"
+            },
+            {
+              "code": "1973-7",
+              "display": "Chignik",
+              "definition": "Chignik"
+            },
+            {
+              "code": "1974-5",
+              "display": "Chignik Lake",
+              "definition": "Chignik Lake"
+            },
+            {
+              "code": "1975-2",
+              "display": "Egegik",
+              "definition": "Egegik"
+            },
+            {
+              "code": "1976-0",
+              "display": "Igiugig",
+              "definition": "Igiugig"
+            },
+            {
+              "code": "1977-8",
+              "display": "Ivanof Bay",
+              "definition": "Ivanof Bay"
+            },
+            {
+              "code": "1978-6",
+              "display": "King Salmon",
+              "definition": "King Salmon"
+            },
+            {
+              "code": "1979-4",
+              "display": "Kokhanok",
+              "definition": "Kokhanok"
+            },
+            {
+              "code": "1980-2",
+              "display": "Perryville",
+              "definition": "Perryville"
+            },
+            {
+              "code": "1981-0",
+              "display": "Pilot Point",
+              "definition": "Pilot Point"
+            },
+            {
+              "code": "1982-8",
+              "display": "Port Heiden",
+              "definition": "Port Heiden"
+            },
+            {
+              "code": "1985-1",
+              "display": "Chenega",
+              "definition": "Chenega"
+            },
+            {
+              "code": "1986-9",
+              "display": "Chugach Corporation",
+              "definition": "Chugach Corporation"
+            },
+            {
+              "code": "1987-7",
+              "display": "English Bay",
+              "definition": "English Bay"
+            },
+            {
+              "code": "1988-5",
+              "display": "Port Graham",
+              "definition": "Port Graham"
+            },
+            {
+              "code": "1993-5",
+              "display": "Akhiok",
+              "definition": "Akhiok"
+            },
+            {
+              "code": "1994-3",
+              "display": "Agdaagux",
+              "definition": "Agdaagux"
+            },
+            {
+              "code": "1995-0",
+              "display": "Karluk",
+              "definition": "Karluk"
+            },
+            {
+              "code": "1996-8",
+              "display": "Kodiak",
+              "definition": "Kodiak"
+            },
+            {
+              "code": "1997-6",
+              "display": "Larsen Bay",
+              "definition": "Larsen Bay"
+            },
+            {
+              "code": "1998-4",
+              "display": "Old Harbor",
+              "definition": "Old Harbor"
+            },
+            {
+              "code": "1999-2",
+              "display": "Ouzinkie",
+              "definition": "Ouzinkie"
+            },
+            {
+              "code": "2000-8",
+              "display": "Port Lions",
+              "definition": "Port Lions"
+            },
+            {
+              "code": "2007-3",
+              "display": "Akutan",
+              "definition": "Akutan"
+            },
+            {
+              "code": "2008-1",
+              "display": "Aleut Corporation",
+              "definition": "Aleut Corporation"
+            },
+            {
+              "code": "2009-9",
+              "display": "Aleutian",
+              "definition": "Aleutian"
+            },
+            {
+              "code": "2010-7",
+              "display": "Aleutian Islander",
+              "definition": "Aleutian Islander"
+            },
+            {
+              "code": "2011-5",
+              "display": "Atka",
+              "definition": "Atka"
+            },
+            {
+              "code": "2012-3",
+              "display": "Belkofski",
+              "definition": "Belkofski"
+            },
+            {
+              "code": "2013-1",
+              "display": "Chignik Lagoon",
+              "definition": "Chignik Lagoon"
+            },
+            {
+              "code": "2014-9",
+              "display": "King Cove",
+              "definition": "King Cove"
+            },
+            {
+              "code": "2015-6",
+              "display": "False Pass",
+              "definition": "False Pass"
+            },
+            {
+              "code": "2016-4",
+              "display": "Nelson Lagoon",
+              "definition": "Nelson Lagoon"
+            },
+            {
+              "code": "2017-2",
+              "display": "Nikolski",
+              "definition": "Nikolski"
+            },
+            {
+              "code": "2018-0",
+              "display": "Pauloff Harbor",
+              "definition": "Pauloff Harbor"
+            },
+            {
+              "code": "2019-8",
+              "display": "Qagan Toyagungin",
+              "definition": "Qagan Toyagungin"
+            },
+            {
+              "code": "2020-6",
+              "display": "Qawalangin",
+              "definition": "Qawalangin"
+            },
+            {
+              "code": "2021-4",
+              "display": "St. George",
+              "definition": "St. George"
+            },
+            {
+              "code": "2022-2",
+              "display": "St. Paul",
+              "definition": "St. Paul"
+            },
+            {
+              "code": "2023-0",
+              "display": "Sand Point",
+              "definition": "Sand Point"
+            },
+            {
+              "code": "2024-8",
+              "display": "South Naknek",
+              "definition": "South Naknek"
+            },
+            {
+              "code": "2025-5",
+              "display": "Unalaska",
+              "definition": "Unalaska"
+            },
+            {
+              "code": "2026-3",
+              "display": "Unga",
+              "definition": "Unga"
+            }
+          ]
+        },
+        {
+          "code": "2028-9",
+          "display": "Asian",
+          "definition": "Asian",
+          "concept": [
+            {
+              "code": "2029-7",
+              "display": "Asian Indian",
+              "definition": "Asian Indian"
+            },
+            {
+              "code": "2030-5",
+              "display": "Bangladeshi",
+              "definition": "Bangladeshi"
+            },
+            {
+              "code": "2031-3",
+              "display": "Bhutanese",
+              "definition": "Bhutanese"
+            },
+            {
+              "code": "2032-1",
+              "display": "Burmese",
+              "definition": "Burmese"
+            },
+            {
+              "code": "2033-9",
+              "display": "Cambodian",
+              "definition": "Cambodian"
+            },
+            {
+              "code": "2034-7",
+              "display": "Chinese",
+              "definition": "Chinese"
+            },
+            {
+              "code": "2035-4",
+              "display": "Taiwanese",
+              "definition": "Taiwanese"
+            },
+            {
+              "code": "2036-2",
+              "display": "Filipino",
+              "definition": "Filipino"
+            },
+            {
+              "code": "2037-0",
+              "display": "Hmong",
+              "definition": "Hmong"
+            },
+            {
+              "code": "2038-8",
+              "display": "Indonesian",
+              "definition": "Indonesian"
+            },
+            {
+              "code": "2039-6",
+              "display": "Japanese",
+              "definition": "Japanese"
+            },
+            {
+              "code": "2040-4",
+              "display": "Korean",
+              "definition": "Korean"
+            },
+            {
+              "code": "2041-2",
+              "display": "Laotian",
+              "definition": "Laotian"
+            },
+            {
+              "code": "2042-0",
+              "display": "Malaysian",
+              "definition": "Malaysian"
+            },
+            {
+              "code": "2043-8",
+              "display": "Okinawan",
+              "definition": "Okinawan"
+            },
+            {
+              "code": "2044-6",
+              "display": "Pakistani",
+              "definition": "Pakistani"
+            },
+            {
+              "code": "2045-3",
+              "display": "Sri Lankan",
+              "definition": "Sri Lankan"
+            },
+            {
+              "code": "2046-1",
+              "display": "Thai",
+              "definition": "Thai"
+            },
+            {
+              "code": "2047-9",
+              "display": "Vietnamese",
+              "definition": "Vietnamese"
+            },
+            {
+              "code": "2048-7",
+              "display": "Iwo Jiman",
+              "definition": "Iwo Jiman"
+            },
+            {
+              "code": "2049-5",
+              "display": "Maldivian",
+              "definition": "Maldivian"
+            },
+            {
+              "code": "2050-3",
+              "display": "Nepalese",
+              "definition": "Nepalese"
+            },
+            {
+              "code": "2051-1",
+              "display": "Singaporean",
+              "definition": "Singaporean"
+            },
+            {
+              "code": "2052-9",
+              "display": "Madagascar",
+              "definition": "Madagascar"
+            }
+          ]
+        },
+        {
+          "code": "2054-5",
+          "display": "Black or African American",
+          "definition": "Black or African American",
+          "concept": [
+            {
+              "code": "2056-0",
+              "display": "Black",
+              "definition": "Black"
+            },
+            {
+              "code": "2058-6",
+              "display": "African American",
+              "definition": "African American"
+            },
+            {
+              "code": "2060-2",
+              "display": "African",
+              "definition": "African"
+            },
+            {
+              "code": "2067-7",
+              "display": "Bahamian",
+              "definition": "Bahamian"
+            },
+            {
+              "code": "2068-5",
+              "display": "Barbadian",
+              "definition": "Barbadian"
+            },
+            {
+              "code": "2069-3",
+              "display": "Dominican",
+              "definition": "Dominican"
+            },
+            {
+              "code": "2070-1",
+              "display": "Dominica Islander",
+              "definition": "Dominica Islander"
+            },
+            {
+              "code": "2071-9",
+              "display": "Haitian",
+              "definition": "Haitian"
+            },
+            {
+              "code": "2072-7",
+              "display": "Jamaican",
+              "definition": "Jamaican"
+            },
+            {
+              "code": "2073-5",
+              "display": "Tobagoan",
+              "definition": "Tobagoan"
+            },
+            {
+              "code": "2074-3",
+              "display": "Trinidadian",
+              "definition": "Trinidadian"
+            },
+            {
+              "code": "2075-0",
+              "display": "West Indian",
+              "definition": "West Indian"
+            },
+            {
+              "code": "2061-0",
+              "display": "Botswanan",
+              "definition": "Botswanan"
+            },
+            {
+              "code": "2062-8",
+              "display": "Ethiopian",
+              "definition": "Ethiopian"
+            },
+            {
+              "code": "2063-6",
+              "display": "Liberian",
+              "definition": "Liberian"
+            },
+            {
+              "code": "2064-4",
+              "display": "Namibian",
+              "definition": "Namibian"
+            },
+            {
+              "code": "2065-1",
+              "display": "Nigerian",
+              "definition": "Nigerian"
+            },
+            {
+              "code": "2066-9",
+              "display": "Zairean",
+              "definition": "Zairean"
+            }
+          ]
+        },
+        {
+          "code": "2076-8",
+          "display": "Native Hawaiian or Other Pacific Islander",
+          "definition": "Native Hawaiian or Other Pacific Islander",
+          "concept": [
+            {
+              "code": "2078-4",
+              "display": "Polynesian",
+              "definition": "Polynesian"
+            },
+            {
+              "code": "2085-9",
+              "display": "Micronesian",
+              "definition": "Micronesian"
+            },
+            {
+              "code": "2100-6",
+              "display": "Melanesian",
+              "definition": "Melanesian"
+            },
+            {
+              "code": "2500-7",
+              "display": "Other Pacific Islander",
+              "definition": "Other Pacific Islander"
+            },
+            {
+              "code": "2079-2",
+              "display": "Native Hawaiian",
+              "definition": "Native Hawaiian"
+            },
+            {
+              "code": "2080-0",
+              "display": "Samoan",
+              "definition": "Samoan"
+            },
+            {
+              "code": "2081-8",
+              "display": "Tahitian",
+              "definition": "Tahitian"
+            },
+            {
+              "code": "2082-6",
+              "display": "Tongan",
+              "definition": "Tongan"
+            },
+            {
+              "code": "2083-4",
+              "display": "Tokelauan",
+              "definition": "Tokelauan"
+            },
+            {
+              "code": "2086-7",
+              "display": "Guamanian or Chamorro",
+              "definition": "Guamanian or Chamorro"
+            },
+            {
+              "code": "2087-5",
+              "display": "Guamanian",
+              "definition": "Guamanian"
+            },
+            {
+              "code": "2088-3",
+              "display": "Chamorro",
+              "definition": "Chamorro"
+            },
+            {
+              "code": "2089-1",
+              "display": "Mariana Islander",
+              "definition": "Mariana Islander"
+            },
+            {
+              "code": "2090-9",
+              "display": "Marshallese",
+              "definition": "Marshallese"
+            },
+            {
+              "code": "2091-7",
+              "display": "Palauan",
+              "definition": "Palauan"
+            },
+            {
+              "code": "2092-5",
+              "display": "Carolinian",
+              "definition": "Carolinian"
+            },
+            {
+              "code": "2093-3",
+              "display": "Kosraean",
+              "definition": "Kosraean"
+            },
+            {
+              "code": "2094-1",
+              "display": "Pohnpeian",
+              "definition": "Pohnpeian"
+            },
+            {
+              "code": "2095-8",
+              "display": "Saipanese",
+              "definition": "Saipanese"
+            },
+            {
+              "code": "2096-6",
+              "display": "Kiribati",
+              "definition": "Kiribati"
+            },
+            {
+              "code": "2097-4",
+              "display": "Chuukese",
+              "definition": "Chuukese"
+            },
+            {
+              "code": "2098-2",
+              "display": "Yapese",
+              "definition": "Yapese"
+            },
+            {
+              "code": "2101-4",
+              "display": "Fijian",
+              "definition": "Fijian"
+            },
+            {
+              "code": "2102-2",
+              "display": "Papua New Guinean",
+              "definition": "Papua New Guinean"
+            },
+            {
+              "code": "2103-0",
+              "display": "Solomon Islander",
+              "definition": "Solomon Islander"
+            },
+            {
+              "code": "2104-8",
+              "display": "New Hebrides",
+              "definition": "New Hebrides"
+            }
+          ]
+        },
+        {
+          "code": "2106-3",
+          "display": "White",
+          "definition": "White",
+          "concept": [
+            {
+              "code": "2108-9",
+              "display": "European",
+              "definition": "European"
+            },
+            {
+              "code": "2118-8",
+              "display": "Middle Eastern or North African",
+              "definition": "Middle Eastern or North African"
+            },
+            {
+              "code": "2129-5",
+              "display": "Arab",
+              "definition": "Arab"
+            },
+            {
+              "code": "2109-7",
+              "display": "Armenian",
+              "definition": "Armenian"
+            },
+            {
+              "code": "2110-5",
+              "display": "English",
+              "definition": "English"
+            },
+            {
+              "code": "2111-3",
+              "display": "French",
+              "definition": "French"
+            },
+            {
+              "code": "2112-1",
+              "display": "German",
+              "definition": "German"
+            },
+            {
+              "code": "2113-9",
+              "display": "Irish",
+              "definition": "Irish"
+            },
+            {
+              "code": "2114-7",
+              "display": "Italian",
+              "definition": "Italian"
+            },
+            {
+              "code": "2115-4",
+              "display": "Polish",
+              "definition": "Polish"
+            },
+            {
+              "code": "2116-2",
+              "display": "Scottish",
+              "definition": "Scottish"
+            },
+            {
+              "code": "2119-6",
+              "display": "Assyrian",
+              "definition": "Assyrian"
+            },
+            {
+              "code": "2120-4",
+              "display": "Egyptian",
+              "definition": "Egyptian"
+            },
+            {
+              "code": "2121-2",
+              "display": "Iranian",
+              "definition": "Iranian"
+            },
+            {
+              "code": "2122-0",
+              "display": "Iraqi",
+              "definition": "Iraqi"
+            },
+            {
+              "code": "2123-8",
+              "display": "Lebanese",
+              "definition": "Lebanese"
+            },
+            {
+              "code": "2124-6",
+              "display": "Palestinian",
+              "definition": "Palestinian"
+            },
+            {
+              "code": "2125-3",
+              "display": "Syrian",
+              "definition": "Syrian"
+            },
+            {
+              "code": "2126-1",
+              "display": "Afghanistani",
+              "definition": "Afghanistani"
+            },
+            {
+              "code": "2127-9",
+              "display": "Israeili",
+              "definition": "Israeili"
+            }
+          ]
+        },
+        {
+          "code": "2131-1",
+          "display": "Other Race",
+          "definition": "Note that this term remains in the table for completeness, even though within HL7, the notion of Other code is deprecated."
+        }
+      ]
+    },
+    {
+      "code": "2133-7",
+      "display": "Ethnicity",
+      "definition": "Ethnicity Note that this is an abstract 'grouping' concept and not for use as a real concept",
+      "property": [
+        {
+          "code": "abstract",
+          "valueBoolean": true
+        }
+      ],
+      "concept": [
+        {
+          "code": "2135-2",
+          "display": "Hispanic or Latino",
+          "definition": "Hispanic or Latino",
+          "concept": [
+            {
+              "code": "2137-8",
+              "display": "Spaniard",
+              "definition": "Spaniard"
+            },
+            {
+              "code": "2148-5",
+              "display": "Mexican",
+              "definition": "Mexican"
+            },
+            {
+              "code": "2155-0",
+              "display": "Central American",
+              "definition": "Central American"
+            },
+            {
+              "code": "2165-9",
+              "display": "South American",
+              "definition": "South American"
+            },
+            {
+              "code": "2178-2",
+              "display": "Latin American",
+              "definition": "Latin American"
+            },
+            {
+              "code": "2180-8",
+              "display": "Puerto Rican",
+              "definition": "Puerto Rican"
+            },
+            {
+              "code": "2182-4",
+              "display": "Cuban",
+              "definition": "Cuban"
+            },
+            {
+              "code": "2184-0",
+              "display": "Dominican",
+              "definition": "Dominican"
+            },
+            {
+              "code": "2138-6",
+              "display": "Andalusian",
+              "definition": "Andalusian"
+            },
+            {
+              "code": "2139-4",
+              "display": "Asturian",
+              "definition": "Asturian"
+            },
+            {
+              "code": "2140-2",
+              "display": "Castillian",
+              "definition": "Castillian"
+            },
+            {
+              "code": "2141-0",
+              "display": "Catalonian",
+              "definition": "Catalonian"
+            },
+            {
+              "code": "2142-8",
+              "display": "Belearic Islander",
+              "definition": "Belearic Islander"
+            },
+            {
+              "code": "2143-6",
+              "display": "Gallego",
+              "definition": "Gallego"
+            },
+            {
+              "code": "2144-4",
+              "display": "Valencian",
+              "definition": "Valencian"
+            },
+            {
+              "code": "2145-1",
+              "display": "Canarian",
+              "definition": "Canarian"
+            },
+            {
+              "code": "2146-9",
+              "display": "Spanish Basque",
+              "definition": "Spanish Basque"
+            },
+            {
+              "code": "2149-3",
+              "display": "Mexican American",
+              "definition": "Mexican American"
+            },
+            {
+              "code": "2150-1",
+              "display": "Mexicano",
+              "definition": "Mexicano"
+            },
+            {
+              "code": "2151-9",
+              "display": "Chicano",
+              "definition": "Chicano"
+            },
+            {
+              "code": "2152-7",
+              "display": "La Raza",
+              "definition": "La Raza"
+            },
+            {
+              "code": "2153-5",
+              "display": "Mexican American Indian",
+              "definition": "Mexican American Indian"
+            },
+            {
+              "code": "2156-8",
+              "display": "Costa Rican",
+              "definition": "Costa Rican"
+            },
+            {
+              "code": "2157-6",
+              "display": "Guatemalan",
+              "definition": "Guatemalan"
+            },
+            {
+              "code": "2158-4",
+              "display": "Honduran",
+              "definition": "Honduran"
+            },
+            {
+              "code": "2159-2",
+              "display": "Nicaraguan",
+              "definition": "Nicaraguan"
+            },
+            {
+              "code": "2160-0",
+              "display": "Panamanian",
+              "definition": "Panamanian"
+            },
+            {
+              "code": "2161-8",
+              "display": "Salvadoran",
+              "definition": "Salvadoran"
+            },
+            {
+              "code": "2162-6",
+              "display": "Central American Indian",
+              "definition": "Central American Indian"
+            },
+            {
+              "code": "2163-4",
+              "display": "Canal Zone",
+              "definition": "Canal Zone"
+            },
+            {
+              "code": "2166-7",
+              "display": "Argentinean",
+              "definition": "Argentinean"
+            },
+            {
+              "code": "2167-5",
+              "display": "Bolivian",
+              "definition": "Bolivian"
+            },
+            {
+              "code": "2168-3",
+              "display": "Chilean",
+              "definition": "Chilean"
+            },
+            {
+              "code": "2169-1",
+              "display": "Colombian",
+              "definition": "Colombian"
+            },
+            {
+              "code": "2170-9",
+              "display": "Ecuadorian",
+              "definition": "Ecuadorian"
+            },
+            {
+              "code": "2171-7",
+              "display": "Paraguayan",
+              "definition": "Paraguayan"
+            },
+            {
+              "code": "2172-5",
+              "display": "Peruvian",
+              "definition": "Peruvian"
+            },
+            {
+              "code": "2173-3",
+              "display": "Uruguayan",
+              "definition": "Uruguayan"
+            },
+            {
+              "code": "2174-1",
+              "display": "Venezuelan",
+              "definition": "Venezuelan"
+            },
+            {
+              "code": "2175-8",
+              "display": "South American Indian",
+              "definition": "South American Indian"
+            },
+            {
+              "code": "2176-6",
+              "display": "Criollo",
+              "definition": "Criollo"
+            }
+          ]
+        },
+        {
+          "code": "2186-5",
+          "display": "Not Hispanic or Latino",
+          "definition": "Note that this term remains in the table for completeness, even though within HL7, the notion of \"not otherwise coded\" term is deprecated."
+        }
+      ]
+    }
+  ]
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/CodeSystem-condition-category.json b/resources/us_core_r4/CodeSystem-condition-category.json
new file mode 100755
index 000000000..1731c1c38
--- /dev/null
+++ b/resources/us_core_r4/CodeSystem-condition-category.json
@@ -0,0 +1,65 @@
+{
+  "resourceType": "CodeSystem",
+  "id": "condition-category",
+  "text": {
+    "status": "extensions",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Condition Category Extension Codes</h2><div><p>Set of codes that are needed for implementation of the US-Core profiles. These codes are used as extensions to the FHIR and US Core value sets.</p>\n</div><p><b>Properties</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>URL</b></td><td><b>Description</b></td><td><b>Type</b></td></tr><tr><td>status</td><td>http://hl7.org/fhir/concept-properties#status</td><td>A property that indicates the status of the concept. One of active, experimental, deprecated,        retired</td><td>code</td></tr></table><p>This code system http://hl7.org/fhir/us/core/CodeSystem/condition-category defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td><td><b>Deprecated</b></td></tr><tr><td style=\"white-space:nowrap\">problem<a name=\"condition-category-problem\"> </a></td><td>Problem</td><td>The patients problems as identified by the provider(s). Items on the provider’s problem list</td><td>Deprecated</td></tr><tr><td style=\"white-space:nowrap\">health-concern<a name=\"condition-category-health-concern\"> </a></td><td>Health Concern</td><td>Additional health concerns from other stakeholders which are outside the provider’s problem list.</td><td/></tr></table></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
+  "version": "3.0.0",
+  "name": "USCoreConditionCategoryExtensionCodes",
+  "title": "US Core Condition Category Extension Codes",
+  "status": "active",
+  "date": "2019-06-19T22:32:01+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "description": "Set of codes that are needed for implementation of the US-Core profiles. These codes are used as extensions to the FHIR and US Core value sets.\n",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "caseSensitive": true,
+  "content": "complete",
+  "property": [
+    {
+      "code": "status",
+      "uri": "http://hl7.org/fhir/concept-properties#status",
+      "description": "A property that indicates the status of the concept. One of active, experimental, deprecated,        retired",
+      "type": "code"
+    }
+  ],
+  "concept": [
+    {
+      "extension": [
+        {
+          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-replacedby",
+          "valueCoding": {
+            "system": "http://terminology.hl7.org/CodeSystem/condition-category",
+            "code": "problem-list-item",
+            "display": "Problem List Item"
+          }
+        }
+      ],
+      "code": "problem",
+      "display": "Problem",
+      "definition": "The patients problems as identified by the provider(s). Items on the provider’s problem list",
+      "property": [
+        {
+          "code": "status",
+          "valueCode": "deprecated"
+        }
+      ]
+    },
+    {
+      "code": "health-concern",
+      "display": "Health Concern",
+      "definition": "Additional health concerns from other stakeholders which are outside the provider’s problem list."
+    }
+  ]
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/CodeSystem-us-core-documentreference-category.json b/resources/us_core_r4/CodeSystem-us-core-documentreference-category.json
new file mode 100755
index 000000000..3a7bfc25f
--- /dev/null
+++ b/resources/us_core_r4/CodeSystem-us-core-documentreference-category.json
@@ -0,0 +1,37 @@
+{
+  "resourceType": "CodeSystem",
+  "id": "us-core-documentreference-category",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core DocumentReferences Category Codes</h2><div><p>The US Core DocumentReferences Type Code System is a 'starter set' of categories supported for fetching and storing DocumentReference Resources.</p>\n</div><p>This code system http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">clinical-note<a name=\"us-core-documentreference-category-clinical-note\"> </a></td><td>Clinical Note</td><td>Part of health record where healthcare professionals record details to document a patient's clinical status or achievements during the course of a hospitalization or over the course of outpatient care ([Wikipedia](https://en.wikipedia.org/wiki/Progress_note))</td></tr></table></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
+  "version": "3.0.0",
+  "name": "USCoreDocumentReferencesCategoryCodes",
+  "title": "US Core DocumentReferences Category Codes",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "description": "The US Core DocumentReferences Type Code System is a 'starter set' of categories supported for fetching and storing DocumentReference Resources.",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "caseSensitive": true,
+  "valueSet": "http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-category",
+  "content": "complete",
+  "count": 2,
+  "concept": [
+    {
+      "code": "clinical-note",
+      "display": "Clinical Note",
+      "definition": "Part of health record where healthcare professionals record details to document a patient's clinical status or achievements during the course of a hospitalization or over the course of outpatient care ([Wikipedia](https://en.wikipedia.org/wiki/Progress_note))"
+    }
+  ]
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-birthsex.json b/resources/us_core_r4/ValueSet-birthsex.json
new file mode 100755
index 000000000..65cb6321e
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-birthsex.json
@@ -0,0 +1,69 @@
+{
+  "resourceType": "ValueSet",
+  "id": "birthsex",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Birth Sex</h2><div><p>Codes for assigning sex at birth as specified by the <a href=\"https://www.healthit.gov/newsroom/about-onc\">Office of the National Coordinator for Health IT (ONC)</a></p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href=\"http://hl7.org/fhir/R4/v3/AdministrativeGender/cs.html\"><code>http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/v3/AdministrativeGender/cs.html#v3-AdministrativeGender-F\">F</a></td><td>Female</td><td>Female</td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/v3/AdministrativeGender/cs.html#v3-AdministrativeGender-M\">M</a></td><td>Male</td><td>Male</td></tr></table></li><li>Include these codes as defined in <a href=\"http://hl7.org/fhir/R4/v3/NullFlavor/cs.html\"><code>http://terminology.hl7.org/CodeSystem/v3-NullFlavor</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/v3/NullFlavor/cs.html#v3-NullFlavor-UNK\">UNK</a></td><td>Unknown</td><td>Description:A proper value is applicable, but not known.<br/>\n                        \n                           Usage Notes: This means the actual value is not known.  If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used.  No properties should be included for a datatype with this property unless:<br/>\n                        \n                           Those properties themselves directly translate to a semantic of &quot;unknown&quot;.  (E.g. a local code sent as a translation that conveys 'unknown')\n                           Those properties further qualify the nature of what is unknown.  (E.g. specifying a use code of &quot;H&quot; and a URL prefix of &quot;tel:&quot; to convey that it is the home phone number that is unknown.)</td></tr></table></li></ul></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/birthsex",
+  "identifier": [
+    {
+      "system": "urn:ietf:rfc:3986",
+      "value": "urn:oid:2.16.840.1.113762.1.4.1021.24"
+    }
+  ],
+  "version": "3.0.0",
+  "name": "BirthSex",
+  "title": "Birth Sex",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "other",
+          "value": "http://hl7.org/fhir"
+        }
+      ]
+    }
+  ],
+  "description": "Codes for assigning sex at birth as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc)",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "compose": {
+    "include": [
+      {
+        "system": "http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender",
+        "concept": [
+          {
+            "code": "F",
+            "display": "Female"
+          },
+          {
+            "code": "M",
+            "display": "Male"
+          }
+        ]
+      },
+      {
+        "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
+        "concept": [
+          {
+            "code": "UNK",
+            "display": "Unknown"
+          }
+        ]
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-detailed-ethnicity.json b/resources/us_core_r4/ValueSet-detailed-ethnicity.json
new file mode 100755
index 000000000..efd0be130
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-detailed-ethnicity.json
@@ -0,0 +1,54 @@
+{
+  "resourceType": "ValueSet",
+  "id": "detailed-ethnicity",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Detailed ethnicity</h2><div><p>The 41 <a href=\"http://www.cdc.gov/phin/resources/vocabulary/index.html\">CDC ethnicity codes</a> that are grouped under one of the 2 OMB ethnicity category codes.</p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include codes from <a href=\"CodeSystem-cdcrec.html\"><code>urn:oid:2.16.840.1.113883.6.238</code></a> where concept  is-a  <a href=\"CodeSystem-cdcrec.html#cdcrec-2133-7\">2133-7</a></li><li>Exclude these codes as defined in <a href=\"CodeSystem-cdcrec.html\"><code>urn:oid:2.16.840.1.113883.6.238</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-2135-2\">2135-2</a></td><td>Hispanic or Latino</td><td>Hispanic or Latino</td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-2186-5\">2186-5</a></td><td>Not Hispanic or Latino</td><td>Note that this term remains in the table for completeness, even though within HL7, the notion of &quot;not otherwise coded&quot; term is deprecated.</td></tr></table></li></ul></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity",
+  "version": "3.0.0",
+  "name": "DetailedEthnicity",
+  "title": "Detailed ethnicity",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "description": "The 41 [CDC ethnicity codes](http://www.cdc.gov/phin/resources/vocabulary/index.html) that are grouped under one of the 2 OMB ethnicity category codes.",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "compose": {
+    "include": [
+      {
+        "system": "urn:oid:2.16.840.1.113883.6.238",
+        "filter": [
+          {
+            "property": "concept",
+            "op": "is-a",
+            "value": "2133-7"
+          }
+        ]
+      }
+    ],
+    "exclude": [
+      {
+        "system": "urn:oid:2.16.840.1.113883.6.238",
+        "concept": [
+          {
+            "code": "2135-2"
+          },
+          {
+            "code": "2186-5"
+          }
+        ]
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-detailed-race.json b/resources/us_core_r4/ValueSet-detailed-race.json
new file mode 100755
index 000000000..169d759b1
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-detailed-race.json
@@ -0,0 +1,63 @@
+{
+  "resourceType": "ValueSet",
+  "id": "detailed-race",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Detailed Race</h2><div><p>The 900+ <a href=\"http://www.cdc.gov/phin/resources/vocabulary/index.html\">CDC Race codes</a> that are grouped under one of the 5 OMB race category codes.</p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include codes from <a href=\"CodeSystem-cdcrec.html\"><code>urn:oid:2.16.840.1.113883.6.238</code></a> where concept  is-a  <a href=\"CodeSystem-cdcrec.html#cdcrec-1000-9\">1000-9</a></li><li>Exclude these codes as defined in <a href=\"CodeSystem-cdcrec.html\"><code>urn:oid:2.16.840.1.113883.6.238</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-1002-5\">1002-5</a></td><td>American Indian or Alaska Native</td><td>American Indian or Alaska Native</td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-2028-9\">2028-9</a></td><td>Asian</td><td>Asian</td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-2054-5\">2054-5</a></td><td>Black or African American</td><td>Black or African American</td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-2076-8\">2076-8</a></td><td>Native Hawaiian or Other Pacific Islander</td><td>Native Hawaiian or Other Pacific Islander</td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-2106-3\">2106-3</a></td><td>White</td><td>White</td></tr></table></li></ul></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/detailed-race",
+  "version": "3.0.0",
+  "name": "DetailedRace",
+  "title": "Detailed Race",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "description": "The 900+ [CDC Race codes](http://www.cdc.gov/phin/resources/vocabulary/index.html) that are grouped under one of the 5 OMB race category codes.",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "compose": {
+    "include": [
+      {
+        "system": "urn:oid:2.16.840.1.113883.6.238",
+        "filter": [
+          {
+            "property": "concept",
+            "op": "is-a",
+            "value": "1000-9"
+          }
+        ]
+      }
+    ],
+    "exclude": [
+      {
+        "system": "urn:oid:2.16.840.1.113883.6.238",
+        "concept": [
+          {
+            "code": "1002-5"
+          },
+          {
+            "code": "2028-9"
+          },
+          {
+            "code": "2054-5"
+          },
+          {
+            "code": "2076-8"
+          },
+          {
+            "code": "2106-3"
+          }
+        ]
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-omb-ethnicity-category.json b/resources/us_core_r4/ValueSet-omb-ethnicity-category.json
new file mode 100755
index 000000000..932fcf3a0
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-omb-ethnicity-category.json
@@ -0,0 +1,44 @@
+{
+  "resourceType": "ValueSet",
+  "id": "omb-ethnicity-category",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>OMB Ethnicity Categories</h2><div><p>The codes for the ethnicity categories - 'Hispanic or Latino' and 'Non Hispanic or Latino' - as defined by the <a href=\"https://www.whitehouse.gov/omb/fedreg_1997standards\">OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997</a>.</p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href=\"CodeSystem-cdcrec.html\"><code>urn:oid:2.16.840.1.113883.6.238</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-2135-2\">2135-2</a></td><td>Hispanic or Latino</td><td>Hispanic or Latino</td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-2186-5\">2186-5</a></td><td>Non Hispanic or Latino</td><td>Note that this term remains in the table for completeness, even though within HL7, the notion of &quot;not otherwise coded&quot; term is deprecated.</td></tr></table></li></ul></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/omb-ethnicity-category",
+  "version": "3.0.0",
+  "name": "OmbEthnicityCategories",
+  "title": "OMB Ethnicity Categories",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "description": "The codes for the ethnicity categories - 'Hispanic or Latino' and 'Non Hispanic or Latino' - as defined by the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards).",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "compose": {
+    "include": [
+      {
+        "system": "urn:oid:2.16.840.1.113883.6.238",
+        "concept": [
+          {
+            "code": "2135-2",
+            "display": "Hispanic or Latino"
+          },
+          {
+            "code": "2186-5",
+            "display": "Non Hispanic or Latino"
+          }
+        ]
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-omb-race-category.json b/resources/us_core_r4/ValueSet-omb-race-category.json
new file mode 100755
index 000000000..00803493c
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-omb-race-category.json
@@ -0,0 +1,93 @@
+{
+  "resourceType": "ValueSet",
+  "id": "omb-race-category",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>OMB Race Categories</h2><div><p>The codes for the concepts 'Unknown' and  'Asked but no answer' and the the codes for the five race categories - 'American Indian' or 'Alaska Native', 'Asian', 'Black or African American', 'Native Hawaiian or Other Pacific Islander', and 'White' - as defined by the <a href=\"https://www.whitehouse.gov/omb/fedreg_1997standards\">OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997</a> .</p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href=\"CodeSystem-cdcrec.html\"><code>urn:oid:2.16.840.1.113883.6.238</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-1002-5\">1002-5</a></td><td>American Indian or Alaska Native</td><td>American Indian or Alaska Native</td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-2028-9\">2028-9</a></td><td>Asian</td><td>Asian</td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-2054-5\">2054-5</a></td><td>Black or African American</td><td>Black or African American</td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-2076-8\">2076-8</a></td><td>Native Hawaiian or Other Pacific Islander</td><td>Native Hawaiian or Other Pacific Islander</td></tr><tr><td><a href=\"CodeSystem-cdcrec.html#cdcrec-2106-3\">2106-3</a></td><td>White</td><td>White</td></tr></table></li><li>Include these codes as defined in <a href=\"http://hl7.org/fhir/R4/v3/NullFlavor/cs.html\"><code>http://terminology.hl7.org/CodeSystem/v3-NullFlavor</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/v3/NullFlavor/cs.html#v3-NullFlavor-UNK\">UNK</a></td><td>Unknown</td><td>Description:A proper value is applicable, but not known.<br/>\n                        \n                           Usage Notes: This means the actual value is not known.  If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used.  No properties should be included for a datatype with this property unless:<br/>\n                        \n                           Those properties themselves directly translate to a semantic of &quot;unknown&quot;.  (E.g. a local code sent as a translation that conveys 'unknown')\n                           Those properties further qualify the nature of what is unknown.  (E.g. specifying a use code of &quot;H&quot; and a URL prefix of &quot;tel:&quot; to convey that it is the home phone number that is unknown.)</td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/v3/NullFlavor/cs.html#v3-NullFlavor-ASKU\">ASKU</a></td><td>Asked but no answer</td><td>Information was sought but not found (e.g., patient was asked but didn't know)</td></tr></table></li></ul></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/omb-race-category",
+  "identifier": [
+    {
+      "system": "urn:ietf:rfc:3986",
+      "value": "urn:oid:2.16.840.1.113883.4.642.2.575"
+    }
+  ],
+  "version": "3.0.0",
+  "name": "OmbRaceCategories",
+  "title": "OMB Race Categories",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "other",
+          "value": "http://hl7.org/fhir"
+        }
+      ]
+    },
+    {
+      "telecom": [
+        {
+          "system": "other",
+          "value": "http://wiki.siframework.org/Data+Access+Framework+Homepage"
+        }
+      ]
+    }
+  ],
+  "description": "The codes for the concepts 'Unknown' and  'Asked but no answer' and the the codes for the five race categories - 'American Indian' or 'Alaska Native', 'Asian', 'Black or African American', 'Native Hawaiian or Other Pacific Islander', and 'White' - as defined by the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards) .",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "compose": {
+    "include": [
+      {
+        "system": "urn:oid:2.16.840.1.113883.6.238",
+        "concept": [
+          {
+            "code": "1002-5",
+            "display": "American Indian or Alaska Native"
+          },
+          {
+            "code": "2028-9",
+            "display": "Asian"
+          },
+          {
+            "code": "2054-5",
+            "display": "Black or African American"
+          },
+          {
+            "code": "2076-8",
+            "display": "Native Hawaiian or Other Pacific Islander"
+          },
+          {
+            "code": "2106-3",
+            "display": "White"
+          }
+        ]
+      },
+      {
+        "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
+        "concept": [
+          {
+            "code": "UNK",
+            "display": "Unknown"
+          },
+          {
+            "code": "ASKU",
+            "display": "Asked but no answer"
+          }
+        ]
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-us-core-allergy-substance.json b/resources/us_core_r4/ValueSet-us-core-allergy-substance.json
new file mode 100755
index 000000000..2264683b8
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-us-core-allergy-substance.json
@@ -0,0 +1,3118 @@
+{
+  "resourceType": "ValueSet",
+  "id": "us-core-allergy-substance",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Common substances for allergy and intolerance documentation including refutations</h2><div><p>Documentation of substances suspected of (or not suspected of) causing an allergy or intolerance reaction in an individual. <strong>Inclusion Criteria:</strong> specific or general substances to which a patient may be exposed and which may be suspected of causing an adverse reaction; assertions refuting these suspicions. This includes:  1. Common dietary substances for allergy and intolerance documentation (SNOMEDCT) 2. Common drug classes for allergy and intolerance documentation (SNOMEDCT) 3. Common drug substances for allergy and intolerance documentation (SNOMEDCT) 4. Common environmental substances for allergy and intolerance documentation (RXNORM) 5. Common refutations and null values for substance causes for allergy and intolerance documentation (SNOMEDCT)  <strong>Exclusion Criteria:</strong> actual conditions caused by exposure (reactions, allergies)</p>\n</div><p><b>Copyright Statement:</b> This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href=\"http://www.nlm.nih.gov/research/umls/rxnorm\"><code>http://www.nlm.nih.gov/research/umls/rxnorm</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>1002293</td><td>formoterol / Mometasone</td><td/></tr><tr><td>1007388</td><td>Lactase / rennet</td><td/></tr><tr><td>1008298</td><td>Acetaminophen / Caffeine / Chlorpheniramine / Hydrocodone / Phenylephrine</td><td/></tr><tr><td>1008519</td><td>guaiacolsulfonate / Hydrocodone</td><td/></tr><tr><td>1009148</td><td>Ampicillin / Sulbactam</td><td/></tr><tr><td>10109</td><td>Streptomycin</td><td/></tr><tr><td>10154</td><td>Succinylcholine</td><td/></tr><tr><td>10156</td><td>Sucralfate</td><td/></tr><tr><td>10169</td><td>Sulfacetamide</td><td/></tr><tr><td>10171</td><td>Sulfadiazine</td><td/></tr><tr><td>10180</td><td>Sulfamethoxazole</td><td/></tr><tr><td>10207</td><td>Sulfisoxazole</td><td/></tr><tr><td>10223</td><td>Sulfur</td><td/></tr><tr><td>10237</td><td>Sulindac</td><td/></tr><tr><td>10324</td><td>Tamoxifen</td><td/></tr><tr><td>10355</td><td>Temazepam</td><td/></tr><tr><td>10368</td><td>Terbutaline</td><td/></tr><tr><td>1037042</td><td>dabigatran etexilate</td><td/></tr><tr><td>10379</td><td>Testosterone</td><td/></tr><tr><td>10395</td><td>Tetracycline</td><td/></tr><tr><td>103990</td><td>Carbidopa / Levodopa</td><td/></tr><tr><td>1040028</td><td>lurasidone</td><td/></tr><tr><td>10438</td><td>Theophylline</td><td/></tr><tr><td>10472</td><td>Thimerosal</td><td/></tr><tr><td>10493</td><td>Thiopental</td><td/></tr><tr><td>10502</td><td>Thioridazine</td><td/></tr><tr><td>10510</td><td>Thiothixene</td><td/></tr><tr><td>10582</td><td>levothyroxine</td><td/></tr><tr><td>10594</td><td>Ticlopidine</td><td/></tr><tr><td>10600</td><td>Timolol</td><td/></tr><tr><td>10627</td><td>Tobramycin</td><td/></tr><tr><td>10636</td><td>Tolmetin</td><td/></tr><tr><td>10689</td><td>Tramadol</td><td/></tr><tr><td>10737</td><td>Trazodone</td><td/></tr><tr><td>10759</td><td>Triamcinolone</td><td/></tr><tr><td>107602</td><td>Epinephrine / Lidocaine</td><td/></tr><tr><td>10763</td><td>Triamterene</td><td/></tr><tr><td>10767</td><td>Triazolam</td><td/></tr><tr><td>10800</td><td>Trifluoperazine</td><td/></tr><tr><td>108118</td><td>Mometasone</td><td/></tr><tr><td>10829</td><td>Trimethoprim</td><td/></tr><tr><td>10831</td><td>Sulfamethoxazole / Trimethoprim</td><td/></tr><tr><td>11124</td><td>Vancomycin</td><td/></tr><tr><td>1114195</td><td>rivaroxaban</td><td/></tr><tr><td>1116632</td><td>Ticagrelor</td><td/></tr><tr><td>11170</td><td>Verapamil</td><td/></tr><tr><td>11248</td><td>Vitamin B 12</td><td/></tr><tr><td>11253</td><td>Vitamin D</td><td/></tr><tr><td>11256</td><td>Vitamin E</td><td/></tr><tr><td>11289</td><td>Warfarin</td><td/></tr><tr><td>113588</td><td>Erythromycin / Sulfisoxazole</td><td/></tr><tr><td>11416</td><td>Zinc</td><td/></tr><tr><td>11423</td><td>Zinc Oxide</td><td/></tr><tr><td>114477</td><td>Levetiracetam</td><td/></tr><tr><td>114970</td><td>zafirlukast</td><td/></tr><tr><td>114979</td><td>rabeprazole</td><td/></tr><tr><td>1151</td><td>Ascorbic Acid</td><td/></tr><tr><td>115264</td><td>Ibandronate</td><td/></tr><tr><td>115552</td><td>trovafloxacin</td><td/></tr><tr><td>115698</td><td>ziprasidone</td><td/></tr><tr><td>1191</td><td>Aspirin</td><td/></tr><tr><td>119565</td><td>tolterodine</td><td/></tr><tr><td>1202</td><td>Atenolol</td><td/></tr><tr><td>121191</td><td>rituximab</td><td/></tr><tr><td>1223</td><td>Atropine</td><td/></tr><tr><td>1256</td><td>Azathioprine</td><td/></tr><tr><td>1272</td><td>Aztreonam</td><td/></tr><tr><td>1291</td><td>Bacitracin</td><td/></tr><tr><td>1292</td><td>Baclofen</td><td/></tr><tr><td>1310171</td><td>Gadolinium</td><td/></tr><tr><td>1311085</td><td>xanthine</td><td/></tr><tr><td>1311524</td><td>Aspartame</td><td/></tr><tr><td>1311629</td><td>nickel</td><td/></tr><tr><td>1314891</td><td>Latex</td><td/></tr><tr><td>1331</td><td>Barium Sulfate</td><td/></tr><tr><td>134615</td><td>brimonidine</td><td/></tr><tr><td>1347</td><td>Beclomethasone</td><td/></tr><tr><td>135447</td><td>donepezil</td><td/></tr><tr><td>135775</td><td>zolmitriptan</td><td/></tr><tr><td>1359</td><td>Belladonna Alkaloids</td><td/></tr><tr><td>1362879</td><td>Sulfur Dioxide</td><td/></tr><tr><td>1363043</td><td>ethyl ether</td><td/></tr><tr><td>136411</td><td>sildenafil</td><td/></tr><tr><td>1364430</td><td>apixaban</td><td/></tr><tr><td>138099</td><td>gemifloxacin</td><td/></tr><tr><td>139462</td><td>moxifloxacin</td><td/></tr><tr><td>1399</td><td>Benzocaine</td><td/></tr><tr><td>140587</td><td>celecoxib</td><td/></tr><tr><td>1406</td><td>benzoin resin</td><td/></tr><tr><td>141626</td><td>colesevelam</td><td/></tr><tr><td>1418</td><td>Benzoyl Peroxide</td><td/></tr><tr><td>1424</td><td>Benztropine</td><td/></tr><tr><td>1514</td><td>Betamethasone</td><td/></tr><tr><td>153970</td><td>Hyoscyamine</td><td/></tr><tr><td>1596450</td><td>Gentamicin</td><td/></tr><tr><td>15996</td><td>Mirtazapine</td><td/></tr><tr><td>161</td><td>Acetaminophen</td><td/></tr><tr><td>16681</td><td>Acarbose</td><td/></tr><tr><td>167</td><td>Acetazolamide</td><td/></tr><tr><td>17128</td><td>lansoprazole</td><td/></tr><tr><td>1727875</td><td>Tetanus immune globulin</td><td/></tr><tr><td>17300</td><td>alfuzosin</td><td/></tr><tr><td>17767</td><td>Amlodipine</td><td/></tr><tr><td>1827</td><td>Buspirone</td><td/></tr><tr><td>183379</td><td>rivastigmine</td><td/></tr><tr><td>1841</td><td>Butorphanol</td><td/></tr><tr><td>18631</td><td>Azithromycin</td><td/></tr><tr><td>187832</td><td>pregabalin</td><td/></tr><tr><td>1886</td><td>Caffeine</td><td/></tr><tr><td>18867</td><td>benazepril</td><td/></tr><tr><td>1895</td><td>Calcium</td><td/></tr><tr><td>1897</td><td>Calcium Carbonate</td><td/></tr><tr><td>18993</td><td>benzonatate</td><td/></tr><tr><td>190376</td><td>linezolid</td><td/></tr><tr><td>191831</td><td>infliximab</td><td/></tr><tr><td>19478</td><td>bismuth subsalicylate</td><td/></tr><tr><td>19552</td><td>cefprozil</td><td/></tr><tr><td>19711</td><td>Amoxicillin / Clavulanate</td><td/></tr><tr><td>19831</td><td>Budesonide</td><td/></tr><tr><td>1998</td><td>Captopril</td><td/></tr><tr><td>2002</td><td>Carbamazepine</td><td/></tr><tr><td>20352</td><td>carvedilol</td><td/></tr><tr><td>20481</td><td>cefepime</td><td/></tr><tr><td>20489</td><td>cefpodoxime</td><td/></tr><tr><td>20610</td><td>Cetirizine</td><td/></tr><tr><td>2101</td><td>Carisoprodol</td><td/></tr><tr><td>21107</td><td>cilostazol</td><td/></tr><tr><td>21183</td><td>Citric Acid</td><td/></tr><tr><td>21212</td><td>Clarithromycin</td><td/></tr><tr><td>214130</td><td>Acetaminophen / butalbital / Caffeine</td><td/></tr><tr><td>214153</td><td>Acetaminophen / dichloralphenazone / isometheptene</td><td/></tr><tr><td>214159</td><td>Aspirin / butalbital / Caffeine</td><td/></tr><tr><td>214160</td><td>Aspirin / butalbital / Caffeine / Codeine</td><td/></tr><tr><td>214181</td><td>Acetaminophen / Diphenhydramine</td><td/></tr><tr><td>214182</td><td>Acetaminophen / Hydrocodone</td><td/></tr><tr><td>214183</td><td>Acetaminophen / Oxycodone</td><td/></tr><tr><td>214199</td><td>Albuterol / Ipratropium</td><td/></tr><tr><td>214223</td><td>Amlodipine / benazepril</td><td/></tr><tr><td>214250</td><td>Aspirin / Caffeine</td><td/></tr><tr><td>214256</td><td>Aspirin / Oxycodone</td><td/></tr><tr><td>214257</td><td>Aspirin / Pentazocine</td><td/></tr><tr><td>214317</td><td>Bisoprolol / Hydrochlorothiazide</td><td/></tr><tr><td>214336</td><td>Caffeine / Ergotamine</td><td/></tr><tr><td>214354</td><td>candesartan</td><td/></tr><tr><td>214364</td><td>carbinoxamine / Pseudoephedrine</td><td/></tr><tr><td>214392</td><td>Chlorpheniramine / Hydrocodone</td><td/></tr><tr><td>214442</td><td>Codeine / Guaifenesin</td><td/></tr><tr><td>214445</td><td>Codeine / Pseudoephedrine</td><td/></tr><tr><td>214488</td><td>Dextromethorphan / Guaifenesin</td><td/></tr><tr><td>214502</td><td>Diclofenac / Misoprostol</td><td/></tr><tr><td>214555</td><td>Etanercept</td><td/></tr><tr><td>214558</td><td>Ethinyl Estradiol / Levonorgestrel</td><td/></tr><tr><td>214565</td><td>fexofenadine / Pseudoephedrine</td><td/></tr><tr><td>214599</td><td>Guaifenesin / Pseudoephedrine</td><td/></tr><tr><td>214614</td><td>homatropine / Hydrocodone</td><td/></tr><tr><td>214617</td><td>Hydrochlorothiazide / irbesartan</td><td/></tr><tr><td>214618</td><td>Hydrochlorothiazide / Lisinopril</td><td/></tr><tr><td>214619</td><td>Hydrochlorothiazide / Losartan</td><td/></tr><tr><td>214626</td><td>Hydrochlorothiazide / valsartan</td><td/></tr><tr><td>214627</td><td>Hydrocodone / Ibuprofen</td><td/></tr><tr><td>214631</td><td>Hydrocodone / Pseudoephedrine</td><td/></tr><tr><td>214682</td><td>Loratadine / Pseudoephedrine</td><td/></tr><tr><td>214721</td><td>Naloxone / Pentazocine</td><td/></tr><tr><td>214807</td><td>Pseudoephedrine / Triprolidine</td><td/></tr><tr><td>2176</td><td>Cefaclor</td><td/></tr><tr><td>217627</td><td>Hydrocortisone / Neomycin / Polymyxin B</td><td/></tr><tr><td>2177</td><td>Cefadroxil</td><td/></tr><tr><td>2180</td><td>Cefazolin</td><td/></tr><tr><td>2189</td><td>Cefoxitin</td><td/></tr><tr><td>2191</td><td>Ceftazidime</td><td/></tr><tr><td>2193</td><td>Ceftriaxone</td><td/></tr><tr><td>219314</td><td>Polymyxin B / Trimethoprim</td><td/></tr><tr><td>219315</td><td>Iron polysaccharide</td><td/></tr><tr><td>2194</td><td>Cefuroxime</td><td/></tr><tr><td>21949</td><td>cyclobenzaprine</td><td/></tr><tr><td>221147</td><td>POLYETHYLENE GLYCOL 3350</td><td/></tr><tr><td>22299</td><td>Daptomycin</td><td/></tr><tr><td>2231</td><td>Cephalexin</td><td/></tr><tr><td>226716</td><td>Aspirin / Dipyridamole</td><td/></tr><tr><td>228476</td><td>gatifloxacin</td><td/></tr><tr><td>228790</td><td>Dutasteride</td><td/></tr><tr><td>232158</td><td>rofecoxib</td><td/></tr><tr><td>233698</td><td>dronedarone</td><td/></tr><tr><td>2348</td><td>Chloramphenicol</td><td/></tr><tr><td>2356</td><td>Chlordiazepoxide</td><td/></tr><tr><td>2358</td><td>Chlorhexidine</td><td/></tr><tr><td>236778</td><td>Trospium</td><td/></tr><tr><td>237159</td><td>Levalbuterol</td><td/></tr><tr><td>2393</td><td>Chloroquine</td><td/></tr><tr><td>2400</td><td>Chlorpheniramine</td><td/></tr><tr><td>2403</td><td>Chlorpromazine</td><td/></tr><tr><td>2409</td><td>Chlorthalidone</td><td/></tr><tr><td>2410</td><td>Chlorzoxazone</td><td/></tr><tr><td>2418</td><td>Cholecalciferol</td><td/></tr><tr><td>2447</td><td>Cholestyramine Resin</td><td/></tr><tr><td>24605</td><td>Etodolac</td><td/></tr><tr><td>24947</td><td>ferrous sulfate</td><td/></tr><tr><td>25025</td><td>Finasteride</td><td/></tr><tr><td>25033</td><td>Cefixime</td><td/></tr><tr><td>25037</td><td>cefdinir</td><td/></tr><tr><td>25120</td><td>flunisolide</td><td/></tr><tr><td>25255</td><td>formoterol</td><td/></tr><tr><td>253157</td><td>Bee pollen</td><td/></tr><tr><td>2541</td><td>Cimetidine</td><td/></tr><tr><td>25480</td><td>gabapentin</td><td/></tr><tr><td>2551</td><td>Ciprofloxacin</td><td/></tr><tr><td>2556</td><td>Citalopram</td><td/></tr><tr><td>25789</td><td>glimepiride</td><td/></tr><tr><td>2582</td><td>Clindamycin</td><td/></tr><tr><td>258337</td><td>Hydrochlorothiazide / Triamterene</td><td/></tr><tr><td>2598</td><td>Clonazepam</td><td/></tr><tr><td>2599</td><td>Clonidine</td><td/></tr><tr><td>260101</td><td>Oseltamivir</td><td/></tr><tr><td>26225</td><td>Ondansetron</td><td/></tr><tr><td>2623</td><td>Clotrimazole</td><td/></tr><tr><td>2670</td><td>Codeine</td><td/></tr><tr><td>2683</td><td>Colchicine</td><td/></tr><tr><td>2685</td><td>Colestipol</td><td/></tr><tr><td>27169</td><td>leflunomide</td><td/></tr><tr><td>274783</td><td>Insulin Glargine</td><td/></tr><tr><td>274786</td><td>telithromycin</td><td/></tr><tr><td>27723</td><td>iodinated glycerol</td><td/></tr><tr><td>278567</td><td>valdecoxib</td><td/></tr><tr><td>28031</td><td>Itraconazole</td><td/></tr><tr><td>281</td><td>Acyclovir</td><td/></tr><tr><td>283742</td><td>Esomeprazole</td><td/></tr><tr><td>283809</td><td>travoprost</td><td/></tr><tr><td>28439</td><td>lamotrigine</td><td/></tr><tr><td>284635</td><td>fluticasone / salmeterol</td><td/></tr><tr><td>2878</td><td>Cortisone</td><td/></tr><tr><td>28889</td><td>Loratadine</td><td/></tr><tr><td>28981</td><td>loracarbef</td><td/></tr><tr><td>29046</td><td>Lisinopril</td><td/></tr><tr><td>29542</td><td>Mercury, Ammoniated</td><td/></tr><tr><td>29561</td><td>meropenem</td><td/></tr><tr><td>296</td><td>Adenosine</td><td/></tr><tr><td>3008</td><td>Cyclosporine</td><td/></tr><tr><td>301542</td><td>rosuvastatin</td><td/></tr><tr><td>306674</td><td>vardenafil</td><td/></tr><tr><td>3108</td><td>Dapsone</td><td/></tr><tr><td>3143</td><td>prasterone</td><td/></tr><tr><td>31448</td><td>nabumetone</td><td/></tr><tr><td>31555</td><td>nebivolol</td><td/></tr><tr><td>31565</td><td>nefazodone</td><td/></tr><tr><td>31738</td><td>nickel sulfate</td><td/></tr><tr><td>318340</td><td>Aloe vera preparation</td><td/></tr><tr><td>321064</td><td>olmesartan</td><td/></tr><tr><td>321988</td><td>Escitalopram</td><td/></tr><tr><td>322167</td><td>Solifenacin</td><td/></tr><tr><td>3247</td><td>Desipramine</td><td/></tr><tr><td>325642</td><td>ertapenem</td><td/></tr><tr><td>32592</td><td>oxaliplatin</td><td/></tr><tr><td>32613</td><td>oxaprozin</td><td/></tr><tr><td>32624</td><td>oxcarbazepine</td><td/></tr><tr><td>3264</td><td>Dexamethasone</td><td/></tr><tr><td>32675</td><td>oxybutynin</td><td/></tr><tr><td>327361</td><td>adalimumab</td><td/></tr><tr><td>3289</td><td>Dextromethorphan</td><td/></tr><tr><td>32937</td><td>Paroxetine</td><td/></tr><tr><td>32968</td><td>clopidogrel</td><td/></tr><tr><td>3322</td><td>Diazepam</td><td/></tr><tr><td>33408</td><td>phenyltoloxamine</td><td/></tr><tr><td>3355</td><td>Diclofenac</td><td/></tr><tr><td>3356</td><td>Dicloxacillin</td><td/></tr><tr><td>3361</td><td>Dicyclomine</td><td/></tr><tr><td>33738</td><td>pioglitazone</td><td/></tr><tr><td>3393</td><td>Diflunisal</td><td/></tr><tr><td>3407</td><td>Digoxin</td><td/></tr><tr><td>341248</td><td>ezetimibe</td><td/></tr><tr><td>3418</td><td>Dihydroergotamine</td><td/></tr><tr><td>3423</td><td>Hydromorphone</td><td/></tr><tr><td>3443</td><td>Diltiazem</td><td/></tr><tr><td>3444</td><td>Dimenhydrinate</td><td/></tr><tr><td>3498</td><td>Diphenhydramine</td><td/></tr><tr><td>35208</td><td>quinapril</td><td/></tr><tr><td>3521</td><td>Dipyridamole</td><td/></tr><tr><td>352362</td><td>Acetaminophen / Tramadol</td><td/></tr><tr><td>35296</td><td>Ramipril</td><td/></tr><tr><td>35382</td><td>resorcinol</td><td/></tr><tr><td>35636</td><td>Risperidone</td><td/></tr><tr><td>358263</td><td>tadalafil</td><td/></tr><tr><td>35827</td><td>Ketorolac</td><td/></tr><tr><td>35829</td><td>ranolazine</td><td/></tr><tr><td>36108</td><td>Salsalate</td><td/></tr><tr><td>36117</td><td>salmeterol</td><td/></tr><tr><td>3616</td><td>Dobutamine</td><td/></tr><tr><td>3638</td><td>Doxepin</td><td/></tr><tr><td>3640</td><td>Doxycycline</td><td/></tr><tr><td>36437</td><td>Sertraline</td><td/></tr><tr><td>3648</td><td>Droperidol</td><td/></tr><tr><td>36567</td><td>Simvastatin</td><td/></tr><tr><td>37418</td><td>Sumatriptan</td><td/></tr><tr><td>37617</td><td>tazobactam</td><td/></tr><tr><td>37798</td><td>Terazosin</td><td/></tr><tr><td>37801</td><td>terbinafine</td><td/></tr><tr><td>3827</td><td>Enalapril</td><td/></tr><tr><td>3829</td><td>Enalaprilat</td><td/></tr><tr><td>38400</td><td>atomoxetine</td><td/></tr><tr><td>38404</td><td>topiramate</td><td/></tr><tr><td>38413</td><td>torsemide</td><td/></tr><tr><td>38574</td><td>trichloroacetaldehyde</td><td/></tr><tr><td>38685</td><td>trimethobenzamide</td><td/></tr><tr><td>389132</td><td>Budesonide / formoterol</td><td/></tr><tr><td>3966</td><td>Ephedrine</td><td/></tr><tr><td>39786</td><td>venlafaxine</td><td/></tr><tr><td>3992</td><td>Epinephrine</td><td/></tr><tr><td>39993</td><td>zolpidem</td><td/></tr><tr><td>39998</td><td>zonisamide</td><td/></tr><tr><td>40048</td><td>Carboplatin</td><td/></tr><tr><td>400674</td><td>dexbrompheniramine / Pseudoephedrine</td><td/></tr><tr><td>4025</td><td>Ergotamine</td><td/></tr><tr><td>40254</td><td>Valproate</td><td/></tr><tr><td>4053</td><td>Erythromycin</td><td/></tr><tr><td>40575</td><td>zileuton</td><td/></tr><tr><td>40790</td><td>pantoprazole</td><td/></tr><tr><td>4083</td><td>Estradiol</td><td/></tr><tr><td>4099</td><td>Estrogens, Conjugated (USP)</td><td/></tr><tr><td>41126</td><td>fluticasone</td><td/></tr><tr><td>41127</td><td>fluvastatin</td><td/></tr><tr><td>4124</td><td>Ethinyl Estradiol</td><td/></tr><tr><td>41397</td><td>Lactase</td><td/></tr><tr><td>41493</td><td>meloxicam</td><td/></tr><tr><td>42330</td><td>Terfenadine</td><td/></tr><tr><td>42331</td><td>Misoprostol</td><td/></tr><tr><td>42347</td><td>Bupropion</td><td/></tr><tr><td>42351</td><td>Lithium Carbonate</td><td/></tr><tr><td>42372</td><td>Mupirocin</td><td/></tr><tr><td>42463</td><td>Pravastatin</td><td/></tr><tr><td>4278</td><td>Famotidine</td><td/></tr><tr><td>4316</td><td>Felodipine</td><td/></tr><tr><td>4337</td><td>Fentanyl</td><td/></tr><tr><td>435</td><td>Albuterol</td><td/></tr><tr><td>43611</td><td>latanoprost</td><td/></tr><tr><td>4419</td><td>Fish Oils</td><td/></tr><tr><td>4441</td><td>Flecainide</td><td/></tr><tr><td>4450</td><td>Fluconazole</td><td/></tr><tr><td>448</td><td>Ethanol</td><td/></tr><tr><td>4492</td><td>Fluorouracil</td><td/></tr><tr><td>4493</td><td>Fluoxetine</td><td/></tr><tr><td>4496</td><td>Fluphenazine</td><td/></tr><tr><td>4500</td><td>Flurandrenolide</td><td/></tr><tr><td>4530</td><td>Formaldehyde</td><td/></tr><tr><td>4603</td><td>Furosemide</td><td/></tr><tr><td>46041</td><td>Alendronate</td><td/></tr><tr><td>461016</td><td>Eszopiclone</td><td/></tr><tr><td>4637</td><td>Galantamine</td><td/></tr><tr><td>465397</td><td>Ciprofloxacin / Dexamethasone</td><td/></tr><tr><td>466522</td><td>Diphenhydramine / Zinc Acetate</td><td/></tr><tr><td>466541</td><td>Neomycin / Polymyxin B</td><td/></tr><tr><td>466549</td><td>Aspirin / Caffeine / Orphenadrine</td><td/></tr><tr><td>466553</td><td>penicillin G benzathine / penicillin G procaine</td><td/></tr><tr><td>466566</td><td>Acetaminophen / Dextromethorphan / Diphenhydramine / Pseudoephedrine</td><td/></tr><tr><td>466584</td><td>Acetaminophen / Aspirin / Caffeine</td><td/></tr><tr><td>4719</td><td>Gemfibrozil</td><td/></tr><tr><td>475968</td><td>liraglutide</td><td/></tr><tr><td>4815</td><td>Glyburide</td><td/></tr><tr><td>48203</td><td>Clavulanate</td><td/></tr><tr><td>4821</td><td>Glipizide</td><td/></tr><tr><td>48274</td><td>Acetaminophen / Propoxyphene</td><td/></tr><tr><td>484139</td><td>Chlorhexidine / Isopropyl Alcohol</td><td/></tr><tr><td>484211</td><td>ezetimibe / Simvastatin</td><td/></tr><tr><td>4850</td><td>Glucose</td><td/></tr><tr><td>4917</td><td>Nitroglycerin</td><td/></tr><tr><td>49276</td><td>Doxazosin</td><td/></tr><tr><td>50166</td><td>Fosinopril</td><td/></tr><tr><td>5021</td><td>Griseofulvin</td><td/></tr><tr><td>5032</td><td>Guaifenesin</td><td/></tr><tr><td>5093</td><td>Haloperidol</td><td/></tr><tr><td>51272</td><td>quetiapine</td><td/></tr><tr><td>519</td><td>Allopurinol</td><td/></tr><tr><td>52175</td><td>Losartan</td><td/></tr><tr><td>5224</td><td>heparin</td><td/></tr><tr><td>52582</td><td>mesalamine</td><td/></tr><tr><td>5470</td><td>Hydralazine</td><td/></tr><tr><td>5487</td><td>Hydrochlorothiazide</td><td/></tr><tr><td>5489</td><td>Hydrocodone</td><td/></tr><tr><td>5492</td><td>Hydrocortisone</td><td/></tr><tr><td>5499</td><td>Hydrogen Peroxide</td><td/></tr><tr><td>5521</td><td>Hydroxychloroquine</td><td/></tr><tr><td>5553</td><td>Hydroxyzine</td><td/></tr><tr><td>5640</td><td>Ibuprofen</td><td/></tr><tr><td>5691</td><td>Imipramine</td><td/></tr><tr><td>56946</td><td>Paclitaxel</td><td/></tr><tr><td>57258</td><td>tizanidine</td><td/></tr><tr><td>5764</td><td>Indapamide</td><td/></tr><tr><td>5781</td><td>Indomethacin</td><td/></tr><tr><td>588250</td><td>milnacipran</td><td/></tr><tr><td>59078</td><td>metaxalone</td><td/></tr><tr><td>591622</td><td>varenicline</td><td/></tr><tr><td>5933</td><td>Iodine</td><td/></tr><tr><td>593411</td><td>sitagliptin</td><td/></tr><tr><td>594040</td><td>Atropine / Diphenoxylate</td><td/></tr><tr><td>5956</td><td>Iohexol</td><td/></tr><tr><td>596</td><td>Alprazolam</td><td/></tr><tr><td>596723</td><td>cerivastatin</td><td/></tr><tr><td>597142</td><td>brimonidine / Timolol</td><td/></tr><tr><td>5992</td><td>Iron-Dextran Complex</td><td/></tr><tr><td>60207</td><td>dorzolamide</td><td/></tr><tr><td>6038</td><td>isoniazid</td><td/></tr><tr><td>60548</td><td>exenatide</td><td/></tr><tr><td>6057</td><td>Isosorbide</td><td/></tr><tr><td>6058</td><td>Isosorbide Dinitrate</td><td/></tr><tr><td>611854</td><td>Chlordiazepoxide / clidinium</td><td/></tr><tr><td>6130</td><td>Ketamine</td><td/></tr><tr><td>6135</td><td>Ketoconazole</td><td/></tr><tr><td>61381</td><td>olanzapine</td><td/></tr><tr><td>6142</td><td>Ketoprofen</td><td/></tr><tr><td>6185</td><td>Labetalol</td><td/></tr><tr><td>620</td><td>Amantadine</td><td/></tr><tr><td>6218</td><td>Lactulose</td><td/></tr><tr><td>6227</td><td>Lanolin</td><td/></tr><tr><td>6387</td><td>Lidocaine</td><td/></tr><tr><td>6398</td><td>Lincomycin</td><td/></tr><tr><td>6448</td><td>Lithium</td><td/></tr><tr><td>645555</td><td>Bacitracin / Polymyxin B</td><td/></tr><tr><td>6468</td><td>Loperamide</td><td/></tr><tr><td>6470</td><td>Lorazepam</td><td/></tr><tr><td>6472</td><td>Lovastatin</td><td/></tr><tr><td>6574</td><td>Magnesium</td><td/></tr><tr><td>6585</td><td>Magnesium Sulfate</td><td/></tr><tr><td>662263</td><td>dorzolamide / Timolol</td><td/></tr><tr><td>6676</td><td>Meclizine</td><td/></tr><tr><td>6691</td><td>Medroxyprogesterone</td><td/></tr><tr><td>67108</td><td>Enoxaparin</td><td/></tr><tr><td>6711</td><td>Melatonin</td><td/></tr><tr><td>6719</td><td>Memantine</td><td/></tr><tr><td>6750</td><td>Menthol</td><td/></tr><tr><td>6754</td><td>Meperidine</td><td/></tr><tr><td>6809</td><td>Metformin</td><td/></tr><tr><td>6813</td><td>Methadone</td><td/></tr><tr><td>6835</td><td>Methimazole</td><td/></tr><tr><td>6845</td><td>Methocarbamol</td><td/></tr><tr><td>6851</td><td>Methotrexate</td><td/></tr><tr><td>6876</td><td>Methyldopa</td><td/></tr><tr><td>689</td><td>Aminophylline</td><td/></tr><tr><td>689467</td><td>Oxytetracycline / Polymyxin B</td><td/></tr><tr><td>689518</td><td>Aspirin / Caffeine / Propoxyphene</td><td/></tr><tr><td>689556</td><td>Acetaminophen / Aspirin / Phenylpropanolamine</td><td/></tr><tr><td>689558</td><td>Acetaminophen / Brompheniramine / Pseudoephedrine</td><td/></tr><tr><td>689561</td><td>Acetaminophen / butalbital / Caffeine / Codeine</td><td/></tr><tr><td>689582</td><td>Acetaminophen / Chlorpheniramine / Dextromethorphan / Pseudoephedrine</td><td/></tr><tr><td>689606</td><td>Atropine / Hyoscyamine / Phenobarbital / Scopolamine</td><td/></tr><tr><td>689623</td><td>Bacitracin / Hydrocortisone / Neomycin / Polymyxin B</td><td/></tr><tr><td>690077</td><td>Benzalkonium / Lidocaine</td><td/></tr><tr><td>6901</td><td>Methylphenidate</td><td/></tr><tr><td>6902</td><td>Methylprednisolone</td><td/></tr><tr><td>690693</td><td>Diphenhydramine / Phenylephrine</td><td/></tr><tr><td>690808</td><td>Brompheniramine / Dextromethorphan / Pseudoephedrine</td><td/></tr><tr><td>69120</td><td>tiotropium</td><td/></tr><tr><td>6915</td><td>Metoclopramide</td><td/></tr><tr><td>6916</td><td>Metolazone</td><td/></tr><tr><td>6918</td><td>Metoprolol</td><td/></tr><tr><td>6922</td><td>Metronidazole</td><td/></tr><tr><td>692572</td><td>Bacitracin / Neomycin / Polymyxin B</td><td/></tr><tr><td>692794</td><td>Gramicidin / Neomycin / Polymyxin B</td><td/></tr><tr><td>6932</td><td>Miconazole</td><td/></tr><tr><td>6960</td><td>Midazolam</td><td/></tr><tr><td>69749</td><td>valsartan</td><td/></tr><tr><td>6980</td><td>Minocycline</td><td/></tr><tr><td>6984</td><td>Minoxidil</td><td/></tr><tr><td>703</td><td>Amiodarone</td><td/></tr><tr><td>704</td><td>Amitriptyline</td><td/></tr><tr><td>7052</td><td>Morphine</td><td/></tr><tr><td>705258</td><td>Acetaminophen / Dextromethorphan / Doxylamine</td><td/></tr><tr><td>7213</td><td>Ipratropium</td><td/></tr><tr><td>72143</td><td>Raloxifene</td><td/></tr><tr><td>72236</td><td>fosphenytoin</td><td/></tr><tr><td>723</td><td>Amoxicillin</td><td/></tr><tr><td>72302</td><td>ropinirole</td><td/></tr><tr><td>7233</td><td>Nafcillin</td><td/></tr><tr><td>7238</td><td>Nalbuphine</td><td/></tr><tr><td>7243</td><td>Naltrexone</td><td/></tr><tr><td>725</td><td>Amphetamine</td><td/></tr><tr><td>7258</td><td>Naproxen</td><td/></tr><tr><td>72625</td><td>duloxetine</td><td/></tr><tr><td>7299</td><td>Neomycin</td><td/></tr><tr><td>73056</td><td>Risedronate</td><td/></tr><tr><td>733</td><td>Ampicillin</td><td/></tr><tr><td>73494</td><td>telmisartan</td><td/></tr><tr><td>73645</td><td>valacyclovir</td><td/></tr><tr><td>7393</td><td>Niacin</td><td/></tr><tr><td>7407</td><td>Nicotine</td><td/></tr><tr><td>74169</td><td>Piperacillin / tazobactam</td><td/></tr><tr><td>7417</td><td>Nifedipine</td><td/></tr><tr><td>7454</td><td>Nitrofurantoin</td><td/></tr><tr><td>746741</td><td>Pramipexole</td><td/></tr><tr><td>7486</td><td>Nitrous Oxide</td><td/></tr><tr><td>7517</td><td>Norfloxacin</td><td/></tr><tr><td>7531</td><td>Nortriptyline</td><td/></tr><tr><td>7597</td><td>Nystatin</td><td/></tr><tr><td>7623</td><td>Ofloxacin</td><td/></tr><tr><td>7646</td><td>Omeprazole</td><td/></tr><tr><td>7676</td><td>Opium</td><td/></tr><tr><td>7715</td><td>Orphenadrine</td><td/></tr><tr><td>77492</td><td>tamsulosin</td><td/></tr><tr><td>7804</td><td>Oxycodone</td><td/></tr><tr><td>7821</td><td>Oxytetracycline</td><td/></tr><tr><td>787390</td><td>tapentadol</td><td/></tr><tr><td>7975</td><td>Penicillamine</td><td/></tr><tr><td>797541</td><td>Isopropyl Alcohol</td><td/></tr><tr><td>7980</td><td>Penicillin G</td><td/></tr><tr><td>7984</td><td>Penicillin V</td><td/></tr><tr><td>7994</td><td>Pentamidine</td><td/></tr><tr><td>8001</td><td>Pentazocine</td><td/></tr><tr><td>8120</td><td>Phenazopyridine</td><td/></tr><tr><td>8134</td><td>Phenobarbital</td><td/></tr><tr><td>815166</td><td>Dextromethorphan / Doxylamine</td><td/></tr><tr><td>8163</td><td>Phenylephrine</td><td/></tr><tr><td>816346</td><td>dexlansoprazole</td><td/></tr><tr><td>8175</td><td>Phenylpropanolamine</td><td/></tr><tr><td>817579</td><td>Acetaminophen / Codeine</td><td/></tr><tr><td>817958</td><td>Aspirin / Calcium Carbonate</td><td/></tr><tr><td>8183</td><td>Phenytoin</td><td/></tr><tr><td>82122</td><td>Levofloxacin</td><td/></tr><tr><td>822929</td><td>Amphetamine aspartate / Amphetamine Sulfate / Dextroamphetamine saccharate / Dextroamphetamine Sulfate</td><td/></tr><tr><td>83367</td><td>atorvastatin</td><td/></tr><tr><td>8356</td><td>Piroxicam</td><td/></tr><tr><td>83818</td><td>irbesartan</td><td/></tr><tr><td>84108</td><td>rosiglitazone</td><td/></tr><tr><td>8536</td><td>Polymyxin B</td><td/></tr><tr><td>857974</td><td>saxagliptin</td><td/></tr><tr><td>8588</td><td>Potassium</td><td/></tr><tr><td>8591</td><td>Potassium Chloride</td><td/></tr><tr><td>8610</td><td>Povidone</td><td/></tr><tr><td>8611</td><td>Povidone-Iodine</td><td/></tr><tr><td>861634</td><td>pitavastatin</td><td/></tr><tr><td>8629</td><td>Prazosin</td><td/></tr><tr><td>8638</td><td>prednisolone</td><td/></tr><tr><td>8640</td><td>Prednisone</td><td/></tr><tr><td>8687</td><td>Primaquine</td><td/></tr><tr><td>8691</td><td>Primidone</td><td/></tr><tr><td>8698</td><td>Probenecid</td><td/></tr><tr><td>8700</td><td>Procainamide</td><td/></tr><tr><td>8701</td><td>Procaine</td><td/></tr><tr><td>8703</td><td>Fenofibrate</td><td/></tr><tr><td>8704</td><td>Prochlorperazine</td><td/></tr><tr><td>8727</td><td>Progesterone</td><td/></tr><tr><td>8745</td><td>Promethazine</td><td/></tr><tr><td>8754</td><td>Propafenone</td><td/></tr><tr><td>87636</td><td>fexofenadine</td><td/></tr><tr><td>8782</td><td>Propofol</td><td/></tr><tr><td>8785</td><td>Propoxyphene</td><td/></tr><tr><td>8787</td><td>Propranolol</td><td/></tr><tr><td>8794</td><td>Propylthiouracil</td><td/></tr><tr><td>88014</td><td>rizatriptan</td><td/></tr><tr><td>88249</td><td>montelukast</td><td/></tr><tr><td>883815</td><td>Dexamethasone / Tobramycin</td><td/></tr><tr><td>8896</td><td>Pseudoephedrine</td><td/></tr><tr><td>89013</td><td>aripiprazole</td><td/></tr><tr><td>8928</td><td>Psyllium</td><td/></tr><tr><td>8948</td><td>Purified Protein Derivative of Tuberculin</td><td/></tr><tr><td>90176</td><td>Iron</td><td/></tr><tr><td>9068</td><td>Quinidine</td><td/></tr><tr><td>9071</td><td>Quinine</td><td/></tr><tr><td>91263</td><td>Aloe Extract</td><td/></tr><tr><td>9143</td><td>Ranitidine</td><td/></tr><tr><td>9384</td><td>Rifampin</td><td/></tr><tr><td>9524</td><td>Sulfasalazine</td><td/></tr><tr><td>9601</td><td>Scopolamine</td><td/></tr><tr><td>9778</td><td>Silicones</td><td/></tr><tr><td>9793</td><td>silver sulfadiazine</td><td/></tr><tr><td>9947</td><td>Sotalol</td><td/></tr><tr><td>9997</td><td>Spironolactone</td><td/></tr></table></li><li>Include these codes as defined in <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=102259006\">102259006</a></td><td>Citrus fruit (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=102261002\">102261002</a></td><td>Strawberry (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=102262009\">102262009</a></td><td>Chocolate (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=102263004\">102263004</a></td><td>Eggs (edible) (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=102264005\">102264005</a></td><td>Cheese (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=111088007\">111088007</a></td><td>Latex (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=111151007\">111151007</a></td><td>Anabolic steroid (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=11526002\">11526002</a></td><td>Aspartame (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=116274004\">116274004</a></td><td>Artificial sweetener (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=116566001\">116566001</a></td><td>Steroid (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=13577000\">13577000</a></td><td>Nut (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=14443002\">14443002</a></td><td>Substance with aminoglycoside structure and antibacterial mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=226723006\">226723006</a></td><td>Buckwheat - cereal (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=226734009\">226734009</a></td><td>Wheatgerm (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=226760005\">226760005</a></td><td>Dairy foods (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=226915003\">226915003</a></td><td>Red meat (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=226916002\">226916002</a></td><td>Beef (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=226934003\">226934003</a></td><td>Pork (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=226955001\">226955001</a></td><td>Chicken - meat (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=226967004\">226967004</a></td><td>Turkey - meat (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=227144008\">227144008</a></td><td>Tuna fish (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=227151004\">227151004</a></td><td>Prawns (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=227208008\">227208008</a></td><td>Abalone canned in brine (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=227219006\">227219006</a></td><td>Aubergine (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=227313005\">227313005</a></td><td>Pulse vegetables (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=227388008\">227388008</a></td><td>Cinnamon (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=227400003\">227400003</a></td><td>Ginger (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=227421003\">227421003</a></td><td>Cranberries (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=227444000\">227444000</a></td><td>Raspberries (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=227493005\">227493005</a></td><td>Cashew nut (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=227512001\">227512001</a></td><td>Pistachio nut (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=227598003\">227598003</a></td><td>Honey (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=228102000\">228102000</a></td><td>Sodium nitrate (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=255632006\">255632006</a></td><td>Anticonvulsant (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=255637000\">255637000</a></td><td>Salicylate (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=255641001\">255641001</a></td><td>Caffeine (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256259004\">256259004</a></td><td>Pollen (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256277009\">256277009</a></td><td>Grass pollen (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256306003\">256306003</a></td><td>Orange - fruit (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256307007\">256307007</a></td><td>Banana (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256313003\">256313003</a></td><td>Pineapple (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256315005\">256315005</a></td><td>Grapefruit (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256317002\">256317002</a></td><td>Grapes (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256319004\">256319004</a></td><td>Carrot (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256326004\">256326004</a></td><td>Celery (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256329006\">256329006</a></td><td>Spinach (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256350002\">256350002</a></td><td>Almond (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256351003\">256351003</a></td><td>Brazil nut (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256352005\">256352005</a></td><td>Walnut - nut (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256353000\">256353000</a></td><td>Hazelnut (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256354006\">256354006</a></td><td>Bean (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256417003\">256417003</a></td><td>Horse dander (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=256440004\">256440004</a></td><td>Wasp venom (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=259858000\">259858000</a></td><td>Varicella-zoster virus antibody (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=260152009\">260152009</a></td><td>Cat dander (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=260154005\">260154005</a></td><td>Dog dander (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=260167008\">260167008</a></td><td>Sesame seed (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=260176001\">260176001</a></td><td>Kiwi fruit (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=260177005\">260177005</a></td><td>Melon (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=260179008\">260179008</a></td><td>Mango fruit (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=260184002\">260184002</a></td><td>Peas (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=260189007\">260189007</a></td><td>Pecan nut (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=260205009\">260205009</a></td><td>Sunflower seed (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=264287008\">264287008</a></td><td>Animal dander (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=264337003\">264337003</a></td><td>Seed (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=28230009\">28230009</a></td><td>Poultry (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=288328004\">288328004</a></td><td>Bee venom (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=28942008\">28942008</a></td><td>Coconut oil (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=29263009\">29263009</a></td><td>Coffee (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=304275008\">304275008</a></td><td>Corticosteroid and corticosteroid derivative (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=33008008\">33008008</a></td><td>Dust (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=350327004\">350327004</a></td><td>Diphtheria + tetanus vaccine (product)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=35748005\">35748005</a></td><td>Wine (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=360201004\">360201004</a></td><td>Nitrofuran derivative (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=3692009\">3692009</a></td><td>Sodium sulfite (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372480009\">372480009</a></td><td>Substance with macrolide structure and antibacterial mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372664007\">372664007</a></td><td>Benzodiazepine (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372665008\">372665008</a></td><td>Non-steroidal anti-inflammatory agent (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372711004\">372711004</a></td><td>Sulfonylurea (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372722000\">372722000</a></td><td>Substance with quinolone structure and antibacterial mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372733002\">372733002</a></td><td>Substance with angiotensin-converting enzyme inhibitor mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372747003\">372747003</a></td><td>Thiazide diuretic (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372783007\">372783007</a></td><td>Antiparkinsonian agent (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372798009\">372798009</a></td><td>Barbiturate (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372806008\">372806008</a></td><td>Substance with histamine receptor antagonist mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372889003\">372889003</a></td><td>First generation cephalosporin (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372912004\">372912004</a></td><td>Substance with 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitor mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=372913009\">372913009</a></td><td>Substance with angiotensin II receptor antagonist mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=373206009\">373206009</a></td><td>Substance with tetracycline structure and antibacterial mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=373253007\">373253007</a></td><td>Tricyclic antidepressant (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=373254001\">373254001</a></td><td>Substance with beta adrenergic receptor antagonist mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=373262009\">373262009</a></td><td>Substance with cephalosporin structure and antibacterial mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=373270004\">373270004</a></td><td>Substance with penicillin structure and antibacterial mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=373297006\">373297006</a></td><td>Substance with beta-lactam structure and antibacterial mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=373304005\">373304005</a></td><td>Substance with calcium channel blocker mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=373531009\">373531009</a></td><td>Gelatin (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=385420005\">385420005</a></td><td>Contrast media (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=386127005\">386127005</a></td><td>Formula milk (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=386962001\">386962001</a></td><td>Plasma protein fraction (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=387050005\">387050005</a></td><td>Substance with prostaglandin-endoperoxide synthase isoform 2 inhibitor mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=387406002\">387406002</a></td><td>Sulfonamide (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=391737006\">391737006</a></td><td>Almond oil (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=391739009\">391739009</a></td><td>Aloe (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=396345004\">396345004</a></td><td>Carbapenem (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=396420001\">396420001</a></td><td>Anthrax vaccine (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=396425006\">396425006</a></td><td>Influenza virus vaccine (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=396433007\">396433007</a></td><td>Pertussis vaccine (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=396439006\">396439006</a></td><td>Smallpox vaccine (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=396441007\">396441007</a></td><td>Typhoid vaccine (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=396442000\">396442000</a></td><td>Varicella virus vaccine (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=398730001\">398730001</a></td><td>Pneumococcal vaccine (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=400872007\">400872007</a></td><td>Hydrocolloid (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=404642006\">404642006</a></td><td>Substance with opioid receptor agonist mechanism of action (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=406748003\">406748003</a></td><td>Carbamate (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=409137002\">409137002</a></td><td>No known drug allergy (situation)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=412061001\">412061001</a></td><td>Blueberries (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=412062008\">412062008</a></td><td>Cantaloupe (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=412066006\">412066006</a></td><td>Pepper (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=412068007\">412068007</a></td><td>Rye (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=412071004\">412071004</a></td><td>Wheat (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=412138001\">412138001</a></td><td>Horse serum protein (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=412357001\">412357001</a></td><td>Corn (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=412373007\">412373007</a></td><td>Diphtheria + pertussis + tetanus + Haemophilus influenzae type b vaccine (product)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=412375000\">412375000</a></td><td>Tetanus vaccine (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=412533000\">412533000</a></td><td>Wheat bran (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=412534006\">412534006</a></td><td>Yeast (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=412583005\">412583005</a></td><td>Bee pollen (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=41598000\">41598000</a></td><td>Estrogen (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=417889008\">417889008</a></td><td>Arachis oil (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=418000008\">418000008</a></td><td>Methadone analog (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=418504009\">418504009</a></td><td>Oats (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=418920007\">418920007</a></td><td>Adhesive agent (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=419420009\">419420009</a></td><td>Watermelon (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=419933005\">419933005</a></td><td>Glucocorticoid (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=421245007\">421245007</a></td><td>Diphtheria + pertussis + tetanus vaccine (product)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=424369009\">424369009</a></td><td>Product containing beta-galactosidase (medicinal product)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=426722004\">426722004</a></td><td>Iodinated contrast media (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=428607008\">428607008</a></td><td>No known environmental allergy (situation)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=429625007\">429625007</a></td><td>No known food allergy (situation)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=43735007\">43735007</a></td><td>Sulfur (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=43921001\">43921001</a></td><td>Nickel compound (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=44027008\">44027008</a></td><td>Seafood (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=442381000124103\">442381000124103</a></td><td>Blue food coloring (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=442571000124108\">442571000124108</a></td><td>Tree nut (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=442771000124102\">442771000124102</a></td><td>Pepperoni (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=44588005\">44588005</a></td><td>Iodine (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=446273004\">446273004</a></td><td>Red food coloring (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=446274005\">446274005</a></td><td>Yellow food coloring (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=47703008\">47703008</a></td><td>Lactose (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=51386004\">51386004</a></td><td>Food preservative (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=51905005\">51905005</a></td><td>Mustard (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=53041004\">53041004</a></td><td>Alcohol (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=61789006\">61789006</a></td><td>Dye (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=63045006\">63045006</a></td><td>Berry (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=67324005\">67324005</a></td><td>Rice (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=67866001\">67866001</a></td><td>Insulin (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=70813002\">70813002</a></td><td>Milk (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=710179004\">710179004</a></td><td>Lupine seed (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=716184000\">716184000</a></td><td>No known latex allergy (situation)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=716186003\">716186003</a></td><td>No known allergy (situation)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=720687003\">720687003</a></td><td>Dust mite protein (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=72511004\">72511004</a></td><td>Fruit (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=726730005\">726730005</a></td><td>Yam (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=734881000\">734881000</a></td><td>Tomato (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=735006003\">735006003</a></td><td>Squid (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=735009005\">735009005</a></td><td>Salmon (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=735029006\">735029006</a></td><td>Shellfish (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=735030001\">735030001</a></td><td>Garlic (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=735043001\">735043001</a></td><td>Mackerel (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=735045008\">735045008</a></td><td>Mushroom (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=735047000\">735047000</a></td><td>Onion (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=735049002\">735049002</a></td><td>Peach (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=735050002\">735050002</a></td><td>Pear (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=735051003\">735051003</a></td><td>Plum (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=735053000\">735053000</a></td><td>Potato (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=735123009\">735123009</a></td><td>Broccoli (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=735124003\">735124003</a></td><td>Barley (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=735211005\">735211005</a></td><td>Coconut (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=735212003\">735212003</a></td><td>Papaya (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=735213008\">735213008</a></td><td>Cucumber (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=735214002\">735214002</a></td><td>Apricot (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=735215001\">735215001</a></td><td>Apple (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=735248001\">735248001</a></td><td>Cherry (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=735249009\">735249009</a></td><td>Avocado (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=735340006\">735340006</a></td><td>Lemon (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=735959004\">735959004</a></td><td>Marine mollusk (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=735971005\">735971005</a></td><td>Fish (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=735977009\">735977009</a></td><td>Marine crustacean (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=736027000\">736027000</a></td><td>Scallop (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=736030007\">736030007</a></td><td>Clam (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=736031006\">736031006</a></td><td>Oyster (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=736159005\">736159005</a></td><td>Crab (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=736162008\">736162008</a></td><td>Lobster (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=74801000\">74801000</a></td><td>Sugar (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=75665004\">75665004</a></td><td>Monosodium glutamate (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=762952008\">762952008</a></td><td>Peanut (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=7791007\">7791007</a></td><td>Soy protein (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=80259003\">80259003</a></td><td>Food flavoring agent (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=84489001\">84489001</a></td><td>Mold (organism)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=89119000\">89119000</a></td><td>Nitrate salt (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=89707004\">89707004</a></td><td>Sesame oil (substance)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=89811004\">89811004</a></td><td>Gluten (substance)</td><td/></tr></table></li></ul></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-allergy-substance",
+  "identifier": [
+    {
+      "system": "urn:ietf:rfc:3986",
+      "value": "urn:oid:2.16.840.1.113762.1.4.1186.8"
+    }
+  ],
+  "version": "3.0.0",
+  "name": "USCoreAllergySubstance",
+  "title": "US Core Common substances for allergy and intolerance documentation including refutations",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "url",
+          "value": "http://www.hl7.org/Special/committees/usrealm/index.cfm"
+        }
+      ]
+    }
+  ],
+  "description": "Documentation of substances suspected of (or not suspected of) causing an allergy or intolerance reaction in an individual. **Inclusion Criteria:** specific or general substances to which a patient may be exposed and which may be suspected of causing an adverse reaction; assertions refuting these suspicions. This includes:  1. Common dietary substances for allergy and intolerance documentation (SNOMEDCT) 2. Common drug classes for allergy and intolerance documentation (SNOMEDCT) 3. Common drug substances for allergy and intolerance documentation (SNOMEDCT) 4. Common environmental substances for allergy and intolerance documentation (RXNORM) 5. Common refutations and null values for substance causes for allergy and intolerance documentation (SNOMEDCT)  **Exclusion Criteria:** actual conditions caused by exposure (reactions, allergies)",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "copyright": "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
+  "compose": {
+    "include": [
+      {
+        "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
+        "concept": [
+          {
+            "code": "1002293",
+            "display": "formoterol / Mometasone"
+          },
+          {
+            "code": "1007388",
+            "display": "Lactase / rennet"
+          },
+          {
+            "code": "1008298",
+            "display": "Acetaminophen / Caffeine / Chlorpheniramine / Hydrocodone / Phenylephrine"
+          },
+          {
+            "code": "1008519",
+            "display": "guaiacolsulfonate / Hydrocodone"
+          },
+          {
+            "code": "1009148",
+            "display": "Ampicillin / Sulbactam"
+          },
+          {
+            "code": "10109",
+            "display": "Streptomycin"
+          },
+          {
+            "code": "10154",
+            "display": "Succinylcholine"
+          },
+          {
+            "code": "10156",
+            "display": "Sucralfate"
+          },
+          {
+            "code": "10169",
+            "display": "Sulfacetamide"
+          },
+          {
+            "code": "10171",
+            "display": "Sulfadiazine"
+          },
+          {
+            "code": "10180",
+            "display": "Sulfamethoxazole"
+          },
+          {
+            "code": "10207",
+            "display": "Sulfisoxazole"
+          },
+          {
+            "code": "10223",
+            "display": "Sulfur"
+          },
+          {
+            "code": "10237",
+            "display": "Sulindac"
+          },
+          {
+            "code": "10324",
+            "display": "Tamoxifen"
+          },
+          {
+            "code": "10355",
+            "display": "Temazepam"
+          },
+          {
+            "code": "10368",
+            "display": "Terbutaline"
+          },
+          {
+            "code": "1037042",
+            "display": "dabigatran etexilate"
+          },
+          {
+            "code": "10379",
+            "display": "Testosterone"
+          },
+          {
+            "code": "10395",
+            "display": "Tetracycline"
+          },
+          {
+            "code": "103990",
+            "display": "Carbidopa / Levodopa"
+          },
+          {
+            "code": "1040028",
+            "display": "lurasidone"
+          },
+          {
+            "code": "10438",
+            "display": "Theophylline"
+          },
+          {
+            "code": "10472",
+            "display": "Thimerosal"
+          },
+          {
+            "code": "10493",
+            "display": "Thiopental"
+          },
+          {
+            "code": "10502",
+            "display": "Thioridazine"
+          },
+          {
+            "code": "10510",
+            "display": "Thiothixene"
+          },
+          {
+            "code": "10582",
+            "display": "levothyroxine"
+          },
+          {
+            "code": "10594",
+            "display": "Ticlopidine"
+          },
+          {
+            "code": "10600",
+            "display": "Timolol"
+          },
+          {
+            "code": "10627",
+            "display": "Tobramycin"
+          },
+          {
+            "code": "10636",
+            "display": "Tolmetin"
+          },
+          {
+            "code": "10689",
+            "display": "Tramadol"
+          },
+          {
+            "code": "10737",
+            "display": "Trazodone"
+          },
+          {
+            "code": "10759",
+            "display": "Triamcinolone"
+          },
+          {
+            "code": "107602",
+            "display": "Epinephrine / Lidocaine"
+          },
+          {
+            "code": "10763",
+            "display": "Triamterene"
+          },
+          {
+            "code": "10767",
+            "display": "Triazolam"
+          },
+          {
+            "code": "10800",
+            "display": "Trifluoperazine"
+          },
+          {
+            "code": "108118",
+            "display": "Mometasone"
+          },
+          {
+            "code": "10829",
+            "display": "Trimethoprim"
+          },
+          {
+            "code": "10831",
+            "display": "Sulfamethoxazole / Trimethoprim"
+          },
+          {
+            "code": "11124",
+            "display": "Vancomycin"
+          },
+          {
+            "code": "1114195",
+            "display": "rivaroxaban"
+          },
+          {
+            "code": "1116632",
+            "display": "Ticagrelor"
+          },
+          {
+            "code": "11170",
+            "display": "Verapamil"
+          },
+          {
+            "code": "11248",
+            "display": "Vitamin B 12"
+          },
+          {
+            "code": "11253",
+            "display": "Vitamin D"
+          },
+          {
+            "code": "11256",
+            "display": "Vitamin E"
+          },
+          {
+            "code": "11289",
+            "display": "Warfarin"
+          },
+          {
+            "code": "113588",
+            "display": "Erythromycin / Sulfisoxazole"
+          },
+          {
+            "code": "11416",
+            "display": "Zinc"
+          },
+          {
+            "code": "11423",
+            "display": "Zinc Oxide"
+          },
+          {
+            "code": "114477",
+            "display": "Levetiracetam"
+          },
+          {
+            "code": "114970",
+            "display": "zafirlukast"
+          },
+          {
+            "code": "114979",
+            "display": "rabeprazole"
+          },
+          {
+            "code": "1151",
+            "display": "Ascorbic Acid"
+          },
+          {
+            "code": "115264",
+            "display": "Ibandronate"
+          },
+          {
+            "code": "115552",
+            "display": "trovafloxacin"
+          },
+          {
+            "code": "115698",
+            "display": "ziprasidone"
+          },
+          {
+            "code": "1191",
+            "display": "Aspirin"
+          },
+          {
+            "code": "119565",
+            "display": "tolterodine"
+          },
+          {
+            "code": "1202",
+            "display": "Atenolol"
+          },
+          {
+            "code": "121191",
+            "display": "rituximab"
+          },
+          {
+            "code": "1223",
+            "display": "Atropine"
+          },
+          {
+            "code": "1256",
+            "display": "Azathioprine"
+          },
+          {
+            "code": "1272",
+            "display": "Aztreonam"
+          },
+          {
+            "code": "1291",
+            "display": "Bacitracin"
+          },
+          {
+            "code": "1292",
+            "display": "Baclofen"
+          },
+          {
+            "code": "1310171",
+            "display": "Gadolinium"
+          },
+          {
+            "code": "1311085",
+            "display": "xanthine"
+          },
+          {
+            "code": "1311524",
+            "display": "Aspartame"
+          },
+          {
+            "code": "1311629",
+            "display": "nickel"
+          },
+          {
+            "code": "1314891",
+            "display": "Latex"
+          },
+          {
+            "code": "1331",
+            "display": "Barium Sulfate"
+          },
+          {
+            "code": "134615",
+            "display": "brimonidine"
+          },
+          {
+            "code": "1347",
+            "display": "Beclomethasone"
+          },
+          {
+            "code": "135447",
+            "display": "donepezil"
+          },
+          {
+            "code": "135775",
+            "display": "zolmitriptan"
+          },
+          {
+            "code": "1359",
+            "display": "Belladonna Alkaloids"
+          },
+          {
+            "code": "1362879",
+            "display": "Sulfur Dioxide"
+          },
+          {
+            "code": "1363043",
+            "display": "ethyl ether"
+          },
+          {
+            "code": "136411",
+            "display": "sildenafil"
+          },
+          {
+            "code": "1364430",
+            "display": "apixaban"
+          },
+          {
+            "code": "138099",
+            "display": "gemifloxacin"
+          },
+          {
+            "code": "139462",
+            "display": "moxifloxacin"
+          },
+          {
+            "code": "1399",
+            "display": "Benzocaine"
+          },
+          {
+            "code": "140587",
+            "display": "celecoxib"
+          },
+          {
+            "code": "1406",
+            "display": "benzoin resin"
+          },
+          {
+            "code": "141626",
+            "display": "colesevelam"
+          },
+          {
+            "code": "1418",
+            "display": "Benzoyl Peroxide"
+          },
+          {
+            "code": "1424",
+            "display": "Benztropine"
+          },
+          {
+            "code": "1514",
+            "display": "Betamethasone"
+          },
+          {
+            "code": "153970",
+            "display": "Hyoscyamine"
+          },
+          {
+            "code": "1596450",
+            "display": "Gentamicin"
+          },
+          {
+            "code": "15996",
+            "display": "Mirtazapine"
+          },
+          {
+            "code": "161",
+            "display": "Acetaminophen"
+          },
+          {
+            "code": "16681",
+            "display": "Acarbose"
+          },
+          {
+            "code": "167",
+            "display": "Acetazolamide"
+          },
+          {
+            "code": "17128",
+            "display": "lansoprazole"
+          },
+          {
+            "code": "1727875",
+            "display": "Tetanus immune globulin"
+          },
+          {
+            "code": "17300",
+            "display": "alfuzosin"
+          },
+          {
+            "code": "17767",
+            "display": "Amlodipine"
+          },
+          {
+            "code": "1827",
+            "display": "Buspirone"
+          },
+          {
+            "code": "183379",
+            "display": "rivastigmine"
+          },
+          {
+            "code": "1841",
+            "display": "Butorphanol"
+          },
+          {
+            "code": "18631",
+            "display": "Azithromycin"
+          },
+          {
+            "code": "187832",
+            "display": "pregabalin"
+          },
+          {
+            "code": "1886",
+            "display": "Caffeine"
+          },
+          {
+            "code": "18867",
+            "display": "benazepril"
+          },
+          {
+            "code": "1895",
+            "display": "Calcium"
+          },
+          {
+            "code": "1897",
+            "display": "Calcium Carbonate"
+          },
+          {
+            "code": "18993",
+            "display": "benzonatate"
+          },
+          {
+            "code": "190376",
+            "display": "linezolid"
+          },
+          {
+            "code": "191831",
+            "display": "infliximab"
+          },
+          {
+            "code": "19478",
+            "display": "bismuth subsalicylate"
+          },
+          {
+            "code": "19552",
+            "display": "cefprozil"
+          },
+          {
+            "code": "19711",
+            "display": "Amoxicillin / Clavulanate"
+          },
+          {
+            "code": "19831",
+            "display": "Budesonide"
+          },
+          {
+            "code": "1998",
+            "display": "Captopril"
+          },
+          {
+            "code": "2002",
+            "display": "Carbamazepine"
+          },
+          {
+            "code": "20352",
+            "display": "carvedilol"
+          },
+          {
+            "code": "20481",
+            "display": "cefepime"
+          },
+          {
+            "code": "20489",
+            "display": "cefpodoxime"
+          },
+          {
+            "code": "20610",
+            "display": "Cetirizine"
+          },
+          {
+            "code": "2101",
+            "display": "Carisoprodol"
+          },
+          {
+            "code": "21107",
+            "display": "cilostazol"
+          },
+          {
+            "code": "21183",
+            "display": "Citric Acid"
+          },
+          {
+            "code": "21212",
+            "display": "Clarithromycin"
+          },
+          {
+            "code": "214130",
+            "display": "Acetaminophen / butalbital / Caffeine"
+          },
+          {
+            "code": "214153",
+            "display": "Acetaminophen / dichloralphenazone / isometheptene"
+          },
+          {
+            "code": "214159",
+            "display": "Aspirin / butalbital / Caffeine"
+          },
+          {
+            "code": "214160",
+            "display": "Aspirin / butalbital / Caffeine / Codeine"
+          },
+          {
+            "code": "214181",
+            "display": "Acetaminophen / Diphenhydramine"
+          },
+          {
+            "code": "214182",
+            "display": "Acetaminophen / Hydrocodone"
+          },
+          {
+            "code": "214183",
+            "display": "Acetaminophen / Oxycodone"
+          },
+          {
+            "code": "214199",
+            "display": "Albuterol / Ipratropium"
+          },
+          {
+            "code": "214223",
+            "display": "Amlodipine / benazepril"
+          },
+          {
+            "code": "214250",
+            "display": "Aspirin / Caffeine"
+          },
+          {
+            "code": "214256",
+            "display": "Aspirin / Oxycodone"
+          },
+          {
+            "code": "214257",
+            "display": "Aspirin / Pentazocine"
+          },
+          {
+            "code": "214317",
+            "display": "Bisoprolol / Hydrochlorothiazide"
+          },
+          {
+            "code": "214336",
+            "display": "Caffeine / Ergotamine"
+          },
+          {
+            "code": "214354",
+            "display": "candesartan"
+          },
+          {
+            "code": "214364",
+            "display": "carbinoxamine / Pseudoephedrine"
+          },
+          {
+            "code": "214392",
+            "display": "Chlorpheniramine / Hydrocodone"
+          },
+          {
+            "code": "214442",
+            "display": "Codeine / Guaifenesin"
+          },
+          {
+            "code": "214445",
+            "display": "Codeine / Pseudoephedrine"
+          },
+          {
+            "code": "214488",
+            "display": "Dextromethorphan / Guaifenesin"
+          },
+          {
+            "code": "214502",
+            "display": "Diclofenac / Misoprostol"
+          },
+          {
+            "code": "214555",
+            "display": "Etanercept"
+          },
+          {
+            "code": "214558",
+            "display": "Ethinyl Estradiol / Levonorgestrel"
+          },
+          {
+            "code": "214565",
+            "display": "fexofenadine / Pseudoephedrine"
+          },
+          {
+            "code": "214599",
+            "display": "Guaifenesin / Pseudoephedrine"
+          },
+          {
+            "code": "214614",
+            "display": "homatropine / Hydrocodone"
+          },
+          {
+            "code": "214617",
+            "display": "Hydrochlorothiazide / irbesartan"
+          },
+          {
+            "code": "214618",
+            "display": "Hydrochlorothiazide / Lisinopril"
+          },
+          {
+            "code": "214619",
+            "display": "Hydrochlorothiazide / Losartan"
+          },
+          {
+            "code": "214626",
+            "display": "Hydrochlorothiazide / valsartan"
+          },
+          {
+            "code": "214627",
+            "display": "Hydrocodone / Ibuprofen"
+          },
+          {
+            "code": "214631",
+            "display": "Hydrocodone / Pseudoephedrine"
+          },
+          {
+            "code": "214682",
+            "display": "Loratadine / Pseudoephedrine"
+          },
+          {
+            "code": "214721",
+            "display": "Naloxone / Pentazocine"
+          },
+          {
+            "code": "214807",
+            "display": "Pseudoephedrine / Triprolidine"
+          },
+          {
+            "code": "2176",
+            "display": "Cefaclor"
+          },
+          {
+            "code": "217627",
+            "display": "Hydrocortisone / Neomycin / Polymyxin B"
+          },
+          {
+            "code": "2177",
+            "display": "Cefadroxil"
+          },
+          {
+            "code": "2180",
+            "display": "Cefazolin"
+          },
+          {
+            "code": "2189",
+            "display": "Cefoxitin"
+          },
+          {
+            "code": "2191",
+            "display": "Ceftazidime"
+          },
+          {
+            "code": "2193",
+            "display": "Ceftriaxone"
+          },
+          {
+            "code": "219314",
+            "display": "Polymyxin B / Trimethoprim"
+          },
+          {
+            "code": "219315",
+            "display": "Iron polysaccharide"
+          },
+          {
+            "code": "2194",
+            "display": "Cefuroxime"
+          },
+          {
+            "code": "21949",
+            "display": "cyclobenzaprine"
+          },
+          {
+            "code": "221147",
+            "display": "POLYETHYLENE GLYCOL 3350"
+          },
+          {
+            "code": "22299",
+            "display": "Daptomycin"
+          },
+          {
+            "code": "2231",
+            "display": "Cephalexin"
+          },
+          {
+            "code": "226716",
+            "display": "Aspirin / Dipyridamole"
+          },
+          {
+            "code": "228476",
+            "display": "gatifloxacin"
+          },
+          {
+            "code": "228790",
+            "display": "Dutasteride"
+          },
+          {
+            "code": "232158",
+            "display": "rofecoxib"
+          },
+          {
+            "code": "233698",
+            "display": "dronedarone"
+          },
+          {
+            "code": "2348",
+            "display": "Chloramphenicol"
+          },
+          {
+            "code": "2356",
+            "display": "Chlordiazepoxide"
+          },
+          {
+            "code": "2358",
+            "display": "Chlorhexidine"
+          },
+          {
+            "code": "236778",
+            "display": "Trospium"
+          },
+          {
+            "code": "237159",
+            "display": "Levalbuterol"
+          },
+          {
+            "code": "2393",
+            "display": "Chloroquine"
+          },
+          {
+            "code": "2400",
+            "display": "Chlorpheniramine"
+          },
+          {
+            "code": "2403",
+            "display": "Chlorpromazine"
+          },
+          {
+            "code": "2409",
+            "display": "Chlorthalidone"
+          },
+          {
+            "code": "2410",
+            "display": "Chlorzoxazone"
+          },
+          {
+            "code": "2418",
+            "display": "Cholecalciferol"
+          },
+          {
+            "code": "2447",
+            "display": "Cholestyramine Resin"
+          },
+          {
+            "code": "24605",
+            "display": "Etodolac"
+          },
+          {
+            "code": "24947",
+            "display": "ferrous sulfate"
+          },
+          {
+            "code": "25025",
+            "display": "Finasteride"
+          },
+          {
+            "code": "25033",
+            "display": "Cefixime"
+          },
+          {
+            "code": "25037",
+            "display": "cefdinir"
+          },
+          {
+            "code": "25120",
+            "display": "flunisolide"
+          },
+          {
+            "code": "25255",
+            "display": "formoterol"
+          },
+          {
+            "code": "253157",
+            "display": "Bee pollen"
+          },
+          {
+            "code": "2541",
+            "display": "Cimetidine"
+          },
+          {
+            "code": "25480",
+            "display": "gabapentin"
+          },
+          {
+            "code": "2551",
+            "display": "Ciprofloxacin"
+          },
+          {
+            "code": "2556",
+            "display": "Citalopram"
+          },
+          {
+            "code": "25789",
+            "display": "glimepiride"
+          },
+          {
+            "code": "2582",
+            "display": "Clindamycin"
+          },
+          {
+            "code": "258337",
+            "display": "Hydrochlorothiazide / Triamterene"
+          },
+          {
+            "code": "2598",
+            "display": "Clonazepam"
+          },
+          {
+            "code": "2599",
+            "display": "Clonidine"
+          },
+          {
+            "code": "260101",
+            "display": "Oseltamivir"
+          },
+          {
+            "code": "26225",
+            "display": "Ondansetron"
+          },
+          {
+            "code": "2623",
+            "display": "Clotrimazole"
+          },
+          {
+            "code": "2670",
+            "display": "Codeine"
+          },
+          {
+            "code": "2683",
+            "display": "Colchicine"
+          },
+          {
+            "code": "2685",
+            "display": "Colestipol"
+          },
+          {
+            "code": "27169",
+            "display": "leflunomide"
+          },
+          {
+            "code": "274783",
+            "display": "Insulin Glargine"
+          },
+          {
+            "code": "274786",
+            "display": "telithromycin"
+          },
+          {
+            "code": "27723",
+            "display": "iodinated glycerol"
+          },
+          {
+            "code": "278567",
+            "display": "valdecoxib"
+          },
+          {
+            "code": "28031",
+            "display": "Itraconazole"
+          },
+          {
+            "code": "281",
+            "display": "Acyclovir"
+          },
+          {
+            "code": "283742",
+            "display": "Esomeprazole"
+          },
+          {
+            "code": "283809",
+            "display": "travoprost"
+          },
+          {
+            "code": "28439",
+            "display": "lamotrigine"
+          },
+          {
+            "code": "284635",
+            "display": "fluticasone / salmeterol"
+          },
+          {
+            "code": "2878",
+            "display": "Cortisone"
+          },
+          {
+            "code": "28889",
+            "display": "Loratadine"
+          },
+          {
+            "code": "28981",
+            "display": "loracarbef"
+          },
+          {
+            "code": "29046",
+            "display": "Lisinopril"
+          },
+          {
+            "code": "29542",
+            "display": "Mercury, Ammoniated"
+          },
+          {
+            "code": "29561",
+            "display": "meropenem"
+          },
+          {
+            "code": "296",
+            "display": "Adenosine"
+          },
+          {
+            "code": "3008",
+            "display": "Cyclosporine"
+          },
+          {
+            "code": "301542",
+            "display": "rosuvastatin"
+          },
+          {
+            "code": "306674",
+            "display": "vardenafil"
+          },
+          {
+            "code": "3108",
+            "display": "Dapsone"
+          },
+          {
+            "code": "3143",
+            "display": "prasterone"
+          },
+          {
+            "code": "31448",
+            "display": "nabumetone"
+          },
+          {
+            "code": "31555",
+            "display": "nebivolol"
+          },
+          {
+            "code": "31565",
+            "display": "nefazodone"
+          },
+          {
+            "code": "31738",
+            "display": "nickel sulfate"
+          },
+          {
+            "code": "318340",
+            "display": "Aloe vera preparation"
+          },
+          {
+            "code": "321064",
+            "display": "olmesartan"
+          },
+          {
+            "code": "321988",
+            "display": "Escitalopram"
+          },
+          {
+            "code": "322167",
+            "display": "Solifenacin"
+          },
+          {
+            "code": "3247",
+            "display": "Desipramine"
+          },
+          {
+            "code": "325642",
+            "display": "ertapenem"
+          },
+          {
+            "code": "32592",
+            "display": "oxaliplatin"
+          },
+          {
+            "code": "32613",
+            "display": "oxaprozin"
+          },
+          {
+            "code": "32624",
+            "display": "oxcarbazepine"
+          },
+          {
+            "code": "3264",
+            "display": "Dexamethasone"
+          },
+          {
+            "code": "32675",
+            "display": "oxybutynin"
+          },
+          {
+            "code": "327361",
+            "display": "adalimumab"
+          },
+          {
+            "code": "3289",
+            "display": "Dextromethorphan"
+          },
+          {
+            "code": "32937",
+            "display": "Paroxetine"
+          },
+          {
+            "code": "32968",
+            "display": "clopidogrel"
+          },
+          {
+            "code": "3322",
+            "display": "Diazepam"
+          },
+          {
+            "code": "33408",
+            "display": "phenyltoloxamine"
+          },
+          {
+            "code": "3355",
+            "display": "Diclofenac"
+          },
+          {
+            "code": "3356",
+            "display": "Dicloxacillin"
+          },
+          {
+            "code": "3361",
+            "display": "Dicyclomine"
+          },
+          {
+            "code": "33738",
+            "display": "pioglitazone"
+          },
+          {
+            "code": "3393",
+            "display": "Diflunisal"
+          },
+          {
+            "code": "3407",
+            "display": "Digoxin"
+          },
+          {
+            "code": "341248",
+            "display": "ezetimibe"
+          },
+          {
+            "code": "3418",
+            "display": "Dihydroergotamine"
+          },
+          {
+            "code": "3423",
+            "display": "Hydromorphone"
+          },
+          {
+            "code": "3443",
+            "display": "Diltiazem"
+          },
+          {
+            "code": "3444",
+            "display": "Dimenhydrinate"
+          },
+          {
+            "code": "3498",
+            "display": "Diphenhydramine"
+          },
+          {
+            "code": "35208",
+            "display": "quinapril"
+          },
+          {
+            "code": "3521",
+            "display": "Dipyridamole"
+          },
+          {
+            "code": "352362",
+            "display": "Acetaminophen / Tramadol"
+          },
+          {
+            "code": "35296",
+            "display": "Ramipril"
+          },
+          {
+            "code": "35382",
+            "display": "resorcinol"
+          },
+          {
+            "code": "35636",
+            "display": "Risperidone"
+          },
+          {
+            "code": "358263",
+            "display": "tadalafil"
+          },
+          {
+            "code": "35827",
+            "display": "Ketorolac"
+          },
+          {
+            "code": "35829",
+            "display": "ranolazine"
+          },
+          {
+            "code": "36108",
+            "display": "Salsalate"
+          },
+          {
+            "code": "36117",
+            "display": "salmeterol"
+          },
+          {
+            "code": "3616",
+            "display": "Dobutamine"
+          },
+          {
+            "code": "3638",
+            "display": "Doxepin"
+          },
+          {
+            "code": "3640",
+            "display": "Doxycycline"
+          },
+          {
+            "code": "36437",
+            "display": "Sertraline"
+          },
+          {
+            "code": "3648",
+            "display": "Droperidol"
+          },
+          {
+            "code": "36567",
+            "display": "Simvastatin"
+          },
+          {
+            "code": "37418",
+            "display": "Sumatriptan"
+          },
+          {
+            "code": "37617",
+            "display": "tazobactam"
+          },
+          {
+            "code": "37798",
+            "display": "Terazosin"
+          },
+          {
+            "code": "37801",
+            "display": "terbinafine"
+          },
+          {
+            "code": "3827",
+            "display": "Enalapril"
+          },
+          {
+            "code": "3829",
+            "display": "Enalaprilat"
+          },
+          {
+            "code": "38400",
+            "display": "atomoxetine"
+          },
+          {
+            "code": "38404",
+            "display": "topiramate"
+          },
+          {
+            "code": "38413",
+            "display": "torsemide"
+          },
+          {
+            "code": "38574",
+            "display": "trichloroacetaldehyde"
+          },
+          {
+            "code": "38685",
+            "display": "trimethobenzamide"
+          },
+          {
+            "code": "389132",
+            "display": "Budesonide / formoterol"
+          },
+          {
+            "code": "3966",
+            "display": "Ephedrine"
+          },
+          {
+            "code": "39786",
+            "display": "venlafaxine"
+          },
+          {
+            "code": "3992",
+            "display": "Epinephrine"
+          },
+          {
+            "code": "39993",
+            "display": "zolpidem"
+          },
+          {
+            "code": "39998",
+            "display": "zonisamide"
+          },
+          {
+            "code": "40048",
+            "display": "Carboplatin"
+          },
+          {
+            "code": "400674",
+            "display": "dexbrompheniramine / Pseudoephedrine"
+          },
+          {
+            "code": "4025",
+            "display": "Ergotamine"
+          },
+          {
+            "code": "40254",
+            "display": "Valproate"
+          },
+          {
+            "code": "4053",
+            "display": "Erythromycin"
+          },
+          {
+            "code": "40575",
+            "display": "zileuton"
+          },
+          {
+            "code": "40790",
+            "display": "pantoprazole"
+          },
+          {
+            "code": "4083",
+            "display": "Estradiol"
+          },
+          {
+            "code": "4099",
+            "display": "Estrogens, Conjugated (USP)"
+          },
+          {
+            "code": "41126",
+            "display": "fluticasone"
+          },
+          {
+            "code": "41127",
+            "display": "fluvastatin"
+          },
+          {
+            "code": "4124",
+            "display": "Ethinyl Estradiol"
+          },
+          {
+            "code": "41397",
+            "display": "Lactase"
+          },
+          {
+            "code": "41493",
+            "display": "meloxicam"
+          },
+          {
+            "code": "42330",
+            "display": "Terfenadine"
+          },
+          {
+            "code": "42331",
+            "display": "Misoprostol"
+          },
+          {
+            "code": "42347",
+            "display": "Bupropion"
+          },
+          {
+            "code": "42351",
+            "display": "Lithium Carbonate"
+          },
+          {
+            "code": "42372",
+            "display": "Mupirocin"
+          },
+          {
+            "code": "42463",
+            "display": "Pravastatin"
+          },
+          {
+            "code": "4278",
+            "display": "Famotidine"
+          },
+          {
+            "code": "4316",
+            "display": "Felodipine"
+          },
+          {
+            "code": "4337",
+            "display": "Fentanyl"
+          },
+          {
+            "code": "435",
+            "display": "Albuterol"
+          },
+          {
+            "code": "43611",
+            "display": "latanoprost"
+          },
+          {
+            "code": "4419",
+            "display": "Fish Oils"
+          },
+          {
+            "code": "4441",
+            "display": "Flecainide"
+          },
+          {
+            "code": "4450",
+            "display": "Fluconazole"
+          },
+          {
+            "code": "448",
+            "display": "Ethanol"
+          },
+          {
+            "code": "4492",
+            "display": "Fluorouracil"
+          },
+          {
+            "code": "4493",
+            "display": "Fluoxetine"
+          },
+          {
+            "code": "4496",
+            "display": "Fluphenazine"
+          },
+          {
+            "code": "4500",
+            "display": "Flurandrenolide"
+          },
+          {
+            "code": "4530",
+            "display": "Formaldehyde"
+          },
+          {
+            "code": "4603",
+            "display": "Furosemide"
+          },
+          {
+            "code": "46041",
+            "display": "Alendronate"
+          },
+          {
+            "code": "461016",
+            "display": "Eszopiclone"
+          },
+          {
+            "code": "4637",
+            "display": "Galantamine"
+          },
+          {
+            "code": "465397",
+            "display": "Ciprofloxacin / Dexamethasone"
+          },
+          {
+            "code": "466522",
+            "display": "Diphenhydramine / Zinc Acetate"
+          },
+          {
+            "code": "466541",
+            "display": "Neomycin / Polymyxin B"
+          },
+          {
+            "code": "466549",
+            "display": "Aspirin / Caffeine / Orphenadrine"
+          },
+          {
+            "code": "466553",
+            "display": "penicillin G benzathine / penicillin G procaine"
+          },
+          {
+            "code": "466566",
+            "display": "Acetaminophen / Dextromethorphan / Diphenhydramine / Pseudoephedrine"
+          },
+          {
+            "code": "466584",
+            "display": "Acetaminophen / Aspirin / Caffeine"
+          },
+          {
+            "code": "4719",
+            "display": "Gemfibrozil"
+          },
+          {
+            "code": "475968",
+            "display": "liraglutide"
+          },
+          {
+            "code": "4815",
+            "display": "Glyburide"
+          },
+          {
+            "code": "48203",
+            "display": "Clavulanate"
+          },
+          {
+            "code": "4821",
+            "display": "Glipizide"
+          },
+          {
+            "code": "48274",
+            "display": "Acetaminophen / Propoxyphene"
+          },
+          {
+            "code": "484139",
+            "display": "Chlorhexidine / Isopropyl Alcohol"
+          },
+          {
+            "code": "484211",
+            "display": "ezetimibe / Simvastatin"
+          },
+          {
+            "code": "4850",
+            "display": "Glucose"
+          },
+          {
+            "code": "4917",
+            "display": "Nitroglycerin"
+          },
+          {
+            "code": "49276",
+            "display": "Doxazosin"
+          },
+          {
+            "code": "50166",
+            "display": "Fosinopril"
+          },
+          {
+            "code": "5021",
+            "display": "Griseofulvin"
+          },
+          {
+            "code": "5032",
+            "display": "Guaifenesin"
+          },
+          {
+            "code": "5093",
+            "display": "Haloperidol"
+          },
+          {
+            "code": "51272",
+            "display": "quetiapine"
+          },
+          {
+            "code": "519",
+            "display": "Allopurinol"
+          },
+          {
+            "code": "52175",
+            "display": "Losartan"
+          },
+          {
+            "code": "5224",
+            "display": "heparin"
+          },
+          {
+            "code": "52582",
+            "display": "mesalamine"
+          },
+          {
+            "code": "5470",
+            "display": "Hydralazine"
+          },
+          {
+            "code": "5487",
+            "display": "Hydrochlorothiazide"
+          },
+          {
+            "code": "5489",
+            "display": "Hydrocodone"
+          },
+          {
+            "code": "5492",
+            "display": "Hydrocortisone"
+          },
+          {
+            "code": "5499",
+            "display": "Hydrogen Peroxide"
+          },
+          {
+            "code": "5521",
+            "display": "Hydroxychloroquine"
+          },
+          {
+            "code": "5553",
+            "display": "Hydroxyzine"
+          },
+          {
+            "code": "5640",
+            "display": "Ibuprofen"
+          },
+          {
+            "code": "5691",
+            "display": "Imipramine"
+          },
+          {
+            "code": "56946",
+            "display": "Paclitaxel"
+          },
+          {
+            "code": "57258",
+            "display": "tizanidine"
+          },
+          {
+            "code": "5764",
+            "display": "Indapamide"
+          },
+          {
+            "code": "5781",
+            "display": "Indomethacin"
+          },
+          {
+            "code": "588250",
+            "display": "milnacipran"
+          },
+          {
+            "code": "59078",
+            "display": "metaxalone"
+          },
+          {
+            "code": "591622",
+            "display": "varenicline"
+          },
+          {
+            "code": "5933",
+            "display": "Iodine"
+          },
+          {
+            "code": "593411",
+            "display": "sitagliptin"
+          },
+          {
+            "code": "594040",
+            "display": "Atropine / Diphenoxylate"
+          },
+          {
+            "code": "5956",
+            "display": "Iohexol"
+          },
+          {
+            "code": "596",
+            "display": "Alprazolam"
+          },
+          {
+            "code": "596723",
+            "display": "cerivastatin"
+          },
+          {
+            "code": "597142",
+            "display": "brimonidine / Timolol"
+          },
+          {
+            "code": "5992",
+            "display": "Iron-Dextran Complex"
+          },
+          {
+            "code": "60207",
+            "display": "dorzolamide"
+          },
+          {
+            "code": "6038",
+            "display": "isoniazid"
+          },
+          {
+            "code": "60548",
+            "display": "exenatide"
+          },
+          {
+            "code": "6057",
+            "display": "Isosorbide"
+          },
+          {
+            "code": "6058",
+            "display": "Isosorbide Dinitrate"
+          },
+          {
+            "code": "611854",
+            "display": "Chlordiazepoxide / clidinium"
+          },
+          {
+            "code": "6130",
+            "display": "Ketamine"
+          },
+          {
+            "code": "6135",
+            "display": "Ketoconazole"
+          },
+          {
+            "code": "61381",
+            "display": "olanzapine"
+          },
+          {
+            "code": "6142",
+            "display": "Ketoprofen"
+          },
+          {
+            "code": "6185",
+            "display": "Labetalol"
+          },
+          {
+            "code": "620",
+            "display": "Amantadine"
+          },
+          {
+            "code": "6218",
+            "display": "Lactulose"
+          },
+          {
+            "code": "6227",
+            "display": "Lanolin"
+          },
+          {
+            "code": "6387",
+            "display": "Lidocaine"
+          },
+          {
+            "code": "6398",
+            "display": "Lincomycin"
+          },
+          {
+            "code": "6448",
+            "display": "Lithium"
+          },
+          {
+            "code": "645555",
+            "display": "Bacitracin / Polymyxin B"
+          },
+          {
+            "code": "6468",
+            "display": "Loperamide"
+          },
+          {
+            "code": "6470",
+            "display": "Lorazepam"
+          },
+          {
+            "code": "6472",
+            "display": "Lovastatin"
+          },
+          {
+            "code": "6574",
+            "display": "Magnesium"
+          },
+          {
+            "code": "6585",
+            "display": "Magnesium Sulfate"
+          },
+          {
+            "code": "662263",
+            "display": "dorzolamide / Timolol"
+          },
+          {
+            "code": "6676",
+            "display": "Meclizine"
+          },
+          {
+            "code": "6691",
+            "display": "Medroxyprogesterone"
+          },
+          {
+            "code": "67108",
+            "display": "Enoxaparin"
+          },
+          {
+            "code": "6711",
+            "display": "Melatonin"
+          },
+          {
+            "code": "6719",
+            "display": "Memantine"
+          },
+          {
+            "code": "6750",
+            "display": "Menthol"
+          },
+          {
+            "code": "6754",
+            "display": "Meperidine"
+          },
+          {
+            "code": "6809",
+            "display": "Metformin"
+          },
+          {
+            "code": "6813",
+            "display": "Methadone"
+          },
+          {
+            "code": "6835",
+            "display": "Methimazole"
+          },
+          {
+            "code": "6845",
+            "display": "Methocarbamol"
+          },
+          {
+            "code": "6851",
+            "display": "Methotrexate"
+          },
+          {
+            "code": "6876",
+            "display": "Methyldopa"
+          },
+          {
+            "code": "689",
+            "display": "Aminophylline"
+          },
+          {
+            "code": "689467",
+            "display": "Oxytetracycline / Polymyxin B"
+          },
+          {
+            "code": "689518",
+            "display": "Aspirin / Caffeine / Propoxyphene"
+          },
+          {
+            "code": "689556",
+            "display": "Acetaminophen / Aspirin / Phenylpropanolamine"
+          },
+          {
+            "code": "689558",
+            "display": "Acetaminophen / Brompheniramine / Pseudoephedrine"
+          },
+          {
+            "code": "689561",
+            "display": "Acetaminophen / butalbital / Caffeine / Codeine"
+          },
+          {
+            "code": "689582",
+            "display": "Acetaminophen / Chlorpheniramine / Dextromethorphan / Pseudoephedrine"
+          },
+          {
+            "code": "689606",
+            "display": "Atropine / Hyoscyamine / Phenobarbital / Scopolamine"
+          },
+          {
+            "code": "689623",
+            "display": "Bacitracin / Hydrocortisone / Neomycin / Polymyxin B"
+          },
+          {
+            "code": "690077",
+            "display": "Benzalkonium / Lidocaine"
+          },
+          {
+            "code": "6901",
+            "display": "Methylphenidate"
+          },
+          {
+            "code": "6902",
+            "display": "Methylprednisolone"
+          },
+          {
+            "code": "690693",
+            "display": "Diphenhydramine / Phenylephrine"
+          },
+          {
+            "code": "690808",
+            "display": "Brompheniramine / Dextromethorphan / Pseudoephedrine"
+          },
+          {
+            "code": "69120",
+            "display": "tiotropium"
+          },
+          {
+            "code": "6915",
+            "display": "Metoclopramide"
+          },
+          {
+            "code": "6916",
+            "display": "Metolazone"
+          },
+          {
+            "code": "6918",
+            "display": "Metoprolol"
+          },
+          {
+            "code": "6922",
+            "display": "Metronidazole"
+          },
+          {
+            "code": "692572",
+            "display": "Bacitracin / Neomycin / Polymyxin B"
+          },
+          {
+            "code": "692794",
+            "display": "Gramicidin / Neomycin / Polymyxin B"
+          },
+          {
+            "code": "6932",
+            "display": "Miconazole"
+          },
+          {
+            "code": "6960",
+            "display": "Midazolam"
+          },
+          {
+            "code": "69749",
+            "display": "valsartan"
+          },
+          {
+            "code": "6980",
+            "display": "Minocycline"
+          },
+          {
+            "code": "6984",
+            "display": "Minoxidil"
+          },
+          {
+            "code": "703",
+            "display": "Amiodarone"
+          },
+          {
+            "code": "704",
+            "display": "Amitriptyline"
+          },
+          {
+            "code": "7052",
+            "display": "Morphine"
+          },
+          {
+            "code": "705258",
+            "display": "Acetaminophen / Dextromethorphan / Doxylamine"
+          },
+          {
+            "code": "7213",
+            "display": "Ipratropium"
+          },
+          {
+            "code": "72143",
+            "display": "Raloxifene"
+          },
+          {
+            "code": "72236",
+            "display": "fosphenytoin"
+          },
+          {
+            "code": "723",
+            "display": "Amoxicillin"
+          },
+          {
+            "code": "72302",
+            "display": "ropinirole"
+          },
+          {
+            "code": "7233",
+            "display": "Nafcillin"
+          },
+          {
+            "code": "7238",
+            "display": "Nalbuphine"
+          },
+          {
+            "code": "7243",
+            "display": "Naltrexone"
+          },
+          {
+            "code": "725",
+            "display": "Amphetamine"
+          },
+          {
+            "code": "7258",
+            "display": "Naproxen"
+          },
+          {
+            "code": "72625",
+            "display": "duloxetine"
+          },
+          {
+            "code": "7299",
+            "display": "Neomycin"
+          },
+          {
+            "code": "73056",
+            "display": "Risedronate"
+          },
+          {
+            "code": "733",
+            "display": "Ampicillin"
+          },
+          {
+            "code": "73494",
+            "display": "telmisartan"
+          },
+          {
+            "code": "73645",
+            "display": "valacyclovir"
+          },
+          {
+            "code": "7393",
+            "display": "Niacin"
+          },
+          {
+            "code": "7407",
+            "display": "Nicotine"
+          },
+          {
+            "code": "74169",
+            "display": "Piperacillin / tazobactam"
+          },
+          {
+            "code": "7417",
+            "display": "Nifedipine"
+          },
+          {
+            "code": "7454",
+            "display": "Nitrofurantoin"
+          },
+          {
+            "code": "746741",
+            "display": "Pramipexole"
+          },
+          {
+            "code": "7486",
+            "display": "Nitrous Oxide"
+          },
+          {
+            "code": "7517",
+            "display": "Norfloxacin"
+          },
+          {
+            "code": "7531",
+            "display": "Nortriptyline"
+          },
+          {
+            "code": "7597",
+            "display": "Nystatin"
+          },
+          {
+            "code": "7623",
+            "display": "Ofloxacin"
+          },
+          {
+            "code": "7646",
+            "display": "Omeprazole"
+          },
+          {
+            "code": "7676",
+            "display": "Opium"
+          },
+          {
+            "code": "7715",
+            "display": "Orphenadrine"
+          },
+          {
+            "code": "77492",
+            "display": "tamsulosin"
+          },
+          {
+            "code": "7804",
+            "display": "Oxycodone"
+          },
+          {
+            "code": "7821",
+            "display": "Oxytetracycline"
+          },
+          {
+            "code": "787390",
+            "display": "tapentadol"
+          },
+          {
+            "code": "7975",
+            "display": "Penicillamine"
+          },
+          {
+            "code": "797541",
+            "display": "Isopropyl Alcohol"
+          },
+          {
+            "code": "7980",
+            "display": "Penicillin G"
+          },
+          {
+            "code": "7984",
+            "display": "Penicillin V"
+          },
+          {
+            "code": "7994",
+            "display": "Pentamidine"
+          },
+          {
+            "code": "8001",
+            "display": "Pentazocine"
+          },
+          {
+            "code": "8120",
+            "display": "Phenazopyridine"
+          },
+          {
+            "code": "8134",
+            "display": "Phenobarbital"
+          },
+          {
+            "code": "815166",
+            "display": "Dextromethorphan / Doxylamine"
+          },
+          {
+            "code": "8163",
+            "display": "Phenylephrine"
+          },
+          {
+            "code": "816346",
+            "display": "dexlansoprazole"
+          },
+          {
+            "code": "8175",
+            "display": "Phenylpropanolamine"
+          },
+          {
+            "code": "817579",
+            "display": "Acetaminophen / Codeine"
+          },
+          {
+            "code": "817958",
+            "display": "Aspirin / Calcium Carbonate"
+          },
+          {
+            "code": "8183",
+            "display": "Phenytoin"
+          },
+          {
+            "code": "82122",
+            "display": "Levofloxacin"
+          },
+          {
+            "code": "822929",
+            "display": "Amphetamine aspartate / Amphetamine Sulfate / Dextroamphetamine saccharate / Dextroamphetamine Sulfate"
+          },
+          {
+            "code": "83367",
+            "display": "atorvastatin"
+          },
+          {
+            "code": "8356",
+            "display": "Piroxicam"
+          },
+          {
+            "code": "83818",
+            "display": "irbesartan"
+          },
+          {
+            "code": "84108",
+            "display": "rosiglitazone"
+          },
+          {
+            "code": "8536",
+            "display": "Polymyxin B"
+          },
+          {
+            "code": "857974",
+            "display": "saxagliptin"
+          },
+          {
+            "code": "8588",
+            "display": "Potassium"
+          },
+          {
+            "code": "8591",
+            "display": "Potassium Chloride"
+          },
+          {
+            "code": "8610",
+            "display": "Povidone"
+          },
+          {
+            "code": "8611",
+            "display": "Povidone-Iodine"
+          },
+          {
+            "code": "861634",
+            "display": "pitavastatin"
+          },
+          {
+            "code": "8629",
+            "display": "Prazosin"
+          },
+          {
+            "code": "8638",
+            "display": "prednisolone"
+          },
+          {
+            "code": "8640",
+            "display": "Prednisone"
+          },
+          {
+            "code": "8687",
+            "display": "Primaquine"
+          },
+          {
+            "code": "8691",
+            "display": "Primidone"
+          },
+          {
+            "code": "8698",
+            "display": "Probenecid"
+          },
+          {
+            "code": "8700",
+            "display": "Procainamide"
+          },
+          {
+            "code": "8701",
+            "display": "Procaine"
+          },
+          {
+            "code": "8703",
+            "display": "Fenofibrate"
+          },
+          {
+            "code": "8704",
+            "display": "Prochlorperazine"
+          },
+          {
+            "code": "8727",
+            "display": "Progesterone"
+          },
+          {
+            "code": "8745",
+            "display": "Promethazine"
+          },
+          {
+            "code": "8754",
+            "display": "Propafenone"
+          },
+          {
+            "code": "87636",
+            "display": "fexofenadine"
+          },
+          {
+            "code": "8782",
+            "display": "Propofol"
+          },
+          {
+            "code": "8785",
+            "display": "Propoxyphene"
+          },
+          {
+            "code": "8787",
+            "display": "Propranolol"
+          },
+          {
+            "code": "8794",
+            "display": "Propylthiouracil"
+          },
+          {
+            "code": "88014",
+            "display": "rizatriptan"
+          },
+          {
+            "code": "88249",
+            "display": "montelukast"
+          },
+          {
+            "code": "883815",
+            "display": "Dexamethasone / Tobramycin"
+          },
+          {
+            "code": "8896",
+            "display": "Pseudoephedrine"
+          },
+          {
+            "code": "89013",
+            "display": "aripiprazole"
+          },
+          {
+            "code": "8928",
+            "display": "Psyllium"
+          },
+          {
+            "code": "8948",
+            "display": "Purified Protein Derivative of Tuberculin"
+          },
+          {
+            "code": "90176",
+            "display": "Iron"
+          },
+          {
+            "code": "9068",
+            "display": "Quinidine"
+          },
+          {
+            "code": "9071",
+            "display": "Quinine"
+          },
+          {
+            "code": "91263",
+            "display": "Aloe Extract"
+          },
+          {
+            "code": "9143",
+            "display": "Ranitidine"
+          },
+          {
+            "code": "9384",
+            "display": "Rifampin"
+          },
+          {
+            "code": "9524",
+            "display": "Sulfasalazine"
+          },
+          {
+            "code": "9601",
+            "display": "Scopolamine"
+          },
+          {
+            "code": "9778",
+            "display": "Silicones"
+          },
+          {
+            "code": "9793",
+            "display": "silver sulfadiazine"
+          },
+          {
+            "code": "9947",
+            "display": "Sotalol"
+          },
+          {
+            "code": "9997",
+            "display": "Spironolactone"
+          }
+        ]
+      },
+      {
+        "system": "http://snomed.info/sct",
+        "concept": [
+          {
+            "code": "102259006",
+            "display": "Citrus fruit (substance)"
+          },
+          {
+            "code": "102261002",
+            "display": "Strawberry (substance)"
+          },
+          {
+            "code": "102262009",
+            "display": "Chocolate (substance)"
+          },
+          {
+            "code": "102263004",
+            "display": "Eggs (edible) (substance)"
+          },
+          {
+            "code": "102264005",
+            "display": "Cheese (substance)"
+          },
+          {
+            "code": "111088007",
+            "display": "Latex (substance)"
+          },
+          {
+            "code": "111151007",
+            "display": "Anabolic steroid (substance)"
+          },
+          {
+            "code": "11526002",
+            "display": "Aspartame (substance)"
+          },
+          {
+            "code": "116274004",
+            "display": "Artificial sweetener (substance)"
+          },
+          {
+            "code": "116566001",
+            "display": "Steroid (substance)"
+          },
+          {
+            "code": "13577000",
+            "display": "Nut (substance)"
+          },
+          {
+            "code": "14443002",
+            "display": "Substance with aminoglycoside structure and antibacterial mechanism of action (substance)"
+          },
+          {
+            "code": "226723006",
+            "display": "Buckwheat - cereal (substance)"
+          },
+          {
+            "code": "226734009",
+            "display": "Wheatgerm (substance)"
+          },
+          {
+            "code": "226760005",
+            "display": "Dairy foods (substance)"
+          },
+          {
+            "code": "226915003",
+            "display": "Red meat (substance)"
+          },
+          {
+            "code": "226916002",
+            "display": "Beef (substance)"
+          },
+          {
+            "code": "226934003",
+            "display": "Pork (substance)"
+          },
+          {
+            "code": "226955001",
+            "display": "Chicken - meat (substance)"
+          },
+          {
+            "code": "226967004",
+            "display": "Turkey - meat (substance)"
+          },
+          {
+            "code": "227144008",
+            "display": "Tuna fish (substance)"
+          },
+          {
+            "code": "227151004",
+            "display": "Prawns (substance)"
+          },
+          {
+            "code": "227208008",
+            "display": "Abalone canned in brine (substance)"
+          },
+          {
+            "code": "227219006",
+            "display": "Aubergine (substance)"
+          },
+          {
+            "code": "227313005",
+            "display": "Pulse vegetables (substance)"
+          },
+          {
+            "code": "227388008",
+            "display": "Cinnamon (substance)"
+          },
+          {
+            "code": "227400003",
+            "display": "Ginger (substance)"
+          },
+          {
+            "code": "227421003",
+            "display": "Cranberries (substance)"
+          },
+          {
+            "code": "227444000",
+            "display": "Raspberries (substance)"
+          },
+          {
+            "code": "227493005",
+            "display": "Cashew nut (substance)"
+          },
+          {
+            "code": "227512001",
+            "display": "Pistachio nut (substance)"
+          },
+          {
+            "code": "227598003",
+            "display": "Honey (substance)"
+          },
+          {
+            "code": "228102000",
+            "display": "Sodium nitrate (substance)"
+          },
+          {
+            "code": "255632006",
+            "display": "Anticonvulsant (substance)"
+          },
+          {
+            "code": "255637000",
+            "display": "Salicylate (substance)"
+          },
+          {
+            "code": "255641001",
+            "display": "Caffeine (substance)"
+          },
+          {
+            "code": "256259004",
+            "display": "Pollen (substance)"
+          },
+          {
+            "code": "256277009",
+            "display": "Grass pollen (substance)"
+          },
+          {
+            "code": "256306003",
+            "display": "Orange - fruit (substance)"
+          },
+          {
+            "code": "256307007",
+            "display": "Banana (substance)"
+          },
+          {
+            "code": "256313003",
+            "display": "Pineapple (substance)"
+          },
+          {
+            "code": "256315005",
+            "display": "Grapefruit (substance)"
+          },
+          {
+            "code": "256317002",
+            "display": "Grapes (substance)"
+          },
+          {
+            "code": "256319004",
+            "display": "Carrot (substance)"
+          },
+          {
+            "code": "256326004",
+            "display": "Celery (substance)"
+          },
+          {
+            "code": "256329006",
+            "display": "Spinach (substance)"
+          },
+          {
+            "code": "256350002",
+            "display": "Almond (substance)"
+          },
+          {
+            "code": "256351003",
+            "display": "Brazil nut (substance)"
+          },
+          {
+            "code": "256352005",
+            "display": "Walnut - nut (substance)"
+          },
+          {
+            "code": "256353000",
+            "display": "Hazelnut (substance)"
+          },
+          {
+            "code": "256354006",
+            "display": "Bean (substance)"
+          },
+          {
+            "code": "256417003",
+            "display": "Horse dander (substance)"
+          },
+          {
+            "code": "256440004",
+            "display": "Wasp venom (substance)"
+          },
+          {
+            "code": "259858000",
+            "display": "Varicella-zoster virus antibody (substance)"
+          },
+          {
+            "code": "260152009",
+            "display": "Cat dander (substance)"
+          },
+          {
+            "code": "260154005",
+            "display": "Dog dander (substance)"
+          },
+          {
+            "code": "260167008",
+            "display": "Sesame seed (substance)"
+          },
+          {
+            "code": "260176001",
+            "display": "Kiwi fruit (substance)"
+          },
+          {
+            "code": "260177005",
+            "display": "Melon (substance)"
+          },
+          {
+            "code": "260179008",
+            "display": "Mango fruit (substance)"
+          },
+          {
+            "code": "260184002",
+            "display": "Peas (substance)"
+          },
+          {
+            "code": "260189007",
+            "display": "Pecan nut (substance)"
+          },
+          {
+            "code": "260205009",
+            "display": "Sunflower seed (substance)"
+          },
+          {
+            "code": "264287008",
+            "display": "Animal dander (substance)"
+          },
+          {
+            "code": "264337003",
+            "display": "Seed (substance)"
+          },
+          {
+            "code": "28230009",
+            "display": "Poultry (substance)"
+          },
+          {
+            "code": "288328004",
+            "display": "Bee venom (substance)"
+          },
+          {
+            "code": "28942008",
+            "display": "Coconut oil (substance)"
+          },
+          {
+            "code": "29263009",
+            "display": "Coffee (substance)"
+          },
+          {
+            "code": "304275008",
+            "display": "Corticosteroid and corticosteroid derivative (substance)"
+          },
+          {
+            "code": "33008008",
+            "display": "Dust (substance)"
+          },
+          {
+            "code": "350327004",
+            "display": "Diphtheria + tetanus vaccine (product)"
+          },
+          {
+            "code": "35748005",
+            "display": "Wine (substance)"
+          },
+          {
+            "code": "360201004",
+            "display": "Nitrofuran derivative (substance)"
+          },
+          {
+            "code": "3692009",
+            "display": "Sodium sulfite (substance)"
+          },
+          {
+            "code": "372480009",
+            "display": "Substance with macrolide structure and antibacterial mechanism of action (substance)"
+          },
+          {
+            "code": "372664007",
+            "display": "Benzodiazepine (substance)"
+          },
+          {
+            "code": "372665008",
+            "display": "Non-steroidal anti-inflammatory agent (substance)"
+          },
+          {
+            "code": "372711004",
+            "display": "Sulfonylurea (substance)"
+          },
+          {
+            "code": "372722000",
+            "display": "Substance with quinolone structure and antibacterial mechanism of action (substance)"
+          },
+          {
+            "code": "372733002",
+            "display": "Substance with angiotensin-converting enzyme inhibitor mechanism of action (substance)"
+          },
+          {
+            "code": "372747003",
+            "display": "Thiazide diuretic (substance)"
+          },
+          {
+            "code": "372783007",
+            "display": "Antiparkinsonian agent (substance)"
+          },
+          {
+            "code": "372798009",
+            "display": "Barbiturate (substance)"
+          },
+          {
+            "code": "372806008",
+            "display": "Substance with histamine receptor antagonist mechanism of action (substance)"
+          },
+          {
+            "code": "372889003",
+            "display": "First generation cephalosporin (substance)"
+          },
+          {
+            "code": "372912004",
+            "display": "Substance with 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitor mechanism of action (substance)"
+          },
+          {
+            "code": "372913009",
+            "display": "Substance with angiotensin II receptor antagonist mechanism of action (substance)"
+          },
+          {
+            "code": "373206009",
+            "display": "Substance with tetracycline structure and antibacterial mechanism of action (substance)"
+          },
+          {
+            "code": "373253007",
+            "display": "Tricyclic antidepressant (substance)"
+          },
+          {
+            "code": "373254001",
+            "display": "Substance with beta adrenergic receptor antagonist mechanism of action (substance)"
+          },
+          {
+            "code": "373262009",
+            "display": "Substance with cephalosporin structure and antibacterial mechanism of action (substance)"
+          },
+          {
+            "code": "373270004",
+            "display": "Substance with penicillin structure and antibacterial mechanism of action (substance)"
+          },
+          {
+            "code": "373297006",
+            "display": "Substance with beta-lactam structure and antibacterial mechanism of action (substance)"
+          },
+          {
+            "code": "373304005",
+            "display": "Substance with calcium channel blocker mechanism of action (substance)"
+          },
+          {
+            "code": "373531009",
+            "display": "Gelatin (substance)"
+          },
+          {
+            "code": "385420005",
+            "display": "Contrast media (substance)"
+          },
+          {
+            "code": "386127005",
+            "display": "Formula milk (substance)"
+          },
+          {
+            "code": "386962001",
+            "display": "Plasma protein fraction (substance)"
+          },
+          {
+            "code": "387050005",
+            "display": "Substance with prostaglandin-endoperoxide synthase isoform 2 inhibitor mechanism of action (substance)"
+          },
+          {
+            "code": "387406002",
+            "display": "Sulfonamide (substance)"
+          },
+          {
+            "code": "391737006",
+            "display": "Almond oil (substance)"
+          },
+          {
+            "code": "391739009",
+            "display": "Aloe (substance)"
+          },
+          {
+            "code": "396345004",
+            "display": "Carbapenem (substance)"
+          },
+          {
+            "code": "396420001",
+            "display": "Anthrax vaccine (substance)"
+          },
+          {
+            "code": "396425006",
+            "display": "Influenza virus vaccine (substance)"
+          },
+          {
+            "code": "396433007",
+            "display": "Pertussis vaccine (substance)"
+          },
+          {
+            "code": "396439006",
+            "display": "Smallpox vaccine (substance)"
+          },
+          {
+            "code": "396441007",
+            "display": "Typhoid vaccine (substance)"
+          },
+          {
+            "code": "396442000",
+            "display": "Varicella virus vaccine (substance)"
+          },
+          {
+            "code": "398730001",
+            "display": "Pneumococcal vaccine (substance)"
+          },
+          {
+            "code": "400872007",
+            "display": "Hydrocolloid (substance)"
+          },
+          {
+            "code": "404642006",
+            "display": "Substance with opioid receptor agonist mechanism of action (substance)"
+          },
+          {
+            "code": "406748003",
+            "display": "Carbamate (substance)"
+          },
+          {
+            "code": "409137002",
+            "display": "No known drug allergy (situation)"
+          },
+          {
+            "code": "412061001",
+            "display": "Blueberries (substance)"
+          },
+          {
+            "code": "412062008",
+            "display": "Cantaloupe (substance)"
+          },
+          {
+            "code": "412066006",
+            "display": "Pepper (substance)"
+          },
+          {
+            "code": "412068007",
+            "display": "Rye (substance)"
+          },
+          {
+            "code": "412071004",
+            "display": "Wheat (substance)"
+          },
+          {
+            "code": "412138001",
+            "display": "Horse serum protein (substance)"
+          },
+          {
+            "code": "412357001",
+            "display": "Corn (substance)"
+          },
+          {
+            "code": "412373007",
+            "display": "Diphtheria + pertussis + tetanus + Haemophilus influenzae type b vaccine (product)"
+          },
+          {
+            "code": "412375000",
+            "display": "Tetanus vaccine (substance)"
+          },
+          {
+            "code": "412533000",
+            "display": "Wheat bran (substance)"
+          },
+          {
+            "code": "412534006",
+            "display": "Yeast (substance)"
+          },
+          {
+            "code": "412583005",
+            "display": "Bee pollen (substance)"
+          },
+          {
+            "code": "41598000",
+            "display": "Estrogen (substance)"
+          },
+          {
+            "code": "417889008",
+            "display": "Arachis oil (substance)"
+          },
+          {
+            "code": "418000008",
+            "display": "Methadone analog (substance)"
+          },
+          {
+            "code": "418504009",
+            "display": "Oats (substance)"
+          },
+          {
+            "code": "418920007",
+            "display": "Adhesive agent (substance)"
+          },
+          {
+            "code": "419420009",
+            "display": "Watermelon (substance)"
+          },
+          {
+            "code": "419933005",
+            "display": "Glucocorticoid (substance)"
+          },
+          {
+            "code": "421245007",
+            "display": "Diphtheria + pertussis + tetanus vaccine (product)"
+          },
+          {
+            "code": "424369009",
+            "display": "Product containing beta-galactosidase (medicinal product)"
+          },
+          {
+            "code": "426722004",
+            "display": "Iodinated contrast media (substance)"
+          },
+          {
+            "code": "428607008",
+            "display": "No known environmental allergy (situation)"
+          },
+          {
+            "code": "429625007",
+            "display": "No known food allergy (situation)"
+          },
+          {
+            "code": "43735007",
+            "display": "Sulfur (substance)"
+          },
+          {
+            "code": "43921001",
+            "display": "Nickel compound (substance)"
+          },
+          {
+            "code": "44027008",
+            "display": "Seafood (substance)"
+          },
+          {
+            "code": "442381000124103",
+            "display": "Blue food coloring (substance)"
+          },
+          {
+            "code": "442571000124108",
+            "display": "Tree nut (substance)"
+          },
+          {
+            "code": "442771000124102",
+            "display": "Pepperoni (substance)"
+          },
+          {
+            "code": "44588005",
+            "display": "Iodine (substance)"
+          },
+          {
+            "code": "446273004",
+            "display": "Red food coloring (substance)"
+          },
+          {
+            "code": "446274005",
+            "display": "Yellow food coloring (substance)"
+          },
+          {
+            "code": "47703008",
+            "display": "Lactose (substance)"
+          },
+          {
+            "code": "51386004",
+            "display": "Food preservative (substance)"
+          },
+          {
+            "code": "51905005",
+            "display": "Mustard (substance)"
+          },
+          {
+            "code": "53041004",
+            "display": "Alcohol (substance)"
+          },
+          {
+            "code": "61789006",
+            "display": "Dye (substance)"
+          },
+          {
+            "code": "63045006",
+            "display": "Berry (substance)"
+          },
+          {
+            "code": "67324005",
+            "display": "Rice (substance)"
+          },
+          {
+            "code": "67866001",
+            "display": "Insulin (substance)"
+          },
+          {
+            "code": "70813002",
+            "display": "Milk (substance)"
+          },
+          {
+            "code": "710179004",
+            "display": "Lupine seed (substance)"
+          },
+          {
+            "code": "716184000",
+            "display": "No known latex allergy (situation)"
+          },
+          {
+            "code": "716186003",
+            "display": "No known allergy (situation)"
+          },
+          {
+            "code": "720687003",
+            "display": "Dust mite protein (substance)"
+          },
+          {
+            "code": "72511004",
+            "display": "Fruit (substance)"
+          },
+          {
+            "code": "726730005",
+            "display": "Yam (substance)"
+          },
+          {
+            "code": "734881000",
+            "display": "Tomato (substance)"
+          },
+          {
+            "code": "735006003",
+            "display": "Squid (substance)"
+          },
+          {
+            "code": "735009005",
+            "display": "Salmon (substance)"
+          },
+          {
+            "code": "735029006",
+            "display": "Shellfish (substance)"
+          },
+          {
+            "code": "735030001",
+            "display": "Garlic (substance)"
+          },
+          {
+            "code": "735043001",
+            "display": "Mackerel (substance)"
+          },
+          {
+            "code": "735045008",
+            "display": "Mushroom (substance)"
+          },
+          {
+            "code": "735047000",
+            "display": "Onion (substance)"
+          },
+          {
+            "code": "735049002",
+            "display": "Peach (substance)"
+          },
+          {
+            "code": "735050002",
+            "display": "Pear (substance)"
+          },
+          {
+            "code": "735051003",
+            "display": "Plum (substance)"
+          },
+          {
+            "code": "735053000",
+            "display": "Potato (substance)"
+          },
+          {
+            "code": "735123009",
+            "display": "Broccoli (substance)"
+          },
+          {
+            "code": "735124003",
+            "display": "Barley (substance)"
+          },
+          {
+            "code": "735211005",
+            "display": "Coconut (substance)"
+          },
+          {
+            "code": "735212003",
+            "display": "Papaya (substance)"
+          },
+          {
+            "code": "735213008",
+            "display": "Cucumber (substance)"
+          },
+          {
+            "code": "735214002",
+            "display": "Apricot (substance)"
+          },
+          {
+            "code": "735215001",
+            "display": "Apple (substance)"
+          },
+          {
+            "code": "735248001",
+            "display": "Cherry (substance)"
+          },
+          {
+            "code": "735249009",
+            "display": "Avocado (substance)"
+          },
+          {
+            "code": "735340006",
+            "display": "Lemon (substance)"
+          },
+          {
+            "code": "735959004",
+            "display": "Marine mollusk (substance)"
+          },
+          {
+            "code": "735971005",
+            "display": "Fish (substance)"
+          },
+          {
+            "code": "735977009",
+            "display": "Marine crustacean (substance)"
+          },
+          {
+            "code": "736027000",
+            "display": "Scallop (substance)"
+          },
+          {
+            "code": "736030007",
+            "display": "Clam (substance)"
+          },
+          {
+            "code": "736031006",
+            "display": "Oyster (substance)"
+          },
+          {
+            "code": "736159005",
+            "display": "Crab (substance)"
+          },
+          {
+            "code": "736162008",
+            "display": "Lobster (substance)"
+          },
+          {
+            "code": "74801000",
+            "display": "Sugar (substance)"
+          },
+          {
+            "code": "75665004",
+            "display": "Monosodium glutamate (substance)"
+          },
+          {
+            "code": "762952008",
+            "display": "Peanut (substance)"
+          },
+          {
+            "code": "7791007",
+            "display": "Soy protein (substance)"
+          },
+          {
+            "code": "80259003",
+            "display": "Food flavoring agent (substance)"
+          },
+          {
+            "code": "84489001",
+            "display": "Mold (organism)"
+          },
+          {
+            "code": "89119000",
+            "display": "Nitrate salt (substance)"
+          },
+          {
+            "code": "89707004",
+            "display": "Sesame oil (substance)"
+          },
+          {
+            "code": "89811004",
+            "display": "Gluten (substance)"
+          }
+        ]
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-us-core-careteam-provider-roles.json b/resources/us_core_r4/ValueSet-us-core-careteam-provider-roles.json
new file mode 100755
index 000000000..113311630
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-us-core-careteam-provider-roles.json
@@ -0,0 +1,66 @@
+{
+  "resourceType": "ValueSet",
+  "id": "us-core-careteam-provider-roles",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core CareTeam Provider Roles</h2><div><p>Provider roles codes consist of NUCC Health Care Provider Taxonomy Code Set for providers and SNOMED-CT for - non clinical and organization roles including codes from the SCTID 125676002 Person (person) heirarchy and the SCTID 394730007 Healthcare related organization (qualifier value) heirarchy.</p>\n</div><p><b>Copyright Statement:</b> This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement. This value set includes content from NUCC Health Care Provider Taxonomy Code Set for providers which is copyright © 2016+ American Medical Association.  For commercial use, including sales or licensing, a license must be obtained.</p><p>This value set includes codes from the following code systems:</p><ul><li>Include all codes defined in <code>http://nucc.org/provider-taxonomy</code></li><li>Include codes from <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a> where concept  is-a  125676002 (Person)</li><li>Include codes from <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a> where concept  is-a  394730007 (Healthcare related organization)</li></ul></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-careteam-provider-roles",
+  "version": "3.0.0",
+  "name": "USCoreCareTeamProviderRoles",
+  "title": "US Core CareTeam Provider Roles",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "other",
+          "value": "http://hl7.org/fhir"
+        }
+      ]
+    }
+  ],
+  "description": "Provider roles codes consist of NUCC Health Care Provider Taxonomy Code Set for providers and SNOMED-CT for - non clinical and organization roles including codes from the SCTID 125676002 Person (person) heirarchy and the SCTID 394730007 Healthcare related organization (qualifier value) heirarchy.",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "purpose": "Codes that may be used for implementation of the Argonaut Procedures IG and MU2015 certification.",
+  "copyright": "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement. This value set includes content from NUCC Health Care Provider Taxonomy Code Set for providers which is copyright © 2016+ American Medical Association.  For commercial use, including sales or licensing, a license must be obtained.",
+  "compose": {
+    "include": [
+      {
+        "system": "http://nucc.org/provider-taxonomy"
+      },
+      {
+        "system": "http://snomed.info/sct",
+        "filter": [
+          {
+            "property": "concept",
+            "op": "is-a",
+            "value": "125676002"
+          }
+        ]
+      },
+      {
+        "system": "http://snomed.info/sct",
+        "filter": [
+          {
+            "property": "concept",
+            "op": "is-a",
+            "value": "394730007"
+          }
+        ]
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-us-core-clinical-note-type.json b/resources/us_core_r4/ValueSet-us-core-clinical-note-type.json
new file mode 100755
index 000000000..c55d44e50
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-us-core-clinical-note-type.json
@@ -0,0 +1,62 @@
+{
+  "resourceType": "ValueSet",
+  "id": "us-core-clinical-note-type",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Clinical Note Type</h2><div><p>The US Core Clinical Note Type Value Set is a 'starter set' of types supported for fetching and storing clinical notes.</p>\n</div><p><b>Copyright Statement:</b>  This content LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use</p><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href=\"http://loinc.org\"><code>http://loinc.org</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/18842-5.html\">18842-5</a></td><td>Discharge summary</td><td/></tr><tr><td><a href=\"http://details.loinc.org/LOINC/11488-4.html\">11488-4</a></td><td>Consult note</td><td/></tr><tr><td><a href=\"http://details.loinc.org/LOINC/34117-2.html\">34117-2</a></td><td>History and physical note</td><td/></tr><tr><td><a href=\"http://details.loinc.org/LOINC/11506-3.html\">11506-3</a></td><td>Progress note</td><td/></tr><tr><td><a href=\"http://details.loinc.org/LOINC/28570-0.html\">28570-0</a></td><td>Procedure note</td><td/></tr></table></li></ul></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-clinical-note-type",
+  "version": "3.0.0",
+  "name": "USCoreClinicalNoteType",
+  "title": "US Core Clinical Note Type",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "other",
+          "value": "http://hl7.org/fhir"
+        }
+      ]
+    }
+  ],
+  "description": "The US Core Clinical Note Type Value Set is a 'starter set' of types supported for fetching and storing clinical notes.",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "copyright": " This content LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
+  "compose": {
+    "include": [
+      {
+        "system": "http://loinc.org",
+        "concept": [
+          {
+            "code": "18842-5"
+          },
+          {
+            "code": "11488-4"
+          },
+          {
+            "code": "34117-2"
+          },
+          {
+            "code": "11506-3"
+          },
+          {
+            "code": "28570-0"
+          }
+        ]
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-us-core-condition-category.json b/resources/us_core_r4/ValueSet-us-core-condition-category.json
new file mode 100755
index 000000000..645ade161
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-us-core-condition-category.json
@@ -0,0 +1,44 @@
+{
+  "resourceType": "ValueSet",
+  "id": "us-core-condition-category",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Condition Category Codes</h2><div><p>The US core Condition Category Codes support the separate concepts of problems and health concerns in Condition.category in order for API consumers to be able to separate health concerns and problems. However this is not mandatory for 2015 certification</p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include all codes defined in <a href=\"http://hl7.org/fhir/R4/codesystem-condition-category.html\"><code>http://terminology.hl7.org/CodeSystem/condition-category</code></a></li><li>Include these codes as defined in <a href=\"CodeSystem-condition-category.html\"><code>http://hl7.org/fhir/us/core/CodeSystem/condition-category</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"CodeSystem-condition-category.html#condition-category-health-concern\">health-concern</a></td><td>Health Concern</td><td>Additional health concerns from other stakeholders which are outside the provider’s problem list.</td></tr></table></li></ul></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category",
+  "version": "3.0.0",
+  "name": "USCoreConditionCategoryCodes",
+  "title": "US Core Condition Category Codes",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "description": "The US core Condition Category Codes support the separate concepts of problems and health concerns in Condition.category in order for API consumers to be able to separate health concerns and problems. However this is not mandatory for 2015 certification",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "purpose": "So API consumers can separate health concerns and problems.",
+  "compose": {
+    "include": [
+      {
+        "system": "http://terminology.hl7.org/CodeSystem/condition-category"
+      },
+      {
+        "system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
+        "concept": [
+          {
+            "code": "health-concern",
+            "display": "Health Concern"
+          }
+        ]
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-us-core-diagnosticreport-category.json b/resources/us_core_r4/ValueSet-us-core-diagnosticreport-category.json
new file mode 100755
index 000000000..8623e8b87
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-us-core-diagnosticreport-category.json
@@ -0,0 +1,48 @@
+{
+  "resourceType": "ValueSet",
+  "id": "us-core-diagnosticreport-category",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core DiagnosticReport Category</h2><div><p>The US Core Diagnostic Report Category Value Set is a 'starter set' of categories supported for fetching and Diagnostic Reports and notes.</p>\n</div><p><b>Copyright Statement:</b>  This content LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use</p><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href=\"http://loinc.org\"><code>http://loinc.org</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/LP29684-5.html\">LP29684-5</a></td><td>Radiology</td><td/></tr><tr><td><a href=\"http://details.loinc.org/LOINC/LP29708-2.html\">LP29708-2</a></td><td>Cardiology</td><td/></tr><tr><td><a href=\"http://details.loinc.org/LOINC/LP7839-6.html\">LP7839-6</a></td><td>Pathology</td><td/></tr></table></li></ul></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-category",
+  "version": "3.0.0",
+  "name": "USCoreDiagnosticReportCategory",
+  "title": "US Core DiagnosticReport Category",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "description": "The US Core Diagnostic Report Category Value Set is a 'starter set' of categories supported for fetching and Diagnostic Reports and notes.",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "copyright": " This content LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
+  "compose": {
+    "include": [
+      {
+        "system": "http://loinc.org",
+        "concept": [
+          {
+            "code": "LP29684-5",
+            "display": "Radiology"
+          },
+          {
+            "code": "LP29708-2",
+            "display": "Cardiology"
+          },
+          {
+            "code": "LP7839-6",
+            "display": "Pathology"
+          }
+        ]
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-us-core-diagnosticreport-report-and-note-codes.json b/resources/us_core_r4/ValueSet-us-core-diagnosticreport-report-and-note-codes.json
new file mode 100755
index 000000000..224cff9f3
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-us-core-diagnosticreport-report-and-note-codes.json
@@ -0,0 +1,46 @@
+{
+  "resourceType": "ValueSet",
+  "id": "us-core-diagnosticreport-report-and-note-codes",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Diagnosticreport Report And Note Codes</h2><div><p>This value set currently contains all of LOINC. The codes selected should represent discrete and narrative diagnostic observations and reports</p>\n</div><p><b>Copyright Statement:</b> This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use.</p><p>This value set includes codes from the following code systems:</p><ul><li>Include all codes defined in <a href=\"http://loinc.org\"><code>http://loinc.org</code></a></li></ul></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-report-and-note-codes",
+  "version": "3.0.0",
+  "name": "USCoreDiagnosticreportReportAndNoteCodes",
+  "title": "US Core Diagnosticreport Report And Note Codes",
+  "status": "active",
+  "experimental": false,
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "other",
+          "value": "http://hl7.org/fhir"
+        }
+      ]
+    }
+  ],
+  "description": "This value set currently contains all of LOINC. The codes selected should represent discrete and narrative diagnostic observations and reports",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "copyright": "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use.",
+  "compose": {
+    "include": [
+      {
+        "system": "http://loinc.org"
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-us-core-documentreference-category.json b/resources/us_core_r4/ValueSet-us-core-documentreference-category.json
new file mode 100755
index 000000000..54dca6cd8
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-us-core-documentreference-category.json
@@ -0,0 +1,44 @@
+{
+  "resourceType": "ValueSet",
+  "id": "us-core-documentreference-category",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core DocumentReference Category</h2><div><p>The US Core DocumentReferences Category Value Set is a 'starter set' of categories supported for fetching and storing clinical notes.</p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include all codes defined in <a href=\"CodeSystem-us-core-documentreference-category.html\"><code>http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category</code></a></li></ul></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-category",
+  "version": "3.0.0",
+  "name": "USCoreDocumentReferenceCategory",
+  "title": "US Core DocumentReference Category",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "other",
+          "value": "http://hl7.org/fhir"
+        }
+      ]
+    }
+  ],
+  "description": "The US Core DocumentReferences Category Value Set is a 'starter set' of categories supported for fetching and storing clinical notes.",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "compose": {
+    "include": [
+      {
+        "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category"
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-us-core-encounter-type.json b/resources/us_core_r4/ValueSet-us-core-encounter-type.json
new file mode 100755
index 000000000..a883948d7
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-us-core-encounter-type.json
@@ -0,0 +1,51 @@
+{
+  "resourceType": "ValueSet",
+  "id": "us-core-encounter-type",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t<h2>US Core Encounter Type</h2>\n\t\t\t<p>The type of encounter: a specific code indicating type of service provided, from CPT</p>\n\t\t\t<p>\n\t\t\t\t<b>Copyright Statement:</b> CPT copyright 2014 American Medical Association. All rights reserved.\n\t\t\t</p>\n\t\t\t<p>This value set includes only the codes of the Current Procedure and Terminology designated for Evaluation and Management (99200 – 99607) (subscription to AMA Required) from code systems:</p>\n\t\t\t<ul>\n\t\t\t\t<li>http://www.ama-assn.org/go/cpt</li>\n\t\t\t</ul>\n\t\t</div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type",
+  "identifier": [
+    {
+      "system": "urn:ietf:rfc:3986",
+      "value": "urn:oid:2.16.840.1.113883.3.88.12.80.32"
+    }
+  ],
+  "version": "3.0.0",
+  "name": "USCoreEncounterType",
+  "title": "US Core Encounter Type",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "other",
+          "value": "http://hl7.org/fhir"
+        }
+      ]
+    }
+  ],
+  "description": "The type of encounter: a specific code indicating type of service provided, from CPT",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "copyright": "CPT copyright 2014 American Medical Association. All rights reserved.",
+  "compose": {
+    "include": [
+      {
+        "system": "http://www.ama-assn.org/go/cpt"
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-us-core-medication-codes.json b/resources/us_core_r4/ValueSet-us-core-medication-codes.json
new file mode 100755
index 000000000..7ce15b50f
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-us-core-medication-codes.json
@@ -0,0 +1,57 @@
+{
+  "resourceType": "ValueSet",
+  "id": "us-core-medication-codes",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t<h2>Medication Clinical Drug (RxNorm)</h2>\n\t\t\t<p>All prescribable medication formulations represented using  either a 'generic' or 'brand-specific' concept. This includes RxNorm codes whose Term Type is SCD (semantic clinical drug), SBD (semantic brand drug), GPCK (generic pack), BPCK (brand pack), SCDG (semantic clinical drug group), SBDG (semantic brand drug group), SCDF (semantic clinical drug form), or SBDF (semantic brand drug form)</p>\n\t\t\t<p>This value set includes codes from the following code systems:</p>\n\t\t\t<ul>\n\t\t\t\t<li>Include codes from http://www.nlm.nih.gov/research/umls/rxnorm where TTY  in  SCD,SBD,GPCK,BPCK,SCDG,SBDG,SCDF,SBDF</li>\n\t\t\t</ul>\n\t\t</div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes",
+  "identifier": [
+    {
+      "system": "urn:ietf:rfc:3986",
+      "value": "urn:oid:2.16.840.1.113762.1.4.1010.4"
+    }
+  ],
+  "version": "3.0.0",
+  "name": "USCoreMedicationCodes",
+  "title": "US Core Medication Codes (RxNorm)",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "other",
+          "value": "http://hl7.org/fhir"
+        }
+      ]
+    }
+  ],
+  "description": "All prescribable medication formulations represented using  either a 'generic' or 'brand-specific' concept. This includes RxNorm codes whose Term Type is SCD (semantic clinical drug), SBD (semantic brand drug), GPCK (generic pack), BPCK (brand pack), SCDG (semantic clinical drug group), SBDG (semantic brand drug group), SCDF (semantic clinical drug form), or SBDF (semantic brand drug form)",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "compose": {
+    "include": [
+      {
+        "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
+        "filter": [
+          {
+            "property": "TTY",
+            "op": "in",
+            "value": "SCD,SBD,GPCK,BPCK,SCDG,SBDG,SCDF,SBDF"
+          }
+        ]
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-us-core-narrative-status.json b/resources/us_core_r4/ValueSet-us-core-narrative-status.json
new file mode 100755
index 000000000..912c5fa08
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-us-core-narrative-status.json
@@ -0,0 +1,55 @@
+{
+  "resourceType": "ValueSet",
+  "id": "us-core-narrative-status",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Narrative Status</h2><div><p>The US Core Narrative Status Value Set limits the text status for the resource narrative.</p>\n</div><p><b>Copyright Statement:</b> HL7</p><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href=\"http://hl7.org/fhir/R4/codesystem-narrative-status.html\"><code>http://hl7.org/fhir/narrative-status</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/codesystem-narrative-status.html#narrative-status-additional\">additional</a></td><td>additional</td><td>The contents of the narrative may contain additional information not found in the structured data. Note that there is no computable way to determine what the extra information is, other than by human inspection.</td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/codesystem-narrative-status.html#narrative-status-generated\">generated</a></td><td>generated</td><td>The contents of the narrative are entirely generated from the core elements in the content.</td></tr></table></li></ul></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-narrative-status",
+  "version": "3.0.0",
+  "name": "NarrativeStatus",
+  "title": "US Core Narrative Status",
+  "status": "active",
+  "date": "2019-06-19T22:32:01+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "other",
+          "value": "http://hl7.org/fhir"
+        }
+      ]
+    }
+  ],
+  "description": "The US Core Narrative Status Value Set limits the text status for the resource narrative.",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "copyright": "HL7",
+  "compose": {
+    "include": [
+      {
+        "system": "http://hl7.org/fhir/narrative-status",
+        "concept": [
+          {
+            "code": "additional",
+            "display": "additional"
+          },
+          {
+            "code": "generated",
+            "display": "generated"
+          }
+        ]
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-us-core-ndc-vaccine-codes.json b/resources/us_core_r4/ValueSet-us-core-ndc-vaccine-codes.json
new file mode 100755
index 000000000..ab42cb7b6
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-us-core-ndc-vaccine-codes.json
@@ -0,0 +1,1337 @@
+{
+  "resourceType": "ValueSet",
+  "id": "us-core-ndc-vaccine-codes",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Vaccine National Drug Codes (NDC)</h2><div><p>This value set includes all the Vaccine National Drug Codes (NDC).  This source of this data is provided by the <a href=\"https://www2a.cdc.gov/vaccines/iis/iisstandards/ndc_crosswalk.asp\">CDC</a></p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <code>http://hl7.org/fhir/sid/ndc</code><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>00005-0100-02</td><td>Trumenba</td><td/></tr><tr><td>00005-0100-05</td><td>Trumenba</td><td/></tr><tr><td>00005-0100-10</td><td>Trumenba</td><td/></tr><tr><td>00005-1970-50</td><td>Prevnar</td><td/></tr><tr><td>00005-1971-02</td><td>PREVNAR 13</td><td/></tr><tr><td>00005-1971-04</td><td>PREVNAR 13</td><td/></tr><tr><td>00005-1971-05</td><td>PREVNAR 13</td><td/></tr><tr><td>00006-4045-00</td><td>GARDASIL</td><td/></tr><tr><td>00006-4045-41</td><td>GARDASIL</td><td/></tr><tr><td>00006-4047-20</td><td>RotaTeq</td><td/></tr><tr><td>00006-4047-41</td><td>RotaTeq</td><td/></tr><tr><td>00006-4093-02</td><td>RECOMBIVAX HB</td><td/></tr><tr><td>00006-4093-09</td><td>RECOMBIVAX HB</td><td/></tr><tr><td>00006-4094-02</td><td>RECOMBIVAX HB</td><td/></tr><tr><td>00006-4094-09</td><td>RECOMBIVAX HB</td><td/></tr><tr><td>00006-4095-02</td><td>VAQTA</td><td/></tr><tr><td>00006-4095-09</td><td>VAQTA</td><td/></tr><tr><td>00006-4096-02</td><td>VAQTA</td><td/></tr><tr><td>00006-4096-09</td><td>VAQTA</td><td/></tr><tr><td>00006-4109-02</td><td>GARDASIL</td><td/></tr><tr><td>00006-4109-09</td><td>GARDASIL</td><td/></tr><tr><td>00006-4119-02</td><td>GARDASIL 9</td><td/></tr><tr><td>00006-4119-03</td><td>GARDASIL 9</td><td/></tr><tr><td>00006-4121-02</td><td>GARDASIL 9</td><td/></tr><tr><td>00006-4133-41</td><td>Tetanus and Diphtheria Toxoids Adsorbed</td><td/></tr><tr><td>00006-4171-00</td><td>ProQuad</td><td/></tr><tr><td>00006-4681-00</td><td>M-M-R II</td><td/></tr><tr><td>00006-4739-00</td><td>PNEUMOVAX 23</td><td/></tr><tr><td>00006-4826-00</td><td>VARIVAX</td><td/></tr><tr><td>00006-4827-00</td><td>VARIVAX</td><td/></tr><tr><td>00006-4831-41</td><td>VAQTA</td><td/></tr><tr><td>00006-4837-02</td><td>PNEUMOVAX 23</td><td/></tr><tr><td>00006-4837-03</td><td>PNEUMOVAX 23</td><td/></tr><tr><td>00006-4841-00</td><td>VAQTA</td><td/></tr><tr><td>00006-4841-41</td><td>VAQTA</td><td/></tr><tr><td>00006-4897-00</td><td>PedvaxHIB</td><td/></tr><tr><td>00006-4898-00</td><td>COMVAX</td><td/></tr><tr><td>00006-4943-00</td><td>PNEUMOVAX 23</td><td/></tr><tr><td>00006-4963-00</td><td>ZOSTAVAX</td><td/></tr><tr><td>00006-4963-41</td><td>ZOSTAVAX</td><td/></tr><tr><td>00006-4980-00</td><td>RECOMBIVAX HB</td><td/></tr><tr><td>00006-4981-00</td><td>RECOMBIVAX HB</td><td/></tr><tr><td>00006-4992-00</td><td>RECOMBIVAX HB</td><td/></tr><tr><td>00006-4995-00</td><td>RECOMBIVAX HB</td><td/></tr><tr><td>00006-4995-41</td><td>RECOMBIVAX HB</td><td/></tr><tr><td>00006-4999-00</td><td>ProQuad</td><td/></tr><tr><td>00052-0603-02</td><td>BCG VACCINE</td><td/></tr><tr><td>13533-0131-01</td><td>Tetanus and Diphtheria Toxoids Adsorbed</td><td/></tr><tr><td>14362-0111-04</td><td>Tetanus and Diphtheria Toxoids Adsorbed</td><td/></tr><tr><td>17478-0131-01</td><td>Tetanus and Diphtheria Toxoids Adsorbed</td><td/></tr><tr><td>19515-0845-11</td><td>FLULAVAL</td><td/></tr><tr><td>19515-0850-52</td><td>FLULAVAL</td><td/></tr><tr><td>19515-0889-07</td><td>FLULAVAL</td><td/></tr><tr><td>19515-0890-07</td><td>FLULAVAL</td><td/></tr><tr><td>19515-0891-11</td><td>Flulaval Quadrivalent</td><td/></tr><tr><td>19515-0893-07</td><td>FLULAVAL</td><td/></tr><tr><td>19515-0894-52</td><td>Flulaval Quadrivalent</td><td/></tr><tr><td>19515-0895-11</td><td>Flulaval Quadrivalent</td><td/></tr><tr><td>19515-0896-11</td><td>Flulaval Quadrivalent</td><td/></tr><tr><td>19515-0898-11</td><td>Flulaval Quadrivalent</td><td/></tr><tr><td>19515-0900-11</td><td>Flulaval Quadrivalent</td><td/></tr><tr><td>19515-0901-52</td><td>Flulaval Quadrivalent</td><td/></tr><tr><td>19515-0903-11</td><td>Flulaval Quadrivalent</td><td/></tr><tr><td>19515-0908-52</td><td>Flulaval Quadrivalent</td><td/></tr><tr><td>19515-0909-52</td><td>Flulaval Quadrivalent</td><td/></tr><tr><td>19515-0912-52</td><td>Flulaval Quadrivalent</td><td/></tr><tr><td>21695-0413-01</td><td>Tetanus and Diphtheria Toxoids Adsorbed</td><td/></tr><tr><td>33332-0010-01</td><td>AFLURIA</td><td/></tr><tr><td>33332-0013-01</td><td>AFLURIA</td><td/></tr><tr><td>33332-0014-01</td><td>AFLURIA</td><td/></tr><tr><td>33332-0015-01</td><td>AFLURIA</td><td/></tr><tr><td>33332-0016-01</td><td>AFLURIA</td><td/></tr><tr><td>33332-0017-01</td><td>AFLURIA</td><td/></tr><tr><td>33332-0018-01</td><td>AFLURIA</td><td/></tr><tr><td>33332-0110-10</td><td>AFLURIA</td><td/></tr><tr><td>33332-0113-10</td><td>AFLURIA</td><td/></tr><tr><td>33332-0114-10</td><td>AFLURIA</td><td/></tr><tr><td>33332-0115-10</td><td>AFLURIA</td><td/></tr><tr><td>33332-0116-10</td><td>AFLURIA</td><td/></tr><tr><td>33332-0117-10</td><td>AFLURIA</td><td/></tr><tr><td>33332-0118-10</td><td>AFLURIA</td><td/></tr><tr><td>33332-0316-01</td><td>AFLURIA QUADRIVALENT</td><td/></tr><tr><td>33332-0317-01</td><td>AFLURIA QUADRIVALENT</td><td/></tr><tr><td>33332-0318-01</td><td>AFLURIA QUADRIVALENT</td><td/></tr><tr><td>33332-0416-10</td><td>AFLURIA QUADRIVALENT</td><td/></tr><tr><td>33332-0417-10</td><td>AFLURIA QUADRIVALENT</td><td/></tr><tr><td>33332-0418-10</td><td>AFLURIA QUADRIVALENT</td><td/></tr><tr><td>33332-0519-01</td><td>Influenza A</td><td/></tr><tr><td>33332-0519-25</td><td>Influenza A</td><td/></tr><tr><td>33332-0629-10</td><td>Influenza A</td><td/></tr><tr><td>42515-0001-01</td><td>IXIARO</td><td/></tr><tr><td>42515-0001-01</td><td>IXIARO</td><td/></tr><tr><td>42515-0001-01</td><td>IXIARO</td><td/></tr><tr><td>42515-0001-01</td><td>IXIARO</td><td/></tr><tr><td>42515-0002-01</td><td>IXIARO</td><td/></tr><tr><td>42874-0012-10</td><td>Flublok</td><td/></tr><tr><td>42874-0013-10</td><td>Flublok</td><td/></tr><tr><td>42874-0014-10</td><td>Flublok</td><td/></tr><tr><td>42874-0015-10</td><td>Flublok</td><td/></tr><tr><td>42874-0016-10</td><td>Flublok</td><td/></tr><tr><td>42874-0017-10</td><td>Flublok</td><td/></tr><tr><td>42874-0117-10</td><td>Flublok Quadrivalent</td><td/></tr><tr><td>43528-0002-05</td><td>HEPLISAV-B</td><td/></tr><tr><td>43528-0003-05</td><td>HEPLISAV-B</td><td/></tr><tr><td>46028-0114-01</td><td>Bexsero</td><td/></tr><tr><td>46028-0114-02</td><td>Bexsero</td><td/></tr><tr><td>46028-0208-01</td><td>Menveo</td><td/></tr><tr><td>46028-0208-01</td><td>Menveo</td><td/></tr><tr><td>49281-0010-10</td><td>FLUZONE</td><td/></tr><tr><td>49281-0010-25</td><td>FLUZONE</td><td/></tr><tr><td>49281-0010-50</td><td>FLUZONE</td><td/></tr><tr><td>49281-0011-10</td><td>FLUZONE</td><td/></tr><tr><td>49281-0011-50</td><td>FLUZONE</td><td/></tr><tr><td>49281-0012-10</td><td>FLUZONE</td><td/></tr><tr><td>49281-0012-50</td><td>FLUZONE</td><td/></tr><tr><td>49281-0013-10</td><td>FLUZONE</td><td/></tr><tr><td>49281-0013-50</td><td>FLUZONE</td><td/></tr><tr><td>49281-0014-50</td><td>FLUZONE</td><td/></tr><tr><td>49281-0111-25</td><td>FLUZONE</td><td/></tr><tr><td>49281-0112-25</td><td>FLUZONE</td><td/></tr><tr><td>49281-0113-25</td><td>FLUZONE</td><td/></tr><tr><td>49281-0215-10</td><td>TENIVAC</td><td/></tr><tr><td>49281-0215-15</td><td>TENIVAC</td><td/></tr><tr><td>49281-0225-10</td><td>DIPHTHERIA AND TETANUS TOXOIDS ADSORBED</td><td/></tr><tr><td>49281-0250-51</td><td>IMOVAX RABIES</td><td/></tr><tr><td>49281-0278-10</td><td>DIPHTHERIA AND TETANUS TOXOIDS ADSORBED</td><td/></tr><tr><td>49281-0286-01</td><td>DAPTACEL</td><td/></tr><tr><td>49281-0286-05</td><td>DAPTACEL</td><td/></tr><tr><td>49281-0286-10</td><td>DAPTACEL</td><td/></tr><tr><td>49281-0291-10</td><td>DECAVAC</td><td/></tr><tr><td>49281-0291-83</td><td>DECAVAC</td><td/></tr><tr><td>49281-0298-10</td><td>TRIPEDIA</td><td/></tr><tr><td>49281-0386-15</td><td>FLUZONE</td><td/></tr><tr><td>49281-0387-65</td><td>FLUZONE</td><td/></tr><tr><td>49281-0388-15</td><td>FLUZONE</td><td/></tr><tr><td>49281-0389-65</td><td>FLUZONE HIGH DOSE</td><td/></tr><tr><td>49281-0390-15</td><td>FLUZONE</td><td/></tr><tr><td>49281-0391-65</td><td>FLUZONE High-Dose</td><td/></tr><tr><td>49281-0392-15</td><td>FLUZONE</td><td/></tr><tr><td>49281-0393-65</td><td>FLUZONE High-Dose</td><td/></tr><tr><td>49281-0394-15</td><td>FLUZONE</td><td/></tr><tr><td>49281-0395-65</td><td>FLUZONE High-Dose</td><td/></tr><tr><td>49281-0396-15</td><td>FLUZONE</td><td/></tr><tr><td>49281-0397-65</td><td>FLUZONE High-Dose</td><td/></tr><tr><td>49281-0399-65</td><td>FLUZONE High-Dose</td><td/></tr><tr><td>49281-0400-05</td><td>Adacel</td><td/></tr><tr><td>49281-0400-10</td><td>Adacel</td><td/></tr><tr><td>49281-0400-15</td><td>Adacel</td><td/></tr><tr><td>49281-0400-20</td><td>Adacel</td><td/></tr><tr><td>49281-0401-65</td><td>FLUZONE High-Dose</td><td/></tr><tr><td>49281-0403-65</td><td>FLUZONE High-Dose</td><td/></tr><tr><td>49281-0413-10</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0413-50</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0414-10</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0414-50</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0415-10</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0416-10</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0416-50</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0417-10</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0417-50</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0418-10</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0418-50</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0489-01</td><td>MENOMUNE - A/C/Y/W-135 COMBINED</td><td/></tr><tr><td>49281-0489-91</td><td>MENOMUNE - A/C/Y/W-135 COMBINED</td><td/></tr><tr><td>49281-0510-05</td><td>PENTACEL</td><td/></tr><tr><td>49281-0510-05</td><td>PENTACEL</td><td/></tr><tr><td>49281-0513-25</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0514-25</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0516-25</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0517-25</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0518-25</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0545-03</td><td>ActHIB</td><td/></tr><tr><td>49281-0545-05</td><td>ActHIB</td><td/></tr><tr><td>49281-0562-10</td><td>QUADRACEL</td><td/></tr><tr><td>49281-0589-05</td><td>Menactra</td><td/></tr><tr><td>49281-0621-15</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0625-15</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0627-15</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0629-15</td><td>FLUZONE QUADRIVALENT</td><td/></tr><tr><td>49281-0640-15</td><td>INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE</td><td/></tr><tr><td>49281-0650-10</td><td>INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE</td><td/></tr><tr><td>49281-0650-25</td><td>INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE</td><td/></tr><tr><td>49281-0650-50</td><td>INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE</td><td/></tr><tr><td>49281-0650-70</td><td>INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE</td><td/></tr><tr><td>49281-0650-90</td><td>INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE</td><td/></tr><tr><td>49281-0703-55</td><td>FLUZONE INTRADERMAL</td><td/></tr><tr><td>49281-0705-55</td><td>FLUZONE</td><td/></tr><tr><td>49281-0707-55</td><td>FLUZONE</td><td/></tr><tr><td>49281-0708-40</td><td>FLUZONE INTRADERMAL QUADRIVALENT</td><td/></tr><tr><td>49281-0709-55</td><td>FLUZONE Intradermal</td><td/></tr><tr><td>49281-0710-40</td><td>FLUZONE INTRADERMAL QUADRIVALENT</td><td/></tr><tr><td>49281-0712-40</td><td>FLUZONE INTRADERMAL QUADRIVALENT</td><td/></tr><tr><td>49281-0718-10</td><td>Flublok Quadrivalent</td><td/></tr><tr><td>49281-0790-20</td><td>Typhim Vi</td><td/></tr><tr><td>49281-0790-51</td><td>Typhim Vi</td><td/></tr><tr><td>49281-0800-83</td><td>TETANUS TOXOID ADSORBED</td><td/></tr><tr><td>49281-0820-10</td><td>TETANUS TOXOID ADSORBED</td><td/></tr><tr><td>49281-0860-10</td><td>IPOL</td><td/></tr><tr><td>49281-0860-10</td><td>IPOL</td><td/></tr><tr><td>49281-0860-55</td><td>IPOL</td><td/></tr><tr><td>49281-0913-01</td><td>STAMARIL</td><td/></tr><tr><td>49281-0915-01</td><td>YF-VAX</td><td/></tr><tr><td>49281-0915-05</td><td>YF-VAX</td><td/></tr><tr><td>50090-1693-09</td><td>IPOL</td><td/></tr><tr><td>50090-2883-00</td><td>INFANRIX</td><td/></tr><tr><td>50090-3096-00</td><td>RabAvert</td><td/></tr><tr><td>50090-3469-00</td><td>HEPLISAV-B</td><td/></tr><tr><td>51285-0138-50</td><td>Adenovirus Type 4 and Type 7 Vaccine, Live</td><td/></tr><tr><td>51285-0138-50</td><td>Adenovirus Type 4 and Type 7 Vaccine, Live</td><td/></tr><tr><td>54868-0734-00</td><td>ENGERIX-B</td><td/></tr><tr><td>54868-0980-00</td><td>M-M-R II</td><td/></tr><tr><td>54868-2219-00</td><td>RECOMBIVAX HB</td><td/></tr><tr><td>54868-2219-01</td><td>RECOMBIVAX HB</td><td/></tr><tr><td>54868-3339-01</td><td>PNEUMOVAX 23</td><td/></tr><tr><td>54868-4320-00</td><td>PNEUMOVAX 23</td><td/></tr><tr><td>54868-6177-00</td><td>FLUZONE</td><td/></tr><tr><td>54868-6180-00</td><td>FLUZONE</td><td/></tr><tr><td>55045-3841-01</td><td>HAVRIX</td><td/></tr><tr><td>58160-0801-11</td><td>Menhibrix</td><td/></tr><tr><td>58160-0806-05</td><td>HIBERIX</td><td/></tr><tr><td>58160-0808-15</td><td>Influenza A (H5N1) Monovalent Vaccine, Adjuvanted</td><td/></tr><tr><td>58160-0808-15</td><td>Influenza A (H5N1) Monovalent Vaccine, Adjuvanted</td><td/></tr><tr><td>58160-0809-05</td><td>MENHIBRIX</td><td/></tr><tr><td>58160-0810-11</td><td>INFANRIX</td><td/></tr><tr><td>58160-0810-52</td><td>INFANRIX</td><td/></tr><tr><td>58160-0811-51</td><td>PEDIARIX</td><td/></tr><tr><td>58160-0811-52</td><td>PEDIARIX</td><td/></tr><tr><td>58160-0812-11</td><td>KINRIX</td><td/></tr><tr><td>58160-0812-52</td><td>KINRIX</td><td/></tr><tr><td>58160-0815-11</td><td>TWINRIX</td><td/></tr><tr><td>58160-0815-34</td><td>TWINRIX</td><td/></tr><tr><td>58160-0815-46</td><td>TWINRIX</td><td/></tr><tr><td>58160-0815-48</td><td>TWINRIX</td><td/></tr><tr><td>58160-0815-52</td><td>TWINRIX</td><td/></tr><tr><td>58160-0816-05</td><td>Hiberix</td><td/></tr><tr><td>58160-0818-11</td><td>Hiberix</td><td/></tr><tr><td>58160-0819-12</td><td>Shingrix</td><td/></tr><tr><td>58160-0820-11</td><td>ENGERIX-B</td><td/></tr><tr><td>58160-0820-52</td><td>ENGERIX-B</td><td/></tr><tr><td>58160-0821-11</td><td>ENGERIX-B</td><td/></tr><tr><td>58160-0821-34</td><td>ENGERIX-B</td><td/></tr><tr><td>58160-0821-52</td><td>ENGERIX-B</td><td/></tr><tr><td>58160-0823-11</td><td>Shingrix</td><td/></tr><tr><td>58160-0825-11</td><td>HAVRIX</td><td/></tr><tr><td>58160-0825-52</td><td>HAVRIX</td><td/></tr><tr><td>58160-0826-11</td><td>HAVRIX</td><td/></tr><tr><td>58160-0826-34</td><td>HAVRIX</td><td/></tr><tr><td>58160-0826-52</td><td>HAVRIX</td><td/></tr><tr><td>58160-0830-34</td><td>CERVARIX</td><td/></tr><tr><td>58160-0830-52</td><td>CERVARIX</td><td/></tr><tr><td>58160-0842-11</td><td>BOOSTRIX</td><td/></tr><tr><td>58160-0842-34</td><td>BOOSTRIX</td><td/></tr><tr><td>58160-0842-51</td><td>BOOSTRIX</td><td/></tr><tr><td>58160-0842-52</td><td>BOOSTRIX</td><td/></tr><tr><td>58160-0854-52</td><td>ROTARIX</td><td/></tr><tr><td>58160-0879-52</td><td>FLUARIX</td><td/></tr><tr><td>58160-0880-52</td><td>FLUARIX</td><td/></tr><tr><td>58160-0881-52</td><td>FLUARIX</td><td/></tr><tr><td>58160-0883-52</td><td>FLUARIX</td><td/></tr><tr><td>58160-0898-52</td><td>FLUARIX QUADRIVALENT</td><td/></tr><tr><td>58160-0900-52</td><td>FLUARIX QUADRIVALENT</td><td/></tr><tr><td>58160-0901-52</td><td>FLUARIX QUADRIVALENT</td><td/></tr><tr><td>58160-0903-52</td><td>FLUARIX QUADRIVALENT</td><td/></tr><tr><td>58160-0905-52</td><td>FLUARIX QUADRIVALENT</td><td/></tr><tr><td>58160-0907-52</td><td>FLUARIX QUADRIVALENT</td><td/></tr><tr><td>58160-0955-09</td><td>Menveo</td><td/></tr><tr><td>58160-0955-09</td><td>Menveo</td><td/></tr><tr><td>58160-0964-12</td><td>RabAvert</td><td/></tr><tr><td>58160-0964-12</td><td>RabAvert</td><td/></tr><tr><td>58160-0976-06</td><td>Bexsero</td><td/></tr><tr><td>58160-0976-20</td><td>Bexsero</td><td/></tr><tr><td>62195-0051-10</td><td>Ixiaro</td><td/></tr><tr><td>62577-0613-01</td><td>Flucelvax</td><td/></tr><tr><td>62577-0614-01</td><td>Flucelvax</td><td/></tr><tr><td>63851-0501-01</td><td>RabAvert</td><td/></tr><tr><td>63851-0501-02</td><td>RabAvert</td><td/></tr><tr><td>63851-0612-01</td><td>Flucelvax</td><td/></tr><tr><td>63851-0613-01</td><td>FLUCELVAX</td><td/></tr><tr><td>64678-0211-01</td><td>BioThrax</td><td/></tr><tr><td>66019-0107-01</td><td>FLUMIST</td><td/></tr><tr><td>66019-0108-10</td><td>FLUMIST</td><td/></tr><tr><td>66019-0109-10</td><td>FLUMIST</td><td/></tr><tr><td>66019-0110-10</td><td>FluMist</td><td/></tr><tr><td>66019-0200-10</td><td>Influenza A H1N1 Intranasal</td><td/></tr><tr><td>66019-0300-10</td><td>FluMist Quadrivalent</td><td/></tr><tr><td>66019-0301-10</td><td>FluMist Quadrivalent</td><td/></tr><tr><td>66019-0302-10</td><td>FluMist Quadrivalent</td><td/></tr><tr><td>66019-0303-10</td><td>FluMist Quadrivalent</td><td/></tr><tr><td>66019-0304-10</td><td>FluMist Quadrivalent</td><td/></tr><tr><td>66019-0305-10</td><td>FluMist Quadrivalent</td><td/></tr><tr><td>66521-0000-01</td><td>FLUAD</td><td/></tr><tr><td>66521-0112-02</td><td>Fluvirin</td><td/></tr><tr><td>66521-0112-10</td><td>Fluvirin</td><td/></tr><tr><td>66521-0113-02</td><td>FLUVIRIN</td><td/></tr><tr><td>66521-0113-10</td><td>FLUVIRIN</td><td/></tr><tr><td>66521-0114-02</td><td>FLUVIRIN</td><td/></tr><tr><td>66521-0114-10</td><td>FLUVIRIN</td><td/></tr><tr><td>66521-0115-02</td><td>FLUVIRIN</td><td/></tr><tr><td>66521-0115-10</td><td>FLUVIRIN</td><td/></tr><tr><td>66521-0116-02</td><td>Fluvirin</td><td/></tr><tr><td>66521-0116-10</td><td>Fluvirin</td><td/></tr><tr><td>66521-0117-02</td><td>Fluvirin</td><td/></tr><tr><td>66521-0117-10</td><td>Fluvirin</td><td/></tr><tr><td>66521-0118-02</td><td>Fluvirin</td><td/></tr><tr><td>66521-0118-10</td><td>Fluvirin</td><td/></tr><tr><td>66521-0200-02</td><td>Influenza A (H1N1) 2009 Monovalent Vaccine</td><td/></tr><tr><td>66521-0200-10</td><td>Influenza A (H1N1) 2009 Monovalent Vaccine</td><td/></tr><tr><td>69401-0000-01</td><td>Vivotif</td><td/></tr><tr><td>69401-0000-02</td><td>Vivotif</td><td/></tr><tr><td>70460-0001-01</td><td>Vaxchora</td><td/></tr><tr><td>70461-0001-01</td><td>FLUAD</td><td/></tr><tr><td>70461-0002-01</td><td>FLUAD</td><td/></tr><tr><td>70461-0018-03</td><td>FLUAD</td><td/></tr><tr><td>70461-0119-02</td><td>Fluvirin</td><td/></tr><tr><td>70461-0119-10</td><td>Fluvirin</td><td/></tr><tr><td>70461-0120-02</td><td>Fluvirin</td><td/></tr><tr><td>70461-0120-10</td><td>Fluvirin</td><td/></tr><tr><td>70461-0200-01</td><td>FLUCELVAX QUADRIVALENT</td><td/></tr><tr><td>70461-0201-01</td><td>FLUCELVAX QUADRIVALENT (PREFILLED SYRINGE)</td><td/></tr><tr><td>70461-0301-10</td><td>FLUCELVAX QUADRIVALENT (MULTI-DOSE VIAL)</td><td/></tr><tr><td>70461-0318-03</td><td>FLUCELVAX QUADRIVALENT (PREFILLED SYRINGE)</td><td/></tr><tr><td>70461-0418-10</td><td>FLUCELVAX QUADRIVALENT (MULTI-DOSE VIAL)</td><td/></tr><tr><td>76420-0482-01</td><td>Medical Provider Single Use EZ Flu Shot 2013-2014</td><td/></tr><tr><td>76420-0483-01</td><td>Medical Provider Single Use EZ Flu Shot 2013-2014</td><td/></tr><tr><td>63361-0245-10</td><td>VAXELIS</td><td/></tr></table></li></ul></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-ndc-vaccine-codes",
+  "version": "3.0.0",
+  "name": "USCoreVaccineNationalDrugCode",
+  "title": "US Core Vaccine National Drug Codes (NDC)",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "description": "This value set includes all the Vaccine National Drug Codes (NDC).  This source of this data is provided by the [CDC](https://www2a.cdc.gov/vaccines/iis/iisstandards/ndc_crosswalk.asp)",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "purpose": "Codes that are used as translations for CVS code for implementation of the Argonaut Immunization IG and MU2015 certification.",
+  "compose": {
+    "include": [
+      {
+        "system": "http://hl7.org/fhir/sid/ndc",
+        "concept": [
+          {
+            "code": "00005-0100-02",
+            "display": "Trumenba"
+          },
+          {
+            "code": "00005-0100-05",
+            "display": "Trumenba"
+          },
+          {
+            "code": "00005-0100-10",
+            "display": "Trumenba"
+          },
+          {
+            "code": "00005-1970-50",
+            "display": "Prevnar"
+          },
+          {
+            "code": "00005-1971-02",
+            "display": "PREVNAR 13"
+          },
+          {
+            "code": "00005-1971-04",
+            "display": "PREVNAR 13"
+          },
+          {
+            "code": "00005-1971-05",
+            "display": "PREVNAR 13"
+          },
+          {
+            "code": "00006-4045-00",
+            "display": "GARDASIL"
+          },
+          {
+            "code": "00006-4045-41",
+            "display": "GARDASIL"
+          },
+          {
+            "code": "00006-4047-20",
+            "display": "RotaTeq"
+          },
+          {
+            "code": "00006-4047-41",
+            "display": "RotaTeq"
+          },
+          {
+            "code": "00006-4093-02",
+            "display": "RECOMBIVAX HB"
+          },
+          {
+            "code": "00006-4093-09",
+            "display": "RECOMBIVAX HB"
+          },
+          {
+            "code": "00006-4094-02",
+            "display": "RECOMBIVAX HB"
+          },
+          {
+            "code": "00006-4094-09",
+            "display": "RECOMBIVAX HB"
+          },
+          {
+            "code": "00006-4095-02",
+            "display": "VAQTA"
+          },
+          {
+            "code": "00006-4095-09",
+            "display": "VAQTA"
+          },
+          {
+            "code": "00006-4096-02",
+            "display": "VAQTA"
+          },
+          {
+            "code": "00006-4096-09",
+            "display": "VAQTA"
+          },
+          {
+            "code": "00006-4109-02",
+            "display": "GARDASIL"
+          },
+          {
+            "code": "00006-4109-09",
+            "display": "GARDASIL"
+          },
+          {
+            "code": "00006-4119-02",
+            "display": "GARDASIL 9"
+          },
+          {
+            "code": "00006-4119-03",
+            "display": "GARDASIL 9"
+          },
+          {
+            "code": "00006-4121-02",
+            "display": "GARDASIL 9"
+          },
+          {
+            "code": "00006-4133-41",
+            "display": "Tetanus and Diphtheria Toxoids Adsorbed"
+          },
+          {
+            "code": "00006-4171-00",
+            "display": "ProQuad"
+          },
+          {
+            "code": "00006-4681-00",
+            "display": "M-M-R II"
+          },
+          {
+            "code": "00006-4739-00",
+            "display": "PNEUMOVAX 23"
+          },
+          {
+            "code": "00006-4826-00",
+            "display": "VARIVAX"
+          },
+          {
+            "code": "00006-4827-00",
+            "display": "VARIVAX"
+          },
+          {
+            "code": "00006-4831-41",
+            "display": "VAQTA"
+          },
+          {
+            "code": "00006-4837-02",
+            "display": "PNEUMOVAX 23"
+          },
+          {
+            "code": "00006-4837-03",
+            "display": "PNEUMOVAX 23"
+          },
+          {
+            "code": "00006-4841-00",
+            "display": "VAQTA"
+          },
+          {
+            "code": "00006-4841-41",
+            "display": "VAQTA"
+          },
+          {
+            "code": "00006-4897-00",
+            "display": "PedvaxHIB"
+          },
+          {
+            "code": "00006-4898-00",
+            "display": "COMVAX"
+          },
+          {
+            "code": "00006-4943-00",
+            "display": "PNEUMOVAX 23"
+          },
+          {
+            "code": "00006-4963-00",
+            "display": "ZOSTAVAX"
+          },
+          {
+            "code": "00006-4963-41",
+            "display": "ZOSTAVAX"
+          },
+          {
+            "code": "00006-4980-00",
+            "display": "RECOMBIVAX HB"
+          },
+          {
+            "code": "00006-4981-00",
+            "display": "RECOMBIVAX HB"
+          },
+          {
+            "code": "00006-4992-00",
+            "display": "RECOMBIVAX HB"
+          },
+          {
+            "code": "00006-4995-00",
+            "display": "RECOMBIVAX HB"
+          },
+          {
+            "code": "00006-4995-41",
+            "display": "RECOMBIVAX HB"
+          },
+          {
+            "code": "00006-4999-00",
+            "display": "ProQuad"
+          },
+          {
+            "code": "00052-0603-02",
+            "display": "BCG VACCINE"
+          },
+          {
+            "code": "13533-0131-01",
+            "display": "Tetanus and Diphtheria Toxoids Adsorbed"
+          },
+          {
+            "code": "14362-0111-04",
+            "display": "Tetanus and Diphtheria Toxoids Adsorbed"
+          },
+          {
+            "code": "17478-0131-01",
+            "display": "Tetanus and Diphtheria Toxoids Adsorbed"
+          },
+          {
+            "code": "19515-0845-11",
+            "display": "FLULAVAL"
+          },
+          {
+            "code": "19515-0850-52",
+            "display": "FLULAVAL"
+          },
+          {
+            "code": "19515-0889-07",
+            "display": "FLULAVAL"
+          },
+          {
+            "code": "19515-0890-07",
+            "display": "FLULAVAL"
+          },
+          {
+            "code": "19515-0891-11",
+            "display": "Flulaval Quadrivalent"
+          },
+          {
+            "code": "19515-0893-07",
+            "display": "FLULAVAL"
+          },
+          {
+            "code": "19515-0894-52",
+            "display": "Flulaval Quadrivalent"
+          },
+          {
+            "code": "19515-0895-11",
+            "display": "Flulaval Quadrivalent"
+          },
+          {
+            "code": "19515-0896-11",
+            "display": "Flulaval Quadrivalent"
+          },
+          {
+            "code": "19515-0898-11",
+            "display": "Flulaval Quadrivalent"
+          },
+          {
+            "code": "19515-0900-11",
+            "display": "Flulaval Quadrivalent"
+          },
+          {
+            "code": "19515-0901-52",
+            "display": "Flulaval Quadrivalent"
+          },
+          {
+            "code": "19515-0903-11",
+            "display": "Flulaval Quadrivalent"
+          },
+          {
+            "code": "19515-0908-52",
+            "display": "Flulaval Quadrivalent"
+          },
+          {
+            "code": "19515-0909-52",
+            "display": "Flulaval Quadrivalent"
+          },
+          {
+            "code": "19515-0912-52",
+            "display": "Flulaval Quadrivalent"
+          },
+          {
+            "code": "21695-0413-01",
+            "display": "Tetanus and Diphtheria Toxoids Adsorbed"
+          },
+          {
+            "code": "33332-0010-01",
+            "display": "AFLURIA"
+          },
+          {
+            "code": "33332-0013-01",
+            "display": "AFLURIA"
+          },
+          {
+            "code": "33332-0014-01",
+            "display": "AFLURIA"
+          },
+          {
+            "code": "33332-0015-01",
+            "display": "AFLURIA"
+          },
+          {
+            "code": "33332-0016-01",
+            "display": "AFLURIA"
+          },
+          {
+            "code": "33332-0017-01",
+            "display": "AFLURIA"
+          },
+          {
+            "code": "33332-0018-01",
+            "display": "AFLURIA"
+          },
+          {
+            "code": "33332-0110-10",
+            "display": "AFLURIA"
+          },
+          {
+            "code": "33332-0113-10",
+            "display": "AFLURIA"
+          },
+          {
+            "code": "33332-0114-10",
+            "display": "AFLURIA"
+          },
+          {
+            "code": "33332-0115-10",
+            "display": "AFLURIA"
+          },
+          {
+            "code": "33332-0116-10",
+            "display": "AFLURIA"
+          },
+          {
+            "code": "33332-0117-10",
+            "display": "AFLURIA"
+          },
+          {
+            "code": "33332-0118-10",
+            "display": "AFLURIA"
+          },
+          {
+            "code": "33332-0316-01",
+            "display": "AFLURIA QUADRIVALENT"
+          },
+          {
+            "code": "33332-0317-01",
+            "display": "AFLURIA QUADRIVALENT"
+          },
+          {
+            "code": "33332-0318-01",
+            "display": "AFLURIA QUADRIVALENT"
+          },
+          {
+            "code": "33332-0416-10",
+            "display": "AFLURIA QUADRIVALENT"
+          },
+          {
+            "code": "33332-0417-10",
+            "display": "AFLURIA QUADRIVALENT"
+          },
+          {
+            "code": "33332-0418-10",
+            "display": "AFLURIA QUADRIVALENT"
+          },
+          {
+            "code": "33332-0519-01",
+            "display": "Influenza A"
+          },
+          {
+            "code": "33332-0519-25",
+            "display": "Influenza A"
+          },
+          {
+            "code": "33332-0629-10",
+            "display": "Influenza A"
+          },
+          {
+            "code": "42515-0001-01",
+            "display": "IXIARO"
+          },
+          {
+            "code": "42515-0001-01",
+            "display": "IXIARO"
+          },
+          {
+            "code": "42515-0001-01",
+            "display": "IXIARO"
+          },
+          {
+            "code": "42515-0001-01",
+            "display": "IXIARO"
+          },
+          {
+            "code": "42515-0002-01",
+            "display": "IXIARO"
+          },
+          {
+            "code": "42874-0012-10",
+            "display": "Flublok"
+          },
+          {
+            "code": "42874-0013-10",
+            "display": "Flublok"
+          },
+          {
+            "code": "42874-0014-10",
+            "display": "Flublok"
+          },
+          {
+            "code": "42874-0015-10",
+            "display": "Flublok"
+          },
+          {
+            "code": "42874-0016-10",
+            "display": "Flublok"
+          },
+          {
+            "code": "42874-0017-10",
+            "display": "Flublok"
+          },
+          {
+            "code": "42874-0117-10",
+            "display": "Flublok Quadrivalent"
+          },
+          {
+            "code": "43528-0002-05",
+            "display": "HEPLISAV-B"
+          },
+          {
+            "code": "43528-0003-05",
+            "display": "HEPLISAV-B"
+          },
+          {
+            "code": "46028-0114-01",
+            "display": "Bexsero"
+          },
+          {
+            "code": "46028-0114-02",
+            "display": "Bexsero"
+          },
+          {
+            "code": "46028-0208-01",
+            "display": "Menveo"
+          },
+          {
+            "code": "46028-0208-01",
+            "display": "Menveo"
+          },
+          {
+            "code": "49281-0010-10",
+            "display": "FLUZONE"
+          },
+          {
+            "code": "49281-0010-25",
+            "display": "FLUZONE"
+          },
+          {
+            "code": "49281-0010-50",
+            "display": "FLUZONE"
+          },
+          {
+            "code": "49281-0011-10",
+            "display": "FLUZONE"
+          },
+          {
+            "code": "49281-0011-50",
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+          {
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+            "display": "Adenovirus Type 4 and Type 7 Vaccine, Live"
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+            "code": "54868-0734-00",
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+            "display": "FLUAD"
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+          {
+            "code": "66521-0200-10",
+            "display": "Influenza A (H1N1) 2009 Monovalent Vaccine"
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+            "code": "70460-0001-01",
+            "display": "Vaxchora"
+          },
+          {
+            "code": "70461-0001-01",
+            "display": "FLUAD"
+          },
+          {
+            "code": "70461-0002-01",
+            "display": "FLUAD"
+          },
+          {
+            "code": "70461-0018-03",
+            "display": "FLUAD"
+          },
+          {
+            "code": "70461-0119-02",
+            "display": "Fluvirin"
+          },
+          {
+            "code": "70461-0119-10",
+            "display": "Fluvirin"
+          },
+          {
+            "code": "70461-0120-02",
+            "display": "Fluvirin"
+          },
+          {
+            "code": "70461-0120-10",
+            "display": "Fluvirin"
+          },
+          {
+            "code": "70461-0200-01",
+            "display": "FLUCELVAX QUADRIVALENT"
+          },
+          {
+            "code": "70461-0201-01",
+            "display": "FLUCELVAX QUADRIVALENT (PREFILLED SYRINGE)"
+          },
+          {
+            "code": "70461-0301-10",
+            "display": "FLUCELVAX QUADRIVALENT (MULTI-DOSE VIAL)"
+          },
+          {
+            "code": "70461-0318-03",
+            "display": "FLUCELVAX QUADRIVALENT (PREFILLED SYRINGE)"
+          },
+          {
+            "code": "70461-0418-10",
+            "display": "FLUCELVAX QUADRIVALENT (MULTI-DOSE VIAL)"
+          },
+          {
+            "code": "76420-0482-01",
+            "display": "Medical Provider Single Use EZ Flu Shot 2013-2014"
+          },
+          {
+            "code": "76420-0483-01",
+            "display": "Medical Provider Single Use EZ Flu Shot 2013-2014"
+          },
+          {
+            "code": "63361-0245-10",
+            "display": "VAXELIS"
+          }
+        ]
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-us-core-observation-smoking-status-status.json b/resources/us_core_r4/ValueSet-us-core-observation-smoking-status-status.json
new file mode 100755
index 000000000..3888a4365
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-us-core-observation-smoking-status-status.json
@@ -0,0 +1,52 @@
+{
+  "resourceType": "ValueSet",
+  "id": "us-core-observation-smoking-status-status",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Status for Smoking Status Observation</h2><div><p>Codes providing the status of an observation for smoking status. Constrained to <code>final</code>and <code>entered-in-error</code>.</p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href=\"http://hl7.org/fhir/R4/codesystem-observation-status.html\"><code>http://hl7.org/fhir/observation-status</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/codesystem-observation-status.html#observation-status-final\">final</a></td><td>Final</td><td>The observation is complete and there are no further actions needed. Additional information such &quot;released&quot;, &quot;signed&quot;, etc would be represented using [Provenance](provenance.html) which provides not only the act but also the actors and dates and other related data. These act states would be associated with an observation status of `preliminary` until they are all completed and then a status of `final` would be applied.</td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/codesystem-observation-status.html#observation-status-entered-in-error\">entered-in-error</a></td><td>Entered in Error</td><td>The observation has been withdrawn following previous final release.  This electronic record should never have existed, though it is possible that real-world decisions were based on it. (If real-world activity has occurred, the status should be &quot;cancelled&quot; rather than &quot;entered-in-error&quot;.).</td></tr></table></li></ul></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-observation-smoking-status-status",
+  "version": "3.0.0",
+  "name": "USCoreObservationSmokingStatusStatus",
+  "title": "US Core Status for Smoking Status Observation",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "other",
+          "value": "http://hl7.org/fhir"
+        }
+      ]
+    }
+  ],
+  "description": "Codes providing the status of an observation for smoking status. Constrained to `final`and `entered-in-error`.",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "compose": {
+    "include": [
+      {
+        "system": "http://hl7.org/fhir/observation-status",
+        "concept": [
+          {
+            "code": "final"
+          },
+          {
+            "code": "entered-in-error"
+          }
+        ]
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-us-core-observation-smokingstatus.json b/resources/us_core_r4/ValueSet-us-core-observation-smokingstatus.json
new file mode 100755
index 000000000..8ddd34f7f
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-us-core-observation-smokingstatus.json
@@ -0,0 +1,85 @@
+{
+  "resourceType": "ValueSet",
+  "id": "us-core-observation-smokingstatus",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Smoking Status</h2><div><p>This value set indicates the current smoking status of a patient.</p>\n</div><p><b>Copyright Statement:</b> This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=449868002\">449868002</a></td><td>Current every day smoker</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=428041000124106\">428041000124106</a></td><td>Current some day smoker</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=8517006\">8517006</a></td><td>Former smoker</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=266919005\">266919005</a></td><td>Never smoker</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=77176002\">77176002</a></td><td>Smoker, current status unknown</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=266927001\">266927001</a></td><td>Unknown if ever smoked</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=428071000124103\">428071000124103</a></td><td>Current Heavy tobacco smoker</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=428061000124105\">428061000124105</a></td><td>Current Light tobacco smoker</td><td/></tr></table></li></ul></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-observation-smokingstatus",
+  "identifier": [
+    {
+      "system": "urn:ietf:rfc:3986",
+      "value": "urn:oid:2.16.840.1.113883.4.642.2.602"
+    }
+  ],
+  "version": "3.0.0",
+  "name": "USCoreSmokingStatus",
+  "title": "US Core Smoking Status",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "other",
+          "value": "http://hl7.org/fhir"
+        }
+      ]
+    }
+  ],
+  "description": "This value set indicates the current smoking status of a patient.",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "copyright": "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
+  "compose": {
+    "include": [
+      {
+        "system": "http://snomed.info/sct",
+        "concept": [
+          {
+            "code": "449868002",
+            "display": "Current every day smoker"
+          },
+          {
+            "code": "428041000124106",
+            "display": "Current some day smoker"
+          },
+          {
+            "code": "8517006",
+            "display": "Former smoker"
+          },
+          {
+            "code": "266919005",
+            "display": "Never smoker"
+          },
+          {
+            "code": "77176002",
+            "display": "Smoker, current status unknown"
+          },
+          {
+            "code": "266927001",
+            "display": "Unknown if ever smoked"
+          },
+          {
+            "code": "428071000124103",
+            "display": "Current Heavy tobacco smoker"
+          },
+          {
+            "code": "428061000124105",
+            "display": "Current Light tobacco smoker"
+          }
+        ]
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-us-core-observation-value-codes.json b/resources/us_core_r4/ValueSet-us-core-observation-value-codes.json
new file mode 100755
index 000000000..25ee80133
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-us-core-observation-value-codes.json
@@ -0,0 +1,49 @@
+{
+  "resourceType": "ValueSet",
+  "id": "us-core-observation-value-codes",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Observation Value Codes (SNOMED-CT)</h2><div><p><a href=\"http://www.ihtsdo.org/\">Snomed-CT</a> concept codes for coded results</p>\n</div><p><b>Copyright Statement:</b> This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><p>This value set includes codes from the following code systems:</p><ul><li>Include all codes defined in <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a></li></ul></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-observation-value-codes",
+  "version": "3.0.0",
+  "name": "USCoreObservationValueCodes",
+  "title": "US Core Observation Value Codes (SNOMED-CT)",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "other",
+          "value": "http://hl7.org/fhir"
+        },
+        {
+          "system": "email",
+          "value": "fhir@lists.hl7.org"
+        }
+      ]
+    }
+  ],
+  "description": "[Snomed-CT](http://www.ihtsdo.org/) concept codes for coded results",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "copyright": "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
+  "compose": {
+    "include": [
+      {
+        "system": "http://snomed.info/sct"
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-us-core-problem.json b/resources/us_core_r4/ValueSet-us-core-problem.json
new file mode 100755
index 000000000..d18d41d71
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-us-core-problem.json
@@ -0,0 +1,76 @@
+{
+  "resourceType": "ValueSet",
+  "id": "us-core-problem",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t<h2>Problem Value Set</h2>\n\t\t\t<p>This describes the problem. Diagnosis/Problem List is broadly defined as a series of brief statements that catalog a patient's medical, nursing, dental, social, preventative and psychiatric events and issues that are relevant to that patient's healthcare (e.g., signs, symptoms, and defined conditions)</p>\n\t\t\t<p>\n\t\t\t\t<b>Copyright Statement:</b> This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement\n      </p>\n\t\t\t<p>This value set includes codes from the following code systems:</p>\n\t\t\t<ul>\n\t\t\t\t<li>No current problems or disability 160245001</li>\n\t\t\t\t<li>Include codes from http://snomed.info/sct where concept  is-a  404684003</li>\n\t\t\t\t<li>Include codes from http://snomed.info/sct where concept  is-a  243796009</li>\n\t\t\t</ul>\n\t\t</div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-problem",
+  "identifier": [
+    {
+      "system": "urn:ietf:rfc:3986",
+      "value": "urn:oid:2.16.840.1.113883.3.88.12.3221.7.4"
+    }
+  ],
+  "version": "3.0.0",
+  "name": "USCoreProblem",
+  "title": "US Core Problem",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "other",
+          "value": "http://hl7.org/fhir"
+        }
+      ]
+    }
+  ],
+  "description": "This describes the problem. Diagnosis/Problem List is broadly defined as a series of brief statements that catalog a patient's medical, nursing, dental, social, preventative and psychiatric events and issues that are relevant to that patient's healthcare (e.g., signs, symptoms, and defined conditions)",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "copyright": "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
+  "compose": {
+    "include": [
+      {
+        "system": "http://snomed.info/sct",
+        "concept": [
+          {
+            "code": "160245001"
+          }
+        ]
+      },
+      {
+        "system": "http://snomed.info/sct",
+        "filter": [
+          {
+            "property": "concept",
+            "op": "is-a",
+            "value": "404684003"
+          }
+        ]
+      },
+      {
+        "system": "http://snomed.info/sct",
+        "filter": [
+          {
+            "property": "concept",
+            "op": "is-a",
+            "value": "243796009"
+          }
+        ]
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-us-core-procedure-code.json b/resources/us_core_r4/ValueSet-us-core-procedure-code.json
new file mode 100755
index 000000000..4b72b2f52
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-us-core-procedure-code.json
@@ -0,0 +1,61 @@
+{
+  "resourceType": "ValueSet",
+  "id": "us-core-procedure-code",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Procedure Codes</h2><div><p>This example value set defines a set of codes that can be used to indicate the type of procedure: a specific code indicating type of procedure performed, from CPT or SNOMED CT.</p>\n</div><p><b>Copyright Statement:</b> CPT copyright 2014 American Medical Association. All rights reserved. This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><p>This value set includes codes from the following code systems:</p><ul><li>Include all codes defined in <code>http://www.ama-assn.org/go/cpt</code></li><li>Include codes from <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a> where concept  is-a  71388002 (Procedure)</li></ul></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code",
+  "identifier": [
+    {
+      "system": "urn:ietf:rfc:3986",
+      "value": "urn:oid:2.16.840.1.113883.4.642.2.607"
+    }
+  ],
+  "version": "3.0.0",
+  "name": "USCoreProcedureCodes",
+  "title": "US Core Procedure Codes",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "other",
+          "value": "http://hl7.org/fhir"
+        }
+      ]
+    }
+  ],
+  "description": "This example value set defines a set of codes that can be used to indicate the type of procedure: a specific code indicating type of procedure performed, from CPT or SNOMED CT.",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "copyright": "CPT copyright 2014 American Medical Association. All rights reserved. This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
+  "compose": {
+    "include": [
+      {
+        "system": "http://www.ama-assn.org/go/cpt"
+      },
+      {
+        "system": "http://snomed.info/sct",
+        "filter": [
+          {
+            "property": "concept",
+            "op": "is-a",
+            "value": "71388002"
+          }
+        ]
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-us-core-procedure-icd10pcs.json b/resources/us_core_r4/ValueSet-us-core-procedure-icd10pcs.json
new file mode 100755
index 000000000..a9159c260
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-us-core-procedure-icd10pcs.json
@@ -0,0 +1,45 @@
+{
+  "resourceType": "ValueSet",
+  "id": "us-core-procedure-icd10pcs",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core ICD-10-PCS Procedure Codes</h2><div><p>This value set defines a set of codes from ICD10-PCS that can be used to indicate a type of procedure performed</p>\n</div><p><b>Copyright Statement:</b> The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) was developed for the Centers for Medicare and Medicaid Services (CMS).  CMS is the U.S. governmental agency responsible for overseeing all changes and modifications to the ICD-10-PCS.</p><p>This value set includes codes from the following code systems:</p><ul><li>Include all codes defined in <code>http://www.icd10data.com/icd10pcs</code></li></ul></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-icd10pcs",
+  "version": "3.0.0",
+  "name": "USCoreIcd_10PcsProcedureCodes",
+  "title": "US Core ICD-10-PCS Procedure Codes",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "other",
+          "value": "http://hl7.org/fhir"
+        }
+      ]
+    }
+  ],
+  "description": "This value set defines a set of codes from ICD10-PCS that can be used to indicate a type of procedure performed",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "copyright": "The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) was developed for the Centers for Medicare and Medicaid Services (CMS).  CMS is the U.S. governmental agency responsible for overseeing all changes and modifications to the ICD-10-PCS.",
+  "compose": {
+    "include": [
+      {
+        "system": "http://www.icd10data.com/icd10pcs"
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-us-core-provider-role.json b/resources/us_core_r4/ValueSet-us-core-provider-role.json
new file mode 100755
index 000000000..39586568a
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-us-core-provider-role.json
@@ -0,0 +1,995 @@
+{
+  "resourceType": "ValueSet",
+  "id": "us-core-provider-role",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Provider Role (NUCC)</h2><div><p>Provider roles codes which are composed of the NUCC Health Care Provider Taxonomy Code Set classification codes for providers. Only concepts with a classification and no specialization are included.</p>\n</div><p><b>Copyright Statement:</b> This value set includes content from NUCC Health Care Provider Taxonomy Code Set for providers which is copyright © 2016+ American Medical Association.  For commercial use, including sales or licensing, a license must be obtained.</p><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <code>http://nucc.org/provider-taxonomy</code><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>101Y00000X</td><td>Counselor</td><td/></tr><tr><td>102L00000X</td><td>Psychoanalyst</td><td/></tr><tr><td>102X00000X</td><td>Poetry Therapist</td><td/></tr><tr><td>103G00000X</td><td>Clinical Neuropsychologist</td><td/></tr><tr><td>103K00000X</td><td>Behavior Analyst</td><td/></tr><tr><td>103T00000X</td><td>Psychologist</td><td/></tr><tr><td>104100000X</td><td>Social Worker</td><td/></tr><tr><td>106E00000X</td><td>Assistant Behavior Analyst</td><td/></tr><tr><td>106H00000X</td><td>Marriage &amp; Family Therapist</td><td/></tr><tr><td>106S00000X</td><td>Behavior Technician</td><td/></tr><tr><td>111N00000X</td><td>Chiropractor</td><td/></tr><tr><td>122300000X</td><td>Dentist</td><td/></tr><tr><td>122400000X</td><td>Denturist</td><td/></tr><tr><td>124Q00000X</td><td>Dental Hygienist</td><td/></tr><tr><td>125J00000X</td><td>Dental Therapist</td><td/></tr><tr><td>125K00000X</td><td>Advanced Practice Dental Therapist</td><td/></tr><tr><td>125Q00000X</td><td>Oral Medicinist</td><td/></tr><tr><td>126800000X</td><td>Dental Assistant</td><td/></tr><tr><td>126900000X</td><td>Dental Laboratory Technician</td><td/></tr><tr><td>132700000X</td><td>Dietary Manager</td><td/></tr><tr><td>133N00000X</td><td>Nutritionist</td><td/></tr><tr><td>133V00000X</td><td>Dietitian, Registered</td><td/></tr><tr><td>136A00000X</td><td>Dietetic Technician, Registered</td><td/></tr><tr><td>146D00000X</td><td>Personal Emergency Response Attendant</td><td/></tr><tr><td>146L00000X</td><td>Emergency Medical Technician, Paramedic</td><td/></tr><tr><td>146M00000X</td><td>Emergency Medical Technician, Intermediate</td><td/></tr><tr><td>146N00000X</td><td>Emergency Medical Technician, Basic</td><td/></tr><tr><td>152W00000X</td><td>Optometrist</td><td/></tr><tr><td>156F00000X</td><td>Technician/Technologist</td><td/></tr><tr><td>163W00000X</td><td>Registered Nurse</td><td/></tr><tr><td>164W00000X</td><td>Licensed Practical Nurse</td><td/></tr><tr><td>164X00000X</td><td>Licensed Vocational Nurse</td><td/></tr><tr><td>167G00000X</td><td>Licensed Psychiatric Technician</td><td/></tr><tr><td>170100000X</td><td>Medical Genetics, Ph.D. Medical Genetics</td><td/></tr><tr><td>170300000X</td><td>Genetic Counselor, MS</td><td/></tr><tr><td>171000000X</td><td>Military Health Care Provider</td><td/></tr><tr><td>171100000X</td><td>Acupuncturist</td><td/></tr><tr><td>171M00000X</td><td>Case Manager/Care Coordinator</td><td/></tr><tr><td>171R00000X</td><td>Interpreter</td><td/></tr><tr><td>171W00000X</td><td>Contractor</td><td/></tr><tr><td>172A00000X</td><td>Driver</td><td/></tr><tr><td>172M00000X</td><td>Mechanotherapist</td><td/></tr><tr><td>172P00000X</td><td>Naprapath</td><td/></tr><tr><td>172V00000X</td><td>Community Health Worker</td><td/></tr><tr><td>173000000X</td><td>Legal Medicine</td><td/></tr><tr><td>173C00000X</td><td>Reflexologist</td><td/></tr><tr><td>173F00000X</td><td>Sleep Specialist, PhD</td><td/></tr><tr><td>174200000X</td><td>Meals</td><td/></tr><tr><td>174400000X</td><td>Specialist</td><td/></tr><tr><td>174H00000X</td><td>Health Educator</td><td/></tr><tr><td>174M00000X</td><td>Veterinarian</td><td/></tr><tr><td>174N00000X</td><td>Lactation Consultant, Non-RN</td><td/></tr><tr><td>174V00000X</td><td>Clinical Ethicist</td><td/></tr><tr><td>175F00000X</td><td>Naturopath</td><td/></tr><tr><td>175L00000X</td><td>Homeopath</td><td/></tr><tr><td>175M00000X</td><td>Midwife, Lay</td><td/></tr><tr><td>175T00000X</td><td>Peer Specialist</td><td/></tr><tr><td>176B00000X</td><td>Midwife</td><td/></tr><tr><td>176P00000X</td><td>Funeral Director</td><td/></tr><tr><td>177F00000X</td><td>Lodging</td><td/></tr><tr><td>183500000X</td><td>Pharmacist</td><td/></tr><tr><td>183700000X</td><td>Pharmacy Technician</td><td/></tr><tr><td>193200000X</td><td>Multi-Specialty</td><td/></tr><tr><td>193400000X</td><td>Single Specialty</td><td/></tr><tr><td>202C00000X</td><td>Independent Medical Examiner</td><td/></tr><tr><td>202K00000X</td><td>Phlebology</td><td/></tr><tr><td>204C00000X</td><td>Neuromusculoskeletal Medicine, Sports Medicine</td><td/></tr><tr><td>204D00000X</td><td>Neuromusculoskeletal Medicine &amp; OMM</td><td/></tr><tr><td>204E00000X</td><td>Oral &amp; Maxillofacial Surgery</td><td/></tr><tr><td>204F00000X</td><td>Transplant Surgery</td><td/></tr><tr><td>204R00000X</td><td>Electrodiagnostic Medicine</td><td/></tr><tr><td>207K00000X</td><td>Allergy &amp; Immunology</td><td/></tr><tr><td>207L00000X</td><td>Anesthesiology</td><td/></tr><tr><td>207N00000X</td><td>Dermatology</td><td/></tr><tr><td>207P00000X</td><td>Emergency Medicine</td><td/></tr><tr><td>207Q00000X</td><td>Family Medicine</td><td/></tr><tr><td>207R00000X</td><td>Internal Medicine</td><td/></tr><tr><td>207T00000X</td><td>Neurological Surgery</td><td/></tr><tr><td>207U00000X</td><td>Nuclear Medicine</td><td/></tr><tr><td>207V00000X</td><td>Obstetrics &amp; Gynecology</td><td/></tr><tr><td>207W00000X</td><td>Ophthalmology</td><td/></tr><tr><td>207X00000X</td><td>Orthopaedic Surgery</td><td/></tr><tr><td>207Y00000X</td><td>Otolaryngology</td><td/></tr><tr><td>208000000X</td><td>Pediatrics</td><td/></tr><tr><td>208100000X</td><td>Physical Medicine &amp; Rehabilitation</td><td/></tr><tr><td>208200000X</td><td>Plastic Surgery</td><td/></tr><tr><td>208600000X</td><td>Surgery</td><td/></tr><tr><td>208800000X</td><td>Urology</td><td/></tr><tr><td>208C00000X</td><td>Colon &amp; Rectal Surgery</td><td/></tr><tr><td>208D00000X</td><td>General Practice</td><td/></tr><tr><td>208G00000X</td><td>Thoracic Surgery (Cardiothoracic Vascular Surgery)</td><td/></tr><tr><td>208M00000X</td><td>Hospitalist</td><td/></tr><tr><td>208U00000X</td><td>Clinical Pharmacology</td><td/></tr><tr><td>209800000X</td><td>Legal Medicine</td><td/></tr><tr><td>211D00000X</td><td>Assistant, Podiatric</td><td/></tr><tr><td>213E00000X</td><td>Podiatrist</td><td/></tr><tr><td>221700000X</td><td>Art Therapist</td><td/></tr><tr><td>222Q00000X</td><td>Developmental Therapist</td><td/></tr><tr><td>222Z00000X</td><td>Orthotist</td><td/></tr><tr><td>224900000X</td><td>Mastectomy Fitter</td><td/></tr><tr><td>224L00000X</td><td>Pedorthist</td><td/></tr><tr><td>224P00000X</td><td>Prosthetist</td><td/></tr><tr><td>224Y00000X</td><td>Clinical Exercise Physiologist</td><td/></tr><tr><td>224Z00000X</td><td>Occupational Therapy Assistant</td><td/></tr><tr><td>225000000X</td><td>Orthotic Fitter</td><td/></tr><tr><td>225100000X</td><td>Physical Therapist</td><td/></tr><tr><td>225200000X</td><td>Physical Therapy Assistant</td><td/></tr><tr><td>225400000X</td><td>Rehabilitation Practitioner</td><td/></tr><tr><td>225500000X</td><td>Specialist/Technologist</td><td/></tr><tr><td>225600000X</td><td>Dance Therapist</td><td/></tr><tr><td>225700000X</td><td>Massage Therapist</td><td/></tr><tr><td>225800000X</td><td>Recreation Therapist</td><td/></tr><tr><td>225A00000X</td><td>Music Therapist</td><td/></tr><tr><td>225B00000X</td><td>Pulmonary Function Technologist</td><td/></tr><tr><td>225C00000X</td><td>Rehabilitation Counselor</td><td/></tr><tr><td>225X00000X</td><td>Occupational Therapist</td><td/></tr><tr><td>226000000X</td><td>Recreational Therapist Assistant</td><td/></tr><tr><td>226300000X</td><td>Kinesiotherapist</td><td/></tr><tr><td>227800000X</td><td>Respiratory Therapist, Certified</td><td/></tr><tr><td>227900000X</td><td>Respiratory Therapist, Registered</td><td/></tr><tr><td>229N00000X</td><td>Anaplastologist</td><td/></tr><tr><td>231H00000X</td><td>Audiologist</td><td/></tr><tr><td>235500000X</td><td>Specialist/Technologist</td><td/></tr><tr><td>235Z00000X</td><td>Speech-Language Pathologist</td><td/></tr><tr><td>237600000X</td><td>Audiologist-Hearing Aid Fitter</td><td/></tr><tr><td>237700000X</td><td>Hearing Instrument Specialist</td><td/></tr><tr><td>242T00000X</td><td>Perfusionist</td><td/></tr><tr><td>243U00000X</td><td>Radiology Practitioner Assistant</td><td/></tr><tr><td>246Q00000X</td><td>Specialist/Technologist, Pathology</td><td/></tr><tr><td>246R00000X</td><td>Technician, Pathology</td><td/></tr><tr><td>246W00000X</td><td>Technician, Cardiology</td><td/></tr><tr><td>246X00000X</td><td>Specialist/Technologist Cardiovascular</td><td/></tr><tr><td>246Y00000X</td><td>Specialist/Technologist, Health Information</td><td/></tr><tr><td>246Z00000X</td><td>Specialist/Technologist, Other</td><td/></tr><tr><td>247000000X</td><td>Technician, Health Information</td><td/></tr><tr><td>247100000X</td><td>Radiologic Technologist</td><td/></tr><tr><td>247200000X</td><td>Technician, Other</td><td/></tr><tr><td>251300000X</td><td>Local Education Agency (LEA)</td><td/></tr><tr><td>251B00000X</td><td>Case Management</td><td/></tr><tr><td>251C00000X</td><td>Day Training, Developmentally Disabled Services</td><td/></tr><tr><td>251E00000X</td><td>Home Health</td><td/></tr><tr><td>251F00000X</td><td>Home Infusion</td><td/></tr><tr><td>251G00000X</td><td>Hospice Care, Community Based</td><td/></tr><tr><td>251J00000X</td><td>Nursing Care</td><td/></tr><tr><td>251K00000X</td><td>Public Health or Welfare</td><td/></tr><tr><td>251S00000X</td><td>Community/Behavioral Health</td><td/></tr><tr><td>251T00000X</td><td>Program of All-Inclusive Care for the Elderly (PACE) Provider Organization</td><td/></tr><tr><td>251V00000X</td><td>Voluntary or Charitable</td><td/></tr><tr><td>251X00000X</td><td>Supports Brokerage</td><td/></tr><tr><td>252Y00000X</td><td>Early Intervention Provider Agency</td><td/></tr><tr><td>253J00000X</td><td>Foster Care Agency</td><td/></tr><tr><td>253Z00000X</td><td>In Home Supportive Care</td><td/></tr><tr><td>261Q00000X</td><td>Clinic/Center</td><td/></tr><tr><td>273100000X</td><td>Epilepsy Unit</td><td/></tr><tr><td>273R00000X</td><td>Psychiatric Unit</td><td/></tr><tr><td>273Y00000X</td><td>Rehabilitation Unit</td><td/></tr><tr><td>275N00000X</td><td>Medicare Defined Swing Bed Unit</td><td/></tr><tr><td>276400000X</td><td>Rehabilitation, Substance Use Disorder Unit</td><td/></tr><tr><td>281P00000X</td><td>Chronic Disease Hospital</td><td/></tr><tr><td>282E00000X</td><td>Long Term Care Hospital</td><td/></tr><tr><td>282J00000X</td><td>Religious Nonmedical Health Care Institution</td><td/></tr><tr><td>282N00000X</td><td>General Acute Care Hospital</td><td/></tr><tr><td>283Q00000X</td><td>Psychiatric Hospital</td><td/></tr><tr><td>283X00000X</td><td>Rehabilitation Hospital</td><td/></tr><tr><td>284300000X</td><td>Special Hospital</td><td/></tr><tr><td>286500000X</td><td>Military Hospital</td><td/></tr><tr><td>287300000X</td><td>Christian Science Sanitorium</td><td/></tr><tr><td>291900000X</td><td>Military Clinical Medical Laboratory</td><td/></tr><tr><td>291U00000X</td><td>Clinical Medical Laboratory</td><td/></tr><tr><td>292200000X</td><td>Dental Laboratory</td><td/></tr><tr><td>293D00000X</td><td>Physiological Laboratory</td><td/></tr><tr><td>302F00000X</td><td>Exclusive Provider Organization</td><td/></tr><tr><td>302R00000X</td><td>Health Maintenance Organization</td><td/></tr><tr><td>305R00000X</td><td>Preferred Provider Organization</td><td/></tr><tr><td>305S00000X</td><td>Point of Service</td><td/></tr><tr><td>310400000X</td><td>Assisted Living Facility</td><td/></tr><tr><td>310500000X</td><td>Intermediate Care Facility, Mental Illness</td><td/></tr><tr><td>311500000X</td><td>Alzheimer Center (Dementia Center)</td><td/></tr><tr><td>311Z00000X</td><td>Custodial Care Facility</td><td/></tr><tr><td>313M00000X</td><td>Nursing Facility/Intermediate Care Facility</td><td/></tr><tr><td>314000000X</td><td>Skilled Nursing Facility</td><td/></tr><tr><td>315D00000X</td><td>Hospice, Inpatient</td><td/></tr><tr><td>315P00000X</td><td>Intermediate Care Facility, Mentally Retarded</td><td/></tr><tr><td>317400000X</td><td>Christian Science Facility</td><td/></tr><tr><td>320600000X</td><td>Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities</td><td/></tr><tr><td>320700000X</td><td>Residential Treatment Facility, Physical Disabilities</td><td/></tr><tr><td>320800000X</td><td>Community Based Residential Treatment Facility, Mental Illness</td><td/></tr><tr><td>320900000X</td><td>Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities</td><td/></tr><tr><td>322D00000X</td><td>Residential Treatment Facility, Emotionally Disturbed Children</td><td/></tr><tr><td>323P00000X</td><td>Psychiatric Residential Treatment Facility</td><td/></tr><tr><td>324500000X</td><td>Substance Abuse Rehabilitation Facility</td><td/></tr><tr><td>331L00000X</td><td>Blood Bank</td><td/></tr><tr><td>332000000X</td><td>Military/U.S. Coast Guard Pharmacy</td><td/></tr><tr><td>332100000X</td><td>Department of Veterans Affairs (VA) Pharmacy</td><td/></tr><tr><td>332800000X</td><td>Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy</td><td/></tr><tr><td>332900000X</td><td>Non-Pharmacy Dispensing Site</td><td/></tr><tr><td>332B00000X</td><td>Durable Medical Equipment &amp; Medical Supplies</td><td/></tr><tr><td>332G00000X</td><td>Eye Bank</td><td/></tr><tr><td>332H00000X</td><td>Eyewear Supplier</td><td/></tr><tr><td>332S00000X</td><td>Hearing Aid Equipment</td><td/></tr><tr><td>332U00000X</td><td>Home Delivered Meals</td><td/></tr><tr><td>333300000X</td><td>Emergency Response System Companies</td><td/></tr><tr><td>333600000X</td><td>Pharmacy</td><td/></tr><tr><td>335E00000X</td><td>Prosthetic/Orthotic Supplier</td><td/></tr><tr><td>335G00000X</td><td>Medical Foods Supplier</td><td/></tr><tr><td>335U00000X</td><td>Organ Procurement Organization</td><td/></tr><tr><td>335V00000X</td><td>Portable X-ray and/or Other Portable Diagnostic Imaging Supplier</td><td/></tr><tr><td>341600000X</td><td>Ambulance</td><td/></tr><tr><td>341800000X</td><td>Military/U.S. Coast Guard Transport</td><td/></tr><tr><td>343800000X</td><td>Secured Medical Transport (VAN)</td><td/></tr><tr><td>343900000X</td><td>Non-emergency Medical Transport (VAN)</td><td/></tr><tr><td>344600000X</td><td>Taxi</td><td/></tr><tr><td>344800000X</td><td>Air Carrier</td><td/></tr><tr><td>347B00000X</td><td>Bus</td><td/></tr><tr><td>347C00000X</td><td>Private Vehicle</td><td/></tr><tr><td>347D00000X</td><td>Train</td><td/></tr><tr><td>347E00000X</td><td>Transportation Broker</td><td/></tr><tr><td>363A00000X</td><td>Physician Assistant</td><td/></tr><tr><td>363L00000X</td><td>Nurse Practitioner</td><td/></tr><tr><td>364S00000X</td><td>Clinical Nurse Specialist</td><td/></tr><tr><td>367500000X</td><td>Nurse Anesthetist, Certified Registered</td><td/></tr><tr><td>367A00000X</td><td>Advanced Practice Midwife</td><td/></tr><tr><td>367H00000X</td><td>Anesthesiologist Assistant</td><td/></tr><tr><td>372500000X</td><td>Chore Provider</td><td/></tr><tr><td>372600000X</td><td>Adult Companion</td><td/></tr><tr><td>373H00000X</td><td>Day Training/Habilitation Specialist</td><td/></tr><tr><td>374700000X</td><td>Technician</td><td/></tr><tr><td>374J00000X</td><td>Doula</td><td/></tr><tr><td>374K00000X</td><td>Religious Nonmedical Practitioner</td><td/></tr><tr><td>374T00000X</td><td>Religious Nonmedical Nursing Personnel</td><td/></tr><tr><td>374U00000X</td><td>Home Health Aide</td><td/></tr><tr><td>376G00000X</td><td>Nursing Home Administrator</td><td/></tr><tr><td>376J00000X</td><td>Homemaker</td><td/></tr><tr><td>376K00000X</td><td>Nurse's Aide</td><td/></tr><tr><td>385H00000X</td><td>Respite Care</td><td/></tr><tr><td>390200000X</td><td>Student in an Organized Health Care Education/Training Program</td><td/></tr><tr><td>405300000X</td><td>Prevention Professional</td><td/></tr></table></li></ul></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-provider-role",
+  "version": "3.0.0",
+  "name": "USCoreProviderRoleNucc",
+  "title": "US Core Provider Role (NUCC)",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "other",
+          "value": "http://hl7.org/fhir"
+        }
+      ]
+    }
+  ],
+  "description": "Provider roles codes which are composed of the NUCC Health Care Provider Taxonomy Code Set classification codes for providers. Only concepts with a classification and no specialization are included. ",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "copyright": "This value set includes content from NUCC Health Care Provider Taxonomy Code Set for providers which is copyright © 2016+ American Medical Association.  For commercial use, including sales or licensing, a license must be obtained.",
+  "compose": {
+    "include": [
+      {
+        "system": "http://nucc.org/provider-taxonomy",
+        "concept": [
+          {
+            "code": "101Y00000X",
+            "display": "Counselor"
+          },
+          {
+            "code": "102L00000X",
+            "display": "Psychoanalyst"
+          },
+          {
+            "code": "102X00000X",
+            "display": "Poetry Therapist"
+          },
+          {
+            "code": "103G00000X",
+            "display": "Clinical Neuropsychologist"
+          },
+          {
+            "code": "103K00000X",
+            "display": "Behavior Analyst"
+          },
+          {
+            "code": "103T00000X",
+            "display": "Psychologist"
+          },
+          {
+            "code": "104100000X",
+            "display": "Social Worker"
+          },
+          {
+            "code": "106E00000X",
+            "display": "Assistant Behavior Analyst"
+          },
+          {
+            "code": "106H00000X",
+            "display": "Marriage & Family Therapist"
+          },
+          {
+            "code": "106S00000X",
+            "display": "Behavior Technician"
+          },
+          {
+            "code": "111N00000X",
+            "display": "Chiropractor"
+          },
+          {
+            "code": "122300000X",
+            "display": "Dentist"
+          },
+          {
+            "code": "122400000X",
+            "display": "Denturist"
+          },
+          {
+            "code": "124Q00000X",
+            "display": "Dental Hygienist"
+          },
+          {
+            "code": "125J00000X",
+            "display": "Dental Therapist"
+          },
+          {
+            "code": "125K00000X",
+            "display": "Advanced Practice Dental Therapist"
+          },
+          {
+            "code": "125Q00000X",
+            "display": "Oral Medicinist"
+          },
+          {
+            "code": "126800000X",
+            "display": "Dental Assistant"
+          },
+          {
+            "code": "126900000X",
+            "display": "Dental Laboratory Technician"
+          },
+          {
+            "code": "132700000X",
+            "display": "Dietary Manager"
+          },
+          {
+            "code": "133N00000X",
+            "display": "Nutritionist"
+          },
+          {
+            "code": "133V00000X",
+            "display": "Dietitian, Registered"
+          },
+          {
+            "code": "136A00000X",
+            "display": "Dietetic Technician, Registered"
+          },
+          {
+            "code": "146D00000X",
+            "display": "Personal Emergency Response Attendant"
+          },
+          {
+            "code": "146L00000X",
+            "display": "Emergency Medical Technician, Paramedic"
+          },
+          {
+            "code": "146M00000X",
+            "display": "Emergency Medical Technician, Intermediate"
+          },
+          {
+            "code": "146N00000X",
+            "display": "Emergency Medical Technician, Basic"
+          },
+          {
+            "code": "152W00000X",
+            "display": "Optometrist"
+          },
+          {
+            "code": "156F00000X",
+            "display": "Technician/Technologist"
+          },
+          {
+            "code": "163W00000X",
+            "display": "Registered Nurse"
+          },
+          {
+            "code": "164W00000X",
+            "display": "Licensed Practical Nurse"
+          },
+          {
+            "code": "164X00000X",
+            "display": "Licensed Vocational Nurse"
+          },
+          {
+            "code": "167G00000X",
+            "display": "Licensed Psychiatric Technician"
+          },
+          {
+            "code": "170100000X",
+            "display": "Medical Genetics, Ph.D. Medical Genetics"
+          },
+          {
+            "code": "170300000X",
+            "display": "Genetic Counselor, MS"
+          },
+          {
+            "code": "171000000X",
+            "display": "Military Health Care Provider"
+          },
+          {
+            "code": "171100000X",
+            "display": "Acupuncturist"
+          },
+          {
+            "code": "171M00000X",
+            "display": "Case Manager/Care Coordinator"
+          },
+          {
+            "code": "171R00000X",
+            "display": "Interpreter"
+          },
+          {
+            "code": "171W00000X",
+            "display": "Contractor"
+          },
+          {
+            "code": "172A00000X",
+            "display": "Driver"
+          },
+          {
+            "code": "172M00000X",
+            "display": "Mechanotherapist"
+          },
+          {
+            "code": "172P00000X",
+            "display": "Naprapath"
+          },
+          {
+            "code": "172V00000X",
+            "display": "Community Health Worker"
+          },
+          {
+            "code": "173000000X",
+            "display": "Legal Medicine"
+          },
+          {
+            "code": "173C00000X",
+            "display": "Reflexologist"
+          },
+          {
+            "code": "173F00000X",
+            "display": "Sleep Specialist, PhD"
+          },
+          {
+            "code": "174200000X",
+            "display": "Meals"
+          },
+          {
+            "code": "174400000X",
+            "display": "Specialist"
+          },
+          {
+            "code": "174H00000X",
+            "display": "Health Educator"
+          },
+          {
+            "code": "174M00000X",
+            "display": "Veterinarian"
+          },
+          {
+            "code": "174N00000X",
+            "display": "Lactation Consultant, Non-RN"
+          },
+          {
+            "code": "174V00000X",
+            "display": "Clinical Ethicist"
+          },
+          {
+            "code": "175F00000X",
+            "display": "Naturopath"
+          },
+          {
+            "code": "175L00000X",
+            "display": "Homeopath"
+          },
+          {
+            "code": "175M00000X",
+            "display": "Midwife, Lay"
+          },
+          {
+            "code": "175T00000X",
+            "display": "Peer Specialist"
+          },
+          {
+            "code": "176B00000X",
+            "display": "Midwife"
+          },
+          {
+            "code": "176P00000X",
+            "display": "Funeral Director"
+          },
+          {
+            "code": "177F00000X",
+            "display": "Lodging"
+          },
+          {
+            "code": "183500000X",
+            "display": "Pharmacist"
+          },
+          {
+            "code": "183700000X",
+            "display": "Pharmacy Technician"
+          },
+          {
+            "code": "193200000X",
+            "display": "Multi-Specialty"
+          },
+          {
+            "code": "193400000X",
+            "display": "Single Specialty"
+          },
+          {
+            "code": "202C00000X",
+            "display": "Independent Medical Examiner"
+          },
+          {
+            "code": "202K00000X",
+            "display": "Phlebology"
+          },
+          {
+            "code": "204C00000X",
+            "display": "Neuromusculoskeletal Medicine, Sports Medicine"
+          },
+          {
+            "code": "204D00000X",
+            "display": "Neuromusculoskeletal Medicine & OMM"
+          },
+          {
+            "code": "204E00000X",
+            "display": "Oral & Maxillofacial Surgery"
+          },
+          {
+            "code": "204F00000X",
+            "display": "Transplant Surgery"
+          },
+          {
+            "code": "204R00000X",
+            "display": "Electrodiagnostic Medicine"
+          },
+          {
+            "code": "207K00000X",
+            "display": "Allergy & Immunology"
+          },
+          {
+            "code": "207L00000X",
+            "display": "Anesthesiology"
+          },
+          {
+            "code": "207N00000X",
+            "display": "Dermatology"
+          },
+          {
+            "code": "207P00000X",
+            "display": "Emergency Medicine"
+          },
+          {
+            "code": "207Q00000X",
+            "display": "Family Medicine"
+          },
+          {
+            "code": "207R00000X",
+            "display": "Internal Medicine"
+          },
+          {
+            "code": "207T00000X",
+            "display": "Neurological Surgery"
+          },
+          {
+            "code": "207U00000X",
+            "display": "Nuclear Medicine"
+          },
+          {
+            "code": "207V00000X",
+            "display": "Obstetrics & Gynecology"
+          },
+          {
+            "code": "207W00000X",
+            "display": "Ophthalmology"
+          },
+          {
+            "code": "207X00000X",
+            "display": "Orthopaedic Surgery"
+          },
+          {
+            "code": "207Y00000X",
+            "display": "Otolaryngology"
+          },
+          {
+            "code": "208000000X",
+            "display": "Pediatrics"
+          },
+          {
+            "code": "208100000X",
+            "display": "Physical Medicine & Rehabilitation"
+          },
+          {
+            "code": "208200000X",
+            "display": "Plastic Surgery"
+          },
+          {
+            "code": "208600000X",
+            "display": "Surgery"
+          },
+          {
+            "code": "208800000X",
+            "display": "Urology"
+          },
+          {
+            "code": "208C00000X",
+            "display": "Colon & Rectal Surgery"
+          },
+          {
+            "code": "208D00000X",
+            "display": "General Practice"
+          },
+          {
+            "code": "208G00000X",
+            "display": "Thoracic Surgery (Cardiothoracic Vascular Surgery)"
+          },
+          {
+            "code": "208M00000X",
+            "display": "Hospitalist"
+          },
+          {
+            "code": "208U00000X",
+            "display": "Clinical Pharmacology"
+          },
+          {
+            "code": "209800000X",
+            "display": "Legal Medicine"
+          },
+          {
+            "code": "211D00000X",
+            "display": "Assistant, Podiatric"
+          },
+          {
+            "code": "213E00000X",
+            "display": "Podiatrist"
+          },
+          {
+            "code": "221700000X",
+            "display": "Art Therapist"
+          },
+          {
+            "code": "222Q00000X",
+            "display": "Developmental Therapist"
+          },
+          {
+            "code": "222Z00000X",
+            "display": "Orthotist"
+          },
+          {
+            "code": "224900000X",
+            "display": "Mastectomy Fitter"
+          },
+          {
+            "code": "224L00000X",
+            "display": "Pedorthist"
+          },
+          {
+            "code": "224P00000X",
+            "display": "Prosthetist"
+          },
+          {
+            "code": "224Y00000X",
+            "display": "Clinical Exercise Physiologist"
+          },
+          {
+            "code": "224Z00000X",
+            "display": "Occupational Therapy Assistant"
+          },
+          {
+            "code": "225000000X",
+            "display": "Orthotic Fitter"
+          },
+          {
+            "code": "225100000X",
+            "display": "Physical Therapist"
+          },
+          {
+            "code": "225200000X",
+            "display": "Physical Therapy Assistant"
+          },
+          {
+            "code": "225400000X",
+            "display": "Rehabilitation Practitioner"
+          },
+          {
+            "code": "225500000X",
+            "display": "Specialist/Technologist"
+          },
+          {
+            "code": "225600000X",
+            "display": "Dance Therapist"
+          },
+          {
+            "code": "225700000X",
+            "display": "Massage Therapist"
+          },
+          {
+            "code": "225800000X",
+            "display": "Recreation Therapist"
+          },
+          {
+            "code": "225A00000X",
+            "display": "Music Therapist"
+          },
+          {
+            "code": "225B00000X",
+            "display": "Pulmonary Function Technologist"
+          },
+          {
+            "code": "225C00000X",
+            "display": "Rehabilitation Counselor"
+          },
+          {
+            "code": "225X00000X",
+            "display": "Occupational Therapist"
+          },
+          {
+            "code": "226000000X",
+            "display": "Recreational Therapist Assistant"
+          },
+          {
+            "code": "226300000X",
+            "display": "Kinesiotherapist"
+          },
+          {
+            "code": "227800000X",
+            "display": "Respiratory Therapist, Certified"
+          },
+          {
+            "code": "227900000X",
+            "display": "Respiratory Therapist, Registered"
+          },
+          {
+            "code": "229N00000X",
+            "display": "Anaplastologist"
+          },
+          {
+            "code": "231H00000X",
+            "display": "Audiologist"
+          },
+          {
+            "code": "235500000X",
+            "display": "Specialist/Technologist"
+          },
+          {
+            "code": "235Z00000X",
+            "display": "Speech-Language Pathologist"
+          },
+          {
+            "code": "237600000X",
+            "display": "Audiologist-Hearing Aid Fitter"
+          },
+          {
+            "code": "237700000X",
+            "display": "Hearing Instrument Specialist"
+          },
+          {
+            "code": "242T00000X",
+            "display": "Perfusionist"
+          },
+          {
+            "code": "243U00000X",
+            "display": "Radiology Practitioner Assistant"
+          },
+          {
+            "code": "246Q00000X",
+            "display": "Specialist/Technologist, Pathology"
+          },
+          {
+            "code": "246R00000X",
+            "display": "Technician, Pathology"
+          },
+          {
+            "code": "246W00000X",
+            "display": "Technician, Cardiology"
+          },
+          {
+            "code": "246X00000X",
+            "display": "Specialist/Technologist Cardiovascular"
+          },
+          {
+            "code": "246Y00000X",
+            "display": "Specialist/Technologist, Health Information"
+          },
+          {
+            "code": "246Z00000X",
+            "display": "Specialist/Technologist, Other"
+          },
+          {
+            "code": "247000000X",
+            "display": "Technician, Health Information"
+          },
+          {
+            "code": "247100000X",
+            "display": "Radiologic Technologist"
+          },
+          {
+            "code": "247200000X",
+            "display": "Technician, Other"
+          },
+          {
+            "code": "251300000X",
+            "display": "Local Education Agency (LEA)"
+          },
+          {
+            "code": "251B00000X",
+            "display": "Case Management"
+          },
+          {
+            "code": "251C00000X",
+            "display": "Day Training, Developmentally Disabled Services"
+          },
+          {
+            "code": "251E00000X",
+            "display": "Home Health"
+          },
+          {
+            "code": "251F00000X",
+            "display": "Home Infusion"
+          },
+          {
+            "code": "251G00000X",
+            "display": "Hospice Care, Community Based"
+          },
+          {
+            "code": "251J00000X",
+            "display": "Nursing Care"
+          },
+          {
+            "code": "251K00000X",
+            "display": "Public Health or Welfare"
+          },
+          {
+            "code": "251S00000X",
+            "display": "Community/Behavioral Health"
+          },
+          {
+            "code": "251T00000X",
+            "display": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization"
+          },
+          {
+            "code": "251V00000X",
+            "display": "Voluntary or Charitable"
+          },
+          {
+            "code": "251X00000X",
+            "display": "Supports Brokerage"
+          },
+          {
+            "code": "252Y00000X",
+            "display": "Early Intervention Provider Agency"
+          },
+          {
+            "code": "253J00000X",
+            "display": "Foster Care Agency"
+          },
+          {
+            "code": "253Z00000X",
+            "display": "In Home Supportive Care"
+          },
+          {
+            "code": "261Q00000X",
+            "display": "Clinic/Center"
+          },
+          {
+            "code": "273100000X",
+            "display": "Epilepsy Unit"
+          },
+          {
+            "code": "273R00000X",
+            "display": "Psychiatric Unit"
+          },
+          {
+            "code": "273Y00000X",
+            "display": "Rehabilitation Unit"
+          },
+          {
+            "code": "275N00000X",
+            "display": "Medicare Defined Swing Bed Unit"
+          },
+          {
+            "code": "276400000X",
+            "display": "Rehabilitation, Substance Use Disorder Unit"
+          },
+          {
+            "code": "281P00000X",
+            "display": "Chronic Disease Hospital"
+          },
+          {
+            "code": "282E00000X",
+            "display": "Long Term Care Hospital"
+          },
+          {
+            "code": "282J00000X",
+            "display": "Religious Nonmedical Health Care Institution"
+          },
+          {
+            "code": "282N00000X",
+            "display": "General Acute Care Hospital"
+          },
+          {
+            "code": "283Q00000X",
+            "display": "Psychiatric Hospital"
+          },
+          {
+            "code": "283X00000X",
+            "display": "Rehabilitation Hospital"
+          },
+          {
+            "code": "284300000X",
+            "display": "Special Hospital"
+          },
+          {
+            "code": "286500000X",
+            "display": "Military Hospital"
+          },
+          {
+            "code": "287300000X",
+            "display": "Christian Science Sanitorium"
+          },
+          {
+            "code": "291900000X",
+            "display": "Military Clinical Medical Laboratory"
+          },
+          {
+            "code": "291U00000X",
+            "display": "Clinical Medical Laboratory"
+          },
+          {
+            "code": "292200000X",
+            "display": "Dental Laboratory"
+          },
+          {
+            "code": "293D00000X",
+            "display": "Physiological Laboratory"
+          },
+          {
+            "code": "302F00000X",
+            "display": "Exclusive Provider Organization"
+          },
+          {
+            "code": "302R00000X",
+            "display": "Health Maintenance Organization"
+          },
+          {
+            "code": "305R00000X",
+            "display": "Preferred Provider Organization"
+          },
+          {
+            "code": "305S00000X",
+            "display": "Point of Service"
+          },
+          {
+            "code": "310400000X",
+            "display": "Assisted Living Facility"
+          },
+          {
+            "code": "310500000X",
+            "display": "Intermediate Care Facility, Mental Illness"
+          },
+          {
+            "code": "311500000X",
+            "display": "Alzheimer Center (Dementia Center)"
+          },
+          {
+            "code": "311Z00000X",
+            "display": "Custodial Care Facility"
+          },
+          {
+            "code": "313M00000X",
+            "display": "Nursing Facility/Intermediate Care Facility"
+          },
+          {
+            "code": "314000000X",
+            "display": "Skilled Nursing Facility"
+          },
+          {
+            "code": "315D00000X",
+            "display": "Hospice, Inpatient"
+          },
+          {
+            "code": "315P00000X",
+            "display": "Intermediate Care Facility, Mentally Retarded"
+          },
+          {
+            "code": "317400000X",
+            "display": "Christian Science Facility"
+          },
+          {
+            "code": "320600000X",
+            "display": "Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities"
+          },
+          {
+            "code": "320700000X",
+            "display": "Residential Treatment Facility, Physical Disabilities"
+          },
+          {
+            "code": "320800000X",
+            "display": "Community Based Residential Treatment Facility, Mental Illness"
+          },
+          {
+            "code": "320900000X",
+            "display": "Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities"
+          },
+          {
+            "code": "322D00000X",
+            "display": "Residential Treatment Facility, Emotionally Disturbed Children"
+          },
+          {
+            "code": "323P00000X",
+            "display": "Psychiatric Residential Treatment Facility"
+          },
+          {
+            "code": "324500000X",
+            "display": "Substance Abuse Rehabilitation Facility"
+          },
+          {
+            "code": "331L00000X",
+            "display": "Blood Bank"
+          },
+          {
+            "code": "332000000X",
+            "display": "Military/U.S. Coast Guard Pharmacy"
+          },
+          {
+            "code": "332100000X",
+            "display": "Department of Veterans Affairs (VA) Pharmacy"
+          },
+          {
+            "code": "332800000X",
+            "display": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy"
+          },
+          {
+            "code": "332900000X",
+            "display": "Non-Pharmacy Dispensing Site"
+          },
+          {
+            "code": "332B00000X",
+            "display": "Durable Medical Equipment & Medical Supplies"
+          },
+          {
+            "code": "332G00000X",
+            "display": "Eye Bank"
+          },
+          {
+            "code": "332H00000X",
+            "display": "Eyewear Supplier"
+          },
+          {
+            "code": "332S00000X",
+            "display": "Hearing Aid Equipment"
+          },
+          {
+            "code": "332U00000X",
+            "display": "Home Delivered Meals"
+          },
+          {
+            "code": "333300000X",
+            "display": "Emergency Response System Companies"
+          },
+          {
+            "code": "333600000X",
+            "display": "Pharmacy"
+          },
+          {
+            "code": "335E00000X",
+            "display": "Prosthetic/Orthotic Supplier"
+          },
+          {
+            "code": "335G00000X",
+            "display": "Medical Foods Supplier"
+          },
+          {
+            "code": "335U00000X",
+            "display": "Organ Procurement Organization"
+          },
+          {
+            "code": "335V00000X",
+            "display": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier"
+          },
+          {
+            "code": "341600000X",
+            "display": "Ambulance"
+          },
+          {
+            "code": "341800000X",
+            "display": "Military/U.S. Coast Guard Transport"
+          },
+          {
+            "code": "343800000X",
+            "display": "Secured Medical Transport (VAN)"
+          },
+          {
+            "code": "343900000X",
+            "display": "Non-emergency Medical Transport (VAN)"
+          },
+          {
+            "code": "344600000X",
+            "display": "Taxi"
+          },
+          {
+            "code": "344800000X",
+            "display": "Air Carrier"
+          },
+          {
+            "code": "347B00000X",
+            "display": "Bus"
+          },
+          {
+            "code": "347C00000X",
+            "display": "Private Vehicle"
+          },
+          {
+            "code": "347D00000X",
+            "display": "Train"
+          },
+          {
+            "code": "347E00000X",
+            "display": "Transportation Broker"
+          },
+          {
+            "code": "363A00000X",
+            "display": "Physician Assistant"
+          },
+          {
+            "code": "363L00000X",
+            "display": "Nurse Practitioner"
+          },
+          {
+            "code": "364S00000X",
+            "display": "Clinical Nurse Specialist"
+          },
+          {
+            "code": "367500000X",
+            "display": "Nurse Anesthetist, Certified Registered"
+          },
+          {
+            "code": "367A00000X",
+            "display": "Advanced Practice Midwife"
+          },
+          {
+            "code": "367H00000X",
+            "display": "Anesthesiologist Assistant"
+          },
+          {
+            "code": "372500000X",
+            "display": "Chore Provider"
+          },
+          {
+            "code": "372600000X",
+            "display": "Adult Companion"
+          },
+          {
+            "code": "373H00000X",
+            "display": "Day Training/Habilitation Specialist"
+          },
+          {
+            "code": "374700000X",
+            "display": "Technician"
+          },
+          {
+            "code": "374J00000X",
+            "display": "Doula"
+          },
+          {
+            "code": "374K00000X",
+            "display": "Religious Nonmedical Practitioner"
+          },
+          {
+            "code": "374T00000X",
+            "display": "Religious Nonmedical Nursing Personnel"
+          },
+          {
+            "code": "374U00000X",
+            "display": "Home Health Aide"
+          },
+          {
+            "code": "376G00000X",
+            "display": "Nursing Home Administrator"
+          },
+          {
+            "code": "376J00000X",
+            "display": "Homemaker"
+          },
+          {
+            "code": "376K00000X",
+            "display": "Nurse's Aide"
+          },
+          {
+            "code": "385H00000X",
+            "display": "Respite Care"
+          },
+          {
+            "code": "390200000X",
+            "display": "Student in an Organized Health Care Education/Training Program"
+          },
+          {
+            "code": "405300000X",
+            "display": "Prevention Professional"
+          }
+        ]
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-us-core-provider-specialty.json b/resources/us_core_r4/ValueSet-us-core-provider-specialty.json
new file mode 100755
index 000000000..092fece42
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-us-core-provider-specialty.json
@@ -0,0 +1,45 @@
+{
+  "resourceType": "ValueSet",
+  "id": "us-core-provider-specialty",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Provider Speciality (NUCC)</h2><div><p>Provider speciality roles codes which are composed of the NUCC Health Care Provider Taxonomy Code Set for providers</p>\n</div><p><b>Copyright Statement:</b> This value set includes content from NUCC Health Care Provider Taxonomy Code Set for providers which is copyright © 2016+ American Medical Association.  For commercial use, including sales or licensing, a license must be obtained.</p><p>This value set includes codes from the following code systems:</p><ul><li>Include all codes defined in <code>http://nucc.org/provider-taxonomy</code></li></ul></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-provider-specialty",
+  "version": "3.0.0",
+  "name": "USCoreProviderSpecialityNucc",
+  "title": "US Core Provider Speciality (NUCC)",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "other",
+          "value": "http://hl7.org/fhir"
+        }
+      ]
+    }
+  ],
+  "description": "Provider speciality roles codes which are composed of the NUCC Health Care Provider Taxonomy Code Set for providers",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "copyright": "This value set includes content from NUCC Health Care Provider Taxonomy Code Set for providers which is copyright © 2016+ American Medical Association.  For commercial use, including sales or licensing, a license must be obtained.",
+  "compose": {
+    "include": [
+      {
+        "system": "http://nucc.org/provider-taxonomy"
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-us-core-smoking-status-observation-codes.json b/resources/us_core_r4/ValueSet-us-core-smoking-status-observation-codes.json
new file mode 100755
index 000000000..a06597931
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-us-core-smoking-status-observation-codes.json
@@ -0,0 +1,50 @@
+{
+  "resourceType": "ValueSet",
+  "id": "us-core-smoking-status-observation-codes",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Smoking Status Observation Codes</h2><div><p>The US Core Smoking Status Observation Codes Value Set is a 'starter set' of concepts to capture smoking status.</p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href=\"http://loinc.org\"><code>http://loinc.org</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/72166-2.html\">72166-2</a></td><td>Tobacco smoking status NHIS</td><td/></tr></table></li></ul></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-smoking-status-observation-codes",
+  "version": "3.0.0",
+  "name": "USCoreSmokingStatusObservationCodes",
+  "title": "US Core Smoking Status Observation Codes",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "other",
+          "value": "http://hl7.org/fhir"
+        }
+      ]
+    }
+  ],
+  "description": "The US Core Smoking Status Observation Codes Value Set is a 'starter set' of concepts to capture smoking status.",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "compose": {
+    "include": [
+      {
+        "system": "http://loinc.org",
+        "concept": [
+          {
+            "code": "72166-2",
+            "display": "Tobacco smoking status NHIS"
+          }
+        ]
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-us-core-usps-state.json b/resources/us_core_r4/ValueSet-us-core-usps-state.json
new file mode 100755
index 000000000..c27fb2893
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-us-core-usps-state.json
@@ -0,0 +1,293 @@
+{
+  "resourceType": "ValueSet",
+  "id": "us-core-usps-state",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>USPS Two Letter Alphabetic Codes</h2><div><p>This value set defines two letter USPS alphabetic codes.</p>\n</div><p><b>Copyright Statement:</b> On July 1, 1963, the Post Office Department implemented the five-digit ZIP Code, which was placed after the state name in the last line of an address. To provide room for the ZIP Code, the Department issued two-letter abbreviations for all states and territories. Publication 59, Abbreviations for Use with ZIP Code, issued by the Department in October 1963. Currently there is no copyright restriction on this value set.</p><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <code>https://www.usps.com/</code><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>AK</td><td>Alaska</td><td/></tr><tr><td>AL</td><td>Alabama</td><td/></tr><tr><td>AR</td><td>Arkansas</td><td/></tr><tr><td>AS</td><td>American Samoa</td><td/></tr><tr><td>AZ</td><td>Arizona</td><td/></tr><tr><td>CA</td><td>California</td><td/></tr><tr><td>CO</td><td>Colorado</td><td/></tr><tr><td>CT</td><td>Connecticut</td><td/></tr><tr><td>DC</td><td>District of Columbia</td><td/></tr><tr><td>DE</td><td>Delaware</td><td/></tr><tr><td>FL</td><td>Florida</td><td/></tr><tr><td>FM</td><td>Federated States of Micronesia</td><td/></tr><tr><td>GA</td><td>Georgia</td><td/></tr><tr><td>GU</td><td>Guam</td><td/></tr><tr><td>HI</td><td>Hawaii</td><td/></tr><tr><td>IA</td><td>Iowa</td><td/></tr><tr><td>ID</td><td>Idaho</td><td/></tr><tr><td>IL</td><td>Illinois</td><td/></tr><tr><td>IN</td><td>Indiana</td><td/></tr><tr><td>KS</td><td>Kansas</td><td/></tr><tr><td>KY</td><td>Kentucky</td><td/></tr><tr><td>LA</td><td>Louisiana</td><td/></tr><tr><td>MA</td><td>Massachusetts</td><td/></tr><tr><td>MD</td><td>Maryland</td><td/></tr><tr><td>ME</td><td>Maine</td><td/></tr><tr><td>MH</td><td>Marshall Islands</td><td/></tr><tr><td>MI</td><td>Michigan</td><td/></tr><tr><td>MN</td><td>Minnesota</td><td/></tr><tr><td>MO</td><td>Missouri</td><td/></tr><tr><td>MP</td><td>Northern Mariana Islands</td><td/></tr><tr><td>MS</td><td>Mississippi</td><td/></tr><tr><td>MT</td><td>Montana</td><td/></tr><tr><td>NC</td><td>North Carolina</td><td/></tr><tr><td>ND</td><td>North Dakota</td><td/></tr><tr><td>NE</td><td>Nebraska</td><td/></tr><tr><td>NH</td><td>New Hampshire</td><td/></tr><tr><td>NJ</td><td>New Jersey</td><td/></tr><tr><td>NM</td><td>New Mexico</td><td/></tr><tr><td>NV</td><td>Nevada</td><td/></tr><tr><td>NY</td><td>New York</td><td/></tr><tr><td>OH</td><td>Ohio</td><td/></tr><tr><td>OK</td><td>Oklahoma</td><td/></tr><tr><td>OR</td><td>Oregon</td><td/></tr><tr><td>PA</td><td>Pennsylvania</td><td/></tr><tr><td>PR</td><td>Puerto Rico</td><td/></tr><tr><td>PW</td><td>Palau</td><td/></tr><tr><td>RI</td><td>Rhode Island</td><td/></tr><tr><td>SC</td><td>South Carolina</td><td/></tr><tr><td>SD</td><td>South Dakota</td><td/></tr><tr><td>TN</td><td>Tennessee</td><td/></tr><tr><td>TX</td><td>Texas</td><td/></tr><tr><td>UM</td><td>U.S. Minor Outlying Islands</td><td/></tr><tr><td>UT</td><td>Utah</td><td/></tr><tr><td>VA</td><td>Virginia</td><td/></tr><tr><td>VI</td><td>Virgin Islands of the U.S.</td><td/></tr><tr><td>VT</td><td>Vermont</td><td/></tr><tr><td>WA</td><td>Washington</td><td/></tr><tr><td>WI</td><td>Wisconsin</td><td/></tr><tr><td>WV</td><td>West Virginia</td><td/></tr><tr><td>WY</td><td>Wyoming</td><td/></tr></table></li></ul></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state",
+  "identifier": [
+    {
+      "system": "urn:ietf:rfc:3986",
+      "value": "urn:oid:2.16.840.1.113883.4.642.3.40"
+    }
+  ],
+  "version": "3.0.0",
+  "name": "UspsTwoLetterAlphabeticCodes",
+  "title": "USPS Two Letter Alphabetic Codes",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "other",
+          "value": "http://hl7.org/fhir"
+        }
+      ]
+    }
+  ],
+  "description": "This value set defines two letter USPS alphabetic codes.",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "copyright": "On July 1, 1963, the Post Office Department implemented the five-digit ZIP Code, which was placed after the state name in the last line of an address. To provide room for the ZIP Code, the Department issued two-letter abbreviations for all states and territories. Publication 59, Abbreviations for Use with ZIP Code, issued by the Department in October 1963. Currently there is no copyright restriction on this value set.",
+  "compose": {
+    "include": [
+      {
+        "system": "https://www.usps.com/",
+        "concept": [
+          {
+            "code": "AK",
+            "display": "Alaska"
+          },
+          {
+            "code": "AL",
+            "display": "Alabama"
+          },
+          {
+            "code": "AR",
+            "display": "Arkansas"
+          },
+          {
+            "code": "AS",
+            "display": "American Samoa"
+          },
+          {
+            "code": "AZ",
+            "display": "Arizona"
+          },
+          {
+            "code": "CA",
+            "display": "California"
+          },
+          {
+            "code": "CO",
+            "display": "Colorado"
+          },
+          {
+            "code": "CT",
+            "display": "Connecticut"
+          },
+          {
+            "code": "DC",
+            "display": "District of Columbia"
+          },
+          {
+            "code": "DE",
+            "display": "Delaware"
+          },
+          {
+            "code": "FL",
+            "display": "Florida"
+          },
+          {
+            "code": "FM",
+            "display": "Federated States of Micronesia"
+          },
+          {
+            "code": "GA",
+            "display": "Georgia"
+          },
+          {
+            "code": "GU",
+            "display": "Guam"
+          },
+          {
+            "code": "HI",
+            "display": "Hawaii"
+          },
+          {
+            "code": "IA",
+            "display": "Iowa"
+          },
+          {
+            "code": "ID",
+            "display": "Idaho"
+          },
+          {
+            "code": "IL",
+            "display": "Illinois"
+          },
+          {
+            "code": "IN",
+            "display": "Indiana"
+          },
+          {
+            "code": "KS",
+            "display": "Kansas"
+          },
+          {
+            "code": "KY",
+            "display": "Kentucky"
+          },
+          {
+            "code": "LA",
+            "display": "Louisiana"
+          },
+          {
+            "code": "MA",
+            "display": "Massachusetts"
+          },
+          {
+            "code": "MD",
+            "display": "Maryland"
+          },
+          {
+            "code": "ME",
+            "display": "Maine"
+          },
+          {
+            "code": "MH",
+            "display": "Marshall Islands"
+          },
+          {
+            "code": "MI",
+            "display": "Michigan"
+          },
+          {
+            "code": "MN",
+            "display": "Minnesota"
+          },
+          {
+            "code": "MO",
+            "display": "Missouri"
+          },
+          {
+            "code": "MP",
+            "display": "Northern Mariana Islands"
+          },
+          {
+            "code": "MS",
+            "display": "Mississippi"
+          },
+          {
+            "code": "MT",
+            "display": "Montana"
+          },
+          {
+            "code": "NC",
+            "display": "North Carolina"
+          },
+          {
+            "code": "ND",
+            "display": "North Dakota"
+          },
+          {
+            "code": "NE",
+            "display": "Nebraska"
+          },
+          {
+            "code": "NH",
+            "display": "New Hampshire"
+          },
+          {
+            "code": "NJ",
+            "display": "New Jersey"
+          },
+          {
+            "code": "NM",
+            "display": "New Mexico"
+          },
+          {
+            "code": "NV",
+            "display": "Nevada"
+          },
+          {
+            "code": "NY",
+            "display": "New York"
+          },
+          {
+            "code": "OH",
+            "display": "Ohio"
+          },
+          {
+            "code": "OK",
+            "display": "Oklahoma"
+          },
+          {
+            "code": "OR",
+            "display": "Oregon"
+          },
+          {
+            "code": "PA",
+            "display": "Pennsylvania"
+          },
+          {
+            "code": "PR",
+            "display": "Puerto Rico"
+          },
+          {
+            "code": "PW",
+            "display": "Palau"
+          },
+          {
+            "code": "RI",
+            "display": "Rhode Island"
+          },
+          {
+            "code": "SC",
+            "display": "South Carolina"
+          },
+          {
+            "code": "SD",
+            "display": "South Dakota"
+          },
+          {
+            "code": "TN",
+            "display": "Tennessee"
+          },
+          {
+            "code": "TX",
+            "display": "Texas"
+          },
+          {
+            "code": "UM",
+            "display": "U.S. Minor Outlying Islands"
+          },
+          {
+            "code": "UT",
+            "display": "Utah"
+          },
+          {
+            "code": "VA",
+            "display": "Virginia"
+          },
+          {
+            "code": "VI",
+            "display": "Virgin Islands of the U.S."
+          },
+          {
+            "code": "VT",
+            "display": "Vermont"
+          },
+          {
+            "code": "WA",
+            "display": "Washington"
+          },
+          {
+            "code": "WI",
+            "display": "Wisconsin"
+          },
+          {
+            "code": "WV",
+            "display": "West Virginia"
+          },
+          {
+            "code": "WY",
+            "display": "Wyoming"
+          }
+        ]
+      }
+    ]
+  }
+}
\ No newline at end of file
diff --git a/resources/us_core_r4/ValueSet-us-core-vaccines-cvx.json b/resources/us_core_r4/ValueSet-us-core-vaccines-cvx.json
new file mode 100755
index 000000000..3f3c4370e
--- /dev/null
+++ b/resources/us_core_r4/ValueSet-us-core-vaccines-cvx.json
@@ -0,0 +1,744 @@
+{
+  "resourceType": "ValueSet",
+  "id": "us-core-vaccines-cvx",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Vaccine Administered Value Set (CVX)</h2><div><p>This identifies the vaccine substance administered - CVX codes. <strong>Inclusion Criteria:</strong>  Any CVX code with CVX  'status' (VSAC Property) = <code>Active</code>,<code>Inactive</code>, <code>Non-US</code> except  those noted in exclusions.  <strong>Exclusion Criteria:</strong>  CVX codes that have a CVX  'status' of either <code>Pending</code> or <code>Never Active</code> AND CVX  codes with CVX 'Nonvaccine' property = True.  Available at http://www2a.cdc.gov/vaccines/iis/iisstandards/vaccines.asp?rpt=cvx</p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <code>http://hl7.org/fhir/sid/cvx</code><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>01</td><td>diphtheria, tetanus toxoids and pertussis vaccine</td><td/></tr><tr><td>02</td><td>trivalent poliovirus vaccine, live, oral</td><td/></tr><tr><td>03</td><td>measles, mumps and rubella virus vaccine</td><td/></tr><tr><td>04</td><td>measles and rubella virus vaccine</td><td/></tr><tr><td>05</td><td>measles virus vaccine</td><td/></tr><tr><td>06</td><td>rubella virus vaccine</td><td/></tr><tr><td>07</td><td>mumps virus vaccine</td><td/></tr><tr><td>08</td><td>hepatitis B vaccine, pediatric or pediatric/adolescent dosage</td><td/></tr><tr><td>09</td><td>tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (2 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)</td><td/></tr><tr><td>10</td><td>poliovirus vaccine, inactivated</td><td/></tr><tr><td>100</td><td>pneumococcal conjugate vaccine, 7 valent</td><td/></tr><tr><td>101</td><td>typhoid Vi capsular polysaccharide vaccine</td><td/></tr><tr><td>102</td><td>DTP- Haemophilus influenzae type b conjugate and hepatitis b vaccine</td><td/></tr><tr><td>103</td><td>meningococcal C conjugate vaccine</td><td/></tr><tr><td>104</td><td>hepatitis A and hepatitis B vaccine</td><td/></tr><tr><td>105</td><td>vaccinia (smallpox) vaccine, diluted</td><td/></tr><tr><td>106</td><td>diphtheria, tetanus toxoids and acellular pertussis vaccine, 5 pertussis antigens</td><td/></tr><tr><td>107</td><td>diphtheria, tetanus toxoids and acellular pertussis vaccine, unspecified formulation</td><td/></tr><tr><td>108</td><td>meningococcal ACWY vaccine, unspecified formulation</td><td/></tr><tr><td>109</td><td>pneumococcal vaccine, unspecified formulation</td><td/></tr><tr><td>11</td><td>pertussis vaccine</td><td/></tr><tr><td>110</td><td>DTaP-hepatitis B and poliovirus vaccine</td><td/></tr><tr><td>111</td><td>influenza virus vaccine, live, attenuated, for intranasal use</td><td/></tr><tr><td>112</td><td>tetanus toxoid, unspecified formulation</td><td/></tr><tr><td>113</td><td>tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (5 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)</td><td/></tr><tr><td>114</td><td>meningococcal polysaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4P)</td><td/></tr><tr><td>115</td><td>tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine, adsorbed</td><td/></tr><tr><td>116</td><td>rotavirus, live, pentavalent vaccine</td><td/></tr><tr><td>117</td><td>varicella zoster immune globulin (Investigational New Drug)</td><td/></tr><tr><td>118</td><td>human papilloma virus vaccine, bivalent</td><td/></tr><tr><td>119</td><td>rotavirus, live, monovalent vaccine</td><td/></tr><tr><td>12</td><td>diphtheria antitoxin</td><td/></tr><tr><td>120</td><td>diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)</td><td/></tr><tr><td>121</td><td>zoster vaccine, live</td><td/></tr><tr><td>122</td><td>rotavirus vaccine, unspecified formulation</td><td/></tr><tr><td>123</td><td>influenza virus vaccine, H5N1, A/Vietnam/1203/2004 (national stockpile)</td><td/></tr><tr><td>125</td><td>Novel Influenza-H1N1-09, live virus for nasal administration</td><td/></tr><tr><td>126</td><td>Novel influenza-H1N1-09, preservative-free, injectable</td><td/></tr><tr><td>127</td><td>Novel influenza-H1N1-09, injectable</td><td/></tr><tr><td>128</td><td>Novel influenza-H1N1-09, all formulations</td><td/></tr><tr><td>129</td><td>Japanese Encephalitis vaccine, unspecified formulation</td><td/></tr><tr><td>13</td><td>tetanus immune globulin</td><td/></tr><tr><td>130</td><td>Diphtheria, tetanus toxoids and acellular pertussis vaccine, and poliovirus vaccine, inactivated</td><td/></tr><tr><td>131</td><td>Historical record of a typhus vaccination</td><td/></tr><tr><td>132</td><td>Historical diphtheria and tetanus toxoids and acellular pertussis, poliovirus, Haemophilus b conjugate and hepatitis B (recombinant) vaccine.</td><td/></tr><tr><td>133</td><td>pneumococcal conjugate vaccine, 13 valent</td><td/></tr><tr><td>134</td><td>Japanese Encephalitis vaccine for intramuscular administration</td><td/></tr><tr><td>135</td><td>influenza, high dose seasonal, preservative-free</td><td/></tr><tr><td>136</td><td>meningococcal oligosaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4O)</td><td/></tr><tr><td>137</td><td>HPV, unspecified formulation</td><td/></tr><tr><td>138</td><td>tetanus and diphtheria toxoids, not adsorbed, for adult use</td><td/></tr><tr><td>139</td><td>Td(adult) unspecified formulation</td><td/></tr><tr><td>14</td><td>immune globulin, unspecified formulation</td><td/></tr><tr><td>140</td><td>Influenza, seasonal, injectable, preservative free</td><td/></tr><tr><td>141</td><td>Influenza, seasonal, injectable</td><td/></tr><tr><td>142</td><td>tetanus toxoid, not adsorbed</td><td/></tr><tr><td>143</td><td>Adenovirus, type 4 and type 7, live, oral</td><td/></tr><tr><td>144</td><td>seasonal influenza, intradermal, preservative free</td><td/></tr><tr><td>147</td><td>Meningococcal, MCV4, unspecified conjugate formulation(groups A, C, Y and W-135)</td><td/></tr><tr><td>148</td><td>Meningococcal Groups C and Y and Haemophilus b Tetanus Toxoid Conjugate Vaccine</td><td/></tr><tr><td>149</td><td>influenza, live, intranasal, quadrivalent</td><td/></tr><tr><td>15</td><td>influenza virus vaccine, split virus (incl. purified surface antigen)-retired CODE</td><td/></tr><tr><td>150</td><td>Influenza, injectable, quadrivalent, preservative free</td><td/></tr><tr><td>151</td><td>influenza nasal, unspecified formulation</td><td/></tr><tr><td>152</td><td>Pneumococcal Conjugate, unspecified formulation</td><td/></tr><tr><td>153</td><td>Influenza, injectable, Madin Darby Canine Kidney, preservative free</td><td/></tr><tr><td>155</td><td>Seasonal, trivalent, recombinant, injectable influenza vaccine, preservative free</td><td/></tr><tr><td>156</td><td>Rho(D) Immune globulin- IV or IM</td><td/></tr><tr><td>157</td><td>Rho(D) Immune globulin - IM</td><td/></tr><tr><td>158</td><td>influenza, injectable, quadrivalent, contains preservative</td><td/></tr><tr><td>159</td><td>Rho(D) Unspecified formulation</td><td/></tr><tr><td>16</td><td>influenza virus vaccine, whole virus</td><td/></tr><tr><td>160</td><td>Influenza A monovalent (H5N1), adjuvanted, National stockpile 2013</td><td/></tr><tr><td>161</td><td>Influenza, injectable,quadrivalent, preservative free, pediatric</td><td/></tr><tr><td>162</td><td>meningococcal B vaccine, fully recombinant</td><td/></tr><tr><td>163</td><td>meningococcal B vaccine, recombinant, OMV, adjuvanted</td><td/></tr><tr><td>164</td><td>meningococcal B, unspecified formulation</td><td/></tr><tr><td>165</td><td>Human Papillomavirus 9-valent vaccine</td><td/></tr><tr><td>166</td><td>influenza, intradermal, quadrivalent, preservative free, injectable</td><td/></tr><tr><td>167</td><td>meningococcal vaccine of unknown formulation and unknown serogroups</td><td/></tr><tr><td>168</td><td>Seasonal trivalent influenza vaccine, adjuvanted, preservative free</td><td/></tr><tr><td>169</td><td>Hep A, live attenuated-IM</td><td/></tr><tr><td>17</td><td>Haemophilus influenzae type b vaccine, conjugate unspecified formulation</td><td/></tr><tr><td>170</td><td>non-US diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)</td><td/></tr><tr><td>171</td><td>Influenza, injectable, Madin Darby Canine Kidney, preservative free, quadrivalent</td><td/></tr><tr><td>172</td><td>cholera, WC-rBS</td><td/></tr><tr><td>173</td><td>cholera, BivWC</td><td/></tr><tr><td>174</td><td>cholera, live attenuated</td><td/></tr><tr><td>175</td><td>Human Rabies vaccine from human diploid cell culture</td><td/></tr><tr><td>176</td><td>Human rabies vaccine from Chicken fibroblast culture</td><td/></tr><tr><td>177</td><td>pneumococcal conjugate vaccine, 10 valent</td><td/></tr><tr><td>178</td><td>Non-US bivalent oral polio vaccine (types 1 and 3)</td><td/></tr><tr><td>179</td><td>Non-US monovalent oral polio vaccine, unspecified formulation</td><td/></tr><tr><td>18</td><td>rabies vaccine, for intramuscular injection RETIRED CODE</td><td/></tr><tr><td>180</td><td>tetanus immune globulin</td><td/></tr><tr><td>181</td><td>anthrax immune globulin</td><td/></tr><tr><td>182</td><td>Oral Polio Vaccine, Unspecified formulation</td><td/></tr><tr><td>183</td><td>Yellow fever vaccine alternative formulation</td><td/></tr><tr><td>184</td><td>Yellow fever vaccine, unspecified formulation</td><td/></tr><tr><td>185</td><td>Seasonal, quadrivalent, recombinant, injectable influenza vaccine, preservative free</td><td/></tr><tr><td>186</td><td>Influenza, injectable, Madin Darby Canine Kidney,  quadrivalent with preservative</td><td/></tr><tr><td>187</td><td>zoster vaccine recombinant</td><td/></tr><tr><td>188</td><td>zoster vaccine, unspecified formulation</td><td/></tr><tr><td>189</td><td>Hepatitis B vaccine (recombinant), CpG adjuvanted</td><td/></tr><tr><td>19</td><td>Bacillus Calmette-Guerin vaccine</td><td/></tr><tr><td>20</td><td>diphtheria, tetanus toxoids and acellular pertussis vaccine</td><td/></tr><tr><td>21</td><td>varicella virus vaccine</td><td/></tr><tr><td>22</td><td>DTP-Haemophilus influenzae type b conjugate vaccine</td><td/></tr><tr><td>23</td><td>plague vaccine</td><td/></tr><tr><td>24</td><td>anthrax vaccine</td><td/></tr><tr><td>25</td><td>typhoid vaccine, live, oral</td><td/></tr><tr><td>26</td><td>cholera vaccine, unspecified formulation</td><td/></tr><tr><td>27</td><td>botulinum antitoxin</td><td/></tr><tr><td>28</td><td>diphtheria and tetanus toxoids, adsorbed for pediatric use</td><td/></tr><tr><td>29</td><td>cytomegalovirus immune globulin, intravenous</td><td/></tr><tr><td>30</td><td>hepatitis B immune globulin</td><td/></tr><tr><td>31</td><td>hepatitis A vaccine, pediatric dosage, unspecified formulation</td><td/></tr><tr><td>32</td><td>meningococcal polysaccharide vaccine (MPSV4)</td><td/></tr><tr><td>33</td><td>pneumococcal polysaccharide vaccine, 23 valent</td><td/></tr><tr><td>34</td><td>rabies immune globulin</td><td/></tr><tr><td>35</td><td>tetanus toxoid, adsorbed</td><td/></tr><tr><td>36</td><td>varicella zoster immune globulin</td><td/></tr><tr><td>37</td><td>yellow fever vaccine</td><td/></tr><tr><td>38</td><td>rubella and mumps virus vaccine</td><td/></tr><tr><td>39</td><td>Japanese Encephalitis Vaccine SC</td><td/></tr><tr><td>40</td><td>rabies vaccine, for intradermal injection</td><td/></tr><tr><td>41</td><td>typhoid vaccine, parenteral, other than acetone-killed, dried</td><td/></tr><tr><td>42</td><td>hepatitis B vaccine, adolescent/high risk infant dosage</td><td/></tr><tr><td>43</td><td>hepatitis B vaccine, adult dosage</td><td/></tr><tr><td>44</td><td>hepatitis B vaccine, dialysis patient dosage</td><td/></tr><tr><td>45</td><td>hepatitis B vaccine, unspecified formulation</td><td/></tr><tr><td>46</td><td>Haemophilus influenzae type b vaccine, PRP-D conjugate</td><td/></tr><tr><td>47</td><td>Haemophilus influenzae type b vaccine, HbOC conjugate</td><td/></tr><tr><td>48</td><td>Haemophilus influenzae type b vaccine, PRP-T conjugate</td><td/></tr><tr><td>49</td><td>Haemophilus influenzae type b vaccine, PRP-OMP conjugate</td><td/></tr><tr><td>50</td><td>DTaP-Haemophilus influenzae type b conjugate vaccine</td><td/></tr><tr><td>51</td><td>Haemophilus influenzae type b conjugate and Hepatitis B vaccine</td><td/></tr><tr><td>52</td><td>hepatitis A vaccine, adult dosage</td><td/></tr><tr><td>53</td><td>typhoid vaccine, parenteral, acetone-killed, dried (U.S. military)</td><td/></tr><tr><td>54</td><td>adenovirus vaccine, type 4, live, oral</td><td/></tr><tr><td>55</td><td>adenovirus vaccine, type 7, live, oral</td><td/></tr><tr><td>62</td><td>human papilloma virus vaccine, quadrivalent</td><td/></tr><tr><td>66</td><td>Lyme disease vaccine</td><td/></tr><tr><td>69</td><td>parainfluenza-3 virus vaccine</td><td/></tr><tr><td>71</td><td>respiratory syncytial virus immune globulin, intravenous</td><td/></tr><tr><td>74</td><td>rotavirus, live, tetravalent vaccine</td><td/></tr><tr><td>75</td><td>vaccinia (smallpox) vaccine</td><td/></tr><tr><td>76</td><td>Staphylococcus bacteriophage lysate</td><td/></tr><tr><td>77</td><td>tick-borne encephalitis vaccine</td><td/></tr><tr><td>78</td><td>tularemia vaccine</td><td/></tr><tr><td>79</td><td>vaccinia immune globulin</td><td/></tr><tr><td>80</td><td>Venezuelan equine encephalitis, live, attenuated</td><td/></tr><tr><td>801</td><td>AS03 Adjuvant</td><td/></tr><tr><td>81</td><td>Venezuelan equine encephalitis, inactivated</td><td/></tr><tr><td>82</td><td>adenovirus vaccine, unspecified formulation</td><td/></tr><tr><td>83</td><td>hepatitis A vaccine, pediatric/adolescent dosage, 2 dose schedule</td><td/></tr><tr><td>84</td><td>hepatitis A vaccine, pediatric/adolescent dosage, 3 dose schedule</td><td/></tr><tr><td>85</td><td>hepatitis A vaccine, unspecified formulation</td><td/></tr><tr><td>86</td><td>immune globulin, intramuscular</td><td/></tr><tr><td>87</td><td>immune globulin, intravenous</td><td/></tr><tr><td>88</td><td>influenza virus vaccine, unspecified formulation</td><td/></tr><tr><td>89</td><td>poliovirus vaccine, unspecified formulation</td><td/></tr><tr><td>90</td><td>rabies vaccine, unspecified formulation</td><td/></tr><tr><td>91</td><td>typhoid vaccine, unspecified formulation</td><td/></tr><tr><td>92</td><td>Venezuelan equine encephalitis vaccine, unspecified formulation</td><td/></tr><tr><td>93</td><td>respiratory syncytial virus monoclonal antibody (palivizumab), intramuscular</td><td/></tr><tr><td>94</td><td>measles, mumps, rubella, and varicella virus vaccine</td><td/></tr><tr><td>95</td><td>tuberculin skin test; old tuberculin, multipuncture device</td><td/></tr><tr><td>96</td><td>tuberculin skin test; purified protein derivative solution, intradermal</td><td/></tr><tr><td>97</td><td>tuberculin skin test; purified protein derivative, multipuncture device</td><td/></tr><tr><td>98</td><td>tuberculin skin test; unspecified formulation</td><td/></tr><tr><td>998</td><td>no vaccine administered</td><td/></tr></table></li></ul></div>"
+  },
+  "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-vaccines-cvx",
+  "identifier": [
+    {
+      "system": "urn:ietf:rfc:3986",
+      "value": "urn:oid:2.16.840.1.113762.1.4.1010.6"
+    },
+    {
+      "system": "urn:ietf:rfc:3986",
+      "value": "urn:oid:2.16.840.1.113883.3.88.12.80.22"
+    }
+  ],
+  "version": "3.0.0",
+  "name": "USCoreVaccineAdministeredValueSetCvx",
+  "title": "US Core Vaccine Administered Value Set (CVX)",
+  "status": "active",
+  "date": "2019-05-21T00:00:00+00:00",
+  "publisher": "HL7 US Realm Steering Committee",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "other",
+          "value": "http://hl7.org/fhir"
+        }
+      ]
+    }
+  ],
+  "description": "This identifies the vaccine substance administered - CVX codes. **Inclusion Criteria:**  Any CVX code with CVX  'status' (VSAC Property) = `Active`,` Inactive`, `Non-US` except  those noted in exclusions.  **Exclusion Criteria:**  CVX codes that have a CVX  'status' of either `Pending` or `Never Active` AND CVX  codes with CVX 'Nonvaccine' property = True.  Available at http://www2a.cdc.gov/vaccines/iis/iisstandards/vaccines.asp?rpt=cvx",
+  "jurisdiction": [
+    {
+      "coding": [
+        {
+          "system": "urn:iso:std:iso:3166",
+          "code": "US",
+          "display": "United States of America"
+        }
+      ]
+    }
+  ],
+  "compose": {
+    "include": [
+      {
+        "system": "http://hl7.org/fhir/sid/cvx",
+        "concept": [
+          {
+            "code": "01",
+            "display": "diphtheria, tetanus toxoids and pertussis vaccine"
+          },
+          {
+            "code": "02",
+            "display": "trivalent poliovirus vaccine, live, oral"
+          },
+          {
+            "code": "03",
+            "display": "measles, mumps and rubella virus vaccine"
+          },
+          {
+            "code": "04",
+            "display": "measles and rubella virus vaccine"
+          },
+          {
+            "code": "05",
+            "display": "measles virus vaccine"
+          },
+          {
+            "code": "06",
+            "display": "rubella virus vaccine"
+          },
+          {
+            "code": "07",
+            "display": "mumps virus vaccine"
+          },
+          {
+            "code": "08",
+            "display": "hepatitis B vaccine, pediatric or pediatric/adolescent dosage"
+          },
+          {
+            "code": "09",
+            "display": "tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (2 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)"
+          },
+          {
+            "code": "10",
+            "display": "poliovirus vaccine, inactivated"
+          },
+          {
+            "code": "100",
+            "display": "pneumococcal conjugate vaccine, 7 valent"
+          },
+          {
+            "code": "101",
+            "display": "typhoid Vi capsular polysaccharide vaccine"
+          },
+          {
+            "code": "102",
+            "display": "DTP- Haemophilus influenzae type b conjugate and hepatitis b vaccine"
+          },
+          {
+            "code": "103",
+            "display": "meningococcal C conjugate vaccine"
+          },
+          {
+            "code": "104",
+            "display": "hepatitis A and hepatitis B vaccine"
+          },
+          {
+            "code": "105",
+            "display": "vaccinia (smallpox) vaccine, diluted"
+          },
+          {
+            "code": "106",
+            "display": "diphtheria, tetanus toxoids and acellular pertussis vaccine, 5 pertussis antigens"
+          },
+          {
+            "code": "107",
+            "display": "diphtheria, tetanus toxoids and acellular pertussis vaccine, unspecified formulation"
+          },
+          {
+            "code": "108",
+            "display": "meningococcal ACWY vaccine, unspecified formulation"
+          },
+          {
+            "code": "109",
+            "display": "pneumococcal vaccine, unspecified formulation"
+          },
+          {
+            "code": "11",
+            "display": "pertussis vaccine"
+          },
+          {
+            "code": "110",
+            "display": "DTaP-hepatitis B and poliovirus vaccine"
+          },
+          {
+            "code": "111",
+            "display": "influenza virus vaccine, live, attenuated, for intranasal use"
+          },
+          {
+            "code": "112",
+            "display": "tetanus toxoid, unspecified formulation"
+          },
+          {
+            "code": "113",
+            "display": "tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (5 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)"
+          },
+          {
+            "code": "114",
+            "display": "meningococcal polysaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4P)"
+          },
+          {
+            "code": "115",
+            "display": "tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine, adsorbed"
+          },
+          {
+            "code": "116",
+            "display": "rotavirus, live, pentavalent vaccine"
+          },
+          {
+            "code": "117",
+            "display": "varicella zoster immune globulin (Investigational New Drug)"
+          },
+          {
+            "code": "118",
+            "display": "human papilloma virus vaccine, bivalent"
+          },
+          {
+            "code": "119",
+            "display": "rotavirus, live, monovalent vaccine"
+          },
+          {
+            "code": "12",
+            "display": "diphtheria antitoxin"
+          },
+          {
+            "code": "120",
+            "display": "diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)"
+          },
+          {
+            "code": "121",
+            "display": "zoster vaccine, live"
+          },
+          {
+            "code": "122",
+            "display": "rotavirus vaccine, unspecified formulation"
+          },
+          {
+            "code": "123",
+            "display": "influenza virus vaccine, H5N1, A/Vietnam/1203/2004 (national stockpile)"
+          },
+          {
+            "code": "125",
+            "display": "Novel Influenza-H1N1-09, live virus for nasal administration"
+          },
+          {
+            "code": "126",
+            "display": "Novel influenza-H1N1-09, preservative-free, injectable"
+          },
+          {
+            "code": "127",
+            "display": "Novel influenza-H1N1-09, injectable"
+          },
+          {
+            "code": "128",
+            "display": "Novel influenza-H1N1-09, all formulations"
+          },
+          {
+            "code": "129",
+            "display": "Japanese Encephalitis vaccine, unspecified formulation"
+          },
+          {
+            "code": "13",
+            "display": "tetanus immune globulin"
+          },
+          {
+            "code": "130",
+            "display": "Diphtheria, tetanus toxoids and acellular pertussis vaccine, and poliovirus vaccine, inactivated"
+          },
+          {
+            "code": "131",
+            "display": "Historical record of a typhus vaccination"
+          },
+          {
+            "code": "132",
+            "display": "Historical diphtheria and tetanus toxoids and acellular pertussis, poliovirus, Haemophilus b conjugate and hepatitis B (recombinant) vaccine."
+          },
+          {
+            "code": "133",
+            "display": "pneumococcal conjugate vaccine, 13 valent"
+          },
+          {
+            "code": "134",
+            "display": "Japanese Encephalitis vaccine for intramuscular administration"
+          },
+          {
+            "code": "135",
+            "display": "influenza, high dose seasonal, preservative-free"
+          },
+          {
+            "code": "136",
+            "display": "meningococcal oligosaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4O)"
+          },
+          {
+            "code": "137",
+            "display": "HPV, unspecified formulation"
+          },
+          {
+            "code": "138",
+            "display": "tetanus and diphtheria toxoids, not adsorbed, for adult use"
+          },
+          {
+            "code": "139",
+            "display": "Td(adult) unspecified formulation"
+          },
+          {
+            "code": "14",
+            "display": "immune globulin, unspecified formulation"
+          },
+          {
+            "code": "140",
+            "display": "Influenza, seasonal, injectable, preservative free"
+          },
+          {
+            "code": "141",
+            "display": "Influenza, seasonal, injectable"
+          },
+          {
+            "code": "142",
+            "display": "tetanus toxoid, not adsorbed"
+          },
+          {
+            "code": "143",
+            "display": "Adenovirus, type 4 and type 7, live, oral"
+          },
+          {
+            "code": "144",
+            "display": "seasonal influenza, intradermal, preservative free"
+          },
+          {
+            "code": "147",
+            "display": "Meningococcal, MCV4, unspecified conjugate formulation(groups A, C, Y and W-135)"
+          },
+          {
+            "code": "148",
+            "display": "Meningococcal Groups C and Y and Haemophilus b Tetanus Toxoid Conjugate Vaccine"
+          },
+          {
+            "code": "149",
+            "display": "influenza, live, intranasal, quadrivalent"
+          },
+          {
+            "code": "15",
+            "display": "influenza virus vaccine, split virus (incl. purified surface antigen)-retired CODE"
+          },
+          {
+            "code": "150",
+            "display": "Influenza, injectable, quadrivalent, preservative free"
+          },
+          {
+            "code": "151",
+            "display": "influenza nasal, unspecified formulation"
+          },
+          {
+            "code": "152",
+            "display": "Pneumococcal Conjugate, unspecified formulation"
+          },
+          {
+            "code": "153",
+            "display": "Influenza, injectable, Madin Darby Canine Kidney, preservative free"
+          },
+          {
+            "code": "155",
+            "display": "Seasonal, trivalent, recombinant, injectable influenza vaccine, preservative free"
+          },
+          {
+            "code": "156",
+            "display": "Rho(D) Immune globulin- IV or IM"
+          },
+          {
+            "code": "157",
+            "display": "Rho(D) Immune globulin - IM"
+          },
+          {
+            "code": "158",
+            "display": "influenza, injectable, quadrivalent, contains preservative"
+          },
+          {
+            "code": "159",
+            "display": "Rho(D) Unspecified formulation"
+          },
+          {
+            "code": "16",
+            "display": "influenza virus vaccine, whole virus"
+          },
+          {
+            "code": "160",
+            "display": "Influenza A monovalent (H5N1), adjuvanted, National stockpile 2013"
+          },
+          {
+            "code": "161",
+            "display": "Influenza, injectable,quadrivalent, preservative free, pediatric"
+          },
+          {
+            "code": "162",
+            "display": "meningococcal B vaccine, fully recombinant"
+          },
+          {
+            "code": "163",
+            "display": "meningococcal B vaccine, recombinant, OMV, adjuvanted"
+          },
+          {
+            "code": "164",
+            "display": "meningococcal B, unspecified formulation"
+          },
+          {
+            "code": "165",
+            "display": "Human Papillomavirus 9-valent vaccine"
+          },
+          {
+            "code": "166",
+            "display": "influenza, intradermal, quadrivalent, preservative free, injectable"
+          },
+          {
+            "code": "167",
+            "display": "meningococcal vaccine of unknown formulation and unknown serogroups"
+          },
+          {
+            "code": "168",
+            "display": "Seasonal trivalent influenza vaccine, adjuvanted, preservative free"
+          },
+          {
+            "code": "169",
+            "display": "Hep A, live attenuated-IM"
+          },
+          {
+            "code": "17",
+            "display": "Haemophilus influenzae type b vaccine, conjugate unspecified formulation"
+          },
+          {
+            "code": "170",
+            "display": "non-US diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)"
+          },
+          {
+            "code": "171",
+            "display": "Influenza, injectable, Madin Darby Canine Kidney, preservative free, quadrivalent"
+          },
+          {
+            "code": "172",
+            "display": "cholera, WC-rBS"
+          },
+          {
+            "code": "173",
+            "display": "cholera, BivWC"
+          },
+          {
+            "code": "174",
+            "display": "cholera, live attenuated"
+          },
+          {
+            "code": "175",
+            "display": "Human Rabies vaccine from human diploid cell culture"
+          },
+          {
+            "code": "176",
+            "display": "Human rabies vaccine from Chicken fibroblast culture"
+          },
+          {
+            "code": "177",
+            "display": "pneumococcal conjugate vaccine, 10 valent"
+          },
+          {
+            "code": "178",
+            "display": "Non-US bivalent oral polio vaccine (types 1 and 3)"
+          },
+          {
+            "code": "179",
+            "display": "Non-US monovalent oral polio vaccine, unspecified formulation"
+          },
+          {
+            "code": "18",
+            "display": "rabies vaccine, for intramuscular injection RETIRED CODE"
+          },
+          {
+            "code": "180",
+            "display": "tetanus immune globulin"
+          },
+          {
+            "code": "181",
+            "display": "anthrax immune globulin"
+          },
+          {
+            "code": "182",
+            "display": "Oral Polio Vaccine, Unspecified formulation"
+          },
+          {
+            "code": "183",
+            "display": "Yellow fever vaccine alternative formulation"
+          },
+          {
+            "code": "184",
+            "display": "Yellow fever vaccine, unspecified formulation"
+          },
+          {
+            "code": "185",
+            "display": "Seasonal, quadrivalent, recombinant, injectable influenza vaccine, preservative free"
+          },
+          {
+            "code": "186",
+            "display": "Influenza, injectable, Madin Darby Canine Kidney,  quadrivalent with preservative"
+          },
+          {
+            "code": "187",
+            "display": "zoster vaccine recombinant"
+          },
+          {
+            "code": "188",
+            "display": "zoster vaccine, unspecified formulation"
+          },
+          {
+            "code": "189",
+            "display": "Hepatitis B vaccine (recombinant), CpG adjuvanted"
+          },
+          {
+            "code": "19",
+            "display": "Bacillus Calmette-Guerin vaccine"
+          },
+          {
+            "code": "20",
+            "display": "diphtheria, tetanus toxoids and acellular pertussis vaccine"
+          },
+          {
+            "code": "21",
+            "display": "varicella virus vaccine"
+          },
+          {
+            "code": "22",
+            "display": "DTP-Haemophilus influenzae type b conjugate vaccine"
+          },
+          {
+            "code": "23",
+            "display": "plague vaccine"
+          },
+          {
+            "code": "24",
+            "display": "anthrax vaccine"
+          },
+          {
+            "code": "25",
+            "display": "typhoid vaccine, live, oral"
+          },
+          {
+            "code": "26",
+            "display": "cholera vaccine, unspecified formulation"
+          },
+          {
+            "code": "27",
+            "display": "botulinum antitoxin"
+          },
+          {
+            "code": "28",
+            "display": "diphtheria and tetanus toxoids, adsorbed for pediatric use"
+          },
+          {
+            "code": "29",
+            "display": "cytomegalovirus immune globulin, intravenous"
+          },
+          {
+            "code": "30",
+            "display": "hepatitis B immune globulin"
+          },
+          {
+            "code": "31",
+            "display": "hepatitis A vaccine, pediatric dosage, unspecified formulation"
+          },
+          {
+            "code": "32",
+            "display": "meningococcal polysaccharide vaccine (MPSV4)"
+          },
+          {
+            "code": "33",
+            "display": "pneumococcal polysaccharide vaccine, 23 valent"
+          },
+          {
+            "code": "34",
+            "display": "rabies immune globulin"
+          },
+          {
+            "code": "35",
+            "display": "tetanus toxoid, adsorbed"
+          },
+          {
+            "code": "36",
+            "display": "varicella zoster immune globulin"
+          },
+          {
+            "code": "37",
+            "display": "yellow fever vaccine"
+          },
+          {
+            "code": "38",
+            "display": "rubella and mumps virus vaccine"
+          },
+          {
+            "code": "39",
+            "display": "Japanese Encephalitis Vaccine SC"
+          },
+          {
+            "code": "40",
+            "display": "rabies vaccine, for intradermal injection"
+          },
+          {
+            "code": "41",
+            "display": "typhoid vaccine, parenteral, other than acetone-killed, dried"
+          },
+          {
+            "code": "42",
+            "display": "hepatitis B vaccine, adolescent/high risk infant dosage"
+          },
+          {
+            "code": "43",
+            "display": "hepatitis B vaccine, adult dosage"
+          },
+          {
+            "code": "44",
+            "display": "hepatitis B vaccine, dialysis patient dosage"
+          },
+          {
+            "code": "45",
+            "display": "hepatitis B vaccine, unspecified formulation"
+          },
+          {
+            "code": "46",
+            "display": "Haemophilus influenzae type b vaccine, PRP-D conjugate"
+          },
+          {
+            "code": "47",
+            "display": "Haemophilus influenzae type b vaccine, HbOC conjugate"
+          },
+          {
+            "code": "48",
+            "display": "Haemophilus influenzae type b vaccine, PRP-T conjugate"
+          },
+          {
+            "code": "49",
+            "display": "Haemophilus influenzae type b vaccine, PRP-OMP conjugate"
+          },
+          {
+            "code": "50",
+            "display": "DTaP-Haemophilus influenzae type b conjugate vaccine"
+          },
+          {
+            "code": "51",
+            "display": "Haemophilus influenzae type b conjugate and Hepatitis B vaccine"
+          },
+          {
+            "code": "52",
+            "display": "hepatitis A vaccine, adult dosage"
+          },
+          {
+            "code": "53",
+            "display": "typhoid vaccine, parenteral, acetone-killed, dried (U.S. military)"
+          },
+          {
+            "code": "54",
+            "display": "adenovirus vaccine, type 4, live, oral"
+          },
+          {
+            "code": "55",
+            "display": "adenovirus vaccine, type 7, live, oral"
+          },
+          {
+            "code": "62",
+            "display": "human papilloma virus vaccine, quadrivalent"
+          },
+          {
+            "code": "66",
+            "display": "Lyme disease vaccine"
+          },
+          {
+            "code": "69",
+            "display": "parainfluenza-3 virus vaccine"
+          },
+          {
+            "code": "71",
+            "display": "respiratory syncytial virus immune globulin, intravenous"
+          },
+          {
+            "code": "74",
+            "display": "rotavirus, live, tetravalent vaccine"
+          },
+          {
+            "code": "75",
+            "display": "vaccinia (smallpox) vaccine"
+          },
+          {
+            "code": "76",
+            "display": "Staphylococcus bacteriophage lysate"
+          },
+          {
+            "code": "77",
+            "display": "tick-borne encephalitis vaccine"
+          },
+          {
+            "code": "78",
+            "display": "tularemia vaccine"
+          },
+          {
+            "code": "79",
+            "display": "vaccinia immune globulin"
+          },
+          {
+            "code": "80",
+            "display": "Venezuelan equine encephalitis, live, attenuated"
+          },
+          {
+            "code": "801",
+            "display": "AS03 Adjuvant"
+          },
+          {
+            "code": "81",
+            "display": "Venezuelan equine encephalitis, inactivated"
+          },
+          {
+            "code": "82",
+            "display": "adenovirus vaccine, unspecified formulation"
+          },
+          {
+            "code": "83",
+            "display": "hepatitis A vaccine, pediatric/adolescent dosage, 2 dose schedule"
+          },
+          {
+            "code": "84",
+            "display": "hepatitis A vaccine, pediatric/adolescent dosage, 3 dose schedule"
+          },
+          {
+            "code": "85",
+            "display": "hepatitis A vaccine, unspecified formulation"
+          },
+          {
+            "code": "86",
+            "display": "immune globulin, intramuscular"
+          },
+          {
+            "code": "87",
+            "display": "immune globulin, intravenous"
+          },
+          {
+            "code": "88",
+            "display": "influenza virus vaccine, unspecified formulation"
+          },
+          {
+            "code": "89",
+            "display": "poliovirus vaccine, unspecified formulation"
+          },
+          {
+            "code": "90",
+            "display": "rabies vaccine, unspecified formulation"
+          },
+          {
+            "code": "91",
+            "display": "typhoid vaccine, unspecified formulation"
+          },
+          {
+            "code": "92",
+            "display": "Venezuelan equine encephalitis vaccine, unspecified formulation"
+          },
+          {
+            "code": "93",
+            "display": "respiratory syncytial virus monoclonal antibody (palivizumab), intramuscular"
+          },
+          {
+            "code": "94",
+            "display": "measles, mumps, rubella, and varicella virus vaccine"
+          },
+          {
+            "code": "95",
+            "display": "tuberculin skin test; old tuberculin, multipuncture device"
+          },
+          {
+            "code": "96",
+            "display": "tuberculin skin test; purified protein derivative solution, intradermal"
+          },
+          {
+            "code": "97",
+            "display": "tuberculin skin test; purified protein derivative, multipuncture device"
+          },
+          {
+            "code": "98",
+            "display": "tuberculin skin test; unspecified formulation"
+          },
+          {
+            "code": "998",
+            "display": "no vaccine administered"
+          }
+        ]
+      }
+    ]
+  }
+}
\ No newline at end of file

From 7e68b5327e02d0bab3dbdeaddfcde1411cff1430 Mon Sep 17 00:00:00 2001
From: Reece Adamson <radamson@mitre.org>
Date: Mon, 1 Jul 2019 16:37:41 -0400
Subject: [PATCH 079/144] rubocop bail bond

---
 lib/app/utils/valueset.rb | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/lib/app/utils/valueset.rb b/lib/app/utils/valueset.rb
index fc35ba20d..ebf15ee89 100644
--- a/lib/app/utils/valueset.rb
+++ b/lib/app/utils/valueset.rb
@@ -42,7 +42,7 @@ class Valueset
 
       # https://www.nlm.nih.gov/research/umls/knowledge_sources/metathesaurus/release/attribute_names.html
       FILTER_PROP = {
-          'SCALE_TYP' => 'LOINC_SCALE_TYP'
+        'SCALE_TYP' => 'LOINC_SCALE_TYP'
       }.freeze
 
       def initialize(database)

From d9eb52e53c15b2dbb9e305b1a8ea52f6db814b03 Mon Sep 17 00:00:00 2001
From: Reece Adamson <radamson@mitre.org>
Date: Mon, 1 Jul 2019 16:47:55 -0400
Subject: [PATCH 080/144] wait on STU3 for now

---
 lib/app/utils/terminology.rb | 1 -
 1 file changed, 1 deletion(-)

diff --git a/lib/app/utils/terminology.rb b/lib/app/utils/terminology.rb
index 88597fc5c..590005527 100644
--- a/lib/app/utils/terminology.rb
+++ b/lib/app/utils/terminology.rb
@@ -126,7 +126,6 @@ def self.load_validators(directory = 'resources/terminology/validators/bloom')
         end
         # Register the validators with FHIR Models for validation
         FHIR::DSTU2::StructureDefinition.validates_vs(validator[:url], &validate_fn)
-        FHIR::STU3::StructureDefinition.validates_vs(validator[:url], &validate_fn)
         FHIR::StructureDefinition.validates_vs(validator[:url], &validate_fn)
       end
     end

From 9c6b68577eca4ecd2378faf638bec29f053b5326 Mon Sep 17 00:00:00 2001
From: Reece Adamson <radamson@mitre.org>
Date: Mon, 30 Sep 2019 09:44:27 -0400
Subject: [PATCH 081/144] update fhir client and other dependent libraries

---
 Gemfile.lock | 34 +++++++++++++++++-----------------
 1 file changed, 17 insertions(+), 17 deletions(-)

diff --git a/Gemfile.lock b/Gemfile.lock
index 8f3ffeb05..67799c991 100644
--- a/Gemfile.lock
+++ b/Gemfile.lock
@@ -6,8 +6,8 @@ GEM
       i18n (>= 0.7, < 2)
       minitest (~> 5.1)
       tzinfo (~> 1.1)
-    addressable (2.6.0)
-      public_suffix (>= 2.0.2, < 4.0)
+    addressable (2.7.0)
+      public_suffix (>= 2.0.2, < 5.0)
     aes_key_wrap (1.0.1)
     ast (2.4.0)
     backports (3.15.0)
@@ -23,7 +23,7 @@ GEM
       bitarray
       msgpack
     byebug (11.0.1)
-    childprocess (1.0.1)
+    childprocess (2.0.0)
       rake (< 13.0)
     coderay (1.1.2)
     colorize (0.8.1)
@@ -87,11 +87,11 @@ GEM
     faraday (0.15.4)
       multipart-post (>= 1.2, < 3)
     fastercsv (1.5.5)
-    fhir_client (4.0.2)
+    fhir_client (4.0.3)
       activesupport (>= 3)
       addressable (>= 2.3)
       fhir_dstu2_models (>= 1.0.10)
-      fhir_models (>= 4.0.1)
+      fhir_models (>= 4.0.2)
       fhir_stu3_models (>= 3.0.1)
       nokogiri (>= 1.10.4)
       oauth2 (~> 1.1)
@@ -103,7 +103,7 @@ GEM
       date_time_precision (>= 0.8)
       mime-types (>= 3.0)
       nokogiri (>= 1.10.4)
-    fhir_models (4.0.1)
+    fhir_models (4.0.2)
       bcp47 (>= 0.3)
       date_time_precision (>= 0.8)
       mime-types (>= 3.0)
@@ -129,11 +129,11 @@ GEM
     jwt (2.2.1)
     kramdown (2.1.0)
     method_source (0.9.2)
-    mime-types (3.2.2)
+    mime-types (3.3)
       mime-types-data (~> 3.2015)
-    mime-types-data (3.2019.0331)
+    mime-types-data (3.2019.0904)
     mini_portile2 (2.4.0)
-    minitest (5.11.3)
+    minitest (5.12.2)
     msgpack (1.3.1)
     multi_json (1.13.1)
     multi_xml (0.6.0)
@@ -149,7 +149,7 @@ GEM
       multi_xml (~> 0.5)
       rack (>= 1.2, < 3)
     parallel (1.17.0)
-    parser (2.6.3.0)
+    parser (2.6.4.1)
       ast (~> 2.4.0)
     pry (0.12.2)
       coderay (~> 1.1.0)
@@ -157,7 +157,7 @@ GEM
     pry-byebug (3.7.0)
       byebug (~> 11.0)
       pry (~> 0.10)
-    public_suffix (3.1.1)
+    public_suffix (4.0.1)
     rack (2.0.7)
     rack-protection (2.0.7)
       rack
@@ -179,12 +179,12 @@ GEM
       ruby-progressbar (~> 1.7)
       unicode-display_width (>= 1.4.0, < 1.7)
     ruby-progressbar (1.10.1)
-    rubyzip (1.2.3)
+    rubyzip (1.3.0)
     safe_yaml (1.0.5)
-    selenium-webdriver (3.142.3)
-      childprocess (>= 0.5, < 2.0)
+    selenium-webdriver (3.142.4)
+      childprocess (>= 0.5, < 3.0)
       rubyzip (~> 1.2, >= 1.2.2)
-    simplecov (0.17.0)
+    simplecov (0.17.1)
       docile (~> 1.1)
       json (>= 1.8, < 3)
       simplecov-html (~> 0.10.0)
@@ -208,7 +208,7 @@ GEM
       eventmachine (~> 1.0, >= 1.0.4)
       rack (>= 1, < 3)
     thread_safe (0.3.6)
-    tilt (2.0.9)
+    tilt (2.0.10)
     time_difference (0.7.0)
       activesupport (~> 5.1)
     tzinfo (1.2.5)
@@ -218,7 +218,7 @@ GEM
     unf_ext (0.0.7.6)
     unicode-display_width (1.6.0)
     uuidtools (2.1.5)
-    webmock (3.6.2)
+    webmock (3.7.6)
       addressable (>= 2.3.6)
       crack (>= 0.3.2)
       hashdiff (>= 0.4.0, < 2.0.0)

From acd6100553a31bf3e8d5dfd2d2e04ca14024a5a3 Mon Sep 17 00:00:00 2001
From: Reece Adamson <radamson@mitre.org>
Date: Thu, 3 Oct 2019 13:10:42 -0400
Subject: [PATCH 082/144] add terminology validators to .gitattributes

---
 .gitattributes | 1 +
 1 file changed, 1 insertion(+)

diff --git a/.gitattributes b/.gitattributes
index b5ca975e3..516df5c0f 100644
--- a/.gitattributes
+++ b/.gitattributes
@@ -1 +1,2 @@
 lib/app/modules/uscore_v*/* linguist-generated=true
+resources/terminology/validators/* linguist-generated=true

From 7c07a42dd055de3077880691b1505d0e1868a1c5 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Thu, 3 Oct 2019 16:45:46 -0400
Subject: [PATCH 083/144] Remove complexity

---
 .../bulk_data_patient_export_sequence.rb      | 24 +++++++++----------
 .../bulk_data/patient_export_sequence_test.rb |  9 ++++++-
 2 files changed, 20 insertions(+), 13 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
index a054c2186..9b4016ebe 100644
--- a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
@@ -17,8 +17,12 @@ class BulkDataPatientExportSequence < SequenceBase
       attr_writer :run_all_kick_off_tests
 
       def check_export_kick_off(klass, search_params: nil)
+        @search_params = search_params
+
         reply = export_kick_off(klass, search_params: search_params)
 
+        # Servers unable to support _type SHOULD return an error and OperationOutcome resource
+        # so clients can re-submit a request omitting the _type parameter.
         if search_params.present? && reply.code > 400
           response_body = JSON.parse(reply.body)
           message = ''
@@ -29,7 +33,7 @@ def check_export_kick_off(klass, search_params: nil)
           skip message
         end
 
-        @skip_export_no_parameter = true
+        @server_support_type_parameter = search_params.present?
 
         assert_response_accepted(reply)
         @content_location = reply.response[:headers]['content-location']
@@ -71,21 +75,18 @@ def check_export_status(url = @content_location, timeout: 180)
         assert_output_has_type_url
       end
 
-      def assert_output_has_type_url(output = @output, check_parameters = @search_params)
+      def assert_output_has_type_url(output = @output,
+                                     search_params = @search_params)
         skip 'Sever response did not have output data' unless output.present?
 
-        search_type = @search_params['_type'].split(',').map(&:strip) if @search_params.present?
+        search_type = search_params['_type'].split(',').map(&:strip) if search_params.present? && search_params.key?('_type')
 
         output.each do |file|
           ['type', 'url'].each do |key|
             assert file.key?(key), "Output file did not contain \"#{key}\" as required"
-
-            next unless check_parameters && search_type.present?
-
-            search_type.each do |type|
-              assert file['type'] == type, "Output file had type #{file[type]} not specified in export parameter #{@search_params['_type']}"
-            end
           end
+
+          assert search_type.include?(file['type']), "Output file had type #{file['type']} not specified in export parameter #{search_params['_type']}" if search_type.present?
         end
       end
 
@@ -157,8 +158,7 @@ def check_cancel_request(_klass)
           )
         end
 
-        @search_params = { '_type' => 'Patient' }
-        check_export_kick_off('Patient', search_params: @search_params)
+        check_export_kick_off('Patient', search_params: { '_type' => 'Patient' })
       end
 
       test 'Server shall return "202 Accepted" and "Content-location" for $export operation' do
@@ -169,7 +169,7 @@ def check_cancel_request(_klass)
           )
         end
 
-        skip 'Skip testing $export without parameters' if @search_params_applied && !@run_all_kick_off_tests
+        skip 'Skip testing $export without parameters' if @server_support_type_parameter && !@run_all_kick_off_tests
 
         check_export_kick_off('Patient')
       end
diff --git a/test/sequence/bulk_data/patient_export_sequence_test.rb b/test/sequence/bulk_data/patient_export_sequence_test.rb
index 7d4701e1f..7d17811d6 100644
--- a/test/sequence/bulk_data/patient_export_sequence_test.rb
+++ b/test/sequence/bulk_data/patient_export_sequence_test.rb
@@ -239,7 +239,14 @@ def test_output_file_fail_no_url
     output = [{ 'type' => 'Patient', 'count' => 1 }]
 
     assert_raises Inferno::AssertionException do
-      @sequence.assert_output_has_type_url(output, false)
+      @sequence.assert_output_has_type_url(output)
+    end
+  end
+
+  def test_output_file_fail_unmached_type
+    search_params = { '_type' => 'Condition' }
+    assert_raises Inferno::AssertionException do
+      @sequence.assert_output_has_type_url(@complete_status['output'], search_params)
     end
   end
 

From e6fb2072e4415fcb6c76d3c1db7417f89a854850 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Fri, 4 Oct 2019 11:34:41 -0400
Subject: [PATCH 084/144] two additional files

---
 .../bulk_data/bulk_data_export_sequence.rb    | 100 +++---
 .../bulk_data_patient_export_sequence.rb      | 285 ------------------
 2 files changed, 55 insertions(+), 330 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
index 0ae401d48..f25801bd4 100644
--- a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
@@ -12,17 +12,15 @@ class BulkDataExportSequence < SequenceBase
       test_id_prefix 'System'
 
       requires :token
-      # conformance_supports :Patient
 
       attr_writer :klass, :run_all_kick_off_tests
 
-      # def klass(value)
-      #   @klass = value
-      # end
-
-      def assert_export_kick_off(search_params: nil)
+      def check_export_kick_off(search_params: nil)
+        @search_params = search_params
         reply = export_kick_off(@klass, search_params: search_params)
 
+        # Servers unable to support _type SHOULD return an error and OperationOutcome resource
+        # so clients can re-submit a request omitting the _type parameter.
         if search_params.present? && reply.code > 400
           response_body = JSON.parse(reply.body)
           message = ''
@@ -33,7 +31,7 @@ def assert_export_kick_off(search_params: nil)
           skip message
         end
 
-        @search_params_applied = true
+        @server_support_type_parameter = search_params.present?
 
         assert_response_accepted(reply)
         @content_location = reply.response[:headers]['content-location']
@@ -41,19 +39,25 @@ def assert_export_kick_off(search_params: nil)
         assert @content_location.present?, 'Export response header did not include "Content-Location"'
       end
 
-      def assert_export_kick_off_fail_invalid_accept
+      def check_export_kick_off_fail_invalid_accept
         reply = export_kick_off(@klass, headers: { accept: 'application/fhir+xml', prefer: 'respond-async' })
         assert_response_bad(reply)
       end
 
-      def assert_export_kick_off_fail_invalid_prefer
+      def check_export_kick_off_fail_invalid_prefer
         reply = export_kick_off(@klass, headers: { accept: 'application/fhir+json', prefer: 'return=representation' })
         assert_response_bad(reply)
       end
 
-      def assert_export_status(url, timeout: 180)
+      def check_export_status(url = @content_location, timeout: 180)
+        skip 'Server response did not have Content-Location in header' unless url.present?
+
         reply = export_status_check(url, timeout)
 
+        # server response status code could be 202 (still processing), 200 (complete) or 4xx/5xx error code
+        # export_status_check processes reponses with status 202 code
+        # and returns server response when status code is not 202 or timed out
+
         skip "Server took more than #{timeout} seconds to process the request." if reply.code == 202
 
         assert reply.code == 200, "Bad response code: expected 200, 202, but found #{reply.code}."
@@ -66,52 +70,57 @@ def assert_export_status(url, timeout: 180)
 
         @output = response_body['output']
 
-        assert_output_files(@output, @search_params_applied)
+        assert_output_has_type_url
       end
 
-      def assert_output_files(output, check_parameters)
-        search_type = @search_params['_type'].split(',').map(&:strip) if @search_params.present?
+      def assert_output_has_type_url(output = @output,
+                                     search_params = @search_params)
+        skip 'Sever response did not have output data' unless output.present?
+
+        search_type = search_params['_type'].split(',').map(&:strip) if search_params.present? && search_params.key?('_type')
+
         output.each do |file|
           ['type', 'url'].each do |key|
             assert file.key?(key), "Output file did not contain \"#{key}\" as required"
-
-            next unless check_parameters && search_type.present?
-
-            search_type.each do |type|
-              assert file['type'] == type, "Output file had type #{file[type]} not specified in export parameter #{@search_params['_type']}"
-            end
           end
+
+          assert search_type.include?(file['type']), "Output file had type #{file['type']} not specified in export parameter #{search_params['_type']}" if search_type.present?
         end
       end
 
-      def assert_file_request(output)
+      def check_file_request(output = @output)
+        skip 'Content-Location from server response was emtpy' unless output.present?
+
         headers = { accept: 'application/fhir+ndjson' }
         output.each do |file|
           url = file['url']
           type = file['type']
           reply = @client.get(url, @client.fhir_headers(headers))
           assert_response_content_type(reply, 'application/fhir+ndjson')
-          lines = reply.body.split("\n")
-          lines.each do |line|
-            resource = FHIR.from_contents(line)
-            assert resource.class.name.demodulize == type, "Resource in output file did not have type of \"#{type}\""
-            errors = resource.validate
-            message = errors.join("<br/>\n") unless errors.empty?
-            assert errors.empty?, message
-          end
+
+          check_ndjson(reply.body, type)
+        end
+      end
+
+      def check_ndjson(ndjson, type)
+        ndjson.each_line do |line|
+          resource = FHIR.from_contents(line)
+          assert resource.class.name.demodulize == type, "Resource in output file did not have type of \"#{type}\""
+          errors = resource.validate
+          assert errors.empty?, errors.to_s
         end
       end
 
-      def assert_delete_request(url)
+      def check_delete_request(url)
         reply = @client.delete(url, {})
         skip 'Server did not accept client request to delete export file after export completed' if reply.code > 400
         assert_response_accepted(reply)
       end
 
-      def assert_cancel_request
+      def check_cancel_request
         @content_location = nil
-        assert_export_kick_off
-        assert_delete_request(@content_location)
+        check_export_kick_off
+        check_delete_request(@content_location)
       end
 
       details %(
@@ -121,6 +130,8 @@ def assert_cancel_request
 
       )
 
+      @resources_found = false
+
       test 'Server rejects $export request without authorization' do
         metadata do
           id '01'
@@ -145,8 +156,7 @@ def assert_cancel_request
           )
         end
 
-        @search_params = { '_type' => 'Patient' }
-        assert_export_kick_off(search_params: @search_params)
+        check_export_kick_off(search_params: { '_type' => @klass })
       end
 
       test 'Server shall return "202 Accepted" and "Content-location" for $export operation' do
@@ -157,9 +167,9 @@ def assert_cancel_request
           )
         end
 
-        skip 'Skip testing $export without parameters' if @search_params_applied && !@run_all_kick_off_tests
+        skip 'Skip testing $export without parameters' if @server_support_type_parameter && !@run_all_kick_off_tests
 
-        assert_export_kick_off
+        check_export_kick_off
       end
 
       test 'Server shall reject for $export operation with invalid Accept header' do
@@ -170,7 +180,7 @@ def assert_cancel_request
           )
         end
 
-        assert_export_kick_off_fail_invalid_accept
+        check_export_kick_off_fail_invalid_accept
       end
 
       test 'Server shall reject for $export operation with invalid Prefer header' do
@@ -181,7 +191,7 @@ def assert_cancel_request
           )
         end
 
-        assert_export_kick_off_fail_invalid_prefer
+        check_export_kick_off_fail_invalid_prefer
       end
 
       test 'Server shall return "202 Accepted" or "200 OK"' do
@@ -192,7 +202,7 @@ def assert_cancel_request
           )
         end
 
-        assert_export_status(@content_location)
+        check_export_status
       end
 
       test 'Server shall return file in ndjson format' do
@@ -203,7 +213,7 @@ def assert_cancel_request
           )
         end
 
-        assert_file_request(@output)
+        check_file_request
       end
 
       test 'Server should return "202 Accepted" for delete export content' do
@@ -215,7 +225,7 @@ def assert_cancel_request
           optional
         end
 
-        assert_delete_request(@content_location)
+        check_delete_request(@content_location)
       end
 
       test 'Server shall return "202 Accepted" for cancel export request' do
@@ -226,18 +236,18 @@ def assert_cancel_request
           )
         end
 
-        assert_cancel_request
+        check_cancel_request
       end
 
       private
 
-      def export_kick_off(klass,
-                          search_params: nil,
+      def export_kick_off(klass = nil,
                           id: nil,
+                          search_params: nil,
                           headers: { accept: 'application/fhir+json', prefer: 'respond-async' })
         url = ''
         url += "/#{klass}" if klass.present?
-        url += "/#{id}" if id.present?
+        url += "/#{id}" if klass.present? && id.present?
         url += '/$export'
 
         uri = Addressable::URI.parse(url)
diff --git a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
index 9c12f46a8..670c3cec6 100644
--- a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
@@ -17,291 +17,6 @@ class BulkDataPatientExportSequence < BulkDataExportSequence
       conformance_supports :Patient
 
       @klass = :Patient
-      attr_writer :run_all_kick_off_tests
-
-      def check_export_kick_off(klass, search_params: nil)
-        @search_params = search_params
-
-        reply = export_kick_off(klass, search_params: search_params)
-
-        # Servers unable to support _type SHOULD return an error and OperationOutcome resource
-        # so clients can re-submit a request omitting the _type parameter.
-        if search_params.present? && reply.code > 400
-          response_body = JSON.parse(reply.body)
-          message = ''
-          response_body['issue'].each do |issue|
-            message += issue['diagnostics'].presence || ''
-          end
-
-          skip message
-        end
-
-        @server_support_type_parameter = search_params.present?
-
-        assert_response_accepted(reply)
-        @content_location = reply.response[:headers]['content-location']
-
-        assert @content_location.present?, 'Export response header did not include "Content-Location"'
-      end
-
-      def check_export_kick_off_fail_invalid_accept(klass)
-        reply = export_kick_off(klass, headers: { accept: 'application/fhir+xml', prefer: 'respond-async' })
-        assert_response_bad(reply)
-      end
-
-      def check_export_kick_off_fail_invalid_prefer(klass)
-        reply = export_kick_off(klass, headers: { accept: 'application/fhir+json', prefer: 'return=representation' })
-        assert_response_bad(reply)
-      end
-
-      def check_export_status(url = @content_location, timeout: 180)
-        skip 'Server response did not have Content-Location in header' unless url.present?
-
-        reply = export_status_check(url, timeout)
-
-        # server response status code could be 202 (still processing), 200 (complete) or 4xx/5xx error code
-        # export_status_check processes reponses with status 202 code
-        # and returns server response when status code is not 202 or timed out
-
-        skip "Server took more than #{timeout} seconds to process the request." if reply.code == 202
-
-        assert reply.code == 200, "Bad response code: expected 200, 202, but found #{reply.code}."
-
-        assert_response_content_type(reply, 'application/json')
-
-        response_body = JSON.parse(reply.body)
-
-        assert_status_reponse_required_field(response_body)
-
-        @output = response_body['output']
-
-        assert_output_has_type_url
-      end
-
-      def assert_output_has_type_url(output = @output,
-                                     search_params = @search_params)
-        skip 'Sever response did not have output data' unless output.present?
-
-        search_type = search_params['_type'].split(',').map(&:strip) if search_params.present? && search_params.key?('_type')
-
-        output.each do |file|
-          ['type', 'url'].each do |key|
-            assert file.key?(key), "Output file did not contain \"#{key}\" as required"
-          end
-
-          assert search_type.include?(file['type']), "Output file had type #{file['type']} not specified in export parameter #{search_params['_type']}" if search_type.present?
-        end
-      end
-
-      def check_file_request(output = @output)
-        skip 'Content-Location from server response was emtpy' unless output.present?
-
-        headers = { accept: 'application/fhir+ndjson' }
-        output.each do |file|
-          url = file['url']
-          type = file['type']
-          reply = @client.get(url, @client.fhir_headers(headers))
-          assert_response_content_type(reply, 'application/fhir+ndjson')
-
-          check_ndjson(reply.body, type)
-        end
-      end
-
-      def check_ndjson(ndjson, type)
-        ndjson.each_line do |line|
-          resource = FHIR.from_contents(line)
-          assert resource.class.name.demodulize == type, "Resource in output file did not have type of \"#{type}\""
-          errors = resource.validate
-          assert errors.empty?, errors.to_s
-        end
-      end
-
-      def check_delete_request(url)
-        reply = @client.delete(url, {})
-        skip 'Server did not accept client request to delete export file after export completed' if reply.code > 400
-        assert_response_accepted(reply)
-      end
-
-      def check_cancel_request(_klass)
-        @content_location = nil
-        check_export_kick_off('Patient')
-        check_delete_request(@content_location)
-      end
-
-      details %(
-
-        The #{title} Sequence tests `#{title}` operations.  The operation steps will be checked for consistency against the
-        [Bulk Data Access Implementation Guide](https://build.fhir.org/ig/HL7/bulk-data/)
-
-      )
-
-      @resources_found = false
-
-      test 'Server rejects $export request without authorization' do
-        metadata do
-          id '01'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-kick-off-request'
-          desc %(
-          )
-        end
-
-        @client.set_no_auth
-        skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
-
-        reply = export_kick_off('Patient')
-        @client.set_bearer_token(@instance.token)
-        assert_response_unauthorized reply
-      end
-
-      test 'Server shall return "202 Accepted" and "Content-location" for $export operation with parameters' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
-          desc %(
-          )
-        end
-
-        check_export_kick_off('Patient', search_params: { '_type' => 'Patient' })
-      end
-
-      test 'Server shall return "202 Accepted" and "Content-location" for $export operation' do
-        metadata do
-          id '03'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-kick-off-request'
-          desc %(
-          )
-        end
-
-        skip 'Skip testing $export without parameters' if @server_support_type_parameter && !@run_all_kick_off_tests
-
-        check_export_kick_off('Patient')
-      end
-
-      test 'Server shall reject for $export operation with invalid Accept header' do
-        metadata do
-          id '04'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#headers'
-          desc %(
-          )
-        end
-
-        check_export_kick_off_fail_invalid_accept('Patient')
-      end
-
-      test 'Server shall reject for $export operation with invalid Prefer header' do
-        metadata do
-          id '05'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#headers'
-          desc %(
-          )
-        end
-
-        check_export_kick_off_fail_invalid_prefer('Patient')
-      end
-
-      test 'Server shall return "202 Accepted" or "200 OK"' do
-        metadata do
-          id '06'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-status-request'
-          desc %(
-          )
-        end
-
-        check_export_status
-      end
-
-      test 'Server shall return file in ndjson format' do
-        metadata do
-          id '07'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
-          desc %(
-          )
-        end
-
-        check_file_request
-      end
-
-      test 'Server should return "202 Accepted" for delete export content' do
-        metadata do
-          id '08'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
-          desc %(
-          )
-          optional
-        end
-
-        check_delete_request(@content_location)
-      end
-
-      test 'Server shall return "202 Accepted" for cancel export request' do
-        metadata do
-          id '09'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
-          desc %(
-          )
-        end
-
-        check_cancel_request('Patient')
-      end
-
-      private
-
-      def export_kick_off(klass = nil,
-                          id: nil,
-                          search_params: nil,
-                          headers: { accept: 'application/fhir+json', prefer: 'respond-async' })
-        url = ''
-        url += "/#{klass}" if klass.present?
-        url += "/#{id}" if klass.present? && id.present?
-        url += '/$export'
-
-        uri = Addressable::URI.parse(url)
-        uri.query_values = search_params if search_params.present?
-        full_url = uri.to_s
-
-        @client.get(full_url, @client.fhir_headers(headers))
-      end
-
-      def export_status_check(url, timeout)
-        wait_time = 1
-        reply = nil
-        headers = { accept: 'application/json' }
-        start = Time.now
-
-        loop do
-          reply = @client.get(url, @client.fhir_headers(headers))
-
-          wait_time = get_wait_time(wait_time, reply)
-          seconds_used = Time.now - start + wait_time
-
-          break if reply.code != 202 || seconds_used > timeout
-
-          sleep wait_time
-        end
-
-        reply
-      end
-
-      def get_wait_time(wait_time, reply)
-        retry_after = reply.response[:headers]['retry-after']
-        retry_after_int = (retry_after.presence || 0).to_i
-
-        if retry_after_int.positive?
-          retry_after_int
-        else
-          wait_time * 2
-        end
-      end
-
-      def delete_request(url)
-        @client.delete(url)
-      end
-
-      def assert_status_reponse_required_field(response_body)
-        ['transactionTime', 'request', 'requiresAccessToken', 'output', 'error'].each do |key|
-          assert response_body.key?(key), "Complete Status response did not contain \"#{key}\" as required"
-        end
-      end
     end
   end
 end

From 04ae3704c11bffc2a42478de3780192ef33cbcd4 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Fri, 4 Oct 2019 14:51:52 -0400
Subject: [PATCH 085/144] create sequence

---
 config.yml                                    |  1 +
 .../bulk_data_group_export_sequence.rb        | 21 +++++++++++++++++++
 2 files changed, 22 insertions(+)
 create mode 100644 lib/app/modules/bulk_data/bulk_data_group_export_sequence.rb

diff --git a/config.yml b/config.yml
index 91af03f9b..929039fdc 100644
--- a/config.yml
+++ b/config.yml
@@ -45,6 +45,7 @@ modules:
   - argonaut
   - uscore_v3.0.0
   - uscore_v3.0.1
+  - bulk_data
 
 # preset fhir servers: optional. Minimally requires name, uri, module, optional inferno_uri, client_id, client_secret, scopes, instructions link
 presets:
diff --git a/lib/app/modules/bulk_data/bulk_data_group_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_group_export_sequence.rb
new file mode 100644
index 000000000..fc08130a8
--- /dev/null
+++ b/lib/app/modules/bulk_data/bulk_data_group_export_sequence.rb
@@ -0,0 +1,21 @@
+# frozen_string_literal: true
+
+require_relative 'bulk_data_export_sequence'
+
+module Inferno
+  module Sequence
+    class BulkDataGroupExportSequence < BulkDataExportSequence
+      group 'Bulk Data Group Export'
+
+      title 'Group Compartment Export Tests'
+
+      description 'Verify that Group compartment export on the Bulk Data server follow the Bulk Data Access Implementation Guide'
+
+      test_id_prefix 'Group'
+
+      requires :token, :group_id
+
+      @klass = :Group
+    end
+  end
+end

From f5a54a08f3ee3fcf5b4d891c9a99ee3d0b19f137 Mon Sep 17 00:00:00 2001
From: yunwwang <yunwwang@gmail.com>
Date: Fri, 4 Oct 2019 15:16:49 -0400
Subject: [PATCH 086/144] Update
 lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb

Co-Authored-By: Stephen MacVicar <Jammjammjamm@users.noreply.github.com>
---
 lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
index 9b4016ebe..273c27a91 100644
--- a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
@@ -79,7 +79,7 @@ def assert_output_has_type_url(output = @output,
                                      search_params = @search_params)
         skip 'Sever response did not have output data' unless output.present?
 
-        search_type = search_params['_type'].split(',').map(&:strip) if search_params.present? && search_params.key?('_type')
+        search_type = search_params['_type'].split(',').map(&:strip) if search_params&.key?('_type')
 
         output.each do |file|
           ['type', 'url'].each do |key|

From 9aa7fdda1fff640c735a6784035af7612e0147ab Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Fri, 4 Oct 2019 15:30:49 -0400
Subject: [PATCH 087/144] fix PR comments

---
 .../bulk_data_patient_export_sequence.rb      | 19 ++++++++++---------
 1 file changed, 10 insertions(+), 9 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
index 9b4016ebe..d044995c9 100644
--- a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
@@ -14,7 +14,7 @@ class BulkDataPatientExportSequence < SequenceBase
       requires :token
       conformance_supports :Patient
 
-      attr_writer :run_all_kick_off_tests
+      attr_accessor :run_all_kick_off_tests
 
       def check_export_kick_off(klass, search_params: nil)
         @search_params = search_params
@@ -23,17 +23,17 @@ def check_export_kick_off(klass, search_params: nil)
 
         # Servers unable to support _type SHOULD return an error and OperationOutcome resource
         # so clients can re-submit a request omitting the _type parameter.
-        if search_params.present? && reply.code > 400
+        if search_params&.key?('_type') && reply.code >= 400
           response_body = JSON.parse(reply.body)
-          message = ''
-          response_body['issue'].each do |issue|
-            message += issue['diagnostics'].presence || ''
-          end
+          message = response_body['issue']
+            .map { |issue| issue['diagnostics'].presence }
+            .compact
+            .join(' ')
 
           skip message
         end
 
-        @server_support_type_parameter = search_params.present?
+        @server_support_type_parameter = search_params&.key?('_type')
 
         assert_response_accepted(reply)
         @content_location = reply.response[:headers]['content-location']
@@ -79,7 +79,7 @@ def assert_output_has_type_url(output = @output,
                                      search_params = @search_params)
         skip 'Sever response did not have output data' unless output.present?
 
-        search_type = search_params['_type'].split(',').map(&:strip) if search_params.present? && search_params.key?('_type')
+        search_type = search_params['_type'].split(',').map(&:strip) if search_params&.key?('_type')
 
         output.each do |file|
           ['type', 'url'].each do |key|
@@ -115,7 +115,7 @@ def check_ndjson(ndjson, type)
 
       def check_delete_request(url)
         reply = @client.delete(url, {})
-        skip 'Server did not accept client request to delete export file after export completed' if reply.code > 400
+        skip 'Server did not accept client request to delete export file after export completed' if reply.code >= 400
         assert_response_accepted(reply)
       end
 
@@ -236,6 +236,7 @@ def check_cancel_request(_klass)
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
           desc %(
           )
+          optional
         end
 
         check_cancel_request('Patient')

From 06a66fa9ddea2041f93b7b0a88e51f331f884331 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Fri, 20 Sep 2019 08:01:32 -0400
Subject: [PATCH 088/144] explicitly require Minitest in Gemfile

---
 Gemfile      | 1 +
 Gemfile.lock | 1 +
 2 files changed, 2 insertions(+)

diff --git a/Gemfile b/Gemfile
index 3962bf7bd..890fd75a5 100644
--- a/Gemfile
+++ b/Gemfile
@@ -11,6 +11,7 @@ gem 'dm-sqlite-adapter'
 gem 'fhir_client'
 gem 'json-jwt'
 gem 'kramdown'
+gem 'minitest'
 gem 'pry'
 gem 'pry-byebug'
 gem 'rake'
diff --git a/Gemfile.lock b/Gemfile.lock
index 8f3ffeb05..f3b3f3dd3 100644
--- a/Gemfile.lock
+++ b/Gemfile.lock
@@ -236,6 +236,7 @@ DEPENDENCIES
   fhir_client
   json-jwt
   kramdown
+  minitest
   pry
   pry-byebug
   rack-test

From ed0510887c8cfad6d81438f1bace4165f3d6bdbc Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Fri, 20 Sep 2019 08:20:59 -0400
Subject: [PATCH 089/144] fix fhir version checking

---
 lib/app/models/testing_instance.rb |  6 ++++++
 lib/app/sequence_base.rb           |  3 +--
 test/unit/test_instance_test.rb    | 16 ++++++++++++++++
 3 files changed, 23 insertions(+), 2 deletions(-)

diff --git a/lib/app/models/testing_instance.rb b/lib/app/models/testing_instance.rb
index 2e76ed68f..3c8fac727 100644
--- a/lib/app/models/testing_instance.rb
+++ b/lib/app/models/testing_instance.rb
@@ -133,6 +133,12 @@ def fhir_version
         self.module.fhir_version
       end
 
+      def fhir_version_match?(versions)
+        return true if fhir_version.blank?
+
+        versions.include? fhir_version.to_sym
+      end
+
       def module
         @module ||= Inferno::Module.get(selected_module)
       end
diff --git a/lib/app/sequence_base.rb b/lib/app/sequence_base.rb
index 947f57c2a..239a02a20 100644
--- a/lib/app/sequence_base.rb
+++ b/lib/app/sequence_base.rb
@@ -379,8 +379,7 @@ def wrap_test(test)
             test_index: test.index
           ).tap do |result|
             begin
-              fhir_version_included = @instance.fhir_version.present? && self.class.versions.include?(@instance.fhir_version&.to_sym)
-              skip_unless(fhir_version_included, 'This test does not run with this FHIR version')
+              skip_unless(@instance.fhir_version_match?(self.class.versions), 'This test does not run with this FHIR version')
               Inferno.logger.info "Starting Test: #{test.id} [#{test.name}]"
               instance_eval(&test.test_block)
             rescue StandardError => e
diff --git a/test/unit/test_instance_test.rb b/test/unit/test_instance_test.rb
index a883e7c19..37abd6011 100644
--- a/test/unit/test_instance_test.rb
+++ b/test/unit/test_instance_test.rb
@@ -49,4 +49,20 @@ def test_conformance_supported_no_patient_read
     assert !@instance.conformance_supported?(:Patient, [:read, :search])
     assert @instance.conformance_supported?(:Observation, [:read])
   end
+
+  def test_fhir_version_match
+    fhir_versions = [:dstu2, :stu3]
+
+    # Returns true if no version is set
+    @instance.instance_variable_set(:@module, OpenStruct.new(fhir_version: nil))
+    assert @instance.fhir_version_match?(fhir_versions)
+
+    # Returns true if version matches
+    @instance.instance_variable_set(:@module, OpenStruct.new(fhir_version: 'dstu2'))
+    assert @instance.fhir_version_match?(fhir_versions)
+
+    # Returns false if version doesn't match
+    @instance.instance_variable_set(:@module, OpenStruct.new(fhir_version: 'r4'))
+    assert !@instance.fhir_version_match?(fhir_versions)
+  end
 end

From 840b806df350933a2a3a024dc50480bc9efebe3f Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Fri, 20 Sep 2019 09:01:50 -0400
Subject: [PATCH 090/144] convert TestingInstance tests to use spec format

---
 test/unit/test_instance_test.rb | 105 +++++++++++++++++---------------
 1 file changed, 57 insertions(+), 48 deletions(-)

diff --git a/test/unit/test_instance_test.rb b/test/unit/test_instance_test.rb
index 37abd6011..04a08f2f8 100644
--- a/test/unit/test_instance_test.rb
+++ b/test/unit/test_instance_test.rb
@@ -2,67 +2,76 @@
 
 require File.expand_path '../test_helper.rb', __dir__
 
-class TestInstanceTest < MiniTest::Test
-  def setup
+describe Inferno::Models::TestingInstance do
+  before do
     @instance = Inferno::Models::TestingInstance.create(selected_module: 'uscore_v3.0.0')
   end
 
-  def test_conformance_supported
-    conformance = FHIR::DSTU2.from_contents(load_fixture(:conformance_statement))
-    Inferno::Models::ServerCapabilities.create(
-      testing_instance_id: @instance.id,
-      capabilities: conformance.as_json
-    )
+  describe '#conformance_supported?' do
+    before do
+      @conformance = FHIR::DSTU2.from_contents(load_fixture(:conformance_statement))
+    end
 
-    assert @instance.conformance_supported?(:Patient, [:read])
-    assert @instance.conformance_supported?(:Patient, [:read, :search, :history])
-    assert @instance.conformance_supported?(:Patient)
-    assert !@instance.conformance_supported?(:NoSuchResource, [:read])
-    assert !@instance.conformance_supported?(:Patient, [:NoSuchOperation])
-  end
+    it 'returns true if the resource is supported' do
+      Inferno::Models::ServerCapabilities.create(
+        testing_instance_id: @instance.id,
+        capabilities: @conformance.as_json
+      )
 
-  def test_conformance_supported_no_patient
-    conformance = FHIR::DSTU2.from_contents(load_fixture(:conformance_statement))
-    conformance.rest.first.resource.reject! { |r| r.type == 'Patient' }
-    Inferno::Models::ServerCapabilities.create(
-      testing_instance_id: @instance.id,
-      capabilities: conformance.as_json
-    )
+      assert @instance.conformance_supported?(:Patient)
+    end
 
-    assert !@instance.conformance_supported?(:Patient, [:read])
-    assert !@instance.conformance_supported?(:Patient, [:read, :search, :history])
-    assert !@instance.conformance_supported?(:Patient)
-    assert @instance.conformance_supported?(:Observation, [:read])
-  end
+    it 'returns true if the resource and operations are supported' do
+      Inferno::Models::ServerCapabilities.create(
+        testing_instance_id: @instance.id,
+        capabilities: @conformance.as_json
+      )
+
+      assert @instance.conformance_supported?(:Patient, [:read])
+      assert @instance.conformance_supported?(:Patient, [:read, :search, :history])
+    end
+
+    it 'returns false if the resource is not supported' do
+      @conformance.rest.first.resource.reject! { |r| r.type == 'Patient' }
+      Inferno::Models::ServerCapabilities.create(
+        testing_instance_id: @instance.id,
+        capabilities: @conformance.as_json
+      )
+
+      assert !@instance.conformance_supported?(:Patient)
+      assert !@instance.conformance_supported?(:Patient, [:read])
+      assert !@instance.conformance_supported?(:Patient, [:read, :search, :history])
+    end
 
-  def test_conformance_supported_no_patient_read
-    conformance = FHIR::DSTU2.from_contents(load_fixture(:conformance_statement))
-    conformance.rest.first.resource.find { |r| r.type == 'Patient' }.interaction.reject! { |i| i.code == 'read' }
-    Inferno::Models::ServerCapabilities.create(
-      testing_instance_id: @instance.id,
-      capabilities: conformance.as_json
-    )
+    it 'returns false if the operations are not supported' do
+      @conformance.rest.first.resource.find { |r| r.type == 'Patient' }.interaction.reject! { |i| i.code == 'read' }
+      Inferno::Models::ServerCapabilities.create(
+        testing_instance_id: @instance.id,
+        capabilities: @conformance.as_json
+      )
 
-    assert @instance.conformance_supported?(:Patient)
-    assert @instance.conformance_supported?(:Patient, [:search])
-    assert !@instance.conformance_supported?(:Patient, [:read])
-    assert !@instance.conformance_supported?(:Patient, [:read, :search])
-    assert @instance.conformance_supported?(:Observation, [:read])
+      assert @instance.conformance_supported?(:Patient)
+      assert !@instance.conformance_supported?(:Patient, [:read])
+      assert !@instance.conformance_supported?(:Patient, [:read, :search])
+    end
   end
 
-  def test_fhir_version_match
+  describe '#fhir_version_match?' do
     fhir_versions = [:dstu2, :stu3]
 
-    # Returns true if no version is set
-    @instance.instance_variable_set(:@module, OpenStruct.new(fhir_version: nil))
-    assert @instance.fhir_version_match?(fhir_versions)
+    it 'returns true if no version is set' do
+      @instance.instance_variable_set(:@module, OpenStruct.new(fhir_version: nil))
+      assert @instance.fhir_version_match?(fhir_versions)
+    end
 
-    # Returns true if version matches
-    @instance.instance_variable_set(:@module, OpenStruct.new(fhir_version: 'dstu2'))
-    assert @instance.fhir_version_match?(fhir_versions)
+    it 'returns true if the versions match' do
+      @instance.instance_variable_set(:@module, OpenStruct.new(fhir_version: 'dstu2'))
+      assert @instance.fhir_version_match?(fhir_versions)
+    end
 
-    # Returns false if version doesn't match
-    @instance.instance_variable_set(:@module, OpenStruct.new(fhir_version: 'r4'))
-    assert !@instance.fhir_version_match?(fhir_versions)
+    it 'returns false if the versions do not match' do
+      @instance.instance_variable_set(:@module, OpenStruct.new(fhir_version: 'r4'))
+      assert !@instance.fhir_version_match?(fhir_versions)
+    end
   end
 end

From d580d15384fbb6a17b0eb9442ef447c87b3fff42 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Thu, 26 Sep 2019 09:44:02 -0400
Subject: [PATCH 091/144] move minitest to test gem group

---
 Gemfile | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/Gemfile b/Gemfile
index 890fd75a5..f866d18c8 100644
--- a/Gemfile
+++ b/Gemfile
@@ -11,7 +11,6 @@ gem 'dm-sqlite-adapter'
 gem 'fhir_client'
 gem 'json-jwt'
 gem 'kramdown'
-gem 'minitest'
 gem 'pry'
 gem 'pry-byebug'
 gem 'rake'
@@ -25,6 +24,7 @@ gem 'thin'
 gem 'time_difference'
 
 group :test do
+  gem 'minitest'
   gem 'rack-test'
   gem 'rubocop', require: false
   gem 'simplecov', require: false

From 568fe0b671f79d70bbe200609bf86c4299813620 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Tue, 17 Sep 2019 14:05:07 -0400
Subject: [PATCH 092/144] update SMART capabilities test to check well-known
 config rather than CapabilityStatement

---
 .../argonaut/argonaut_conformance_sequence.rb |   2 +-
 .../modules/smart/smart_discovery_sequence.rb | 111 ++++++++++++------
 lib/app/utils/assertions.rb                   |   8 +-
 3 files changed, 80 insertions(+), 41 deletions(-)

diff --git a/lib/app/modules/argonaut/argonaut_conformance_sequence.rb b/lib/app/modules/argonaut/argonaut_conformance_sequence.rb
index 66f76555a..c14ee674b 100644
--- a/lib/app/modules/argonaut/argonaut_conformance_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_conformance_sequence.rb
@@ -47,7 +47,7 @@ class ArgonautConformanceSequence < CapabilityStatementSequence
         It collects the following information that is saved in the testing session for use by later tests:
 
         * List of resources supported
-        * List of queries parameters supported
+        * List of query parameters supported
         * SMART on FHIR endpoints
 
         For more information of the Conformance Statement, visit these links:
diff --git a/lib/app/modules/smart/smart_discovery_sequence.rb b/lib/app/modules/smart/smart_discovery_sequence.rb
index d3804ca30..19320c55c 100644
--- a/lib/app/modules/smart/smart_discovery_sequence.rb
+++ b/lib/app/modules/smart/smart_discovery_sequence.rb
@@ -15,18 +15,28 @@ class SMARTDiscoverySequence < SequenceBase
       details %(
         # Background
 
-        The #{title} Sequence test looks for authorization endpoints as described by the [SMART App Launch Framework](http://hl7.org/fhir/smart-app-launch/conformance/index.html#smart-on-fhir-oauth-authorization-endpoints)
-        The SMART launch framework uses OAuth 2.0 to *authorize* apps, like Inferno, to access certain information on a FHIR server.  The authorization service accessed at the endpoint allows
-        users to give these apps permission without sharing their credentials with the application itself.  Instead, the application
-        receives an access token which allows it to access resources on the server.  The access token itself has a limited lifetime
-        and permission scopes associated with it.  A refresh token may also be provided to the application in order to obtain another access token.
-        Unlike access tokens, a refresh token is not shared with the resource server.  If OpenID Connect is used, an id token may be provided as well.
-        The id token can be used to *authenticate* the user.  The id token is digitally signed and allows the identity of the user to be verified.
+        The #{title} Sequence test looks for authorization endpoints as
+        described by the [SMART App Launch
+        Framework](http://hl7.org/fhir/smart-app-launch/conformance/index.html#smart-on-fhir-oauth-authorization-endpoints)
+        The SMART launch framework uses OAuth 2.0 to *authorize* apps, like
+        Inferno, to access certain information on a FHIR server. The
+        authorization service accessed at the endpoint allows users to give
+        these apps permission without sharing their credentials with the
+        application itself. Instead, the application receives an access token
+        which allows it to access resources on the server. The access token
+        itself has a limited lifetime and permission scopes associated with it.
+        A refresh token may also be provided to the application in order to
+        obtain another access token. Unlike access tokens, a refresh token is
+        not shared with the resource server. If OpenID Connect is used, an id
+        token may be provided as well. The id token can be used to
+        *authenticate* the user. The id token is digitally signed and allows the
+        identity of the user to be verified.
 
         # Test Methodology
 
-        This test suite will access both the `/metadata` and `/.well-known/smart-configuration` endpoints.
-        Both endpoints will be checked for:
+        This test suite will access both the `/metadata` and
+        `/.well-known/smart-configuration` endpoints. Both endpoints will be
+        checked for:
 
         * An OAuth 2.0 Authorization endpoint
         * An OAuth 2.0 Token endpoint
@@ -39,42 +49,64 @@ class SMARTDiscoverySequence < SequenceBase
 
        )
 
-      test 'Retrieve Authorization from Well Known endpoint' do
+      REQUIRED_WELL_KNOWN_FIELDS = [
+        'authorization_endpoint',
+        'token_endpoint',
+        'capabilities'
+      ]
+
+      test 'Retrieve Configuration from well-known endpoint' do
         metadata do
           id '01'
           link 'http://www.hl7.org/fhir/smart-app-launch/conformance/#using-well-known'
           description %(
-            The authorization endpoints accepted by a FHIR resource server can be exposed as a Well-Known Uniform Resource Identifier
+            The authorization endpoints accepted by a FHIR resource server can
+            be exposed as a Well-Known Uniform Resource Identifier
           )
         end
 
-        oauth_configuration_url = @instance.url.chomp('/') + '/.well-known/smart-configuration'
-        oauth_configuration_response = LoggedRestClient.get(oauth_configuration_url)
-        assert_response_ok(oauth_configuration_response)
-        oauth_configuration_response_body = JSON.parse(oauth_configuration_response.body)
+        well_known_configuration_url = @instance.url.chomp('/') + '/.well-known/smart-configuration'
+        well_known_configuration_response = LoggedRestClient.get(well_known_configuration_url)
+        assert_response_ok(well_known_configuration_response)
+        assert_response_content_type(well_known_configuration_response, 'application/json')
+        assert_valid_json(well_known_configuration_response.body)
+
+        @well_known_configuration = JSON.parse(well_known_configuration_response.body)
+        @well_known_authorize_url = @well_known_configuration['authorization_endpoint']
+        @well_known_token_url = @well_known_configuration['token_endpoint']
+        assert @well_known_configuration.present?, 'No .well-known/smart-configuration body'
+      end
+
+      test 'Configuration from well-known endpoint contains required fields' do
+        metadata do
+          id '02'
+          link 'http://hl7.org/fhir/smart-app-launch/conformance/index.html#metadata'
+          desc %(
+            The JSON from .well-known/smart-configuration contains the following
+            required fields: #{REQUIRED_WELL_KNOWN_FIELDS.join(', ')}
+          )
+        end
 
-        assert !oauth_configuration_response_body.nil?, 'No authorization response body available'
-        @well_known_authorize_url = oauth_configuration_response_body['authorization_endpoint']
-        @well_known_token_url = oauth_configuration_response_body['token_endpoint']
-        capabilities = oauth_configuration_response_body['capabilities']
-        register_url = oauth_configuration_response_body['registration_endpoint']
+        missing_fields = REQUIRED_WELL_KNOWN_FIELDS - @well_known_configuration.keys
+        assert missing_fields.empty?, "The following required fields are missing: #{missing_fields.join(', ')}"
 
-        @instance.update(oauth_authorize_endpoint: @well_known_authorize_url, oauth_token_endpoint: @well_known_token_url, oauth_register_endpoint: register_url)
+        @instance.update(
+          oauth_authorize_endpoint: @well_known_authorize_url,
+          oauth_token_endpoint: @well_known_token_url,
+          oauth_register_endpoint: @well_known_configuration['registration_endpoint']
+        )
 
-        assert !@well_known_authorize_url.blank?, 'No authorize URI provided in response.'
-        assert !@well_known_token_url.blank?, 'No token URI provided in response.'
-        assert !capabilities.nil?, 'The response did not contain capabilities as required'
-        assert capabilities.is_a?(Array), 'The capabilities response is not an array'
+        capabilities = @well_known_configuration['capabilities']
+        assert capabilities.is_a?(Array), 'The well-known capabilities are not an array'
       end
 
       test 'Conformance/Capability Statement provides OAuth 2.0 endpoints' do
         metadata do
-          id '02'
+          id '03'
           link 'http://www.hl7.org/fhir/smart-app-launch/capability-statement/'
           description %(
-
-           If a server requires SMART on FHIR authorization for access, its metadata must support automated discovery of OAuth2 endpoints
-
+           If a server requires SMART on FHIR authorization for access, its
+           metadata must support automated discovery of OAuth2 endpoints
           )
         end
 
@@ -83,9 +115,9 @@ class SMARTDiscoverySequence < SequenceBase
         assert !oauth_metadata.nil?, 'No OAuth Metadata in Conformance/CapabiliytStatemeent resource'
         @conformance_authorize_url = oauth_metadata[:authorize_url]
         @conformance_token_url = oauth_metadata[:token_url]
-        assert !@conformance_authorize_url.blank?, 'No authorize URI provided in Conformance/CapabilityStatement resource'
+        assert @conformance_authorize_url.present?, 'No authorize URI provided in Conformance/CapabilityStatement resource'
         assert_valid_http_uri @conformance_authorize_url, "Invalid authorize url: '#{@conformance_authorize_url}'"
-        assert !@conformance_token_url.blank?, 'No token URI provided in conformance statement.'
+        assert @conformance_token_url.present?, 'No token URI provided in conformance statement.'
         assert_valid_http_uri @conformance_token_url, "Invalid token url: '#{@conformance_token_url}'"
 
         warning do
@@ -108,25 +140,28 @@ class SMARTDiscoverySequence < SequenceBase
           security_info = @conformance.rest.first.security.extension.find { |x| x.url == 'http://fhir-registry.smarthealthit.org/StructureDefinition/oauth-uris' }
           registration_url = security_info.extension.find { |x| x.url == 'register' }
           registration_url = registration_url.value if registration_url
-          assert !registration_url.blank?, 'No dynamic registration endpoint in conformance.'
+          assert registration_url.present?, 'No dynamic registration endpoint in conformance.'
           assert_valid_http_uri registration_url, "Invalid registration url: '#{registration_url}'"
 
           manage_url = security_info.extension.find { |x| x.url == 'manage' }
           manage_url = manage_url.value if manage_url
-          assert !manage_url.blank?, 'No user-facing authorization management workflow entry point for this FHIR server.'
+          assert manage_url.present?, 'No user-facing authorization management workflow entry point for this FHIR server.'
         end
 
-        @instance.update(oauth_authorize_endpoint: @conformance_authorize_url, oauth_token_endpoint: @conformance_token_url, oauth_register_endpoint: registration_url)
+        @instance.update(
+          oauth_authorize_endpoint: @conformance_authorize_url,
+          oauth_token_endpoint: @conformance_token_url,
+          oauth_register_endpoint: registration_url
+        )
       end
 
       test 'OAuth Endpoints must be the same in the conformance statement and well known endpoint' do
         metadata do
-          id '03'
+          id '04'
           link 'http://www.hl7.org/fhir/smart-app-launch/capability-statement/'
           description %(
-
-           If a server requires SMART on FHIR authorization for access, its metadata must support automated discovery of OAuth2 endpoints
-
+           If a server requires SMART on FHIR authorization for access, its
+           metadata must support automated discovery of OAuth2 endpoints
           )
         end
 
diff --git a/lib/app/utils/assertions.rb b/lib/app/utils/assertions.rb
index 7e601a5b2..70ac012bb 100644
--- a/lib/app/utils/assertions.rb
+++ b/lib/app/utils/assertions.rb
@@ -96,8 +96,12 @@ def assert_bundle_transactions_okay(response)
       end
     end
 
-    def assert_response_content_type(client_reply, content_type)
-      header = client_reply.response[:headers]['content-type']
+    def assert_response_content_type(reply, content_type)
+      header = if reply.respond_to? :response # response from FHIR::Client
+                 reply.response[:headers]['content-type']
+               else # response from LoggedRestClient
+                 reply.headers[:content_type]
+               end
       response_content_type = header
       response_content_type = header[0, header.index(';')] unless header.index(';').nil?
 

From 2264ca2cec3c20b2a49a4338e6537e8d18b393a0 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Tue, 17 Sep 2019 14:29:47 -0400
Subject: [PATCH 093/144] add optional test for recommended well-known fields

---
 .../modules/smart/smart_discovery_sequence.rb | 41 +++++++++++++++----
 1 file changed, 32 insertions(+), 9 deletions(-)

diff --git a/lib/app/modules/smart/smart_discovery_sequence.rb b/lib/app/modules/smart/smart_discovery_sequence.rb
index 19320c55c..2dbf033c2 100644
--- a/lib/app/modules/smart/smart_discovery_sequence.rb
+++ b/lib/app/modules/smart/smart_discovery_sequence.rb
@@ -53,7 +53,15 @@ class SMARTDiscoverySequence < SequenceBase
         'authorization_endpoint',
         'token_endpoint',
         'capabilities'
-      ]
+      ].freeze
+
+      RECOMMENDED_WELL_KNOWN_FIELDS = [
+        'scopes_supported',
+        'response_types_supported',
+        'management_endpoint',
+        'introspection_endpoint',
+        'revocation_endpoint'
+      ].freeze
 
       test 'Retrieve Configuration from well-known endpoint' do
         metadata do
@@ -74,6 +82,12 @@ class SMARTDiscoverySequence < SequenceBase
         @well_known_configuration = JSON.parse(well_known_configuration_response.body)
         @well_known_authorize_url = @well_known_configuration['authorization_endpoint']
         @well_known_token_url = @well_known_configuration['token_endpoint']
+        @instance.update(
+          oauth_authorize_endpoint: @well_known_authorize_url,
+          oauth_token_endpoint: @well_known_token_url,
+          oauth_register_endpoint: @well_known_configuration['registration_endpoint']
+        )
+
         assert @well_known_configuration.present?, 'No .well-known/smart-configuration body'
       end
 
@@ -90,19 +104,28 @@ class SMARTDiscoverySequence < SequenceBase
         missing_fields = REQUIRED_WELL_KNOWN_FIELDS - @well_known_configuration.keys
         assert missing_fields.empty?, "The following required fields are missing: #{missing_fields.join(', ')}"
 
-        @instance.update(
-          oauth_authorize_endpoint: @well_known_authorize_url,
-          oauth_token_endpoint: @well_known_token_url,
-          oauth_register_endpoint: @well_known_configuration['registration_endpoint']
-        )
-
         capabilities = @well_known_configuration['capabilities']
         assert capabilities.is_a?(Array), 'The well-known capabilities are not an array'
       end
 
-      test 'Conformance/Capability Statement provides OAuth 2.0 endpoints' do
+      test 'Configuration from well-known endpoint contains recommended fields' do
         metadata do
           id '03'
+          link 'http://hl7.org/fhir/smart-app-launch/conformance/index.html#metadata'
+          optional
+          desc %(
+            The JSON from .well-known/smart-configuration contains the following
+            recommended fields: #{RECOMMENDED_WELL_KNOWN_FIELDS.join(', ')}
+          )
+        end
+
+        missing_fields = RECOMMENDED_WELL_KNOWN_FIELDS - @well_known_configuration.keys
+        assert missing_fields.empty?, "The following recommended fields are missing: #{missing_fields.join(', ')}"
+      end
+
+      test 'Conformance/Capability Statement provides OAuth 2.0 endpoints' do
+        metadata do
+          id '04'
           link 'http://www.hl7.org/fhir/smart-app-launch/capability-statement/'
           description %(
            If a server requires SMART on FHIR authorization for access, its
@@ -157,7 +180,7 @@ class SMARTDiscoverySequence < SequenceBase
 
       test 'OAuth Endpoints must be the same in the conformance statement and well known endpoint' do
         metadata do
-          id '04'
+          id '05'
           link 'http://www.hl7.org/fhir/smart-app-launch/capability-statement/'
           description %(
            If a server requires SMART on FHIR authorization for access, its

From 94bf42e45b8539362dda7df4eed5bf04aba52514 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Tue, 17 Sep 2019 15:46:55 -0400
Subject: [PATCH 094/144] add sequence for SMART capabilities

---
 .../argonaut/argonaut_conformance_sequence.rb | 34 +------
 lib/app/modules/argonaut_module.yml           |  2 +-
 .../onc_smart_discovery_sequence.rb           | 89 +++++++++++++++++++
 lib/app/modules/onc_program_module.yml        |  4 +-
 lib/app/modules/onc_program_r4_module.yml     |  2 +-
 .../modules/smart/smart_discovery_sequence.rb |  5 +-
 test/sequence/conformance_test.rb             |  1 -
 7 files changed, 95 insertions(+), 42 deletions(-)
 create mode 100644 lib/app/modules/onc_program/onc_smart_discovery_sequence.rb

diff --git a/lib/app/modules/argonaut/argonaut_conformance_sequence.rb b/lib/app/modules/argonaut/argonaut_conformance_sequence.rb
index c14ee674b..ed23f9748 100644
--- a/lib/app/modules/argonaut/argonaut_conformance_sequence.rb
+++ b/lib/app/modules/argonaut/argonaut_conformance_sequence.rb
@@ -92,41 +92,9 @@ class ArgonautConformanceSequence < CapabilityStatementSequence
         assert formats.any? { |format| @conformance.format.include? format }, 'Conformance does not state support for json.'
       end
 
-      test 'Conformance Statement describes SMART on FHIR core capabilities' do
-        metadata do
-          id '05'
-          link 'http://www.hl7.org/fhir/smart-app-launch/conformance/'
-          optional
-          description %(
-
-           A SMART on FHIR server can convey its capabilities to app developers by listing a set of the capabilities.
-
-          )
-        end
-
-        required_capabilities = ['launch-ehr',
-                                 'launch-standalone',
-                                 'client-public',
-                                 'client-confidential-symmetric',
-                                 'sso-openid-connect',
-                                 'context-ehr-patient',
-                                 'context-standalone-patient',
-                                 'context-standalone-encounter',
-                                 'permission-offline',
-                                 'permission-patient',
-                                 'permission-user']
-
-        assert_valid_conformance
-
-        assert @server_capabilities.smart_support?, 'No SMART capabilities listed in conformance.'
-
-        missing_capabilities = (required_capabilities - @server_capabilities.smart_capabilities)
-        assert missing_capabilities.empty?, "Conformance statement does not list required SMART capabilties: #{missing_capabilities.join(', ')}"
-      end
-
       test 'Conformance Statement lists supported Argonaut profiles, operations and search parameters' do
         metadata do
-          id '06'
+          id '05'
           link 'https://www.fhir.org/guides/argonaut/r2/Conformance-server.html'
           description %(
            The Argonaut Data Query Implementation Guide states:
diff --git a/lib/app/modules/argonaut_module.yml b/lib/app/modules/argonaut_module.yml
index 08168eae9..57fe12f30 100644
--- a/lib/app/modules/argonaut_module.yml
+++ b/lib/app/modules/argonaut_module.yml
@@ -37,4 +37,4 @@ test_sets:
           - ArgonautProcedureSequence
           - ArgonautSmokingStatusSequence
           - ArgonautVitalSignsSequence
-        run_all: true
\ No newline at end of file
+        run_all: true
diff --git a/lib/app/modules/onc_program/onc_smart_discovery_sequence.rb b/lib/app/modules/onc_program/onc_smart_discovery_sequence.rb
new file mode 100644
index 000000000..22a530ee3
--- /dev/null
+++ b/lib/app/modules/onc_program/onc_smart_discovery_sequence.rb
@@ -0,0 +1,89 @@
+# frozen_string_literal: true
+
+require_relative '../smart/smart_discovery_sequence'
+
+module Inferno
+  module Sequence
+    class ONCSMARTDiscoverySequence < SMARTDiscoverySequence
+      extends_sequence SMARTDiscoverySequence
+
+      title 'SMART on FHIR Discovery'
+
+      test_id_prefix 'ONCSD'
+
+      requires :url
+
+      description "Retrieve server's SMART on FHIR configuration"
+
+      details %(
+        # Background
+
+        The #{title} Sequence test looks for authorization endpoints as
+        described by the [SMART App Launch
+        Framework](http://hl7.org/fhir/smart-app-launch/conformance/index.html#smart-on-fhir-oauth-authorization-endpoints)
+        The SMART launch framework uses OAuth 2.0 to *authorize* apps, like
+        Inferno, to access certain information on a FHIR server. The
+        authorization service accessed at the endpoint allows users to give
+        these apps permission without sharing their credentials with the
+        application itself. Instead, the application receives an access token
+        which allows it to access resources on the server. The access token
+        itself has a limited lifetime and permission scopes associated with it.
+        A refresh token may also be provided to the application in order to
+        obtain another access token. Unlike access tokens, a refresh token is
+        not shared with the resource server. If OpenID Connect is used, an id
+        token may be provided as well. The id token can be used to
+        *authenticate* the user. The id token is digitally signed and allows the
+        identity of the user to be verified.
+
+        # Test Methodology
+
+        This test suite will access both the `/metadata` and
+        `/.well-known/smart-configuration` endpoints. Both endpoints will be
+        checked for:
+
+        * An OAuth 2.0 Authorization endpoint
+        * An OAuth 2.0 Token endpoint
+
+        For more information see:
+
+        * [SMART App Launch Framework](http://hl7.org/fhir/smart-app-launch/index.html)
+        * [The OAuth 2.0 Authorization Framework](https://tools.ietf.org/html/rfc6749)
+        * [OpenID Connect Core](https://openid.net/specs/openid-connect-core-1_0.html)
+       )
+
+      REQUIRED_SMART_CAPABILITIES = [
+        'launch-ehr',
+        'launch-standalone',
+        'client-public',
+        'client-confidential-symmetric',
+        'sso-openid-connect',
+        'context-ehr-patient',
+        'context-standalone-patient',
+        'context-standalone-encounter',
+        'permission-offline',
+        'permission-patient',
+        'permission-user'
+      ].freeze
+
+      test 'Well-known configuration declares support for required capabilities' do
+        metadata do
+          id '06'
+          link 'http://www.hl7.org/fhir/smart-app-launch/conformance/'
+          desc %(
+           A SMART on FHIR server SHALL convey its capabilities to app
+           developers by listing a set of the capabilities. The following
+           capabilities are required: #{REQUIRED_SMART_CAPABILITIES.join(', ')}
+          )
+        end
+
+        assert @well_known_configuration.present?, 'No .well-known/smart-configuration'
+
+        capabilities = @well_known_configuration['capabilities']
+        assert capabilities.is_a?(Array), 'The well-known capabilities are not an array'
+
+        missing_capabilities = REQUIRED_SMART_CAPABILITIES - capabilities
+        assert missing_capabilities.empty?, "The following required capabilities are missing: #{missing_capabilities.join(', ')}"
+      end
+    end
+  end
+end
diff --git a/lib/app/modules/onc_program_module.yml b/lib/app/modules/onc_program_module.yml
index 2331ed864..ea334d5e0 100644
--- a/lib/app/modules/onc_program_module.yml
+++ b/lib/app/modules/onc_program_module.yml
@@ -32,7 +32,7 @@ test_sets:
           - sequence: ManualRegistrationSequence
             title: Manual App Registration
           - ArgonautConformanceSequence
-          - SMARTDiscoverySequence
+          - ONCSMARTDiscoverySequence
       - name: Standalone Patient App
         overview: |
           Demonstrate the ability to perform a Patient Standalone Launch to a [SMART on FHIR](http://www.hl7.org/fhir/smart-app-launch/) client with a patient context,
@@ -126,4 +126,4 @@ test_sets:
           - ArgonautSmokingStatusSequence
           - ArgonautVitalSignsSequence
           - DocumentReferenceSequence
-          - ProvenanceSequence
\ No newline at end of file
+          - ProvenanceSequence
diff --git a/lib/app/modules/onc_program_r4_module.yml b/lib/app/modules/onc_program_r4_module.yml
index 2410658b6..d63733af7 100644
--- a/lib/app/modules/onc_program_r4_module.yml
+++ b/lib/app/modules/onc_program_r4_module.yml
@@ -31,7 +31,7 @@ test_sets:
           - sequence: ManualRegistrationSequence
             title: Manual App Registration
           - sequence: UsCoreR4CapabilityStatementSequence
-          - SMARTDiscoverySequence
+          - ONCSMARTDiscoverySequence
       - name: Standalone Patient App
         overview: |
           Demonstrate the ability to perform a Patient Standalone Launch to a [SMART on FHIR](http://www.hl7.org/fhir/smart-app-launch/) client with a patient context,
diff --git a/lib/app/modules/smart/smart_discovery_sequence.rb b/lib/app/modules/smart/smart_discovery_sequence.rb
index 2dbf033c2..60a07130f 100644
--- a/lib/app/modules/smart/smart_discovery_sequence.rb
+++ b/lib/app/modules/smart/smart_discovery_sequence.rb
@@ -10,7 +10,7 @@ class SMARTDiscoverySequence < SequenceBase
       requires :url
       defines :oauth_authorize_endpoint, :oauth_token_endpoint, :oauth_register_endpoint
 
-      description 'Retrieve authorization server endpoints for SMART on FHIR'
+      description "Retrieve server's SMART on FHIR configuration"
 
       details %(
         # Background
@@ -103,9 +103,6 @@ class SMARTDiscoverySequence < SequenceBase
 
         missing_fields = REQUIRED_WELL_KNOWN_FIELDS - @well_known_configuration.keys
         assert missing_fields.empty?, "The following required fields are missing: #{missing_fields.join(', ')}"
-
-        capabilities = @well_known_configuration['capabilities']
-        assert capabilities.is_a?(Array), 'The well-known capabilities are not an array'
       end
 
       test 'Configuration from well-known endpoint contains recommended fields' do
diff --git a/test/sequence/conformance_test.rb b/test/sequence/conformance_test.rb
index 34f5fdee3..61103e965 100644
--- a/test/sequence/conformance_test.rb
+++ b/test/sequence/conformance_test.rb
@@ -42,6 +42,5 @@ def test_no_metadata_endpoint
 
     sequence_result = @sequence.start
     assert sequence_result.fail?
-    assert sequence_result.test_results.reject(&:required).length == 1 # SMART capabilities
   end
 end

From d84f91598bcf29a1802e5440799bce0d33ab76c3 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Wed, 18 Sep 2019 10:03:51 -0400
Subject: [PATCH 095/144] update sequence descriptions

---
 .../onc_smart_discovery_sequence.rb           | 27 +++++++--------
 .../modules/smart/smart_discovery_sequence.rb | 34 ++++++++-----------
 2 files changed, 27 insertions(+), 34 deletions(-)

diff --git a/lib/app/modules/onc_program/onc_smart_discovery_sequence.rb b/lib/app/modules/onc_program/onc_smart_discovery_sequence.rb
index 22a530ee3..5d9d96031 100644
--- a/lib/app/modules/onc_program/onc_smart_discovery_sequence.rb
+++ b/lib/app/modules/onc_program/onc_smart_discovery_sequence.rb
@@ -18,9 +18,9 @@ class ONCSMARTDiscoverySequence < SMARTDiscoverySequence
       details %(
         # Background
 
-        The #{title} Sequence test looks for authorization endpoints as
-        described by the [SMART App Launch
-        Framework](http://hl7.org/fhir/smart-app-launch/conformance/index.html#smart-on-fhir-oauth-authorization-endpoints)
+        The #{title} Sequence test looks for authorization endpoints and SMART
+        capabilities as described by the [SMART App Launch
+        Framework](http://hl7.org/fhir/smart-app-launch/conformance/index.html).
         The SMART launch framework uses OAuth 2.0 to *authorize* apps, like
         Inferno, to access certain information on a FHIR server. The
         authorization service accessed at the endpoint allows users to give
@@ -37,19 +37,16 @@ class ONCSMARTDiscoverySequence < SMARTDiscoverySequence
 
         # Test Methodology
 
-        This test suite will access both the `/metadata` and
-        `/.well-known/smart-configuration` endpoints. Both endpoints will be
-        checked for:
-
-        * An OAuth 2.0 Authorization endpoint
-        * An OAuth 2.0 Token endpoint
+        This test suite will examine the SMART on FHIR configuration contained
+        in both the `/metadata` and `/.well-known/smart-configuration`
+        endpoints.
 
         For more information see:
 
         * [SMART App Launch Framework](http://hl7.org/fhir/smart-app-launch/index.html)
         * [The OAuth 2.0 Authorization Framework](https://tools.ietf.org/html/rfc6749)
         * [OpenID Connect Core](https://openid.net/specs/openid-connect-core-1_0.html)
-       )
+      )
 
       REQUIRED_SMART_CAPABILITIES = [
         'launch-ehr',
@@ -68,11 +65,11 @@ class ONCSMARTDiscoverySequence < SMARTDiscoverySequence
       test 'Well-known configuration declares support for required capabilities' do
         metadata do
           id '06'
-          link 'http://www.hl7.org/fhir/smart-app-launch/conformance/'
-          desc %(
-           A SMART on FHIR server SHALL convey its capabilities to app
-           developers by listing a set of the capabilities. The following
-           capabilities are required: #{REQUIRED_SMART_CAPABILITIES.join(', ')}
+          link 'http://hl7.org/fhir/smart-app-launch/conformance/index.html#using-well-known'
+          description %(
+            A SMART on FHIR server SHALL convey its capabilities to app
+            developers by listing a set of the capabilities. The following
+            capabilities are required: #{REQUIRED_SMART_CAPABILITIES.join(', ')}
           )
         end
 
diff --git a/lib/app/modules/smart/smart_discovery_sequence.rb b/lib/app/modules/smart/smart_discovery_sequence.rb
index 60a07130f..8405bf733 100644
--- a/lib/app/modules/smart/smart_discovery_sequence.rb
+++ b/lib/app/modules/smart/smart_discovery_sequence.rb
@@ -15,9 +15,9 @@ class SMARTDiscoverySequence < SequenceBase
       details %(
         # Background
 
-        The #{title} Sequence test looks for authorization endpoints as
-        described by the [SMART App Launch
-        Framework](http://hl7.org/fhir/smart-app-launch/conformance/index.html#smart-on-fhir-oauth-authorization-endpoints)
+        The #{title} Sequence test looks for authorization endpoints and SMART
+        capabilities as described by the [SMART App Launch
+        Framework](http://hl7.org/fhir/smart-app-launch/conformance/index.html).
         The SMART launch framework uses OAuth 2.0 to *authorize* apps, like
         Inferno, to access certain information on a FHIR server. The
         authorization service accessed at the endpoint allows users to give
@@ -34,20 +34,16 @@ class SMARTDiscoverySequence < SequenceBase
 
         # Test Methodology
 
-        This test suite will access both the `/metadata` and
-        `/.well-known/smart-configuration` endpoints. Both endpoints will be
-        checked for:
-
-        * An OAuth 2.0 Authorization endpoint
-        * An OAuth 2.0 Token endpoint
+        This test suite will examine the SMART on FHIR configuration contained
+        in both the `/metadata` and `/.well-known/smart-configuration`
+        endpoints.
 
         For more information see:
 
         * [SMART App Launch Framework](http://hl7.org/fhir/smart-app-launch/index.html)
         * [The OAuth 2.0 Authorization Framework](https://tools.ietf.org/html/rfc6749)
         * [OpenID Connect Core](https://openid.net/specs/openid-connect-core-1_0.html)
-
-       )
+      )
 
       REQUIRED_WELL_KNOWN_FIELDS = [
         'authorization_endpoint',
@@ -95,7 +91,7 @@ class SMARTDiscoverySequence < SequenceBase
         metadata do
           id '02'
           link 'http://hl7.org/fhir/smart-app-launch/conformance/index.html#metadata'
-          desc %(
+          description %(
             The JSON from .well-known/smart-configuration contains the following
             required fields: #{REQUIRED_WELL_KNOWN_FIELDS.join(', ')}
           )
@@ -110,7 +106,7 @@ class SMARTDiscoverySequence < SequenceBase
           id '03'
           link 'http://hl7.org/fhir/smart-app-launch/conformance/index.html#metadata'
           optional
-          desc %(
+          description %(
             The JSON from .well-known/smart-configuration contains the following
             recommended fields: #{RECOMMENDED_WELL_KNOWN_FIELDS.join(', ')}
           )
@@ -123,10 +119,10 @@ class SMARTDiscoverySequence < SequenceBase
       test 'Conformance/Capability Statement provides OAuth 2.0 endpoints' do
         metadata do
           id '04'
-          link 'http://www.hl7.org/fhir/smart-app-launch/capability-statement/'
+link 'http://hl7.org/fhir/smart-app-launch/conformance/index.html#using-cs'
           description %(
-           If a server requires SMART on FHIR authorization for access, its
-           metadata must support automated discovery of OAuth2 endpoints
+            If a server requires SMART on FHIR authorization for access, its
+            metadata must support automated discovery of OAuth2 endpoints
           )
         end
 
@@ -178,10 +174,10 @@ class SMARTDiscoverySequence < SequenceBase
       test 'OAuth Endpoints must be the same in the conformance statement and well known endpoint' do
         metadata do
           id '05'
-          link 'http://www.hl7.org/fhir/smart-app-launch/capability-statement/'
+link 'http://hl7.org/fhir/smart-app-launch/conformance/index.html#using-cs'
           description %(
-           If a server requires SMART on FHIR authorization for access, its
-           metadata must support automated discovery of OAuth2 endpoints
+            If a server requires SMART on FHIR authorization for access, its
+            metadata must support automated discovery of OAuth2 endpoints
           )
         end
 

From 600430b9bd04daa1b7ff8b6fe09f7eba5ca26880 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Wed, 18 Sep 2019 10:40:46 -0400
Subject: [PATCH 096/144] add sequence tests

---
 test/fixtures/smart_configuration.json        | 32 ++++++++++
 test/fixtures/smart_metadata.json             | 61 +++++++++++++++++++
 .../onc_smart_discovery_sequence_test.rb      | 43 +++++++++++++
 3 files changed, 136 insertions(+)
 create mode 100644 test/fixtures/smart_configuration.json
 create mode 100644 test/fixtures/smart_metadata.json
 create mode 100644 test/sequence/onc_program/onc_smart_discovery_sequence_test.rb

diff --git a/test/fixtures/smart_configuration.json b/test/fixtures/smart_configuration.json
new file mode 100644
index 000000000..e03e434c3
--- /dev/null
+++ b/test/fixtures/smart_configuration.json
@@ -0,0 +1,32 @@
+{
+  "authorization_endpoint": "https://www.example.com/authorize",
+  "token_endpoint": "https://www.example.com/token",
+  "token_endpoint_auth_methods_supported": ["client_secret_basic"],
+  "registration_endpoint": "https://www.example.com/register",
+  "scopes_supported": [
+    "openid",
+    "profile",
+    "launch",
+    "launch/patient",
+    "patient/*.*",
+    "user/*.*",
+    "offline_access"
+  ],
+  "response_types_supported": ["code", "code id_token", "id_token", "refresh_token"],
+  "management_endpoint": "https://www.example.com/manage",
+  "introspection_endpoint": "https://www.example.com/introspect",
+  "revocation_endpoint": "https://www.example.com/revoke",
+  "capabilities": [
+    "launch-ehr",
+    "launch-standalone",
+    "client-public",
+    "client-confidential-symmetric",
+    "sso-openid-connect",
+    "context-ehr-patient",
+    "context-standalone-patient",
+    "context-standalone-encounter",
+    "permission-offline",
+    "permission-patient",
+    "permission-user"
+  ]
+}
diff --git a/test/fixtures/smart_metadata.json b/test/fixtures/smart_metadata.json
new file mode 100644
index 000000000..3f4a28912
--- /dev/null
+++ b/test/fixtures/smart_metadata.json
@@ -0,0 +1,61 @@
+{
+  "resourceType": "CapabilityStatement",
+  "publisher": "Not provided",
+  "date": "2018-02-10T04:02:11+00:00",
+  "kind": "instance",
+  "fhirVersion": "4.0.0",
+  "acceptUnknown": "extensions",
+  "format": [
+    "application/xml+fhir",
+    "application/json+fhir"
+  ],
+  "rest": [
+    {
+      "mode": "server",
+      "security": {
+        "extension": [
+          {
+            "url": "http://fhir-registry.smarthealthit.org/StructureDefinition/oauth-uris",
+            "extension": [
+              {
+                "url": "authorize",
+                "valueUri": "https://www.example.com/authorize"
+              },
+              {
+                "url": "token",
+                "valueUri": "https://www.example.com/token"
+              },
+              {
+                "url": "register",
+                "valueUri": "https://www.example.com/register"
+              },
+              {
+                "url": "manage",
+                "valueUri": "https://www.example.com/manage"
+              },
+              {
+                "url": "introspect",
+                "valueUri": "https://www.example.com/introspect"
+              },
+              {
+                "url": "revoke",
+                "valueUri": "https://www.example.com/revoke"
+              }
+            ]
+          }
+        ],
+        "service": [
+          {
+            "coding": [
+              {
+                "system": "http://hl7.org/fhir/restful-security-service",
+                "code": "SMART-on-FHIR"
+              }
+            ],
+            "text": "OAuth2 using SMART-on-FHIR profile (see http://docs.smarthealthit.org)"
+          }
+        ]
+      }
+    }
+  ]
+}
diff --git a/test/sequence/onc_program/onc_smart_discovery_sequence_test.rb b/test/sequence/onc_program/onc_smart_discovery_sequence_test.rb
new file mode 100644
index 000000000..4179dad42
--- /dev/null
+++ b/test/sequence/onc_program/onc_smart_discovery_sequence_test.rb
@@ -0,0 +1,43 @@
+# frozen_string_literal: true
+
+require_relative '../../test_helper'
+class ONCProgramProvenanceTest < MiniTest::Test
+  def setup
+    instance = get_test_instance
+    client = get_client(instance)
+
+    @sequence = Inferno::Sequence::ONCSMARTDiscoverySequence.new(instance, client)
+  end
+
+  def full_sequence_stubs
+    base_url = 'http://www.example.com'
+    smart_configuration = load_fixture(:smart_configuration)
+    smart_metadata = load_fixture(:smart_metadata)
+
+    stub_request(:get, "#{base_url}/metadata")
+      .to_return(
+        status: 200,
+        body: smart_metadata,
+        headers: { content_type: 'application/json+fhir; charset=UTF-8' }
+      )
+
+    stub_request(:get, "#{base_url}/.well-known/smart-configuration")
+      .to_return(
+        status: 200,
+        body: smart_configuration,
+        headers: { content_type: 'application/json; charset=UTF-8' }
+      )
+  end
+
+  def test_all_pass
+    WebMock.reset!
+    full_sequence_stubs
+
+    sequence_result = @sequence.start
+
+    failures = sequence_result.failures
+    assert failures.empty?, "All tests should pass. First error: #{!failures.empty? && failures.first.message}"
+    assert sequence_result.pass?, "The sequence should be marked as pass. #{sequence_result.result}"
+    assert sequence_result.test_results.all? { |r| r.test_warnings.empty? }, 'There should not be any warnings.'
+  end
+end

From 50def74bfbc0d5faa73efc84f8eba45ccee79e9f Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <Jammjammjamm@users.noreply.github.com>
Date: Thu, 26 Sep 2019 08:56:10 -0400
Subject: [PATCH 097/144] fix smart discovery sequence name

Co-Authored-By: Rob Scanlon <robscanlon@gmail.com>
---
 test/sequence/onc_program/onc_smart_discovery_sequence_test.rb | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/test/sequence/onc_program/onc_smart_discovery_sequence_test.rb b/test/sequence/onc_program/onc_smart_discovery_sequence_test.rb
index 4179dad42..06d5629e6 100644
--- a/test/sequence/onc_program/onc_smart_discovery_sequence_test.rb
+++ b/test/sequence/onc_program/onc_smart_discovery_sequence_test.rb
@@ -1,7 +1,7 @@
 # frozen_string_literal: true
 
 require_relative '../../test_helper'
-class ONCProgramProvenanceTest < MiniTest::Test
+class ONCSMARTDiscoveryTest < MiniTest::Test
   def setup
     instance = get_test_instance
     client = get_client(instance)

From 81f753e265f2007a1051f284893efaa7e69ab730 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Wed, 18 Sep 2019 10:43:37 -0400
Subject: [PATCH 098/144] remove redundant test

---
 ...s_core_r4_capability_statement_sequence.rb | 34 +------------------
 1 file changed, 1 insertion(+), 33 deletions(-)

diff --git a/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb b/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb
index 137df6cd9..b02386717 100644
--- a/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb
+++ b/lib/app/modules/us_core_guidance/us_core_r4_capability_statement_sequence.rb
@@ -92,41 +92,9 @@ class UsCoreR4CapabilityStatementSequence < CapabilityStatementSequence
         assert formats.any? { |format| @conformance.format.include? format }, 'Conformance does not state support for json.'
       end
 
-      test 'Capability Statement describes SMART on FHIR core capabilities' do
-        metadata do
-          id '05'
-          link 'http://www.hl7.org/fhir/smart-app-launch/conformance/'
-          optional
-          description %(
-
-           A SMART on FHIR server can convey its capabilities to app developers by listing a set of the capabilities.
-
-          )
-        end
-
-        required_capabilities = ['launch-ehr',
-                                 'launch-standalone',
-                                 'client-public',
-                                 'client-confidential-symmetric',
-                                 'sso-openid-connect',
-                                 'context-ehr-patient',
-                                 'context-standalone-patient',
-                                 'context-standalone-encounter',
-                                 'permission-offline',
-                                 'permission-patient',
-                                 'permission-user']
-
-        assert_valid_conformance
-
-        assert @server_capabilities.smart_support?, 'No SMART capabilities listed in conformance.'
-
-        missing_capabilities = (required_capabilities - @server_capabilities.smart_capabilities)
-        assert missing_capabilities.empty?, "Conformance statement does not list required SMART capabilties: #{missing_capabilities.join(', ')}"
-      end
-
       test 'Capability Statement lists supported Argonaut profiles, operations and search parameters' do
         metadata do
-          id '06'
+          id '05'
           link 'http://hl7.org/fhir/us/core/2019Jan/CapabilityStatement-us-core-server.html'
           description %(
            The Argonaut Data Query Implementation Guide states:

From 67161f7330f457957f6cc5de4ea639c5bc599394 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Mon, 30 Sep 2019 09:13:17 -0400
Subject: [PATCH 099/144] check for presence and equality of optional oauth
 endpoints

---
 .../modules/smart/smart_discovery_sequence.rb | 88 +++++++++++++------
 1 file changed, 62 insertions(+), 26 deletions(-)

diff --git a/lib/app/modules/smart/smart_discovery_sequence.rb b/lib/app/modules/smart/smart_discovery_sequence.rb
index 8405bf733..78ed8549f 100644
--- a/lib/app/modules/smart/smart_discovery_sequence.rb
+++ b/lib/app/modules/smart/smart_discovery_sequence.rb
@@ -59,6 +59,20 @@ class SMARTDiscoverySequence < SequenceBase
         'revocation_endpoint'
       ].freeze
 
+      SMART_OAUTH_EXTENSION_URL = 'http://fhir-registry.smarthealthit.org/StructureDefinition/oauth-uris'
+
+      REQUIRED_OAUTH_ENDPOINTS = [
+        { url: 'authorize', description: 'authorization' },
+        { url: 'token', description: 'token' }
+      ].freeze
+
+      OPTIONAL_OAUTH_ENDPOINTS = [
+        { url: 'register', description: 'dynamic registration' },
+        { url: 'manage', description: 'authorization management' },
+        { url: 'introspect', description: 'token introspection' },
+        { url: 'revoke', description: 'token revocation' }
+      ].freeze
+
       test 'Retrieve Configuration from well-known endpoint' do
         metadata do
           id '01'
@@ -78,6 +92,11 @@ class SMARTDiscoverySequence < SequenceBase
         @well_known_configuration = JSON.parse(well_known_configuration_response.body)
         @well_known_authorize_url = @well_known_configuration['authorization_endpoint']
         @well_known_token_url = @well_known_configuration['token_endpoint']
+        @well_known_register_url = @well_known_configuration['registration_endpoint']
+        @well_known_manage_url = @well_known_configuration['management_endpoint']
+        @well_known_introspect_url = @well_known_configuration['introspection_endpoint']
+        @well_known_revoke_url = @well_known_configuration['revocation_endpoint']
+
         @instance.update(
           oauth_authorize_endpoint: @well_known_authorize_url,
           oauth_token_endpoint: @well_known_token_url,
@@ -128,46 +147,53 @@ class SMARTDiscoverySequence < SequenceBase
 
         @conformance = @client.conformance_statement
         oauth_metadata = @client.get_oauth2_metadata_from_conformance(false) # strict mode off, don't require server to state smart conformance
-        assert !oauth_metadata.nil?, 'No OAuth Metadata in Conformance/CapabiliytStatemeent resource'
-        @conformance_authorize_url = oauth_metadata[:authorize_url]
-        @conformance_token_url = oauth_metadata[:token_url]
-        assert @conformance_authorize_url.present?, 'No authorize URI provided in Conformance/CapabilityStatement resource'
-        assert_valid_http_uri @conformance_authorize_url, "Invalid authorize url: '#{@conformance_authorize_url}'"
-        assert @conformance_token_url.present?, 'No token URI provided in conformance statement.'
-        assert_valid_http_uri @conformance_token_url, "Invalid token url: '#{@conformance_token_url}'"
+
+        assert oauth_metadata.present?, 'No OAuth Metadata in Conformance/CapabiliytStatemeent resource'
+
+        REQUIRED_OAUTH_ENDPOINTS.each do |endpoint|
+          url = oauth_metadata[:"#{endpoint[:url]}_url"]
+          instance_variable_set(:"@conformance_#{endpoint[:url]}_url", url)
+
+          assert url.present?, "No #{endpoint[:description]} URI provided in Conformance/CapabilityStatement resource"
+          assert_valid_http_uri url, "Invalid #{endpoint[:description]} url: '#{url}'"
+        end
 
         warning do
-          service = []
+          services = []
           @conformance.try(:rest)&.each do |endpoint|
             endpoint.try(:security).try(:service)&.each do |sec_service|
               sec_service.try(:coding)&.each do |coding|
-                service << coding.code
+                services << coding.code
               end
             end
           end
 
-          assert !service.empty?, 'No security services listed. Conformance/CapabilityStatement.rest.security.service should be SMART-on-FHIR.'
-          assert service.any? { |any_service| any_service == 'SMART-on-FHIR' }, "Conformance/CapabilityStatement.rest.security.service set to #{service.map { |e| "'" + e + "'" }.join(', ')}.  It should contain 'SMART-on-FHIR'."
+          assert !services.empty?, 'No security services listed. Conformance/CapabilityStatement.rest.security.service should be SMART-on-FHIR.'
+          assert services.any? { |service| service == 'SMART-on-FHIR' }, "Conformance/CapabilityStatement.rest.security.service set to #{services.map { |e| "'" + e + "'" }.join(', ')}.  It should contain 'SMART-on-FHIR'."
         end
 
-        registration_url = nil
-
-        warning do
-          security_info = @conformance.rest.first.security.extension.find { |x| x.url == 'http://fhir-registry.smarthealthit.org/StructureDefinition/oauth-uris' }
-          registration_url = security_info.extension.find { |x| x.url == 'register' }
-          registration_url = registration_url.value if registration_url
-          assert registration_url.present?, 'No dynamic registration endpoint in conformance.'
-          assert_valid_http_uri registration_url, "Invalid registration url: '#{registration_url}'"
-
-          manage_url = security_info.extension.find { |x| x.url == 'manage' }
-          manage_url = manage_url.value if manage_url
-          assert manage_url.present?, 'No user-facing authorization management workflow entry point for this FHIR server.'
+        security_extensions =
+          @conformance.rest.first.security&.extension
+            &.find { |extension| extension.url == SMART_OAUTH_EXTENSION_URL }
+            &.extension
+
+        OPTIONAL_OAUTH_ENDPOINTS.each do |endpoint|
+          warning do
+            url =
+              security_extensions
+                &.find { |extension| extension.url == endpoint[:url] }
+                &.value
+
+            assert url.present?, "No #{endpoint[:description]} endpoint in conformance."
+            assert_valid_http_uri url, "Invalid #{endpoint[:description]} url: '#{url}'"
+            instance_variable_set(:"@conformance_#{endpoint[:url]}_url", url)
+          end
         end
 
         @instance.update(
           oauth_authorize_endpoint: @conformance_authorize_url,
           oauth_token_endpoint: @conformance_token_url,
-          oauth_register_endpoint: registration_url
+          oauth_register_endpoint: @conformance_register_url
         )
       end
 
@@ -181,9 +207,19 @@ class SMARTDiscoverySequence < SequenceBase
           )
         end
 
-        assert @well_known_authorize_url == @conformance_authorize_url, 'The authorization url is not consistent between the well-known endpoint response and the conformance statement'
+        (REQUIRED_OAUTH_ENDPOINTS + OPTIONAL_OAUTH_ENDPOINTS).each do |endpoint|
+          url = endpoint[:url]
+          well_known_url = instance_variable_get(:"@well_known_#{url}_url")
+          conformance_url = instance_variable_get(:"@conformance_#{url}_url")
+
+          assert well_known_url == conformance_url, %(
+            The #{endpoint[:description]} url is not consistent between the
+            well-known configuration and the conformance statement:
 
-        assert @well_known_token_url == @conformance_token_url, 'The token url is not consistent between the well-known endpoint response and the conformance statement'
+            Well-known #{url} url: #{well_known_url}
+            Conformance #{url} url: #{conformance_url}
+          )
+        end
       end
     end
   end

From 4e2c3d45c60e75554db2604a92b493cbbac8bcf5 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Mon, 30 Sep 2019 09:17:21 -0400
Subject: [PATCH 100/144] add more formatting to test descriptions

---
 lib/app/modules/smart/smart_discovery_sequence.rb | 4 ++--
 1 file changed, 2 insertions(+), 2 deletions(-)

diff --git a/lib/app/modules/smart/smart_discovery_sequence.rb b/lib/app/modules/smart/smart_discovery_sequence.rb
index 78ed8549f..b6ba10e4f 100644
--- a/lib/app/modules/smart/smart_discovery_sequence.rb
+++ b/lib/app/modules/smart/smart_discovery_sequence.rb
@@ -112,7 +112,7 @@ class SMARTDiscoverySequence < SequenceBase
           link 'http://hl7.org/fhir/smart-app-launch/conformance/index.html#metadata'
           description %(
             The JSON from .well-known/smart-configuration contains the following
-            required fields: #{REQUIRED_WELL_KNOWN_FIELDS.join(', ')}
+            required fields: #{REQUIRED_WELL_KNOWN_FIELDS.map { |field| "`#{field}`" }.join(', ')}
           )
         end
 
@@ -127,7 +127,7 @@ class SMARTDiscoverySequence < SequenceBase
           optional
           description %(
             The JSON from .well-known/smart-configuration contains the following
-            recommended fields: #{RECOMMENDED_WELL_KNOWN_FIELDS.join(', ')}
+            recommended fields: #{RECOMMENDED_WELL_KNOWN_FIELDS.map { |field| "`#{field}`" }.join(', ')}
           )
         end
 

From 825a1a4fb8d0493006a0839421ef97b8569b0b31 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <Jammjammjamm@users.noreply.github.com>
Date: Mon, 7 Oct 2019 10:55:24 -0400
Subject: [PATCH 101/144] update test descriptions

Co-Authored-By: Rob Scanlon <robscanlon@gmail.com>
---
 lib/app/modules/smart/smart_discovery_sequence.rb | 14 ++++++++------
 1 file changed, 8 insertions(+), 6 deletions(-)

diff --git a/lib/app/modules/smart/smart_discovery_sequence.rb b/lib/app/modules/smart/smart_discovery_sequence.rb
index b6ba10e4f..65d154470 100644
--- a/lib/app/modules/smart/smart_discovery_sequence.rb
+++ b/lib/app/modules/smart/smart_discovery_sequence.rb
@@ -127,7 +127,9 @@ class SMARTDiscoverySequence < SequenceBase
           optional
           description %(
             The JSON from .well-known/smart-configuration contains the following
-            recommended fields: #{RECOMMENDED_WELL_KNOWN_FIELDS.map { |field| "`#{field}`" }.join(', ')}
+            recommended fields: #{RECOMMENDED_WELL_KNOWN_FIELDS.map { |field| "`#{field}`" }.join(', ')}.
+
+            This test is optional because these fields are recommended, not required.
           )
         end
 
@@ -138,10 +140,10 @@ class SMARTDiscoverySequence < SequenceBase
       test 'Conformance/Capability Statement provides OAuth 2.0 endpoints' do
         metadata do
           id '04'
-link 'http://hl7.org/fhir/smart-app-launch/conformance/index.html#using-cs'
+          link 'http://hl7.org/fhir/smart-app-launch/conformance/index.html#using-cs'
           description %(
             If a server requires SMART on FHIR authorization for access, its
-            metadata must support automated discovery of OAuth2 endpoints
+            metadata must support automated discovery of OAuth2 endpoints.
           )
         end
 
@@ -200,10 +202,10 @@ class SMARTDiscoverySequence < SequenceBase
       test 'OAuth Endpoints must be the same in the conformance statement and well known endpoint' do
         metadata do
           id '05'
-link 'http://hl7.org/fhir/smart-app-launch/conformance/index.html#using-cs'
+          link 'http://hl7.org/fhir/smart-app-launch/conformance/index.html#using-cs'
           description %(
-            If a server requires SMART on FHIR authorization for access, its
-            metadata must support automated discovery of OAuth2 endpoints
+           If a server requires SMART on FHIR authorization for access, its
+           metadata must support automated discovery of OAuth2 endpoints.
           )
         end
 

From 5fa9e9c27a544fbd8d4a6e168730d227460f45aa Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Mon, 7 Oct 2019 11:29:07 -0400
Subject: [PATCH 102/144] Fix PR comments

---
 .../bulk_data_patient_export_sequence.rb      | 23 +++++++++----------
 .../bulk_data/patient_export_sequence_test.rb | 21 +++++++++++++++++
 2 files changed, 32 insertions(+), 12 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
index d044995c9..7f45e7383 100644
--- a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
@@ -21,20 +21,15 @@ def check_export_kick_off(klass, search_params: nil)
 
         reply = export_kick_off(klass, search_params: search_params)
 
+        @server_supports_type_parameter = search_params&.key?('_type')
+
         # Servers unable to support _type SHOULD return an error and OperationOutcome resource
         # so clients can re-submit a request omitting the _type parameter.
-        if search_params&.key?('_type') && reply.code >= 400
-          response_body = JSON.parse(reply.body)
-          message = response_body['issue']
-            .map { |issue| issue['diagnostics'].presence }
-            .compact
-            .join(' ')
-
-          skip message
+        if @server_supports_type_parameter && is_4xx_error?(reply)
+          @server_supports_type_parameter = false
+          skip 'Server does not support _type operation parameter'
         end
 
-        @server_support_type_parameter = search_params&.key?('_type')
-
         assert_response_accepted(reply)
         @content_location = reply.response[:headers]['content-location']
 
@@ -115,7 +110,7 @@ def check_ndjson(ndjson, type)
 
       def check_delete_request(url)
         reply = @client.delete(url, {})
-        skip 'Server did not accept client request to delete export file after export completed' if reply.code >= 400
+        skip 'Server did not accept client request to delete export file after export completed' if is_4xx_error?(reply)
         assert_response_accepted(reply)
       end
 
@@ -169,7 +164,7 @@ def check_cancel_request(_klass)
           )
         end
 
-        skip 'Skip testing $export without parameters' if @server_support_type_parameter && !@run_all_kick_off_tests
+        skip 'Skip testing $export without parameters' if @server_supports_type_parameter && !run_all_kick_off_tests
 
         check_export_kick_off('Patient')
       end
@@ -300,6 +295,10 @@ def assert_status_reponse_required_field(response_body)
           assert response_body.key?(key), "Complete Status response did not contain \"#{key}\" as required"
         end
       end
+
+      def is_4xx_error?(response)
+        response.code >= 400 && response.code < 500
+      end
     end
   end
 end
diff --git a/test/sequence/bulk_data/patient_export_sequence_test.rb b/test/sequence/bulk_data/patient_export_sequence_test.rb
index 7d17811d6..29842cd6e 100644
--- a/test/sequence/bulk_data/patient_export_sequence_test.rb
+++ b/test/sequence/bulk_data/patient_export_sequence_test.rb
@@ -84,6 +84,17 @@ def include_export_stub_type_patient(status_code: 202,
       )
   end
 
+  def include_export_stub_type_patient_not_supports(status_code: 400,
+                                                    response_headers: { content_location: @content_location })
+
+    stub_request(:get, 'http://www.example.com/Patient/$export?_type=Patient')
+      .with(headers: @export_request_headers)
+      .to_return(
+        status: status_code,
+        headers: response_headers
+      )
+  end
+
   def include_export_stub_invalid_accept
     headers = @export_request_headers.clone
     headers[:accept] = 'application/fhir+xml'
@@ -154,6 +165,16 @@ def test_all_pass
     assert sequence_result.pass?, 'The sequence should be marked as pass.'
   end
 
+  def test_export_type_patient_skip_not_supports
+    WebMock.reset!
+
+    include_export_stub_type_patient_not_supports
+
+    assert_raises Inferno::SkipException do
+      @sequence.check_export_kick_off('Patient', search_params: { '_type' => 'Patient' })
+    end
+  end
+
   def test_export_fail_wrong_status
     WebMock.reset!
 

From f9bf9b385a3b496b7b35ba624cf88041799b6cb8 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Mon, 7 Oct 2019 14:18:26 -0400
Subject: [PATCH 103/144] fix the '_type' prameter missing value

---
 .../bulk_data/bulk_data_export_sequence.rb    | 24 +++++++++++--------
 .../bulk_data_patient_export_sequence.rb      | 18 +++++++++++++-
 .../bulk_data/patient_export_sequence_test.rb |  1 -
 3 files changed, 31 insertions(+), 12 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
index f25801bd4..4a45b8851 100644
--- a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
@@ -13,11 +13,15 @@ class BulkDataExportSequence < SequenceBase
 
       requires :token
 
-      attr_writer :klass, :run_all_kick_off_tests
+      attr_accessor :run_all_kick_off_tests
+
+      def endpoint
+        ''
+      end
 
       def check_export_kick_off(search_params: nil)
         @search_params = search_params
-        reply = export_kick_off(@klass, search_params: search_params)
+        reply = export_kick_off(endpoint, search_params: search_params)
 
         # Servers unable to support _type SHOULD return an error and OperationOutcome resource
         # so clients can re-submit a request omitting the _type parameter.
@@ -40,12 +44,12 @@ def check_export_kick_off(search_params: nil)
       end
 
       def check_export_kick_off_fail_invalid_accept
-        reply = export_kick_off(@klass, headers: { accept: 'application/fhir+xml', prefer: 'respond-async' })
+        reply = export_kick_off(endpoint, headers: { accept: 'application/fhir+xml', prefer: 'respond-async' })
         assert_response_bad(reply)
       end
 
       def check_export_kick_off_fail_invalid_prefer
-        reply = export_kick_off(@klass, headers: { accept: 'application/fhir+json', prefer: 'return=representation' })
+        reply = export_kick_off(endpoint, headers: { accept: 'application/fhir+json', prefer: 'return=representation' })
         assert_response_bad(reply)
       end
 
@@ -143,7 +147,7 @@ def check_cancel_request
         @client.set_no_auth
         skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
 
-        reply = export_kick_off(@klass)
+        reply = export_kick_off(endpoint)
         @client.set_bearer_token(@instance.token)
         assert_response_unauthorized reply
       end
@@ -156,7 +160,7 @@ def check_cancel_request
           )
         end
 
-        check_export_kick_off(search_params: { '_type' => @klass })
+        check_export_kick_off(search_params: { '_type' => endpoint })
       end
 
       test 'Server shall return "202 Accepted" and "Content-location" for $export operation' do
@@ -167,7 +171,7 @@ def check_cancel_request
           )
         end
 
-        skip 'Skip testing $export without parameters' if @server_support_type_parameter && !@run_all_kick_off_tests
+        skip 'Skip testing $export without parameters' if @server_support_type_parameter && !run_all_kick_off_tests
 
         check_export_kick_off
       end
@@ -241,13 +245,13 @@ def check_cancel_request
 
       private
 
-      def export_kick_off(klass = nil,
+      def export_kick_off(endpoint = nil,
                           id: nil,
                           search_params: nil,
                           headers: { accept: 'application/fhir+json', prefer: 'respond-async' })
         url = ''
-        url += "/#{klass}" if klass.present?
-        url += "/#{id}" if klass.present? && id.present?
+        url += "/#{endpoint}" if endpoint.present?
+        url += "/#{id}" if endpoint.present? && id.present?
         url += '/$export'
 
         uri = Addressable::URI.parse(url)
diff --git a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
index 670c3cec6..5649d2409 100644
--- a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
@@ -5,6 +5,8 @@
 module Inferno
   module Sequence
     class BulkDataPatientExportSequence < BulkDataExportSequence
+      extends_sequence BulkDataExportSequence
+
       group 'Bulk Data Patient Export'
 
       title 'Patient Compartment Export Tests'
@@ -16,7 +18,21 @@ class BulkDataPatientExportSequence < BulkDataExportSequence
       requires :token
       conformance_supports :Patient
 
-      @klass = :Patient
+      def endpoint
+        'Patient'
+      end
+
+      # def initialize(instance, client, disable_tls_tests = false, sequence_result = nil, metadata_only = false)
+      #   binding.pry
+      #   super(instance, client, disable_tls_tests, sequence_result, metadata_only)
+      #   klass = :Patient
+      # end
+
+      # def check_export_kick_off(search_params: nil)
+      #   klass = :Patient
+      #   binding.pry
+      #   super
+      # end
     end
   end
 end
diff --git a/test/sequence/bulk_data/patient_export_sequence_test.rb b/test/sequence/bulk_data/patient_export_sequence_test.rb
index bc3b9e543..730043991 100644
--- a/test/sequence/bulk_data/patient_export_sequence_test.rb
+++ b/test/sequence/bulk_data/patient_export_sequence_test.rb
@@ -51,7 +51,6 @@ def setup
     client.default_json
     @sequence = Inferno::Sequence::BulkDataPatientExportSequence.new(@instance, client, true)
     @sequence.run_all_kick_off_tests = true
-    @sequence.klass = :Patient
   end
 
   def include_export_stub_no_token

From 376a212996af997863216407da650ce2317b46e3 Mon Sep 17 00:00:00 2001
From: Chase <czhou@mitre.org>
Date: Tue, 8 Oct 2019 09:12:19 -0400
Subject: [PATCH 104/144] look for search param in more places

---
 generator/uscore/uscore_generator.rb          | 21 +++++++---
 .../pediatric_bmi_for_age_sequence.rb         | 14 +++----
 .../pediatric_weight_for_height_sequence.rb   | 14 +++----
 .../us_core_allergyintolerance_sequence.rb    |  2 +-
 .../us_core_careplan_sequence.rb              | 14 +++----
 .../us_core_condition_sequence.rb             |  8 ++--
 .../uscore_v3.0.0/us_core_device_sequence.rb  |  2 +-
 .../us_core_diagnosticreport_lab_sequence.rb  | 16 ++++----
 .../us_core_diagnosticreport_note_sequence.rb | 16 ++++----
 .../us_core_documentreference_sequence.rb     | 16 ++++----
 .../us_core_encounter_sequence.rb             | 12 +++---
 .../uscore_v3.0.0/us_core_goal_sequence.rb    |  4 +-
 .../us_core_immunization_sequence.rb          |  4 +-
 .../us_core_location_sequence.rb              | 20 ++++++----
 .../us_core_medicationrequest_sequence.rb     |  4 +-
 .../us_core_medicationstatement_sequence.rb   |  4 +-
 .../us_core_observation_lab_sequence.rb       | 14 +++----
 .../us_core_organization_sequence.rb          | 14 +++++--
 .../uscore_v3.0.0/us_core_patient_sequence.rb | 20 +++++-----
 .../us_core_practitioner_sequence.rb          |  6 +--
 .../us_core_practitionerrole_sequence.rb      |  6 +--
 .../us_core_procedure_sequence.rb             |  8 ++--
 .../us_core_smokingstatus_sequence.rb         | 14 +++----
 .../pediatric_bmi_for_age_sequence.rb         | 14 +++----
 .../pediatric_weight_for_height_sequence.rb   | 14 +++----
 .../us_core_allergyintolerance_sequence.rb    |  2 +-
 .../us_core_careplan_sequence.rb              | 14 +++----
 .../us_core_condition_sequence.rb             |  8 ++--
 .../us_core_diagnosticreport_lab_sequence.rb  | 16 ++++----
 .../us_core_diagnosticreport_note_sequence.rb | 16 ++++----
 .../us_core_documentreference_sequence.rb     | 16 ++++----
 .../us_core_encounter_sequence.rb             | 12 +++---
 .../uscore_v3.0.1/us_core_goal_sequence.rb    |  4 +-
 .../us_core_immunization_sequence.rb          |  4 +-
 .../us_core_implantable_device_sequence.rb    |  2 +-
 .../us_core_location_sequence.rb              | 20 ++++++----
 .../us_core_medicationrequest_sequence.rb     | 16 ++++----
 .../us_core_observation_lab_sequence.rb       | 14 +++----
 .../us_core_organization_sequence.rb          | 14 +++++--
 .../uscore_v3.0.1/us_core_patient_sequence.rb | 20 +++++-----
 .../us_core_practitioner_sequence.rb          |  6 +--
 .../us_core_practitionerrole_sequence.rb      |  6 +--
 .../us_core_procedure_sequence.rb             |  8 ++--
 .../us_core_pulse_oximetry_sequence.rb        | 18 ++++-----
 .../us_core_smokingstatus_sequence.rb         | 14 +++----
 lib/app/sequence_base.rb                      | 21 ++++++++++
 test/unit/sequence_base_test.rb               | 40 +++++++++++++++++++
 47 files changed, 333 insertions(+), 239 deletions(-)

diff --git a/generator/uscore/uscore_generator.rb b/generator/uscore/uscore_generator.rb
index f4ea46423..26df95383 100644
--- a/generator/uscore/uscore_generator.rb
+++ b/generator/uscore/uscore_generator.rb
@@ -43,7 +43,7 @@ def generate_tests(metadata)
           create_read_test(sequence) if sequence[:delayed_sequence]
 
           # authorization test
-          create_authorization_test(sequence)
+          create_authorization_test(sequence) 
 
           # make tests for each SHALL and SHOULD search param, SHALL's first
           sequence[:searches]
@@ -283,12 +283,10 @@ def create_references_resolved_test(sequence)
       end
 
       def resolve_element_path(search_param_description)
-        type = search_param_description[:type]
-        element_path = search_param_description[:path] + get_value_path_by_type(type)
-        element_path.gsub('.class', '.local_class') # match fhir_models because class is protected keyword in ruby
+        element_path = search_param_description[:path].gsub('.class', '.local_class') # match fhir_models because class is protected keyword in ruby
         path_parts = element_path.split('.')
-        resource_val = "@#{path_parts.shift.downcase}"
-        "resolve_element_from_path(#{resource_val}, '#{path_parts.join('.')}')"
+        resource_val = "@#{path_parts.shift.downcase}_ary"
+        "get_value_for_search_param(resolve_element_from_path(#{resource_val}, '#{path_parts.join('.')}'))"
       end
 
       def get_value_path_by_type(type)
@@ -430,6 +428,17 @@ def create_search_validation(sequence)
                 end
                 assert value_found, '#{element} on resource does not match #{element} requested'
       )
+          when 'Address'
+            search_validators += %(
+                value_found = can_resolve_path(resource, '#{path_parts.join('.')}') do |address|
+                  address&.text.starts_with(value) ||
+                    address&.city&.starts_with(value) ||
+                    address&.state&.starts_with(value) ||
+                    address&.postalCode&.starts_with(value) ||
+                    address&.country&.starts_with(value)
+                end
+                assert value_found, '#{element} on resource does not match #{element} requested'
+            )
           else
             # searching by patient requires special case because we are searching by a resource identifier
             # references can also be URL's, so we made need to resolve those url's
diff --git a/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb b/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb
index e916e7415..41d3a5015 100644
--- a/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/pediatric_bmi_for_age_sequence.rb
@@ -107,7 +107,7 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
         search_params = { 'patient': patient_val, 'category': category_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -129,8 +129,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -161,8 +161,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@observation, 'code.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        code_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'code'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -193,8 +193,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        status_val = resolve_element_from_path(@observation, 'status')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
+        status_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'status'))
         search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb b/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb
index fd6466d08..6de89917b 100644
--- a/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/pediatric_weight_for_height_sequence.rb
@@ -107,7 +107,7 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
         search_params = { 'patient': patient_val, 'category': category_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -129,8 +129,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -161,8 +161,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@observation, 'code.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        code_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'code'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -193,8 +193,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        status_val = resolve_element_from_path(@observation, 'status')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
+        status_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'status'))
         search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb
index 1a7507db0..3d9b9a70a 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_allergyintolerance_sequence.rb
@@ -98,7 +98,7 @@ def validate_resource_item(resource, property, value)
         assert !@allergyintolerance.nil?, 'Expected valid AllergyIntolerance resource to be present'
 
         patient_val = @instance.patient_id
-        clinical_status_val = resolve_element_from_path(@allergyintolerance, 'clinicalStatus.coding.code')
+        clinical_status_val = get_value_for_search_param(resolve_element_from_path(@allergyintolerance_ary, 'clinicalStatus'))
         search_params = { 'patient': patient_val, 'clinical-status': clinical_status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb
index 99b1292d7..c3c2ad12d 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_careplan_sequence.rb
@@ -104,8 +104,8 @@ def validate_resource_item(resource, property, value)
         assert !@careplan.nil?, 'Expected valid CarePlan resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@careplan, 'category.coding.code')
-        status_val = resolve_element_from_path(@careplan, 'status')
+        category_val = get_value_for_search_param(resolve_element_from_path(@careplan_ary, 'category'))
+        status_val = get_value_for_search_param(resolve_element_from_path(@careplan_ary, 'status'))
         search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -128,9 +128,9 @@ def validate_resource_item(resource, property, value)
         assert !@careplan.nil?, 'Expected valid CarePlan resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@careplan, 'category.coding.code')
-        status_val = resolve_element_from_path(@careplan, 'status')
-        date_val = resolve_element_from_path(@careplan, 'period.start')
+        category_val = get_value_for_search_param(resolve_element_from_path(@careplan_ary, 'category'))
+        status_val = get_value_for_search_param(resolve_element_from_path(@careplan_ary, 'status'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@careplan_ary, 'period'))
         search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -161,8 +161,8 @@ def validate_resource_item(resource, property, value)
         assert !@careplan.nil?, 'Expected valid CarePlan resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@careplan, 'category.coding.code')
-        date_val = resolve_element_from_path(@careplan, 'period.start')
+        category_val = get_value_for_search_param(resolve_element_from_path(@careplan_ary, 'category'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@careplan_ary, 'period'))
         search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb
index 4702f04cb..85f5b9218 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_condition_sequence.rb
@@ -112,7 +112,7 @@ def validate_resource_item(resource, property, value)
         assert !@condition.nil?, 'Expected valid Condition resource to be present'
 
         patient_val = @instance.patient_id
-        onset_date_val = resolve_element_from_path(@condition, 'onsetDateTime')
+        onset_date_val = get_value_for_search_param(resolve_element_from_path(@condition_ary, 'onsetDateTime'))
         search_params = { 'patient': patient_val, 'onset-date': onset_date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -143,7 +143,7 @@ def validate_resource_item(resource, property, value)
         assert !@condition.nil?, 'Expected valid Condition resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@condition, 'category.coding.code')
+        category_val = get_value_for_search_param(resolve_element_from_path(@condition_ary, 'category'))
         search_params = { 'patient': patient_val, 'category': category_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -166,7 +166,7 @@ def validate_resource_item(resource, property, value)
         assert !@condition.nil?, 'Expected valid Condition resource to be present'
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@condition, 'code.coding.code')
+        code_val = get_value_for_search_param(resolve_element_from_path(@condition_ary, 'code'))
         search_params = { 'patient': patient_val, 'code': code_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -189,7 +189,7 @@ def validate_resource_item(resource, property, value)
         assert !@condition.nil?, 'Expected valid Condition resource to be present'
 
         patient_val = @instance.patient_id
-        clinical_status_val = resolve_element_from_path(@condition, 'clinicalStatus.coding.code')
+        clinical_status_val = get_value_for_search_param(resolve_element_from_path(@condition_ary, 'clinicalStatus'))
         search_params = { 'patient': patient_val, 'clinical-status': clinical_status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb
index d1087bf0a..603334a7d 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_device_sequence.rb
@@ -98,7 +98,7 @@ def validate_resource_item(resource, property, value)
         assert !@device.nil?, 'Expected valid Device resource to be present'
 
         patient_val = @instance.patient_id
-        type_val = resolve_element_from_path(@device, 'type.coding.code')
+        type_val = get_value_for_search_param(resolve_element_from_path(@device_ary, 'type'))
         search_params = { 'patient': patient_val, 'type': type_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb
index 7f281c77d..4df70b818 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_lab_sequence.rb
@@ -107,7 +107,7 @@ def validate_resource_item(resource, property, value)
         assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@diagnosticreport, 'code.coding.code')
+        code_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'code'))
         search_params = { 'patient': patient_val, 'code': code_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -129,8 +129,8 @@ def validate_resource_item(resource, property, value)
         assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@diagnosticreport, 'category.coding.code')
-        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
+        category_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'category'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -161,8 +161,8 @@ def validate_resource_item(resource, property, value)
         assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@diagnosticreport, 'code.coding.code')
-        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
+        code_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'code'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -193,7 +193,7 @@ def validate_resource_item(resource, property, value)
         assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
 
         patient_val = @instance.patient_id
-        status_val = resolve_element_from_path(@diagnosticreport, 'status')
+        status_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'status'))
         search_params = { 'patient': patient_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -236,8 +236,8 @@ def validate_resource_item(resource, property, value)
         assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@diagnosticreport, 'category.coding.code')
-        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
+        category_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'category'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb
index 6ef23645f..b957f1754 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_diagnosticreport_note_sequence.rb
@@ -107,7 +107,7 @@ def validate_resource_item(resource, property, value)
         assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@diagnosticreport, 'code.coding.code')
+        code_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'code'))
         search_params = { 'patient': patient_val, 'code': code_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -129,8 +129,8 @@ def validate_resource_item(resource, property, value)
         assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@diagnosticreport, 'category.coding.code')
-        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
+        category_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'category'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -161,8 +161,8 @@ def validate_resource_item(resource, property, value)
         assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@diagnosticreport, 'code.coding.code')
-        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
+        code_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'code'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -193,7 +193,7 @@ def validate_resource_item(resource, property, value)
         assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
 
         patient_val = @instance.patient_id
-        status_val = resolve_element_from_path(@diagnosticreport, 'status')
+        status_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'status'))
         search_params = { 'patient': patient_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -236,8 +236,8 @@ def validate_resource_item(resource, property, value)
         assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@diagnosticreport, 'category.coding.code')
-        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
+        category_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'category'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb
index f7caf2632..f7f78b251 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_documentreference_sequence.rb
@@ -118,7 +118,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
 
-        id_val = resolve_element_from_path(@documentreference, 'id')
+        id_val = get_value_for_search_param(resolve_element_from_path(@documentreference_ary, 'id'))
         search_params = { '_id': id_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -140,7 +140,7 @@ def validate_resource_item(resource, property, value)
         assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@documentreference, 'category.coding.code')
+        category_val = get_value_for_search_param(resolve_element_from_path(@documentreference_ary, 'category'))
         search_params = { 'patient': patient_val, 'category': category_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -162,8 +162,8 @@ def validate_resource_item(resource, property, value)
         assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@documentreference, 'category.coding.code')
-        date_val = resolve_element_from_path(@documentreference, 'date')
+        category_val = get_value_for_search_param(resolve_element_from_path(@documentreference_ary, 'category'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@documentreference_ary, 'date'))
         search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -185,7 +185,7 @@ def validate_resource_item(resource, property, value)
         assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
 
         patient_val = @instance.patient_id
-        type_val = resolve_element_from_path(@documentreference, 'type.coding.code')
+        type_val = get_value_for_search_param(resolve_element_from_path(@documentreference_ary, 'type'))
         search_params = { 'patient': patient_val, 'type': type_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -208,7 +208,7 @@ def validate_resource_item(resource, property, value)
         assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
 
         patient_val = @instance.patient_id
-        status_val = resolve_element_from_path(@documentreference, 'status')
+        status_val = get_value_for_search_param(resolve_element_from_path(@documentreference_ary, 'status'))
         search_params = { 'patient': patient_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -231,8 +231,8 @@ def validate_resource_item(resource, property, value)
         assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
 
         patient_val = @instance.patient_id
-        type_val = resolve_element_from_path(@documentreference, 'type.coding.code')
-        period_val = resolve_element_from_path(@documentreference, 'context.period.start')
+        type_val = get_value_for_search_param(resolve_element_from_path(@documentreference_ary, 'type'))
+        period_val = get_value_for_search_param(resolve_element_from_path(@documentreference_ary, 'context.period'))
         search_params = { 'patient': patient_val, 'type': type_val, 'period': period_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb
index ff560b02a..6e8e40b3b 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_encounter_sequence.rb
@@ -118,7 +118,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
 
-        id_val = resolve_element_from_path(@encounter, 'id')
+        id_val = get_value_for_search_param(resolve_element_from_path(@encounter_ary, 'id'))
         search_params = { '_id': id_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -139,7 +139,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
 
-        date_val = resolve_element_from_path(@encounter, 'period.start')
+        date_val = get_value_for_search_param(resolve_element_from_path(@encounter_ary, 'period'))
         patient_val = @instance.patient_id
         search_params = { 'date': date_val, 'patient': patient_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
@@ -170,7 +170,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
 
-        identifier_val = resolve_element_from_path(@encounter, 'identifier.value')
+        identifier_val = get_value_for_search_param(resolve_element_from_path(@encounter_ary, 'identifier'))
         search_params = { 'identifier': identifier_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -193,7 +193,7 @@ def validate_resource_item(resource, property, value)
         assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
 
         patient_val = @instance.patient_id
-        status_val = resolve_element_from_path(@encounter, 'status')
+        status_val = get_value_for_search_param(resolve_element_from_path(@encounter_ary, 'status'))
         search_params = { 'patient': patient_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -215,7 +215,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
 
-        class_val = resolve_element_from_path(@encounter, 'class.code')
+        class_val = get_value_for_search_param(resolve_element_from_path(@encounter_ary, 'local_class'))
         patient_val = @instance.patient_id
         search_params = { 'class': class_val, 'patient': patient_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
@@ -239,7 +239,7 @@ def validate_resource_item(resource, property, value)
         assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
 
         patient_val = @instance.patient_id
-        type_val = resolve_element_from_path(@encounter, 'type.coding.code')
+        type_val = get_value_for_search_param(resolve_element_from_path(@encounter_ary, 'type'))
         search_params = { 'patient': patient_val, 'type': type_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb
index 857ca8a28..525f1d111 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_goal_sequence.rb
@@ -104,7 +104,7 @@ def validate_resource_item(resource, property, value)
         assert !@goal.nil?, 'Expected valid Goal resource to be present'
 
         patient_val = @instance.patient_id
-        target_date_val = resolve_element_from_path(@goal, 'target.dueDate')
+        target_date_val = get_value_for_search_param(resolve_element_from_path(@goal_ary, 'target.dueDate'))
         search_params = { 'patient': patient_val, 'target-date': target_date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -135,7 +135,7 @@ def validate_resource_item(resource, property, value)
         assert !@goal.nil?, 'Expected valid Goal resource to be present'
 
         patient_val = @instance.patient_id
-        lifecycle_status_val = resolve_element_from_path(@goal, 'lifecycleStatus')
+        lifecycle_status_val = get_value_for_search_param(resolve_element_from_path(@goal_ary, 'lifecycleStatus'))
         search_params = { 'patient': patient_val, 'lifecycle-status': lifecycle_status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb
index 56bf864c3..5cc918842 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_immunization_sequence.rb
@@ -104,7 +104,7 @@ def validate_resource_item(resource, property, value)
         assert !@immunization.nil?, 'Expected valid Immunization resource to be present'
 
         patient_val = @instance.patient_id
-        date_val = resolve_element_from_path(@immunization, 'occurrenceDateTime')
+        date_val = get_value_for_search_param(resolve_element_from_path(@immunization_ary, 'occurrenceDateTime'))
         search_params = { 'patient': patient_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -135,7 +135,7 @@ def validate_resource_item(resource, property, value)
         assert !@immunization.nil?, 'Expected valid Immunization resource to be present'
 
         patient_val = @instance.patient_id
-        status_val = resolve_element_from_path(@immunization, 'status')
+        status_val = get_value_for_search_param(resolve_element_from_path(@immunization_ary, 'status'))
         search_params = { 'patient': patient_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
index d78a2e3e1..8efe7b896 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
@@ -21,7 +21,13 @@ def validate_resource_item(resource, property, value)
           assert value_found, 'name on resource does not match name requested'
 
         when 'address'
-          value_found = can_resolve_path(resource, 'address.city') { |value_in_resource| value_in_resource == value }
+          value_found = can_resolve_path(resource, 'address') do |address|
+            address&.text.starts_with(value) ||
+              address&.city&.starts_with(value) ||
+              address&.state&.starts_with(value) ||
+              address&.postalCode&.starts_with(value) ||
+              address&.country&.starts_with(value)
+          end
           assert value_found, 'address on resource does not match address requested'
 
         when 'address-city'
@@ -74,7 +80,7 @@ def validate_resource_item(resource, property, value)
         @client.set_no_auth
         omit 'Do not test if no bearer token set' if @instance.token.blank?
 
-        name_val = resolve_element_from_path(@location, 'name')
+        name_val = get_value_for_search_param(resolve_element_from_path(@location_ary, 'name'))
         search_params = { 'name': name_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -92,7 +98,7 @@ def validate_resource_item(resource, property, value)
           versions :r4
         end
 
-        name_val = resolve_element_from_path(@location, 'name')
+        name_val = get_value_for_search_param(resolve_element_from_path(@location_ary, 'name'))
         search_params = { 'name': name_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -124,7 +130,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@location.nil?, 'Expected valid Location resource to be present'
 
-        address_val = resolve_element_from_path(@location, 'address.city')
+        address_val = get_value_for_search_param(resolve_element_from_path(@location_ary, 'address'))
         search_params = { 'address': address_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -146,7 +152,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@location.nil?, 'Expected valid Location resource to be present'
 
-        address_city_val = resolve_element_from_path(@location, 'address.city')
+        address_city_val = get_value_for_search_param(resolve_element_from_path(@location_ary, 'address.city'))
         search_params = { 'address-city': address_city_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -168,7 +174,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@location.nil?, 'Expected valid Location resource to be present'
 
-        address_state_val = resolve_element_from_path(@location, 'address.state')
+        address_state_val = get_value_for_search_param(resolve_element_from_path(@location_ary, 'address.state'))
         search_params = { 'address-state': address_state_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -190,7 +196,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@location.nil?, 'Expected valid Location resource to be present'
 
-        address_postalcode_val = resolve_element_from_path(@location, 'address.postalCode')
+        address_postalcode_val = get_value_for_search_param(resolve_element_from_path(@location_ary, 'address.postalCode'))
         search_params = { 'address-postalcode': address_postalcode_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb
index 755f5c7ff..e091cc9d5 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_medicationrequest_sequence.rb
@@ -101,7 +101,7 @@ def validate_resource_item(resource, property, value)
         assert !@medicationrequest.nil?, 'Expected valid MedicationRequest resource to be present'
 
         patient_val = @instance.patient_id
-        status_val = resolve_element_from_path(@medicationrequest, 'status')
+        status_val = get_value_for_search_param(resolve_element_from_path(@medicationrequest_ary, 'status'))
         search_params = { 'patient': patient_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -124,7 +124,7 @@ def validate_resource_item(resource, property, value)
         assert !@medicationrequest.nil?, 'Expected valid MedicationRequest resource to be present'
 
         patient_val = @instance.patient_id
-        authoredon_val = resolve_element_from_path(@medicationrequest, 'authoredOn')
+        authoredon_val = get_value_for_search_param(resolve_element_from_path(@medicationrequest_ary, 'authoredOn'))
         search_params = { 'patient': patient_val, 'authoredon': authoredon_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb
index e63dd9c41..9ab23d332 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_medicationstatement_sequence.rb
@@ -104,7 +104,7 @@ def validate_resource_item(resource, property, value)
         assert !@medicationstatement.nil?, 'Expected valid MedicationStatement resource to be present'
 
         patient_val = @instance.patient_id
-        effective_val = resolve_element_from_path(@medicationstatement, 'effectiveDateTime')
+        effective_val = get_value_for_search_param(resolve_element_from_path(@medicationstatement_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'effective': effective_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -135,7 +135,7 @@ def validate_resource_item(resource, property, value)
         assert !@medicationstatement.nil?, 'Expected valid MedicationStatement resource to be present'
 
         patient_val = @instance.patient_id
-        status_val = resolve_element_from_path(@medicationstatement, 'status')
+        status_val = get_value_for_search_param(resolve_element_from_path(@medicationstatement_ary, 'status'))
         search_params = { 'patient': patient_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb
index f0ec1925c..d72fd850d 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_observation_lab_sequence.rb
@@ -107,7 +107,7 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@observation, 'code.coding.code')
+        code_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'code'))
         search_params = { 'patient': patient_val, 'code': code_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -129,8 +129,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -161,8 +161,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@observation, 'code.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        code_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'code'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -193,8 +193,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        status_val = resolve_element_from_path(@observation, 'status')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
+        status_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'status'))
         search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
index 6ab5f477b..3a04046e8 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
@@ -21,7 +21,13 @@ def validate_resource_item(resource, property, value)
           assert value_found, 'name on resource does not match name requested'
 
         when 'address'
-          value_found = can_resolve_path(resource, 'address.city') { |value_in_resource| value_in_resource == value }
+          value_found = can_resolve_path(resource, 'address') do |address|
+            address&.text.starts_with(value) ||
+              address&.city&.starts_with(value) ||
+              address&.state&.starts_with(value) ||
+              address&.postalCode&.starts_with(value) ||
+              address&.country&.starts_with(value)
+          end
           assert value_found, 'address on resource does not match address requested'
 
         end
@@ -62,7 +68,7 @@ def validate_resource_item(resource, property, value)
         @client.set_no_auth
         omit 'Do not test if no bearer token set' if @instance.token.blank?
 
-        name_val = resolve_element_from_path(@organization, 'name')
+        name_val = get_value_for_search_param(resolve_element_from_path(@organization_ary, 'name'))
         search_params = { 'name': name_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -80,7 +86,7 @@ def validate_resource_item(resource, property, value)
           versions :r4
         end
 
-        name_val = resolve_element_from_path(@organization, 'name')
+        name_val = get_value_for_search_param(resolve_element_from_path(@organization_ary, 'name'))
         search_params = { 'name': name_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -112,7 +118,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@organization.nil?, 'Expected valid Organization resource to be present'
 
-        address_val = resolve_element_from_path(@organization, 'address.city')
+        address_val = get_value_for_search_param(resolve_element_from_path(@organization_ary, 'address'))
         search_params = { 'address': address_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb
index 3020db678..bfdebb6f4 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_patient_sequence.rb
@@ -121,7 +121,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@patient.nil?, 'Expected valid Patient resource to be present'
 
-        identifier_val = resolve_element_from_path(@patient, 'identifier.value')
+        identifier_val = get_value_for_search_param(resolve_element_from_path(@patient_ary, 'identifier'))
         search_params = { 'identifier': identifier_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -142,7 +142,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@patient.nil?, 'Expected valid Patient resource to be present'
 
-        name_val = resolve_element_from_path(@patient, 'name.family')
+        name_val = get_value_for_search_param(resolve_element_from_path(@patient_ary, 'name'))
         search_params = { 'name': name_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -163,8 +163,8 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@patient.nil?, 'Expected valid Patient resource to be present'
 
-        birthdate_val = resolve_element_from_path(@patient, 'birthDate')
-        name_val = resolve_element_from_path(@patient, 'name.family')
+        birthdate_val = get_value_for_search_param(resolve_element_from_path(@patient_ary, 'birthDate'))
+        name_val = get_value_for_search_param(resolve_element_from_path(@patient_ary, 'name'))
         search_params = { 'birthdate': birthdate_val, 'name': name_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -185,8 +185,8 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@patient.nil?, 'Expected valid Patient resource to be present'
 
-        gender_val = resolve_element_from_path(@patient, 'gender')
-        name_val = resolve_element_from_path(@patient, 'name.family')
+        gender_val = get_value_for_search_param(resolve_element_from_path(@patient_ary, 'gender'))
+        name_val = get_value_for_search_param(resolve_element_from_path(@patient_ary, 'name'))
         search_params = { 'gender': gender_val, 'name': name_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -208,8 +208,8 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@patient.nil?, 'Expected valid Patient resource to be present'
 
-        family_val = resolve_element_from_path(@patient, 'name.family')
-        gender_val = resolve_element_from_path(@patient, 'gender')
+        family_val = get_value_for_search_param(resolve_element_from_path(@patient_ary, 'name.family'))
+        gender_val = get_value_for_search_param(resolve_element_from_path(@patient_ary, 'gender'))
         search_params = { 'family': family_val, 'gender': gender_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -231,8 +231,8 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@patient.nil?, 'Expected valid Patient resource to be present'
 
-        birthdate_val = resolve_element_from_path(@patient, 'birthDate')
-        family_val = resolve_element_from_path(@patient, 'name.family')
+        birthdate_val = get_value_for_search_param(resolve_element_from_path(@patient_ary, 'birthDate'))
+        family_val = get_value_for_search_param(resolve_element_from_path(@patient_ary, 'name.family'))
         search_params = { 'birthdate': birthdate_val, 'family': family_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
index 31c9e8f1c..b22d44338 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_practitioner_sequence.rb
@@ -69,7 +69,7 @@ def validate_resource_item(resource, property, value)
         @client.set_no_auth
         omit 'Do not test if no bearer token set' if @instance.token.blank?
 
-        name_val = resolve_element_from_path(@practitioner, 'name.family')
+        name_val = get_value_for_search_param(resolve_element_from_path(@practitioner_ary, 'name'))
         search_params = { 'name': name_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -87,7 +87,7 @@ def validate_resource_item(resource, property, value)
           versions :r4
         end
 
-        name_val = resolve_element_from_path(@practitioner, 'name.family')
+        name_val = get_value_for_search_param(resolve_element_from_path(@practitioner_ary, 'name'))
         search_params = { 'name': name_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -119,7 +119,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@practitioner.nil?, 'Expected valid Practitioner resource to be present'
 
-        identifier_val = resolve_element_from_path(@practitioner, 'identifier.value')
+        identifier_val = get_value_for_search_param(resolve_element_from_path(@practitioner_ary, 'identifier'))
         search_params = { 'identifier': identifier_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
index bfe661681..d97144833 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_practitionerrole_sequence.rb
@@ -62,7 +62,7 @@ def validate_resource_item(resource, property, value)
         @client.set_no_auth
         omit 'Do not test if no bearer token set' if @instance.token.blank?
 
-        specialty_val = resolve_element_from_path(@practitionerrole, 'specialty.coding.code')
+        specialty_val = get_value_for_search_param(resolve_element_from_path(@practitionerrole_ary, 'specialty'))
         search_params = { 'specialty': specialty_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -80,7 +80,7 @@ def validate_resource_item(resource, property, value)
           versions :r4
         end
 
-        specialty_val = resolve_element_from_path(@practitionerrole, 'specialty.coding.code')
+        specialty_val = get_value_for_search_param(resolve_element_from_path(@practitionerrole_ary, 'specialty'))
         search_params = { 'specialty': specialty_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -112,7 +112,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@practitionerrole.nil?, 'Expected valid PractitionerRole resource to be present'
 
-        practitioner_val = resolve_element_from_path(@practitionerrole, 'practitioner.reference')
+        practitioner_val = get_value_for_search_param(resolve_element_from_path(@practitionerrole_ary, 'practitioner'))
         search_params = { 'practitioner': practitioner_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
index 4681dfd12..f3850727f 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_procedure_sequence.rb
@@ -107,7 +107,7 @@ def validate_resource_item(resource, property, value)
         assert !@procedure.nil?, 'Expected valid Procedure resource to be present'
 
         patient_val = @instance.patient_id
-        date_val = resolve_element_from_path(@procedure, 'occurrenceDateTime')
+        date_val = get_value_for_search_param(resolve_element_from_path(@procedure_ary, 'occurrenceDateTime'))
         search_params = { 'patient': patient_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -138,8 +138,8 @@ def validate_resource_item(resource, property, value)
         assert !@procedure.nil?, 'Expected valid Procedure resource to be present'
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@procedure, 'code.coding.code')
-        date_val = resolve_element_from_path(@procedure, 'occurrenceDateTime')
+        code_val = get_value_for_search_param(resolve_element_from_path(@procedure_ary, 'code'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@procedure_ary, 'occurrenceDateTime'))
         search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -170,7 +170,7 @@ def validate_resource_item(resource, property, value)
         assert !@procedure.nil?, 'Expected valid Procedure resource to be present'
 
         patient_val = @instance.patient_id
-        status_val = resolve_element_from_path(@procedure, 'status')
+        status_val = get_value_for_search_param(resolve_element_from_path(@procedure_ary, 'status'))
         search_params = { 'patient': patient_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb
index 74b63c412..fa96bacaf 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_smokingstatus_sequence.rb
@@ -107,7 +107,7 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
         search_params = { 'patient': patient_val, 'category': category_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -129,8 +129,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -161,8 +161,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@observation, 'code.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        code_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'code'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -193,8 +193,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        status_val = resolve_element_from_path(@observation, 'status')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
+        status_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'status'))
         search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb b/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb
index 980d17749..5a35ef78b 100644
--- a/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/pediatric_bmi_for_age_sequence.rb
@@ -107,8 +107,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -130,7 +130,7 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
         search_params = { 'patient': patient_val, 'category': category_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -153,8 +153,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        status_val = resolve_element_from_path(@observation, 'status')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
+        status_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'status'))
         search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -177,8 +177,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@observation, 'code.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        code_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'code'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb b/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb
index a2c58359b..905378460 100644
--- a/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/pediatric_weight_for_height_sequence.rb
@@ -107,8 +107,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -130,7 +130,7 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
         search_params = { 'patient': patient_val, 'category': category_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -153,8 +153,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        status_val = resolve_element_from_path(@observation, 'status')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
+        status_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'status'))
         search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -177,8 +177,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@observation, 'code.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        code_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'code'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb
index ae424d4bd..8cf535cc3 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_allergyintolerance_sequence.rb
@@ -98,7 +98,7 @@ def validate_resource_item(resource, property, value)
         assert !@allergyintolerance.nil?, 'Expected valid AllergyIntolerance resource to be present'
 
         patient_val = @instance.patient_id
-        clinical_status_val = resolve_element_from_path(@allergyintolerance, 'clinicalStatus.coding.code')
+        clinical_status_val = get_value_for_search_param(resolve_element_from_path(@allergyintolerance_ary, 'clinicalStatus'))
         search_params = { 'patient': patient_val, 'clinical-status': clinical_status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb
index cc04ed95a..687068270 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_careplan_sequence.rb
@@ -104,8 +104,8 @@ def validate_resource_item(resource, property, value)
         assert !@careplan.nil?, 'Expected valid CarePlan resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@careplan, 'category.coding.code')
-        status_val = resolve_element_from_path(@careplan, 'status')
+        category_val = get_value_for_search_param(resolve_element_from_path(@careplan_ary, 'category'))
+        status_val = get_value_for_search_param(resolve_element_from_path(@careplan_ary, 'status'))
         search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -128,8 +128,8 @@ def validate_resource_item(resource, property, value)
         assert !@careplan.nil?, 'Expected valid CarePlan resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@careplan, 'category.coding.code')
-        date_val = resolve_element_from_path(@careplan, 'period.start')
+        category_val = get_value_for_search_param(resolve_element_from_path(@careplan_ary, 'category'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@careplan_ary, 'period'))
         search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -160,9 +160,9 @@ def validate_resource_item(resource, property, value)
         assert !@careplan.nil?, 'Expected valid CarePlan resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@careplan, 'category.coding.code')
-        status_val = resolve_element_from_path(@careplan, 'status')
-        date_val = resolve_element_from_path(@careplan, 'period.start')
+        category_val = get_value_for_search_param(resolve_element_from_path(@careplan_ary, 'category'))
+        status_val = get_value_for_search_param(resolve_element_from_path(@careplan_ary, 'status'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@careplan_ary, 'period'))
         search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb
index 47142a509..ab248aa47 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_condition_sequence.rb
@@ -112,7 +112,7 @@ def validate_resource_item(resource, property, value)
         assert !@condition.nil?, 'Expected valid Condition resource to be present'
 
         patient_val = @instance.patient_id
-        clinical_status_val = resolve_element_from_path(@condition, 'clinicalStatus.coding.code')
+        clinical_status_val = get_value_for_search_param(resolve_element_from_path(@condition_ary, 'clinicalStatus'))
         search_params = { 'patient': patient_val, 'clinical-status': clinical_status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -135,7 +135,7 @@ def validate_resource_item(resource, property, value)
         assert !@condition.nil?, 'Expected valid Condition resource to be present'
 
         patient_val = @instance.patient_id
-        onset_date_val = resolve_element_from_path(@condition, 'onsetDateTime')
+        onset_date_val = get_value_for_search_param(resolve_element_from_path(@condition_ary, 'onsetDateTime'))
         search_params = { 'patient': patient_val, 'onset-date': onset_date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -166,7 +166,7 @@ def validate_resource_item(resource, property, value)
         assert !@condition.nil?, 'Expected valid Condition resource to be present'
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@condition, 'code.coding.code')
+        code_val = get_value_for_search_param(resolve_element_from_path(@condition_ary, 'code'))
         search_params = { 'patient': patient_val, 'code': code_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -189,7 +189,7 @@ def validate_resource_item(resource, property, value)
         assert !@condition.nil?, 'Expected valid Condition resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@condition, 'category.coding.code')
+        category_val = get_value_for_search_param(resolve_element_from_path(@condition_ary, 'category'))
         search_params = { 'patient': patient_val, 'category': category_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb
index bf3b8956f..7f9a27c11 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_lab_sequence.rb
@@ -128,7 +128,7 @@ def validate_resource_item(resource, property, value)
         assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@diagnosticreport, 'code.coding.code')
+        code_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'code'))
         search_params = { 'patient': patient_val, 'code': code_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -150,8 +150,8 @@ def validate_resource_item(resource, property, value)
         assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@diagnosticreport, 'category.coding.code')
-        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
+        category_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'category'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -182,8 +182,8 @@ def validate_resource_item(resource, property, value)
         assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@diagnosticreport, 'code.coding.code')
-        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
+        code_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'code'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -214,7 +214,7 @@ def validate_resource_item(resource, property, value)
         assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
 
         patient_val = @instance.patient_id
-        status_val = resolve_element_from_path(@diagnosticreport, 'status')
+        status_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'status'))
         search_params = { 'patient': patient_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -257,8 +257,8 @@ def validate_resource_item(resource, property, value)
         assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@diagnosticreport, 'category.coding.code')
-        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
+        category_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'category'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb
index 8cf6d1d0b..b62ec3794 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_diagnosticreport_note_sequence.rb
@@ -128,7 +128,7 @@ def validate_resource_item(resource, property, value)
         assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@diagnosticreport, 'code.coding.code')
+        code_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'code'))
         search_params = { 'patient': patient_val, 'code': code_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -150,8 +150,8 @@ def validate_resource_item(resource, property, value)
         assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@diagnosticreport, 'category.coding.code')
-        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
+        category_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'category'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -182,8 +182,8 @@ def validate_resource_item(resource, property, value)
         assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@diagnosticreport, 'code.coding.code')
-        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
+        code_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'code'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -214,7 +214,7 @@ def validate_resource_item(resource, property, value)
         assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
 
         patient_val = @instance.patient_id
-        status_val = resolve_element_from_path(@diagnosticreport, 'status')
+        status_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'status'))
         search_params = { 'patient': patient_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -257,8 +257,8 @@ def validate_resource_item(resource, property, value)
         assert !@diagnosticreport.nil?, 'Expected valid DiagnosticReport resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@diagnosticreport, 'category.coding.code')
-        date_val = resolve_element_from_path(@diagnosticreport, 'effectiveDateTime')
+        category_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'category'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@diagnosticreport_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb
index 93e6e6aa3..82a8b01f6 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_documentreference_sequence.rb
@@ -118,7 +118,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
 
-        id_val = resolve_element_from_path(@documentreference, 'id')
+        id_val = get_value_for_search_param(resolve_element_from_path(@documentreference_ary, 'id'))
         search_params = { '_id': id_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -140,8 +140,8 @@ def validate_resource_item(resource, property, value)
         assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@documentreference, 'category.coding.code')
-        date_val = resolve_element_from_path(@documentreference, 'date')
+        category_val = get_value_for_search_param(resolve_element_from_path(@documentreference_ary, 'category'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@documentreference_ary, 'date'))
         search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -163,7 +163,7 @@ def validate_resource_item(resource, property, value)
         assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@documentreference, 'category.coding.code')
+        category_val = get_value_for_search_param(resolve_element_from_path(@documentreference_ary, 'category'))
         search_params = { 'patient': patient_val, 'category': category_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -185,7 +185,7 @@ def validate_resource_item(resource, property, value)
         assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
 
         patient_val = @instance.patient_id
-        type_val = resolve_element_from_path(@documentreference, 'type.coding.code')
+        type_val = get_value_for_search_param(resolve_element_from_path(@documentreference_ary, 'type'))
         search_params = { 'patient': patient_val, 'type': type_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -208,7 +208,7 @@ def validate_resource_item(resource, property, value)
         assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
 
         patient_val = @instance.patient_id
-        status_val = resolve_element_from_path(@documentreference, 'status')
+        status_val = get_value_for_search_param(resolve_element_from_path(@documentreference_ary, 'status'))
         search_params = { 'patient': patient_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -231,8 +231,8 @@ def validate_resource_item(resource, property, value)
         assert !@documentreference.nil?, 'Expected valid DocumentReference resource to be present'
 
         patient_val = @instance.patient_id
-        type_val = resolve_element_from_path(@documentreference, 'type.coding.code')
-        period_val = resolve_element_from_path(@documentreference, 'context.period.start')
+        type_val = get_value_for_search_param(resolve_element_from_path(@documentreference_ary, 'type'))
+        period_val = get_value_for_search_param(resolve_element_from_path(@documentreference_ary, 'context.period'))
         search_params = { 'patient': patient_val, 'type': type_val, 'period': period_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb
index be156bd3d..bb991f978 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_encounter_sequence.rb
@@ -118,7 +118,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
 
-        id_val = resolve_element_from_path(@encounter, 'id')
+        id_val = get_value_for_search_param(resolve_element_from_path(@encounter_ary, 'id'))
         search_params = { '_id': id_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -139,7 +139,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
 
-        date_val = resolve_element_from_path(@encounter, 'period.start')
+        date_val = get_value_for_search_param(resolve_element_from_path(@encounter_ary, 'period'))
         patient_val = @instance.patient_id
         search_params = { 'date': date_val, 'patient': patient_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
@@ -170,7 +170,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
 
-        identifier_val = resolve_element_from_path(@encounter, 'identifier.value')
+        identifier_val = get_value_for_search_param(resolve_element_from_path(@encounter_ary, 'identifier'))
         search_params = { 'identifier': identifier_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -193,7 +193,7 @@ def validate_resource_item(resource, property, value)
         assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
 
         patient_val = @instance.patient_id
-        status_val = resolve_element_from_path(@encounter, 'status')
+        status_val = get_value_for_search_param(resolve_element_from_path(@encounter_ary, 'status'))
         search_params = { 'patient': patient_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -216,7 +216,7 @@ def validate_resource_item(resource, property, value)
         assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
 
         patient_val = @instance.patient_id
-        type_val = resolve_element_from_path(@encounter, 'type.coding.code')
+        type_val = get_value_for_search_param(resolve_element_from_path(@encounter_ary, 'type'))
         search_params = { 'patient': patient_val, 'type': type_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -238,7 +238,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@encounter.nil?, 'Expected valid Encounter resource to be present'
 
-        class_val = resolve_element_from_path(@encounter, 'class.code')
+        class_val = get_value_for_search_param(resolve_element_from_path(@encounter_ary, 'local_class'))
         patient_val = @instance.patient_id
         search_params = { 'class': class_val, 'patient': patient_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb
index d0454d0ba..a66db1460 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_goal_sequence.rb
@@ -104,7 +104,7 @@ def validate_resource_item(resource, property, value)
         assert !@goal.nil?, 'Expected valid Goal resource to be present'
 
         patient_val = @instance.patient_id
-        target_date_val = resolve_element_from_path(@goal, 'target.dueDate')
+        target_date_val = get_value_for_search_param(resolve_element_from_path(@goal_ary, 'target.dueDate'))
         search_params = { 'patient': patient_val, 'target-date': target_date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -135,7 +135,7 @@ def validate_resource_item(resource, property, value)
         assert !@goal.nil?, 'Expected valid Goal resource to be present'
 
         patient_val = @instance.patient_id
-        lifecycle_status_val = resolve_element_from_path(@goal, 'lifecycleStatus')
+        lifecycle_status_val = get_value_for_search_param(resolve_element_from_path(@goal_ary, 'lifecycleStatus'))
         search_params = { 'patient': patient_val, 'lifecycle-status': lifecycle_status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb
index 5a92d26e8..71ab6d46b 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_immunization_sequence.rb
@@ -104,7 +104,7 @@ def validate_resource_item(resource, property, value)
         assert !@immunization.nil?, 'Expected valid Immunization resource to be present'
 
         patient_val = @instance.patient_id
-        status_val = resolve_element_from_path(@immunization, 'status')
+        status_val = get_value_for_search_param(resolve_element_from_path(@immunization_ary, 'status'))
         search_params = { 'patient': patient_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -127,7 +127,7 @@ def validate_resource_item(resource, property, value)
         assert !@immunization.nil?, 'Expected valid Immunization resource to be present'
 
         patient_val = @instance.patient_id
-        date_val = resolve_element_from_path(@immunization, 'occurrenceDateTime')
+        date_val = get_value_for_search_param(resolve_element_from_path(@immunization_ary, 'occurrenceDateTime'))
         search_params = { 'patient': patient_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb
index d79c1548c..6c3367134 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_implantable_device_sequence.rb
@@ -98,7 +98,7 @@ def validate_resource_item(resource, property, value)
         assert !@device.nil?, 'Expected valid Device resource to be present'
 
         patient_val = @instance.patient_id
-        type_val = resolve_element_from_path(@device, 'type.coding.code')
+        type_val = get_value_for_search_param(resolve_element_from_path(@device_ary, 'type'))
         search_params = { 'patient': patient_val, 'type': type_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
index e7f5e433b..daba77dc8 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
@@ -21,7 +21,13 @@ def validate_resource_item(resource, property, value)
           assert value_found, 'name on resource does not match name requested'
 
         when 'address'
-          value_found = can_resolve_path(resource, 'address.city') { |value_in_resource| value_in_resource == value }
+          value_found = can_resolve_path(resource, 'address') do |address|
+            address&.text.starts_with(value) ||
+              address&.city&.starts_with(value) ||
+              address&.state&.starts_with(value) ||
+              address&.postalCode&.starts_with(value) ||
+              address&.country&.starts_with(value)
+          end
           assert value_found, 'address on resource does not match address requested'
 
         when 'address-city'
@@ -74,7 +80,7 @@ def validate_resource_item(resource, property, value)
         @client.set_no_auth
         omit 'Do not test if no bearer token set' if @instance.token.blank?
 
-        name_val = resolve_element_from_path(@location, 'name')
+        name_val = get_value_for_search_param(resolve_element_from_path(@location_ary, 'name'))
         search_params = { 'name': name_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -92,7 +98,7 @@ def validate_resource_item(resource, property, value)
           versions :r4
         end
 
-        name_val = resolve_element_from_path(@location, 'name')
+        name_val = get_value_for_search_param(resolve_element_from_path(@location_ary, 'name'))
         search_params = { 'name': name_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -124,7 +130,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@location.nil?, 'Expected valid Location resource to be present'
 
-        address_val = resolve_element_from_path(@location, 'address.city')
+        address_val = get_value_for_search_param(resolve_element_from_path(@location_ary, 'address'))
         search_params = { 'address': address_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -146,7 +152,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@location.nil?, 'Expected valid Location resource to be present'
 
-        address_city_val = resolve_element_from_path(@location, 'address.city')
+        address_city_val = get_value_for_search_param(resolve_element_from_path(@location_ary, 'address.city'))
         search_params = { 'address-city': address_city_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -168,7 +174,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@location.nil?, 'Expected valid Location resource to be present'
 
-        address_state_val = resolve_element_from_path(@location, 'address.state')
+        address_state_val = get_value_for_search_param(resolve_element_from_path(@location_ary, 'address.state'))
         search_params = { 'address-state': address_state_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -190,7 +196,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@location.nil?, 'Expected valid Location resource to be present'
 
-        address_postalcode_val = resolve_element_from_path(@location, 'address.postalCode')
+        address_postalcode_val = get_value_for_search_param(resolve_element_from_path(@location_ary, 'address.postalCode'))
         search_params = { 'address-postalcode': address_postalcode_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb
index 436375773..e2602aae9 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_medicationrequest_sequence.rb
@@ -59,7 +59,7 @@ def validate_resource_item(resource, property, value)
         omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         patient_val = @instance.patient_id
-        intent_val = resolve_element_from_path(@medicationrequest, 'intent')
+        intent_val = get_value_for_search_param(resolve_element_from_path(@medicationrequest_ary, 'intent'))
         search_params = { 'patient': patient_val, 'intent': intent_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -78,7 +78,7 @@ def validate_resource_item(resource, property, value)
         end
 
         patient_val = @instance.patient_id
-        intent_val = resolve_element_from_path(@medicationrequest, 'intent')
+        intent_val = get_value_for_search_param(resolve_element_from_path(@medicationrequest_ary, 'intent'))
         search_params = { 'patient': patient_val, 'intent': intent_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -111,8 +111,8 @@ def validate_resource_item(resource, property, value)
         assert !@medicationrequest.nil?, 'Expected valid MedicationRequest resource to be present'
 
         patient_val = @instance.patient_id
-        intent_val = resolve_element_from_path(@medicationrequest, 'intent')
-        status_val = resolve_element_from_path(@medicationrequest, 'status')
+        intent_val = get_value_for_search_param(resolve_element_from_path(@medicationrequest_ary, 'intent'))
+        status_val = get_value_for_search_param(resolve_element_from_path(@medicationrequest_ary, 'status'))
         search_params = { 'patient': patient_val, 'intent': intent_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -135,8 +135,8 @@ def validate_resource_item(resource, property, value)
         assert !@medicationrequest.nil?, 'Expected valid MedicationRequest resource to be present'
 
         patient_val = @instance.patient_id
-        intent_val = resolve_element_from_path(@medicationrequest, 'intent')
-        encounter_val = resolve_element_from_path(@medicationrequest, 'encounter.reference')
+        intent_val = get_value_for_search_param(resolve_element_from_path(@medicationrequest_ary, 'intent'))
+        encounter_val = get_value_for_search_param(resolve_element_from_path(@medicationrequest_ary, 'encounter'))
         search_params = { 'patient': patient_val, 'intent': intent_val, 'encounter': encounter_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -159,8 +159,8 @@ def validate_resource_item(resource, property, value)
         assert !@medicationrequest.nil?, 'Expected valid MedicationRequest resource to be present'
 
         patient_val = @instance.patient_id
-        intent_val = resolve_element_from_path(@medicationrequest, 'intent')
-        authoredon_val = resolve_element_from_path(@medicationrequest, 'authoredOn')
+        intent_val = get_value_for_search_param(resolve_element_from_path(@medicationrequest_ary, 'intent'))
+        authoredon_val = get_value_for_search_param(resolve_element_from_path(@medicationrequest_ary, 'authoredOn'))
         search_params = { 'patient': patient_val, 'intent': intent_val, 'authoredon': authoredon_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb
index 95ae8bbe9..8512c3e84 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_observation_lab_sequence.rb
@@ -107,7 +107,7 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@observation, 'code.coding.code')
+        code_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'code'))
         search_params = { 'patient': patient_val, 'code': code_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -129,8 +129,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -153,8 +153,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        status_val = resolve_element_from_path(@observation, 'status')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
+        status_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'status'))
         search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -177,8 +177,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@observation, 'code.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        code_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'code'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
index 04f1c7969..1d77ca8b5 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
@@ -21,7 +21,13 @@ def validate_resource_item(resource, property, value)
           assert value_found, 'name on resource does not match name requested'
 
         when 'address'
-          value_found = can_resolve_path(resource, 'address.city') { |value_in_resource| value_in_resource == value }
+          value_found = can_resolve_path(resource, 'address') do |address|
+            address&.text.starts_with(value) ||
+              address&.city&.starts_with(value) ||
+              address&.state&.starts_with(value) ||
+              address&.postalCode&.starts_with(value) ||
+              address&.country&.starts_with(value)
+          end
           assert value_found, 'address on resource does not match address requested'
 
         end
@@ -62,7 +68,7 @@ def validate_resource_item(resource, property, value)
         @client.set_no_auth
         omit 'Do not test if no bearer token set' if @instance.token.blank?
 
-        name_val = resolve_element_from_path(@organization, 'name')
+        name_val = get_value_for_search_param(resolve_element_from_path(@organization_ary, 'name'))
         search_params = { 'name': name_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -80,7 +86,7 @@ def validate_resource_item(resource, property, value)
           versions :r4
         end
 
-        name_val = resolve_element_from_path(@organization, 'name')
+        name_val = get_value_for_search_param(resolve_element_from_path(@organization_ary, 'name'))
         search_params = { 'name': name_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -112,7 +118,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@organization.nil?, 'Expected valid Organization resource to be present'
 
-        address_val = resolve_element_from_path(@organization, 'address.city')
+        address_val = get_value_for_search_param(resolve_element_from_path(@organization_ary, 'address'))
         search_params = { 'address': address_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb
index f2c2ed687..42f452f53 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_patient_sequence.rb
@@ -121,7 +121,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@patient.nil?, 'Expected valid Patient resource to be present'
 
-        identifier_val = resolve_element_from_path(@patient, 'identifier.value')
+        identifier_val = get_value_for_search_param(resolve_element_from_path(@patient_ary, 'identifier'))
         search_params = { 'identifier': identifier_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -142,7 +142,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@patient.nil?, 'Expected valid Patient resource to be present'
 
-        name_val = resolve_element_from_path(@patient, 'name.family')
+        name_val = get_value_for_search_param(resolve_element_from_path(@patient_ary, 'name'))
         search_params = { 'name': name_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -163,8 +163,8 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@patient.nil?, 'Expected valid Patient resource to be present'
 
-        birthdate_val = resolve_element_from_path(@patient, 'birthDate')
-        name_val = resolve_element_from_path(@patient, 'name.family')
+        birthdate_val = get_value_for_search_param(resolve_element_from_path(@patient_ary, 'birthDate'))
+        name_val = get_value_for_search_param(resolve_element_from_path(@patient_ary, 'name'))
         search_params = { 'birthdate': birthdate_val, 'name': name_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -185,8 +185,8 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@patient.nil?, 'Expected valid Patient resource to be present'
 
-        gender_val = resolve_element_from_path(@patient, 'gender')
-        name_val = resolve_element_from_path(@patient, 'name.family')
+        gender_val = get_value_for_search_param(resolve_element_from_path(@patient_ary, 'gender'))
+        name_val = get_value_for_search_param(resolve_element_from_path(@patient_ary, 'name'))
         search_params = { 'gender': gender_val, 'name': name_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -208,8 +208,8 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@patient.nil?, 'Expected valid Patient resource to be present'
 
-        family_val = resolve_element_from_path(@patient, 'name.family')
-        gender_val = resolve_element_from_path(@patient, 'gender')
+        family_val = get_value_for_search_param(resolve_element_from_path(@patient_ary, 'name.family'))
+        gender_val = get_value_for_search_param(resolve_element_from_path(@patient_ary, 'gender'))
         search_params = { 'family': family_val, 'gender': gender_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -231,8 +231,8 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@patient.nil?, 'Expected valid Patient resource to be present'
 
-        birthdate_val = resolve_element_from_path(@patient, 'birthDate')
-        family_val = resolve_element_from_path(@patient, 'name.family')
+        birthdate_val = get_value_for_search_param(resolve_element_from_path(@patient_ary, 'birthDate'))
+        family_val = get_value_for_search_param(resolve_element_from_path(@patient_ary, 'name.family'))
         search_params = { 'birthdate': birthdate_val, 'family': family_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
index 4bc0b4298..80f5a332d 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_practitioner_sequence.rb
@@ -69,7 +69,7 @@ def validate_resource_item(resource, property, value)
         @client.set_no_auth
         omit 'Do not test if no bearer token set' if @instance.token.blank?
 
-        name_val = resolve_element_from_path(@practitioner, 'name.family')
+        name_val = get_value_for_search_param(resolve_element_from_path(@practitioner_ary, 'name'))
         search_params = { 'name': name_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -87,7 +87,7 @@ def validate_resource_item(resource, property, value)
           versions :r4
         end
 
-        name_val = resolve_element_from_path(@practitioner, 'name.family')
+        name_val = get_value_for_search_param(resolve_element_from_path(@practitioner_ary, 'name'))
         search_params = { 'name': name_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -119,7 +119,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@practitioner.nil?, 'Expected valid Practitioner resource to be present'
 
-        identifier_val = resolve_element_from_path(@practitioner, 'identifier.value')
+        identifier_val = get_value_for_search_param(resolve_element_from_path(@practitioner_ary, 'identifier'))
         search_params = { 'identifier': identifier_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
index 2f5094a97..412303cc8 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_practitionerrole_sequence.rb
@@ -62,7 +62,7 @@ def validate_resource_item(resource, property, value)
         @client.set_no_auth
         omit 'Do not test if no bearer token set' if @instance.token.blank?
 
-        specialty_val = resolve_element_from_path(@practitionerrole, 'specialty.coding.code')
+        specialty_val = get_value_for_search_param(resolve_element_from_path(@practitionerrole_ary, 'specialty'))
         search_params = { 'specialty': specialty_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -80,7 +80,7 @@ def validate_resource_item(resource, property, value)
           versions :r4
         end
 
-        specialty_val = resolve_element_from_path(@practitionerrole, 'specialty.coding.code')
+        specialty_val = get_value_for_search_param(resolve_element_from_path(@practitionerrole_ary, 'specialty'))
         search_params = { 'specialty': specialty_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -112,7 +112,7 @@ def validate_resource_item(resource, property, value)
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
         assert !@practitionerrole.nil?, 'Expected valid PractitionerRole resource to be present'
 
-        practitioner_val = resolve_element_from_path(@practitionerrole, 'practitioner.reference')
+        practitioner_val = get_value_for_search_param(resolve_element_from_path(@practitionerrole_ary, 'practitioner'))
         search_params = { 'practitioner': practitioner_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
index 014798445..40bf9d042 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_procedure_sequence.rb
@@ -107,7 +107,7 @@ def validate_resource_item(resource, property, value)
         assert !@procedure.nil?, 'Expected valid Procedure resource to be present'
 
         patient_val = @instance.patient_id
-        date_val = resolve_element_from_path(@procedure, 'occurrenceDateTime')
+        date_val = get_value_for_search_param(resolve_element_from_path(@procedure_ary, 'occurrenceDateTime'))
         search_params = { 'patient': patient_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -130,8 +130,8 @@ def validate_resource_item(resource, property, value)
         assert !@procedure.nil?, 'Expected valid Procedure resource to be present'
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@procedure, 'code.coding.code')
-        date_val = resolve_element_from_path(@procedure, 'occurrenceDateTime')
+        code_val = get_value_for_search_param(resolve_element_from_path(@procedure_ary, 'code'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@procedure_ary, 'occurrenceDateTime'))
         search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -154,7 +154,7 @@ def validate_resource_item(resource, property, value)
         assert !@procedure.nil?, 'Expected valid Procedure resource to be present'
 
         patient_val = @instance.patient_id
-        status_val = resolve_element_from_path(@procedure, 'status')
+        status_val = get_value_for_search_param(resolve_element_from_path(@procedure_ary, 'status'))
         search_params = { 'patient': patient_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
index 39879ed9a..7eb00b348 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
@@ -61,7 +61,7 @@ def validate_resource_item(resource, property, value)
         omit 'Do not test if no bearer token set' if @instance.token.blank?
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@observation, 'code.coding.code')
+        code_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'code'))
         search_params = { 'patient': patient_val, 'code': code_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -80,7 +80,7 @@ def validate_resource_item(resource, property, value)
         end
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@observation, 'code.coding.code')
+        code_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'code'))
         search_params = { 'patient': patient_val, 'code': code_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -113,8 +113,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -136,7 +136,7 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
         search_params = { 'patient': patient_val, 'category': category_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -159,8 +159,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        status_val = resolve_element_from_path(@observation, 'status')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
+        status_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'status'))
         search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -183,8 +183,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@observation, 'code.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        code_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'code'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb
index 16bfdf090..3d5568b11 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_smokingstatus_sequence.rb
@@ -107,8 +107,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'category': category_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -130,7 +130,7 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
         search_params = { 'patient': patient_val, 'category': category_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -153,8 +153,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        category_val = resolve_element_from_path(@observation, 'category.coding.code')
-        status_val = resolve_element_from_path(@observation, 'status')
+        category_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'category'))
+        status_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'status'))
         search_params = { 'patient': patient_val, 'category': category_val, 'status': status_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
@@ -177,8 +177,8 @@ def validate_resource_item(resource, property, value)
         assert !@observation.nil?, 'Expected valid Observation resource to be present'
 
         patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@observation, 'code.coding.code')
-        date_val = resolve_element_from_path(@observation, 'effectiveDateTime')
+        code_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'code'))
+        date_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'effectiveDateTime'))
         search_params = { 'patient': patient_val, 'code': code_val, 'date': date_val }
         search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
diff --git a/lib/app/sequence_base.rb b/lib/app/sequence_base.rb
index 947f57c2a..2901726a1 100644
--- a/lib/app/sequence_base.rb
+++ b/lib/app/sequence_base.rb
@@ -725,6 +725,27 @@ def resolve_element_from_path(element, path)
         nil
       end
 
+      def get_value_for_search_param(element)
+        case element
+        when FHIR::Period
+          element.start || element.end
+        when FHIR::Reference
+          element.reference
+        when FHIR::CodeableConcept
+          resolve_element_from_path(element, 'coding.code')
+        when FHIR::Identifier
+          element.value
+        when FHIR::Coding
+          element.code
+        when FHIR::HumanName
+          element.family || element.given || element.text
+        when FHIR::Address
+          element.text || element.city || element.state || element.postalCode || element.country
+        else
+          element
+        end
+      end
+
       def date_comparator_value(comparator, date)
         case comparator
         when 'lt', 'le'
diff --git a/test/unit/sequence_base_test.rb b/test/unit/sequence_base_test.rb
index faddf6478..a9a2abd48 100644
--- a/test/unit/sequence_base_test.rb
+++ b/test/unit/sequence_base_test.rb
@@ -48,4 +48,44 @@ def set_resource_reference(resource, type)
     new_reference.reference = "#{type}/1234"
     resource.recorder = new_reference
   end
+
+  describe '#retrieves value for search param' do
+    before do
+      instance = Inferno::Models::TestingInstance.create(selected_module: 'uscore_v3.0.0')
+      client = FHIR::Client.new('')
+      @sequence = Inferno::Sequence::SequenceBase.new(instance, client, true)
+    end
+
+    it 'returns value from period' do
+      element = FHIR::Period.new
+      element.start = 'now'
+      assert @sequence.get_value_for_search_param(element) == 'now'
+
+      element.start = nil
+      element.end = 'now'
+      assert @sequence.get_value_for_search_param(element) == 'now'
+    end
+
+    it 'returns value from address' do
+      element = FHIR::Address.new
+      element.state = 'mass'
+      assert @sequence.get_value_for_search_param(element) == 'mass'
+
+      element = FHIR::Address.new
+      element.text = 'mitre'
+      assert @sequence.get_value_for_search_param(element) == 'mitre'
+
+      element = FHIR::Address.new
+      element.postalCode = '12345'
+      assert @sequence.get_value_for_search_param(element) == '12345'
+
+      element = FHIR::Address.new
+      element.city = 'boston'
+      assert @sequence.get_value_for_search_param(element) == 'boston'
+
+      element = FHIR::Address.new
+      element.country = 'usa'
+      assert @sequence.get_value_for_search_param(element) == 'usa'
+    end
+  end
 end

From 64d459869358d5164c6926852db9d49596a0f348 Mon Sep 17 00:00:00 2001
From: Chase <czhou@mitre.org>
Date: Tue, 8 Oct 2019 09:26:08 -0400
Subject: [PATCH 105/144] fix rubocop erros

---
 generator/uscore/uscore_generator.rb                          | 4 ++--
 lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb    | 2 +-
 .../modules/uscore_v3.0.0/us_core_organization_sequence.rb    | 2 +-
 lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb    | 2 +-
 .../modules/uscore_v3.0.1/us_core_organization_sequence.rb    | 2 +-
 5 files changed, 6 insertions(+), 6 deletions(-)

diff --git a/generator/uscore/uscore_generator.rb b/generator/uscore/uscore_generator.rb
index 26df95383..56bdccbbc 100644
--- a/generator/uscore/uscore_generator.rb
+++ b/generator/uscore/uscore_generator.rb
@@ -43,7 +43,7 @@ def generate_tests(metadata)
           create_read_test(sequence) if sequence[:delayed_sequence]
 
           # authorization test
-          create_authorization_test(sequence) 
+          create_authorization_test(sequence)
 
           # make tests for each SHALL and SHOULD search param, SHALL's first
           sequence[:searches]
@@ -431,7 +431,7 @@ def create_search_validation(sequence)
           when 'Address'
             search_validators += %(
                 value_found = can_resolve_path(resource, '#{path_parts.join('.')}') do |address|
-                  address&.text.starts_with(value) ||
+                  address&.text&.starts_with(value) ||
                     address&.city&.starts_with(value) ||
                     address&.state&.starts_with(value) ||
                     address&.postalCode&.starts_with(value) ||
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
index 8efe7b896..6a15da2d4 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_location_sequence.rb
@@ -22,7 +22,7 @@ def validate_resource_item(resource, property, value)
 
         when 'address'
           value_found = can_resolve_path(resource, 'address') do |address|
-            address&.text.starts_with(value) ||
+            address&.text&.starts_with(value) ||
               address&.city&.starts_with(value) ||
               address&.state&.starts_with(value) ||
               address&.postalCode&.starts_with(value) ||
diff --git a/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb b/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
index 3a04046e8..f3bcc2184 100644
--- a/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.0/us_core_organization_sequence.rb
@@ -22,7 +22,7 @@ def validate_resource_item(resource, property, value)
 
         when 'address'
           value_found = can_resolve_path(resource, 'address') do |address|
-            address&.text.starts_with(value) ||
+            address&.text&.starts_with(value) ||
               address&.city&.starts_with(value) ||
               address&.state&.starts_with(value) ||
               address&.postalCode&.starts_with(value) ||
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
index daba77dc8..a3af420f2 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_location_sequence.rb
@@ -22,7 +22,7 @@ def validate_resource_item(resource, property, value)
 
         when 'address'
           value_found = can_resolve_path(resource, 'address') do |address|
-            address&.text.starts_with(value) ||
+            address&.text&.starts_with(value) ||
               address&.city&.starts_with(value) ||
               address&.state&.starts_with(value) ||
               address&.postalCode&.starts_with(value) ||
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
index 1d77ca8b5..128d2d1a8 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_organization_sequence.rb
@@ -22,7 +22,7 @@ def validate_resource_item(resource, property, value)
 
         when 'address'
           value_found = can_resolve_path(resource, 'address') do |address|
-            address&.text.starts_with(value) ||
+            address&.text&.starts_with(value) ||
               address&.city&.starts_with(value) ||
               address&.state&.starts_with(value) ||
               address&.postalCode&.starts_with(value) ||

From 8ca324c0f9620d9f8c39878986d9551ae244b9aa Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Tue, 8 Oct 2019 11:19:07 -0400
Subject: [PATCH 106/144] temp merge

---
 lib/app/models/testing_instance.rb                   |  2 ++
 .../modules/bulk_data/bulk_data_export_sequence.rb   |  6 +++++-
 .../bulk_data/bulk_data_group_export_sequence.rb     | 12 ++++++++++--
 .../bulk_data/bulk_data_patient_export_sequence.rb   | 12 ------------
 lib/app/modules/bulk_data_module.yml                 |  1 +
 lib/app/views/default.erb                            |  5 +++++
 lib/app/views/guided.erb                             |  6 ++++++
 7 files changed, 29 insertions(+), 15 deletions(-)

diff --git a/lib/app/models/testing_instance.rb b/lib/app/models/testing_instance.rb
index 2e76ed68f..f5c0d20a8 100644
--- a/lib/app/models/testing_instance.rb
+++ b/lib/app/models/testing_instance.rb
@@ -55,6 +55,8 @@ class TestingInstance
 
       property :must_support_confirmed, String, default: ''
 
+      property :group_id, String
+
       has n, :sequence_results
       has n, :resource_references
       has 1, :server_capabilities
diff --git a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
index 4a45b8851..52ff4504c 100644
--- a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
@@ -18,10 +18,14 @@ class BulkDataExportSequence < SequenceBase
       def endpoint
         ''
       end
+      
+      def resource_id
+        ''
+      end
 
       def check_export_kick_off(search_params: nil)
         @search_params = search_params
-        reply = export_kick_off(endpoint, search_params: search_params)
+        reply = export_kick_off(endpoint, id: resource_id, search_params: search_params)
 
         # Servers unable to support _type SHOULD return an error and OperationOutcome resource
         # so clients can re-submit a request omitting the _type parameter.
diff --git a/lib/app/modules/bulk_data/bulk_data_group_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_group_export_sequence.rb
index fc08130a8..9ad79bd8f 100644
--- a/lib/app/modules/bulk_data/bulk_data_group_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_group_export_sequence.rb
@@ -5,6 +5,8 @@
 module Inferno
   module Sequence
     class BulkDataGroupExportSequence < BulkDataExportSequence
+      extends_sequence BulkDataExportSequence
+
       group 'Bulk Data Group Export'
 
       title 'Group Compartment Export Tests'
@@ -13,9 +15,15 @@ class BulkDataGroupExportSequence < BulkDataExportSequence
 
       test_id_prefix 'Group'
 
-      requires :token, :group_id
+      requires :group_id, :token
+
+      def endpoint
+        'Group'
+      end
 
-      @klass = :Group
+      def resource_id
+        @instance.group_id
+      end
     end
   end
 end
diff --git a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
index 5649d2409..f01d0ec03 100644
--- a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
@@ -21,18 +21,6 @@ class BulkDataPatientExportSequence < BulkDataExportSequence
       def endpoint
         'Patient'
       end
-
-      # def initialize(instance, client, disable_tls_tests = false, sequence_result = nil, metadata_only = false)
-      #   binding.pry
-      #   super(instance, client, disable_tls_tests, sequence_result, metadata_only)
-      #   klass = :Patient
-      # end
-
-      # def check_export_kick_off(search_params: nil)
-      #   klass = :Patient
-      #   binding.pry
-      #   super
-      # end
     end
   end
 end
diff --git a/lib/app/modules/bulk_data_module.yml b/lib/app/modules/bulk_data_module.yml
index c61f83a4c..d0b0ee543 100644
--- a/lib/app/modules/bulk_data_module.yml
+++ b/lib/app/modules/bulk_data_module.yml
@@ -13,4 +13,5 @@ test_sets:
       - name: Patient export
         sequences:
           - BulkDataPatientExportSequence
+          - BulkDataGroupExportSequence
 
diff --git a/lib/app/views/default.erb b/lib/app/views/default.erb
index d4f530de4..c5fc04425 100644
--- a/lib/app/views/default.erb
+++ b/lib/app/views/default.erb
@@ -227,6 +227,11 @@
               instance: instance,
               value: instance.refresh_token,
               })%>
+        <%= erb(:prerequisite_field,{},{prerequisite: :group_id,
+              label: 'Group ID',
+              instance: instance,
+              value: instance.group_id,
+              })%>                 
       </div>
       <form method="POST" action="sequence_result">
         <input type="hidden" name="sequence" value="" />
diff --git a/lib/app/views/guided.erb b/lib/app/views/guided.erb
index 112bac458..28320aada 100644
--- a/lib/app/views/guided.erb
+++ b/lib/app/views/guided.erb
@@ -397,6 +397,12 @@
               instance: instance,
               value: instance.refresh_token,
               })%>
+
+        <%= erb(:prerequisite_field,{},{prerequisite: :group_id,
+              label: 'Group ID',
+              instance: instance,
+              value: instance.group_id,
+              })%>              
       </div>
       <form method="POST" action="sequence_result">
         <input type="hidden" name="sequence" value="" />

From 41c9043d614b25d2504c64ecbddc5d4ce2d73645 Mon Sep 17 00:00:00 2001
From: Chase <czhou@mitre.org>
Date: Tue, 8 Oct 2019 14:03:38 -0400
Subject: [PATCH 107/144] update for pulse-oximetry profile

---
 generator/uscore/uscore_generator.rb               |  1 +
 .../us_core_pulse_oximetry_sequence.rb             | 14 ++++----------
 lib/app/utils/validation.rb                        |  3 ++-
 3 files changed, 7 insertions(+), 11 deletions(-)

diff --git a/generator/uscore/uscore_generator.rb b/generator/uscore/uscore_generator.rb
index f4ea46423..b6e22a622 100644
--- a/generator/uscore/uscore_generator.rb
+++ b/generator/uscore/uscore_generator.rb
@@ -389,6 +389,7 @@ def search_param_constants(search_parameters, sequence)
         return "patient: @instance.patient_id, code: '59576-9'" if search_parameters == ['patient', 'code'] && sequence[:profile] == PROFILE_URIS[:pediatric_bmi_age]
         return "patient: @instance.patient_id, category: 'LAB'" if search_parameters == ['patient', 'category'] && sequence[:profile] == PROFILE_URIS[:diagnostic_report_lab]
         return "patient: @instance.patient_id, code: 'LP29684-5'" if search_parameters == ['patient', 'category'] && sequence[:profile] == PROFILE_URIS[:diagnostic_report_note]
+        return "patient: @instance.patient_id, code: '2708-6'" if search_parameters == ['patient', 'code'] && sequence[:profile] == PROFILE_URIS[:pulse_oximetry]
       end
 
       def create_search_validation(sequence)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
index 39879ed9a..eafa2e47f 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
@@ -60,10 +60,7 @@ def validate_resource_item(resource, property, value)
         @client.set_no_auth
         omit 'Do not test if no bearer token set' if @instance.token.blank?
 
-        patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@observation, 'code.coding.code')
-        search_params = { 'patient': patient_val, 'code': code_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+        search_params = { patient: @instance.patient_id, code: '2708-6' }
 
         reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
         @client.set_bearer_token(@instance.token)
@@ -79,10 +76,7 @@ def validate_resource_item(resource, property, value)
           versions :r4
         end
 
-        patient_val = @instance.patient_id
-        code_val = resolve_element_from_path(@observation, 'code.coding.code')
-        search_params = { 'patient': patient_val, 'code': code_val }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
+        search_params = { patient: @instance.patient_id, code: '2708-6' }
 
         reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
         assert_response_ok(reply)
@@ -95,7 +89,7 @@ def validate_resource_item(resource, property, value)
 
         @observation = reply.try(:resource).try(:entry).try(:first).try(:resource)
         @observation_ary = reply&.resource&.entry&.map { |entry| entry&.resource }
-        save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply)
+        save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:pulse_oximetry])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
       end
@@ -248,7 +242,7 @@ def validate_resource_item(resource, property, value)
         end
 
         skip 'No resources appear to be available for this patient. Please use patients with more information.' unless @resources_found
-        test_resources_against_profile('Observation')
+        test_resources_against_profile('Observation', Inferno::ValidationUtil::US_CORE_R4_URIS[:pulse_oximetry])
       end
 
       test 'At least one of every must support element is provided in any Observation for this patient.' do
diff --git a/lib/app/utils/validation.rb b/lib/app/utils/validation.rb
index 723a9f678..a1137612f 100644
--- a/lib/app/utils/validation.rb
+++ b/lib/app/utils/validation.rb
@@ -60,7 +60,8 @@ def self.get_resource(json, version)
       diagnostic_report_note: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note',
       lab_results: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab',
       pediatric_bmi_age: 'http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age',
-      pediatric_weight_height: 'http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height'
+      pediatric_weight_height: 'http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height',
+      pulse_oximetry: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry'
     }.freeze
 
     def self.guess_profile(resource, version)

From 69372f89300bce8fa7e794c3da566047a8ed4736 Mon Sep 17 00:00:00 2001
From: Chase <czhou@mitre.org>
Date: Tue, 8 Oct 2019 14:18:34 -0400
Subject: [PATCH 108/144] fix oximetry code

---
 generator/uscore/uscore_generator.rb                          | 2 +-
 .../modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb  | 4 ++--
 lib/app/utils/validation.rb                                   | 2 ++
 3 files changed, 5 insertions(+), 3 deletions(-)

diff --git a/generator/uscore/uscore_generator.rb b/generator/uscore/uscore_generator.rb
index b6e22a622..0d28876c0 100644
--- a/generator/uscore/uscore_generator.rb
+++ b/generator/uscore/uscore_generator.rb
@@ -389,7 +389,7 @@ def search_param_constants(search_parameters, sequence)
         return "patient: @instance.patient_id, code: '59576-9'" if search_parameters == ['patient', 'code'] && sequence[:profile] == PROFILE_URIS[:pediatric_bmi_age]
         return "patient: @instance.patient_id, category: 'LAB'" if search_parameters == ['patient', 'category'] && sequence[:profile] == PROFILE_URIS[:diagnostic_report_lab]
         return "patient: @instance.patient_id, code: 'LP29684-5'" if search_parameters == ['patient', 'category'] && sequence[:profile] == PROFILE_URIS[:diagnostic_report_note]
-        return "patient: @instance.patient_id, code: '2708-6'" if search_parameters == ['patient', 'code'] && sequence[:profile] == PROFILE_URIS[:pulse_oximetry]
+        return "patient: @instance.patient_id, code: '59408-5'" if search_parameters == ['patient', 'code'] && sequence[:profile] == PROFILE_URIS[:pulse_oximetry]
       end
 
       def create_search_validation(sequence)
diff --git a/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
index eafa2e47f..58d205bd3 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
@@ -60,7 +60,7 @@ def validate_resource_item(resource, property, value)
         @client.set_no_auth
         omit 'Do not test if no bearer token set' if @instance.token.blank?
 
-        search_params = { patient: @instance.patient_id, code: '2708-6' }
+        search_params = { patient: @instance.patient_id, code: '59408-5' }
 
         reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
         @client.set_bearer_token(@instance.token)
@@ -76,7 +76,7 @@ def validate_resource_item(resource, property, value)
           versions :r4
         end
 
-        search_params = { patient: @instance.patient_id, code: '2708-6' }
+        search_params = { patient: @instance.patient_id, code: '59408-5' }
 
         reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
         assert_response_ok(reply)
diff --git a/lib/app/utils/validation.rb b/lib/app/utils/validation.rb
index a1137612f..a1a1053f9 100644
--- a/lib/app/utils/validation.rb
+++ b/lib/app/utils/validation.rb
@@ -153,6 +153,8 @@ def self.guess_r4_profile(resource)
         return DEFINITIONS[US_CORE_R4_URIS[:pediatric_bmi_age]] if resource&.code&.coding&.any? { |coding| coding&.code == '59576-9' }
 
         return DEFINITIONS[US_CORE_R4_URIS[:pediatric_weight_height]] if resource&.code&.coding&.any? { |coding| coding&.code == '77606-2' }
+
+        return DEFINITIONS[US_CORE_R4_URIS[:pulse_oximetry]] if resource&.code&.coding&.any? { |coding| coding&.code == '59408-5' }
       elsif resource.resourceType == 'DiagnosticReport'
         return DEFINITIONS[US_CORE_R4_URIS[:diagnostic_report_lab]] if resource&.category&.first&.coding&.any? { |coding| coding&.code == 'LAB' }
 

From 972e2576b2a39b6e6a41249dbb4e6887ea5ceb00 Mon Sep 17 00:00:00 2001
From: Reece Adamson <41651655+radamson@users.noreply.github.com>
Date: Wed, 9 Oct 2019 10:02:53 -0400
Subject: [PATCH 109/144] remove Bulk Data reference

---
 .../bulk_data/bulk_data_capability_statement_sequence.rb       | 3 ---
 1 file changed, 3 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb b/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
index b632f4b35..2efaa275a 100644
--- a/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_capability_statement_sequence.rb
@@ -80,9 +80,6 @@ def assert_operation(op_name); end
             * json
             * application/json
             * application/fhir+json
-
-            This test supports the [Bulk Data US Core Data for Interoperability Use Case](https://build.fhir.org/ig/HL7/bulk-data/#us-core-data-for-interoperability)
-
           )
         end
 

From 9882d2050e89dae49ba93db6df09b2feca9d3e94 Mon Sep 17 00:00:00 2001
From: yunwwang <yunwwang@gmail.com>
Date: Wed, 9 Oct 2019 13:36:25 -0400
Subject: [PATCH 110/144] Update
 lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb

Co-Authored-By: Stephen MacVicar <Jammjammjamm@users.noreply.github.com>
---
 lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
index f01d0ec03..44abcae73 100644
--- a/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_patient_export_sequence.rb
@@ -11,7 +11,7 @@ class BulkDataPatientExportSequence < BulkDataExportSequence
 
       title 'Patient Compartment Export Tests'
 
-      description 'Verify that patient compartment export on the Bulk Data server follow the Bulk Data Access Implementation Guide'
+      description 'Verify that patient compartment export on the Bulk Data server follows the Bulk Data Access Implementation Guide'
 
       test_id_prefix 'Patient'
 

From ac404aa5d29b3782216367783285b4066599a965 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Wed, 9 Oct 2019 15:30:32 -0400
Subject: [PATCH 111/144] add key for tests

---
 lib/app/models/inferno_test.rb                |  24 +++-
 .../modules/smart/token_refresh_sequence.rb   | 136 +++++++++---------
 lib/app/sequence_base.rb                      |   4 +-
 lib/app/utils/exceptions.rb                   |   3 +
 .../smart/token_refresh_sequence_test.rb      |  20 ++-
 5 files changed, 99 insertions(+), 88 deletions(-)

diff --git a/lib/app/models/inferno_test.rb b/lib/app/models/inferno_test.rb
index 1b6b344fc..23689d7d3 100644
--- a/lib/app/models/inferno_test.rb
+++ b/lib/app/models/inferno_test.rb
@@ -3,16 +3,24 @@
 module Inferno
   module Sequence
     class InfernoTest
-      attr_reader :name, :index, :id_prefix, :test_block
-
-      def initialize(name, index, id_prefix, &test_block)
-        @name = name
+      attr_reader :key, :index, :id_prefix, :test_block
+
+      def initialize(key_or_name, index, id_prefix, &test_block)
+        if key_or_name.instance_of? Symbol
+          @key = key_or_name
+        else
+          @name = key_or_name
+        end
         @index = index
         @id_prefix = id_prefix
         @test_block = test_block
         load_metadata
       end
 
+      def name(name = nil)
+        @name ||= name
+      end
+
       def id(id = nil)
         return @id if id.blank?
 
@@ -72,7 +80,13 @@ def metadata
 
       def load_metadata
         instance_eval(&test_block)
-      rescue MetadataException # rubocop:disable Lint/HandleExceptions
+      rescue MetadataException
+        validate_metadata
+      end
+
+      def validate_metadata
+        raise InvalidMetadataException, 'Test id must be populated' if id.blank?
+        raise InvalidMetadataException, 'Test name must be populated' if name.blank?
       end
     end
   end
diff --git a/lib/app/modules/smart/token_refresh_sequence.rb b/lib/app/modules/smart/token_refresh_sequence.rb
index c0a9c230f..cc1bf61fc 100644
--- a/lib/app/modules/smart/token_refresh_sequence.rb
+++ b/lib/app/modules/smart/token_refresh_sequence.rb
@@ -34,32 +34,10 @@ class TokenRefreshSequence < SequenceBase
       INVALID_CLIENT_ID = 'INVALID_CLIENT_ID'
       INVALID_REFRESH_TOKEN = 'INVALID_REFRESH_TOKEN'
 
-      def encoded_secret(client_id, client_secret)
-        "Basic #{Base64.strict_encode64(client_id + ':' + client_secret)}"
-      end
-
-      def perform_refresh_request(client_id, refresh_token, provide_scope = false)
-        oauth2_params = {
-          'grant_type' => 'refresh_token',
-          'refresh_token' => refresh_token
-        }
-        oauth2_headers = { 'Content-Type' => 'application/x-www-form-urlencoded' }
-
-        if @instance.confidential_client
-          oauth2_headers['Authorization'] = encoded_secret(client_id, @instance.client_secret)
-        else
-          oauth2_params['client_id'] = client_id
-        end
-
-        oauth2_params['scope'] = @instance.scopes if provide_scope
-
-        LoggedRestClient.post(@instance.oauth_token_endpoint, oauth2_params, oauth2_headers)
-      end
-
-      INVALID_REFRESH_TOKEN_TEST = 'Refresh token exchange fails when provided invalid Refresh Token.'
-      test INVALID_REFRESH_TOKEN_TEST do
+      test :invalid_refresh_token do
         metadata do
           id '01'
+          name 'Refresh token exchange fails when provided invalid Refresh Token.'
           link 'https://tools.ietf.org/html/rfc6749'
           description %(
             If the request failed verification or is invalid, the authorization server returns an error response.          )
@@ -69,10 +47,10 @@ def perform_refresh_request(client_id, refresh_token, provide_scope = false)
         assert_response_bad_or_unauthorized token_response
       end
 
-      INVALID_CLIENT_ID_TEST = 'Refresh token exchange fails when provided invalid Client ID.'
-      test INVALID_CLIENT_ID_TEST do
+      test :invalid_client_id do
         metadata do
           id '02'
+          name 'Refresh token exchange fails when provided invalid Client ID.'
           link 'https://tools.ietf.org/html/rfc6749'
           description %(
             If the request failed verification or is invalid, the authorization server returns an error response.          )
@@ -82,6 +60,55 @@ def perform_refresh_request(client_id, refresh_token, provide_scope = false)
         assert_response_bad_or_unauthorized token_response
       end
 
+      test :refresh_without_scope do
+        metadata do
+          id '03'
+          name 'Server successfully refreshes the access token when optional scope parameter omitted.'
+          link 'https://tools.ietf.org/html/rfc6749'
+          description %(
+            Server successfully exchanges refresh token at OAuth token endpoint without providing scope in
+            the body of the request.
+
+            The EHR authorization server SHALL return a JSON structure that includes an access token or a message indicating that the authorization request has been denied.
+            access_token, expires_in, token_type, and scope are required. access_token must be Bearer.
+
+            Although not required in the token refresh portion of the SMART App Launch Guide,
+            the token refresh response should include the HTTP Cache-Control response header field with a value of no-store, as well as the Pragma response header field with a value of no-cache
+            to be consistent with the requirements of the inital access token exchange.
+
+          )
+        end
+
+        specify_scopes = false
+
+        token_response = perform_refresh_request(@instance.client_id, @instance.refresh_token, specify_scopes)
+        validate_and_save_refresh_response(token_response)
+      end
+
+      test :refresh_with_scope do
+        metadata do
+          id '04'
+          name 'Server successfully refreshes the access token when optional scope parameter provided.'
+          link 'https://tools.ietf.org/html/rfc6749'
+          description %(
+            Server successfully exchanges refresh token at OAuth token endpoint while providing scope in
+            the body of the request.
+
+            The EHR authorization server SHALL return a JSON structure that includes an access token or a message indicating that the authorization request has been denied.
+            access_token, token_type, and scope are required. access_token must be Bearer.
+
+            Although not required in the token refresh portion of the SMART App Launch Guide,
+            the token refresh response should include the HTTP Cache-Control response header field with a value of no-store, as well as the Pragma response header field with a value of no-cache
+            to be consistent with the requirements of the inital access token exchange.
+          )
+        end
+
+        specify_scopes = true
+
+        token_response = perform_refresh_request(@instance.client_id, @instance.refresh_token, specify_scopes)
+        validate_and_save_refresh_response(token_response)
+      end
+
       def validate_and_save_refresh_response(token_response)
         assert_response_ok(token_response)
         assert_valid_json(token_response.body)
@@ -146,55 +173,26 @@ def validate_and_save_refresh_response(token_response)
         end
       end
 
-      REFRESH_WITHOUT_SCOPE_PARAMETER_TEST =
-        'Server successfully refreshes the access token when optional scope parameter omitted.'
-      test REFRESH_WITHOUT_SCOPE_PARAMETER_TEST do
-        metadata do
-          id '03'
-          link 'https://tools.ietf.org/html/rfc6749'
-          description %(
-            Server successfully exchanges refresh token at OAuth token endpoint without providing scope in
-            the body of the request.
-
-            The EHR authorization server SHALL return a JSON structure that includes an access token or a message indicating that the authorization request has been denied.
-            access_token, expires_in, token_type, and scope are required. access_token must be Bearer.
-
-            Although not required in the token refresh portion of the SMART App Launch Guide,
-            the token refresh response should include the HTTP Cache-Control response header field with a value of no-store, as well as the Pragma response header field with a value of no-cache
-            to be consistent with the requirements of the inital access token exchange.
-
-          )
-        end
-
-        specify_scopes = false
-
-        token_response = perform_refresh_request(@instance.client_id, @instance.refresh_token, specify_scopes)
-        validate_and_save_refresh_response(token_response)
+      def encoded_secret(client_id, client_secret)
+        "Basic #{Base64.strict_encode64(client_id + ':' + client_secret)}"
       end
 
-      REFRESH_WITH_SCOPE_PARAMETER_TEST =
-        'Server successfully refreshes the access token when optional scope parameter provided.'
-      test REFRESH_WITH_SCOPE_PARAMETER_TEST do
-        metadata do
-          id '04'
-          link 'https://tools.ietf.org/html/rfc6749'
-          description %(
-            Server successfully exchanges refresh token at OAuth token endpoint while providing scope in
-            the body of the request.
-
-            The EHR authorization server SHALL return a JSON structure that includes an access token or a message indicating that the authorization request has been denied.
-            access_token, token_type, and scope are required. access_token must be Bearer.
+      def perform_refresh_request(client_id, refresh_token, provide_scope = false)
+        oauth2_params = {
+          'grant_type' => 'refresh_token',
+          'refresh_token' => refresh_token
+        }
+        oauth2_headers = { 'Content-Type' => 'application/x-www-form-urlencoded' }
 
-            Although not required in the token refresh portion of the SMART App Launch Guide,
-            the token refresh response should include the HTTP Cache-Control response header field with a value of no-store, as well as the Pragma response header field with a value of no-cache
-            to be consistent with the requirements of the inital access token exchange.
-          )
+        if @instance.confidential_client
+          oauth2_headers['Authorization'] = encoded_secret(client_id, @instance.client_secret)
+        else
+          oauth2_params['client_id'] = client_id
         end
 
-        specify_scopes = true
+        oauth2_params['scope'] = @instance.scopes if provide_scope
 
-        token_response = perform_refresh_request(@instance.client_id, @instance.refresh_token, specify_scopes)
-        validate_and_save_refresh_response(token_response)
+        LoggedRestClient.post(@instance.oauth_token_endpoint, oauth2_params, oauth2_headers)
       end
     end
   end
diff --git a/lib/app/sequence_base.rb b/lib/app/sequence_base.rb
index 1b500ffe1..7e4f5f036 100644
--- a/lib/app/sequence_base.rb
+++ b/lib/app/sequence_base.rb
@@ -311,8 +311,8 @@ def self.tests
         @tests ||= []
       end
 
-      def self.[](name)
-        tests.find { |test| test.name == name }
+      def self.[](key)
+        tests.find { |test| test.key == key }
       end
 
       def optional?
diff --git a/lib/app/utils/exceptions.rb b/lib/app/utils/exceptions.rb
index a246bc6f6..f0e35bcfd 100644
--- a/lib/app/utils/exceptions.rb
+++ b/lib/app/utils/exceptions.rb
@@ -98,6 +98,9 @@ def update_result(result)
 
   class MetadataException < RuntimeError
   end
+
+  class InvalidMetadataException < RuntimeError
+  end
 end
 
 # monkey patch this exception from fhir_client
diff --git a/test/sequence/smart/token_refresh_sequence_test.rb b/test/sequence/smart/token_refresh_sequence_test.rb
index 3c4be8385..58e06143e 100644
--- a/test/sequence/smart/token_refresh_sequence_test.rb
+++ b/test/sequence/smart/token_refresh_sequence_test.rb
@@ -4,10 +4,6 @@
 
 describe Inferno::Sequence::TokenRefreshSequence do
   SEQUENCE = Inferno::Sequence::TokenRefreshSequence
-  INVALID_REFRESH_TOKEN_TEST = SEQUENCE::INVALID_REFRESH_TOKEN_TEST
-  INVALID_CLIENT_ID_TEST = SEQUENCE::INVALID_CLIENT_ID_TEST
-  REFRESH_WITH_SCOPE_PARAMETER_TEST = SEQUENCE::REFRESH_WITH_SCOPE_PARAMETER_TEST
-  REFRESH_WITHOUT_SCOPE_PARAMETER_TEST = SEQUENCE::REFRESH_WITHOUT_SCOPE_PARAMETER_TEST
 
   let(:full_body) do
     {
@@ -24,9 +20,9 @@
     @instance = Inferno::Models::TestingInstance.new(oauth_token_endpoint: @token_endpoint, scopes: 'jkl')
   end
 
-  describe INVALID_REFRESH_TOKEN_TEST do
+  describe 'invalid refresh token test' do
     before do
-      @test = SEQUENCE[INVALID_REFRESH_TOKEN_TEST]
+      @test = SEQUENCE[:invalid_refresh_token]
       @sequence = SEQUENCE.new(@instance, @client)
     end
 
@@ -47,9 +43,9 @@
     end
   end
 
-  describe INVALID_CLIENT_ID_TEST do
+  describe 'invalid client id test' do
     before do
-      @test = SEQUENCE[INVALID_CLIENT_ID_TEST]
+      @test = SEQUENCE[:invalid_client_id]
       @sequence = SEQUENCE.new(@instance, @client)
     end
 
@@ -70,9 +66,9 @@
     end
   end
 
-  describe REFRESH_WITH_SCOPE_PARAMETER_TEST do
+  describe 'refresh with scope parameter test' do
     before do
-      @test = SEQUENCE[REFRESH_WITH_SCOPE_PARAMETER_TEST]
+      @test = SEQUENCE[:refresh_with_scope]
       @sequence = SEQUENCE.new(@instance, @client)
     end
 
@@ -93,9 +89,9 @@
     end
   end
 
-  describe REFRESH_WITHOUT_SCOPE_PARAMETER_TEST do
+  describe 'refresh without scope parameter test' do
     before do
-      @test = SEQUENCE[REFRESH_WITHOUT_SCOPE_PARAMETER_TEST]
+      @test = SEQUENCE[:refresh_without_scope]
       @sequence = SEQUENCE.new(@instance, @client)
     end
 

From a2aa180773337c655eadf9364dc62da59f7cf1c9 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Wed, 9 Oct 2019 16:54:52 -0400
Subject: [PATCH 112/144] shuffle test cases

---
 .../bulk_data/bulk_data_export_sequence.rb    | 98 ++++++++++++-------
 .../bulk_data_group_export_sequence.rb        |  4 +
 .../bulk_data/patient_export_sequence_test.rb |  4 +-
 3 files changed, 67 insertions(+), 39 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
index 1da90baf3..605b8fbe3 100644
--- a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
@@ -16,16 +16,20 @@ class BulkDataExportSequence < SequenceBase
       attr_accessor :run_all_kick_off_tests
 
       def endpoint
-        ''
+        nil
       end
-      
+
       def resource_id
-        ''
+        nil
+      end
+
+      def type_parameter
+        endpoint
       end
 
       def check_export_kick_off(search_params: nil)
         @search_params = search_params
-        reply = export_kick_off(endpoint, id: resource_id, search_params: search_params)
+        reply = export_kick_off(endpoint, resource_id, search_params: search_params)
         @server_supports_type_parameter = search_params&.key?('_type')
 
         # Servers unable to support _type SHOULD return an error and OperationOutcome resource
@@ -42,18 +46,17 @@ def check_export_kick_off(search_params: nil)
       end
 
       def check_export_kick_off_fail_invalid_accept
-        reply = export_kick_off(endpoint, headers: { accept: 'application/fhir+xml', prefer: 'respond-async' })
+        reply = export_kick_off(endpoint, resource_id, headers: { accept: 'application/fhir+xml', prefer: 'respond-async' })
         assert_response_bad(reply)
       end
 
       def check_export_kick_off_fail_invalid_prefer
-        reply = export_kick_off(endpoint, headers: { accept: 'application/fhir+json', prefer: 'return=representation' })
+        reply = export_kick_off(endpoint, resource_id, headers: { accept: 'application/fhir+json', prefer: 'return=representation' })
         assert_response_bad(reply)
       end
 
       def check_export_status(url = @content_location, timeout: 180)
         skip 'Server response did not have Content-Location in header' unless url.present?
-
         reply = export_status_check(url, timeout)
 
         # server response status code could be 202 (still processing), 200 (complete) or 4xx/5xx error code
@@ -71,13 +74,11 @@ def check_export_status(url = @content_location, timeout: 180)
         assert_status_reponse_required_field(response_body)
 
         @output = response_body['output']
-
-        assert_output_has_type_url
       end
 
       def assert_output_has_type_url(output = @output,
                                      search_params = @search_params)
-        skip 'Sever response did not have output data' unless output.present?
+        assert output.present?, 'Sever response did not have output data'
 
         search_type = search_params['_type'].split(',').map(&:strip) if search_params&.key?('_type')
 
@@ -91,7 +92,7 @@ def assert_output_has_type_url(output = @output,
       end
 
       def check_file_request(output = @output)
-        skip 'Content-Location from server response was emtpy' unless output.present?
+        skip 'Sever response did not have output data' unless output.present?
 
         headers = { accept: 'application/fhir+ndjson' }
         output.each do |file|
@@ -145,25 +146,14 @@ def check_cancel_request
         @client.set_no_auth
         skip 'Could not verify this functionality when bearer token is not set' if @instance.token.blank?
 
-        reply = export_kick_off(endpoint)
+        reply = export_kick_off(endpoint, resource_id)
         @client.set_bearer_token(@instance.token)
         assert_response_unauthorized reply
       end
 
-      test 'Server shall return "202 Accepted" and "Content-location" for $export operation with parameters' do
-        metadata do
-          id '02'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
-          desc %(
-          )
-        end
-
-        check_export_kick_off(search_params: { '_type' => endpoint })
-      end
-
       test 'Server shall return "202 Accepted" and "Content-location" for $export operation' do
         metadata do
-          id '03'
+          id '02'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-kick-off-request'
           description %(
           )
@@ -176,7 +166,7 @@ def check_cancel_request
 
       test 'Server shall reject for $export operation with invalid Accept header' do
         metadata do
-          id '04'
+          id '03'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#headers'
           description %(
           )
@@ -187,7 +177,7 @@ def check_cancel_request
 
       test 'Server shall reject for $export operation with invalid Prefer header' do
         metadata do
-          id '05'
+          id '04'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#headers'
           description %(
           )
@@ -196,9 +186,9 @@ def check_cancel_request
         check_export_kick_off_fail_invalid_prefer
       end
 
-      test 'Server shall return "202 Accepted" or "200 OK"' do
+      test 'Server shall return "202 Accepted" or "200 OK" for status check' do
         metadata do
-          id '06'
+          id '05'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-status-request'
           description %(
           )
@@ -207,22 +197,34 @@ def check_cancel_request
         check_export_status
       end
 
-      test 'Server shall return file in ndjson format' do
+      test 'Completed Status Check shall return output with type and url' do
         metadata do
-          id '07'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
+          id '06'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-status-request'
           description %(
           )
         end
 
-        check_file_request
+        assert_output_has_type_url
       end
 
+      # test 'Server shall export resources required by Patient Compartment' do
+      #   metadata do
+      #     id '07'
+      #     link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-status-request'
+      #     description %(
+      #     )
+      #   end
+
+      #   assert_output_has_type_url
+      # end
+
+
       test 'Server should return "202 Accepted" for delete export content' do
         metadata do
-          id '08'
+          id '07'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
-          desc %(
+          description %(
           )
           optional
         end
@@ -232,9 +234,9 @@ def check_cancel_request
 
       test 'Server shall return "202 Accepted" for cancel export request' do
         metadata do
-          id '09'
+          id '08'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
-          desc %(
+          description %(
           )
           optional
         end
@@ -242,10 +244,32 @@ def check_cancel_request
         check_cancel_request
       end
 
+      test 'Server shall return "202 Accepted" and "Content-location" for $export operation with parameters' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
+          description %(
+          )
+        end
+
+        check_export_kick_off(search_params: { '_type' => type_parameter })
+      end
+
+      # test 'Server shall return file in ndjson format' do
+      #   metadata do
+      #     id '06'
+      #     link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
+      #     description %(
+      #     )
+      #   end
+
+      #   check_file_request
+      # end
+
       private
 
       def export_kick_off(endpoint = nil,
-                          id: nil,
+                          id = nil,
                           search_params: nil,
                           headers: { accept: 'application/fhir+json', prefer: 'respond-async' })
         url = ''
diff --git a/lib/app/modules/bulk_data/bulk_data_group_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_group_export_sequence.rb
index 9ad79bd8f..c436943ea 100644
--- a/lib/app/modules/bulk_data/bulk_data_group_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_group_export_sequence.rb
@@ -24,6 +24,10 @@ def endpoint
       def resource_id
         @instance.group_id
       end
+
+      def type_parameter
+        'Patient'
+      end
     end
   end
 end
diff --git a/test/sequence/bulk_data/patient_export_sequence_test.rb b/test/sequence/bulk_data/patient_export_sequence_test.rb
index fe56c4afb..5e2bc00a6 100644
--- a/test/sequence/bulk_data/patient_export_sequence_test.rb
+++ b/test/sequence/bulk_data/patient_export_sequence_test.rb
@@ -249,10 +249,10 @@ def test_status_check_fail_invalid_response_header
     end
   end
 
-  def test_output_file_skip_empty_output
+  def test_output_file_fail_empty_output
     output = []
 
-    assert_raises Inferno::SkipException do
+    assert_raises Inferno::AssertionException do
       @sequence.assert_output_has_type_url(output)
     end
   end

From d62321fb6bcbdd5b6a2aa5d3431cfb62fb9385aa Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Wed, 9 Oct 2019 17:08:08 -0400
Subject: [PATCH 113/144] Add ndjson file check back

---
 .../bulk_data/bulk_data_export_sequence.rb    | 22 +++++++++----------
 1 file changed, 11 insertions(+), 11 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
index 605b8fbe3..ec1182a75 100644
--- a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
@@ -159,8 +159,6 @@ def check_cancel_request
           )
         end
 
-        skip 'Skip testing $export without parameters' if @server_supports_type_parameter && !run_all_kick_off_tests
-
         check_export_kick_off
       end
 
@@ -255,16 +253,18 @@ def check_cancel_request
         check_export_kick_off(search_params: { '_type' => type_parameter })
       end
 
-      # test 'Server shall return file in ndjson format' do
-      #   metadata do
-      #     id '06'
-      #     link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
-      #     description %(
-      #     )
-      #   end
+      test 'Server shall return FHIR resources in ndjson file' do
+        metadata do
+          id '10'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
+          description %(
+          )
+        end
 
-      #   check_file_request
-      # end
+        check_export_status
+        assert_output_has_type_url if @server_supports_type_parameter
+        check_file_request
+      end
 
       private
 

From dd0797f4ba650b28b9e6229a77aed79a2e50592b Mon Sep 17 00:00:00 2001
From: Chase <czhou@mitre.org>
Date: Thu, 10 Oct 2019 09:24:33 -0400
Subject: [PATCH 114/144] address github comments

---
 lib/app/sequence_base.rb        |  2 +-
 test/unit/sequence_base_test.rb | 42 ++++++++++++---------------------
 2 files changed, 16 insertions(+), 28 deletions(-)

diff --git a/lib/app/sequence_base.rb b/lib/app/sequence_base.rb
index 2901726a1..9eb48c4c2 100644
--- a/lib/app/sequence_base.rb
+++ b/lib/app/sequence_base.rb
@@ -738,7 +738,7 @@ def get_value_for_search_param(element)
         when FHIR::Coding
           element.code
         when FHIR::HumanName
-          element.family || element.given || element.text
+          element.family || element.given&.first || element.text
         when FHIR::Address
           element.text || element.city || element.state || element.postalCode || element.country
         else
diff --git a/test/unit/sequence_base_test.rb b/test/unit/sequence_base_test.rb
index a9a2abd48..4ab09f672 100644
--- a/test/unit/sequence_base_test.rb
+++ b/test/unit/sequence_base_test.rb
@@ -49,7 +49,7 @@ def set_resource_reference(resource, type)
     resource.recorder = new_reference
   end
 
-  describe '#retrieves value for search param' do
+  describe '#get_value_for_search_param' do
     before do
       instance = Inferno::Models::TestingInstance.create(selected_module: 'uscore_v3.0.0')
       client = FHIR::Client.new('')
@@ -57,35 +57,23 @@ def set_resource_reference(resource, type)
     end
 
     it 'returns value from period' do
-      element = FHIR::Period.new
-      element.start = 'now'
-      assert @sequence.get_value_for_search_param(element) == 'now'
-
-      element.start = nil
-      element.end = 'now'
-      assert @sequence.get_value_for_search_param(element) == 'now'
+      { start: 'now', end: 'later' }.each do |key, value|
+        element = FHIR::Period.new(key => value)
+        assert @sequence.get_value_for_search_param(element) == value
+      end
     end
 
     it 'returns value from address' do
-      element = FHIR::Address.new
-      element.state = 'mass'
-      assert @sequence.get_value_for_search_param(element) == 'mass'
-
-      element = FHIR::Address.new
-      element.text = 'mitre'
-      assert @sequence.get_value_for_search_param(element) == 'mitre'
-
-      element = FHIR::Address.new
-      element.postalCode = '12345'
-      assert @sequence.get_value_for_search_param(element) == '12345'
-
-      element = FHIR::Address.new
-      element.city = 'boston'
-      assert @sequence.get_value_for_search_param(element) == 'boston'
-
-      element = FHIR::Address.new
-      element.country = 'usa'
-      assert @sequence.get_value_for_search_param(element) == 'usa'
+      {
+        state: 'mass',
+        text: 'mitre',
+        postalCode: '12345',
+        city: 'boston',
+        country: 'usa'
+      }.each do |key, value|
+        element = FHIR::Address.new(key => value)
+        assert @sequence.get_value_for_search_param(element) == value
+      end
     end
   end
 end

From adec21f8872d2390549f13444e6f5fb6e33689a1 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Thu, 10 Oct 2019 12:08:06 -0400
Subject: [PATCH 115/144] Fix PR comment

---
 lib/app/modules/bulk_data/bulk_data_export_sequence.rb | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
index a2784a2da..295788bff 100644
--- a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
@@ -240,7 +240,7 @@ def check_cancel_request
 
       private
 
-      def export_kick_off(endpoint = nil,
+      def export_kick_off(endpoint,
                           id: nil,
                           search_params: nil,
                           headers: { accept: 'application/fhir+json', prefer: 'respond-async' })

From 39e911a3e9d5fedc692dd7d0158400a92fcd89fc Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Thu, 10 Oct 2019 16:26:13 -0400
Subject: [PATCH 116/144] Fix 508 issues on index.erb.

---
 lib/app/views/index.erb | 81 ++++++++++++++++++++++-------------------
 public/css/styles.css   | 22 +++++++++--
 public/js/app.js        | 15 +++++---
 3 files changed, 72 insertions(+), 46 deletions(-)

diff --git a/lib/app/views/index.erb b/lib/app/views/index.erb
index 4aceecb79..172c68945 100644
--- a/lib/app/views/index.erb
+++ b/lib/app/views/index.erb
@@ -2,57 +2,64 @@
 <div class="container">
   <div class="main index-page">
 
-    <% unless tls_testing_supported? %>
-      <div class="alert alert-warning" role="alert">
-        TLS testing does not appear to be available on this platform.
-        Please read the installation instructions for more information.
-      </div>
-    <% end %>
-
     <% if modules.length == 1%>
+      <h1><%=modules.first.title%></h1>
       <div class="index-description">
-        <h2><%=modules.first.title%></h2>
         <%= markdown_to_html(modules.first.description) %>
       </div>
     <% else %>
-      <p class='headline'>
+      <h1>Inferno FHIR Testing</h1>
+      <div class="headline">
+        <p>
           Inferno is an open source tool that tests whether patients can access their health data. It makes HTTP(S) requests to test your server's conformance to authentication, authorization, and FHIR content standards and reports the results back to you.
-          <br><br>
+        </p>
+        <p>
           Please choose a test set and enter a FHIR URI to begin testing.
-      </p>
-
+        </p>
+      </div>
     <% end%>
 
-    <h2>Start Testing</h2>
+    <% unless tls_testing_supported? %>
+      <div class="alert alert-warning" role="alert">
+        TLS testing does not appear to be available on this platform.
+        Please read the installation instructions for more information.
+      </div>
+    <% end %>
+
 
     <form method="POST" action="<%=base_path%>/">
-      <input type="hidden" name="client_endpoint_key" value="static" />
-      <%= erb(:module_options,{},modules: modules) %>
-      <div class="form-group">
-        <label for="fhir_server" class="endpoint-label sr-only">FHIR Server Endpoint</label>
-        <div class="input-group">
-          <input type="url" required class="form-control form-control-lg" name="fhir_server" placeholder="http://your-fhir-server.org" aria-label="Create App">
-          <div class="input-group-btn">
-            <button class="btn btn-lg btn-secondary" type="submit">Begin</button>
+      <fieldset>
+        <legend>Start Testing</legend>
+        <input type="hidden" name="client_endpoint_key" value="static" />
+        <%= erb(:module_options,{},modules: modules) %>
+        <div class="form-group">
+          <label for="fhir_server" class="endpoint-label sr-only">FHIR Server Endpoint</label>
+          <div class="input-group">
+            <input type="url" required class="form-control form-control-lg" id="fhir_server" name="fhir_server" placeholder="http://your-fhir-server.org" aria-label="Create App">
+            <div class="input-group-btn">
+              <button class="btn btn-lg btn-secondary" type="submit">Begin</button>
+            </div>
           </div>
-        </div>
 
-      </div>
-
-      <% if presets.present? %>
-        <% module_names = Array.new(modules.length).map!.with_index{ |mod, i| modules[i].name } %>
-        <div class="form-group">
-          <span class="oi oi-lightbulb"></span> Optionally, choose a preset vendor configuration to test:
-          <select class="custom-select custom-select-lg" name="preset" style="margin-left: 10px;" id="preset-select">
-            <option value="" data-module_names=<%=module_names.join(',')%> data-all=<%=presets.to_json.tr(' ', '_')%> data-selected="">None</option>
-            <% presets.each do |preset| %>
-              <option value="" data-module_names=<%=module_names.join(',')%> data-all=<%=presets.to_json.tr(' ', '_')%> data-selected=<%=preset.at(0)%>><%=preset.at(1)["name"]%></option>
-            <% end %>
-            <input type="hidden" name="preset" id="preset" value="" />
-          </select>
-          <a id="instructions-link" href="" target="_blank" style="display:none">Click here for instructions.</a>
         </div>
-      <% end %>
+
+        <% if presets.present? %>
+          <% module_names = Array.new(modules.length).map!.with_index{ |mod, i| modules[i].name } %>
+          <div class="form-group">
+            <label for="preset-select" class="preset-label">
+              <span class="oi oi-lightbulb"></span> Optionally, choose a preset vendor configuration to test:
+            </label>
+            <select class="custom-select custom-select-lg" name="preset" style="margin-left: 10px;" id="preset-select">
+              <option value="" data-module_names=<%=module_names.join(',')%> data-all=<%=presets.to_json.tr(' ', '_')%> data-selected="">None</option>
+              <% presets.each do |preset| %>
+                <option value="" data-module_names=<%=module_names.join(',')%> data-all=<%=presets.to_json.tr(' ', '_')%> data-selected=<%=preset.at(0)%>><%=preset.at(1)["name"]%></option>
+              <% end %>
+              <input type="hidden" name="preset" id="preset" value="" />
+            </select>
+            <a id="instructions-link" class="instructions-link" href="" target="_blank" style="display:none">Instructions</a>
+          </div>
+        <% end %>
+      </fieldset>
     </form>
 
     <div class='alert alert-warning'>
diff --git a/public/css/styles.css b/public/css/styles.css
index be7b28330..64c077b13 100644
--- a/public/css/styles.css
+++ b/public/css/styles.css
@@ -126,7 +126,7 @@ body {
 /* ------------------------- INDEX -------------------------------- */
 .headline {
   font-size: 1.8rem;
-  margin: 3rem 0 1rem;
+  margin: 1rem 0;
   font-weight: 100;
 }
 .logo {
@@ -152,6 +152,14 @@ body {
   height: 60px;
 }
 
+.index-page h1 {
+  margin-top: 2rem;
+}
+
+.index-page .instructions-link {
+  margin-left: 5px;
+}
+
 .index-page .form-check{
   font-size: 1.3rem;
 }
@@ -161,17 +169,23 @@ body {
   background-color: #999;
 }
 
-.index-page h2 {
+.index-page legend {
+  font-family: 'Roboto Condensed', sans-serif;
+  font-size: 2rem;
+  font-weight: 500;
   margin: 30px 0 10px;
-
 }
 
 .index-page .index-description p {
   font-size: 1.4rem;
-  margin: 40px 0;
+  margin: 20px 0;
 
 }
 
+.index-page .preset-label{
+  font-size: 1.3rem;
+}
+
 /* ------------------------- MAIN -------------------------------- */
 
 .endpoint-label {
diff --git a/public/js/app.js b/public/js/app.js
index 0b1a2d8e3..c6dde3505 100644
--- a/public/js/app.js
+++ b/public/js/app.js
@@ -348,7 +348,7 @@ $(function(){
     var modules = $('#preset-select option:selected').data('module_names').split(",");
     var preset = all[preset_id] == undefined ? "" : all[preset_id];
     
-    if (preset != "") {
+    if (preset !== "") {
       document.getElementById("preset-select").selectedIndex = Object.keys(all).indexOf(preset_id) + 1;
     }
 
@@ -358,14 +358,19 @@ $(function(){
     var preset_on = $el.val() == '' ? false : true;
 
     if (preset_on) {
-      modules.forEach(function(mod){document.getElementById(mod).disabled = true});
-      document.getElementById(preset.module).checked = true;
-      document.getElementById(preset.module).disabled = false;
+      modules.forEach(function(mod){$(document.getElementById(mod)).attr('disabled', true);});
+      presetCheck = document.getElementById(preset.module);
+      if(presetCheck){
+        $(presetCheck).prop("checked", true);
+        $(presetCheck).attr("disabled", false);
+      }
+
       document.getElementById("preset").value = JSON.stringify(preset);
       document.getElementById("instructions-link").style.display = preset.instructions == null ? "none" : "";
       document.getElementById("instructions-link").href = preset.instructions;
+
     } else {
-      modules.forEach(function(mod){document.getElementById(mod).disabled = false});
+      modules.forEach(function(mod){$(document.getElementById(mod)).attr('disabled', false)});
       document.getElementById("preset").value = "";
       document.getElementById("instructions-link").style.display = "none";
     }

From 2e8d7a52198845b40a7321f1aedef4ca3d030989 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Thu, 10 Oct 2019 16:40:41 -0400
Subject: [PATCH 117/144] Add ONC-Group test for USCDI requirement

---
 .../bulk_data/bulk_data_export_sequence.rb    | 78 ++++++++++++-------
 .../onc_bulk_data_group_export_sequence.rb    | 42 ++++++++++
 lib/app/modules/bulk_data_module.yml          |  1 +
 .../onc_group_export_sequence_test.rb         | 43 ++++++++++
 .../bulk_data/patient_export_sequence_test.rb |  9 +++
 5 files changed, 147 insertions(+), 26 deletions(-)
 create mode 100644 lib/app/modules/bulk_data/onc_bulk_data_group_export_sequence.rb
 create mode 100644 test/sequence/bulk_data/onc_group_export_sequence_test.rb

diff --git a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
index ec1182a75..fafe8d15f 100644
--- a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
@@ -9,7 +9,7 @@ class BulkDataExportSequence < SequenceBase
 
       description 'Verify that system level export on the Bulk Data server follow the Bulk Data Access Implementation Guide'
 
-      test_id_prefix 'System'
+      test_id_prefix 'BulkData'
 
       requires :token
 
@@ -55,7 +55,12 @@ def check_export_kick_off_fail_invalid_prefer
         assert_response_bad(reply)
       end
 
-      def check_export_status(url = @content_location, timeout: 180)
+      def check_export_kick_off_fail_invalid_parameter(search_params)
+        reply = export_kick_off(endpoint, resource_id, search_params: search_params)
+        assert_response_bad(reply)
+      end
+
+      def check_export_status(url = @content_location, timeout: 180, save_output: false)
         skip 'Server response did not have Content-Location in header' unless url.present?
         reply = export_status_check(url, timeout)
 
@@ -74,6 +79,10 @@ def check_export_status(url = @content_location, timeout: 180)
         assert_status_reponse_required_field(response_body)
 
         @output = response_body['output']
+        
+        if save_output
+          @saved_output = @output.clone
+        end
       end
 
       def assert_output_has_type_url(output = @output,
@@ -91,18 +100,21 @@ def assert_output_has_type_url(output = @output,
         end
       end
 
-      def check_file_request(output = @output)
+      def check_file_request(output = @output, index:0)
         skip 'Sever response did not have output data' unless output.present?
+        check_output_file(output[index])
+      end
+
+      def check_output_file(file)
+        return unless file.present?
 
         headers = { accept: 'application/fhir+ndjson' }
-        output.each do |file|
-          url = file['url']
-          type = file['type']
-          reply = @client.get(url, @client.fhir_headers(headers))
-          assert_response_content_type(reply, 'application/fhir+ndjson')
+        url = file['url']
+        type = file['type']
+        reply = @client.get(url, @client.fhir_headers(headers))
+        assert_response_content_type(reply, 'application/fhir+ndjson')
 
-          check_ndjson(reply.body, type)
-        end
+        check_ndjson(reply.body, type)
       end
 
       def check_ndjson(ndjson, type)
@@ -192,7 +204,7 @@ def check_cancel_request
           )
         end
 
-        check_export_status
+        check_export_status(save_output: true)
       end
 
       test 'Completed Status Check shall return output with type and url' do
@@ -206,17 +218,16 @@ def check_cancel_request
         assert_output_has_type_url
       end
 
-      # test 'Server shall export resources required by Patient Compartment' do
-      #   metadata do
-      #     id '07'
-      #     link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-status-request'
-      #     description %(
-      #     )
-      #   end
-
-      #   assert_output_has_type_url
-      # end
+      test 'Server shall return FHIR resources in ndjson file' do
+        metadata do
+          id '10'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
+          description %(
+          )
+        end
 
+        check_file_request
+      end
 
       test 'Server should return "202 Accepted" for delete export content' do
         metadata do
@@ -242,33 +253,48 @@ def check_cancel_request
         check_cancel_request
       end
 
-      test 'Server shall return "202 Accepted" and "Content-location" for $export operation with parameters' do
+      test 'Server shall return "202 Accepted" and "Content-location" for $export operation with _type parameters' do
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
           description %(
           )
+          optional
         end
 
         check_export_kick_off(search_params: { '_type' => type_parameter })
       end
 
-      test 'Server shall return FHIR resources in ndjson file' do
+      test 'Server shall return FHIR resources required by _type filter' do
         metadata do
           id '10'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
           description %(
           )
+          optional
         end
 
+        skip 'Server does not support _type parameter' unless @server_supports_type_parameter
+
         check_export_status
-        assert_output_has_type_url if @server_supports_type_parameter
-        check_file_request
+        assert_output_has_type_url
+      end
+
+      test 'Server shall reject $export operation with invalid _type parameters' do
+        metadata do
+          id '10'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
+          description %(
+          )
+          optional
+        end
+
+        check_export_kick_off_fail_invalid_parameter({'_type' => 'UnknownResource'})
       end
 
       private
 
-      def export_kick_off(endpoint = nil,
+      def export_kick_off(endpoint,
                           id = nil,
                           search_params: nil,
                           headers: { accept: 'application/fhir+json', prefer: 'respond-async' })
diff --git a/lib/app/modules/bulk_data/onc_bulk_data_group_export_sequence.rb b/lib/app/modules/bulk_data/onc_bulk_data_group_export_sequence.rb
new file mode 100644
index 000000000..1b790853e
--- /dev/null
+++ b/lib/app/modules/bulk_data/onc_bulk_data_group_export_sequence.rb
@@ -0,0 +1,42 @@
+# frozen_string_literal: true
+
+require_relative 'bulk_data_group_export_sequence'
+
+module Inferno
+  module Sequence
+    class OncBulkDataGroupExportSequence < BulkDataGroupExportSequence    
+      extends_sequence BulkDataGroupExportSequence
+
+      group 'ONC Bulk Data Group Export'
+
+      title 'ONC Group Compartment Export Tests'
+
+      description 'Verify that Group compartment export on the Bulk Data server follow ONC Health IT Certification'
+
+      test_id_prefix 'ONC-Group'      
+
+      def required_resources
+        ['AllergyIntolerance', 'CarePlan', 'CareTeam', 'Condition', 'Device', 'DiagnosticReport', 'DocumentReference', 'Goal', 'Immunization', 'Medication', 'MedicationStatement', 'MedicatinRequest', 'Observation', 'Patient', 'Procedure']
+      end
+
+      def check_output_type(output = @saved_output)
+        
+        output_types = output.map{|file| file['type']}
+
+        required_resources.each do |type|
+          skip "#{type} was not in Server bulk data output" unless output_types.include?(type)
+        end
+      end
+
+      test 'Server shall return FHIR resources required by ONC Health IT Certification' do
+        metadata do
+          id '01'
+          link 'https://www.hl7.org/fhir/us/core/general-guidance.html'
+          description %(
+          )
+        end
+        check_output_type
+      end
+    end
+  end
+end
\ No newline at end of file
diff --git a/lib/app/modules/bulk_data_module.yml b/lib/app/modules/bulk_data_module.yml
index d0b0ee543..6d900385d 100644
--- a/lib/app/modules/bulk_data_module.yml
+++ b/lib/app/modules/bulk_data_module.yml
@@ -14,4 +14,5 @@ test_sets:
         sequences:
           - BulkDataPatientExportSequence
           - BulkDataGroupExportSequence
+          - OncBulkDataGroupExportSequence
 
diff --git a/test/sequence/bulk_data/onc_group_export_sequence_test.rb b/test/sequence/bulk_data/onc_group_export_sequence_test.rb
new file mode 100644
index 000000000..3e9415cd5
--- /dev/null
+++ b/test/sequence/bulk_data/onc_group_export_sequence_test.rb
@@ -0,0 +1,43 @@
+# frozen_string_literal: true
+
+require_relative '../../test_helper'
+
+class OncBulkDataGroupExportSequenceTest < MiniTest::Test
+  def setup
+    @instance = Inferno::Models::TestingInstance.new(
+      url: 'http://www.example.com',
+      client_name: 'Inferno',
+      base_url: 'http://localhost:4567',
+      client_endpoint_key: Inferno::SecureRandomBase62.generate(32),
+      client_id: SecureRandom.uuid,
+      selected_module: 'bulk_data',
+      oauth_authorize_endpoint: 'http://oauth_reg.example.com/authorize',
+      oauth_token_endpoint: 'http://oauth_reg.example.com/token',
+      scopes: 'launch openid patient/*.* profile',
+      token: 99_897_979
+    )
+
+    @instance.save!
+    client = FHIR::Client.new(@instance.url)
+    client.use_stu3
+    client.default_json
+
+    @sequence = Inferno::Sequence::OncBulkDataGroupExportSequence.new(@instance, client, true)
+
+    @expected_output = @sequence.required_resources.map{|type| {'type' => type}}
+  end
+
+  def test_check_output_type_pass_with_required_types
+    assert @sequence.check_output_type(@expected_output)
+  end
+
+  def test_check_output_type_fail_with_missing_type
+    actual_output = @expected_output.clone
+    actual_output.pop
+
+    assert_raises Inferno::SkipException do
+      @sequence.check_output_type(actual_output)
+    end
+  end
+
+end
\ No newline at end of file
diff --git a/test/sequence/bulk_data/patient_export_sequence_test.rb b/test/sequence/bulk_data/patient_export_sequence_test.rb
index 5e2bc00a6..d009adb97 100644
--- a/test/sequence/bulk_data/patient_export_sequence_test.rb
+++ b/test/sequence/bulk_data/patient_export_sequence_test.rb
@@ -117,6 +117,14 @@ def include_export_stub_invalid_prefer
       )
   end
 
+  def include_export_stub_invalid_parameter
+    stub_request(:get, 'http://www.example.com/Patient/$export?_type=UnknownResource')
+      .with(headers: @export_request_headers)
+      .to_return(
+        status: 400
+      )
+  end
+
   def include_status_check_stub(status_code: 200,
                                 response_headers: { content_type: 'application/json' },
                                 response_body: @complete_status)
@@ -154,6 +162,7 @@ def test_all_pass
     include_export_stub
     include_export_stub_invalid_accept
     include_export_stub_invalid_prefer
+    include_export_stub_invalid_parameter
     include_status_check_stub
     include_file_request_stub
     include_delete_request_stub

From b1563bec635d55a1c7503957ac8528c17356c78b Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Thu, 10 Oct 2019 20:03:13 -0400
Subject: [PATCH 118/144] Fix main page 508 issues.

---
 lib/app/views/default.erb             | 27 ++++++-------
 lib/app/views/guided.erb              | 17 ++++----
 lib/app/views/state_status.erb        | 56 +++++++++++++--------------
 lib/app/views/test_details.erb        |  2 +-
 lib/app/views/test_result_details.erb |  2 +-
 5 files changed, 49 insertions(+), 55 deletions(-)

diff --git a/lib/app/views/default.erb b/lib/app/views/default.erb
index d4f530de4..8d38bf6db 100644
--- a/lib/app/views/default.erb
+++ b/lib/app/views/default.erb
@@ -13,18 +13,13 @@
       <div class="container row row-no-padding align-items-center">
 
         <div class="col-8">
-          <a href="<%=instance.base_url%><%base_path%>"><img src='/images/icon_logo.png' alt='Inferno Logo'></a>
+          <a href="<%=instance.base_url%><%base_path%>"><img src='/images/icon_logo.png' alt='Inferno Logo Small'></a>
           <span class="server-name">
             <%=instance.url%>
           </span>
         </div>
         <div class="col-4 server-actions" style='text-align:right;'>
 
-          <!--- not yet implemented -->
-          <div style="display:none" data-toggle="tooltip" title="Print Results">
-            <a href="<%=instance.base_url%><%=base_path%>/<%=instance.id%>/print/" class="btn btn-outline-secondary"><span class="oi oi-print" aria-hidden="true"></span></a>
-          </div>
-
           <% if instance.module.test_sets.length > 1 %>
             <div class="dropdown">
               <button class="btn btn-sm btn-outline-secondary dropdown-toggle" type="button" id="dropdownMenuButton" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">
@@ -166,11 +161,11 @@
           >
           <div class="form-check form-check-inline">
             <input class="form-check-input" type="radio" name="confidential_client" id="confidential_client_off" value="false" <%=!instance.confidential_client ? "checked" : "" %>>
-            <label class="form-check-label" for="confidential_client_off_active">Public Client</label>
+            <label class="form-check-label" for="confidential_client_off">Public Client</label>
           </div>
           <div class="form-check form-check-inline" data-requiredby>
             <input class="form-check-input" type="radio" name="confidential_client" id="confidential_client_on" value="true" <%=instance.confidential_client ? "checked" : "" %>>
-            <label class="form-check-label" for="confidential_client_on_active">Confidential Client</label>        
+            <label class="form-check-label" for="confidential_client_on">Confidential Client</label>
           </div>
         </div>
 
@@ -316,11 +311,11 @@
   </div>
 <% end %>
 
-<div class="modal fade" id="stateModal" tabindex="-1" role="dialog" aria-labelledby="exampleModalLabel" aria-hidden="true">
+<div class="modal fade" id="stateModal" tabindex="-1" role="dialog" aria-labelledby="stateStatusLabel" aria-hidden="true">
   <div class="modal-dialog modal-lg" role="document">
     <div class="modal-content">
       <div class="modal-header">
-        <h5 class="modal-title" id="exampleModalLabel">State</h5>
+        <h5 class="modal-title" id="stateStatusLabel">State</h5>
         <button type="button" class="close" data-dismiss="modal" aria-label="Close">
           <span aria-hidden="true">&times;</span>
         </button>
@@ -332,7 +327,7 @@
   </div>
 </div>
 
-<div class="modal fade" id="testResultDetailsModal" tabindex="-1" role="dialog" aria-labelledby="testResultDetailsModalLabel" aria-hidden="true">
+<div class="modal fade" id="testResultDetailsModal" tabindex="-1" role="dialog" aria-hidden="true">
   <div class="modal-dialog modal-lg" role="document">
     <div class="modal-content">
     </div>
@@ -340,14 +335,14 @@
   </div>
 </div>
 
-<div class="modal fade" id="testDetailsModal" tabindex="-1" role="dialog" aria-labelledby="testDetailsModalLabel" aria-hidden="true">
+<div class="modal fade" id="testDetailsModal" tabindex="-1" role="dialog" aria-hidden="true">
   <div class="modal-dialog modal-lg" role="document">
     <div class="modal-content">
     </div>
   </div>
 </div>
 
-<div class="modal fade" id="linkModal" tabindex="-1" role="dialog" aria-labelledby="linkModalLabel" aria-hidden="true">
+<div class="modal fade" id="linkModal" tabindex="-1" role="dialog" aria-hidden="true">
   <div class="modal-dialog modal-lg" role="document">
     <div class="modal-content">
       <div class="modal-header">
@@ -357,11 +352,11 @@
         </button>
       </div>
       <div class="modal-body">
-        <p>
+        <label for="save_uri">
           The results recorded during this testing session can be accessed at the following URI.
           Please save this URI if you would like to revisit these results, as this secret URI will not be published.
-        </p>
-          <input type="text" class="form-control" value="<%=instance.base_url%><%=base_path%>/<%=instance.id%>/" readonly="readonly">
+        </label>
+        <input id="save_uri" type="text" class="form-control" value="<%=instance.base_url%><%=base_path%>/<%=instance.id%>/" readonly="readonly">
         <p class='alert alert-warning'>
           This URI is not guaranteed to be permanently accessible.  The team maintaining this instance of Inferno may choose to periodically clear the database.  To ensure that test results are saved indefinitely, it is recommended that users download, install, and use Inferno on their own hardware.
         </p>
diff --git a/lib/app/views/guided.erb b/lib/app/views/guided.erb
index 112bac458..fe7be7790 100644
--- a/lib/app/views/guided.erb
+++ b/lib/app/views/guided.erb
@@ -13,7 +13,7 @@
       <div class="container row row-no-padding align-items-center">
 
         <div class="col-8">
-          <a href="<%=instance.base_url%><%base_path%>"><img src='/images/icon_logo.png' alt='Inferno Logo'></a>
+          <a href="<%=instance.base_url%><%base_path%>"><img src='/images/icon_logo.png' alt='Inferno Logo Small'></a>
           <span class="server-name">
             <%=instance.url%>
           </span>
@@ -334,11 +334,11 @@
           >
           <div class="form-check form-check-inline">
             <input class="form-check-input" type="radio" name="confidential_client" id="confidential_client_off" value="false" <%=!instance.confidential_client ? "checked" : "" %>>
-            <label class="form-check-label" for="confidential_client_off_active">Public Client</label>
+            <label class="form-check-label" for="confidential_client_off">Public Client</label>
           </div>
           <div class="form-check form-check-inline" data-requiredby>
             <input class="form-check-input" type="radio" name="confidential_client" id="confidential_client_on" value="true" <%=instance.confidential_client ? "checked" : "" %>>
-            <label class="form-check-label" for="confidential_client_on_active">Confidential Client</label>
+            <label class="form-check-label" for="confidential_client_on">Confidential Client</label>
           </div>
 
         </div>
@@ -500,15 +500,14 @@
   </div>
 </div>
 
-<div class="modal fade" id="testResultDetailsModal" tabindex="-1" role="dialog" aria-labelledby="testResultDetailsModalLabel" aria-hidden="true">
+<div class="modal fade" id="testResultDetailsModal" tabindex="-1" role="dialog" aria-hidden="true">
   <div class="modal-dialog modal-lg" role="document">
     <div class="modal-content">
     </div>
-
   </div>
 </div>
 
-<div class="modal fade" id="testDetailsModal" tabindex="-1" role="dialog" aria-labelledby="testDetailsModalLabel" aria-hidden="true">
+<div class="modal fade" id="testDetailsModal" tabindex="-1" role="dialog" aria-hidden="true">
   <div class="modal-dialog modal-lg" role="document">
     <div class="modal-content">
     </div>
@@ -525,11 +524,11 @@
         </button>
       </div>
       <div class="modal-body">
-        <p>
+        <label for="save_uri">
           The results recorded during this testing session can be accessed at the following URI.
           Please save this URI if you would like to revisit these results, as this secret URI will not be published.
-        </p>
-          <input type="text" class="form-control" value="<%=instance.base_url%><%=base_path%>/<%=instance.id%>/" readonly="readonly">
+        </label>
+        <input id="save_uri" type="text" class="form-control" value="<%=instance.base_url%><%=base_path%>/<%=instance.id%>/" readonly="readonly">
         <p class='alert alert-warning'>
           This URI is not guaranteed to be permanently accessible.  The team maintaining this instance of Inferno may choose to periodically clear the database.  To ensure that test results are saved indefinitely, it is recommended that users download, install, and use Inferno on their own hardware.
         </p>
diff --git a/lib/app/views/state_status.erb b/lib/app/views/state_status.erb
index d235ca195..ad1eccb82 100644
--- a/lib/app/views/state_status.erb
+++ b/lib/app/views/state_status.erb
@@ -1,17 +1,17 @@
 <div class="client-state">
 
     <div class="form-group row">
-      <label class="col-sm-2 col-form-label">FHIR URI</label>
+      <label class="col-sm-2 col-form-label" for="state_fhir_uri">FHIR URI</label>
       <div class="col-sm-10">
-        <input type="text" class="form-control" value="<%=instance.url %>" disabled>
+        <input type="text" class="form-control" id="state_fhir_uri" value="<%=instance.url %>" disabled>
       </div>
     </div>
 
     <% unless instance.fhir_version.nil? %>
       <div class="form-group row">
-        <label class="col-sm-2 col-form-label">FHIR Version</label>
+        <label class="col-sm-2 col-form-label" for="state_fhir_version">FHIR Version</label>
         <div class="col-sm-10">
-          <input type="text" class="form-control" value="<%=instance.fhir_version.upcase %>" disabled>
+          <input type="text" class="form-control" id="state_fhir_version"value="<%=instance.fhir_version.upcase %>" disabled>
         </div>
       </div>
     <% end %>
@@ -33,39 +33,39 @@
     <h4>OAuth Server Endpoints</h4>
 
     <div class="form-group row">
-      <label class="col-sm-2 col-form-label">OAuth Auth</label>
+      <label class="col-sm-2 col-form-label" for="state_oauth_auth">OAuth Auth</label>
       <div class="col-sm-10">
-        <input type="text" class="form-control" value="<%=instance.oauth_authorize_endpoint %>" disabled>
+        <input type="text" class="form-control" id="state_oauth_auth" value="<%=instance.oauth_authorize_endpoint %>" disabled>
       </div>
     </div>
 
     <div class="form-group row">
-      <label class="col-sm-2 col-form-label">OAuth Token</label>
+      <label class="col-sm-2 col-form-label" for="state_oauth_token">OAuth Token</label>
       <div class="col-sm-10">
-        <input type="text" class="form-control" value="<%=instance.oauth_token_endpoint %>" disabled>
+        <input type="text" class="form-control" id="state_oauth_token" value="<%=instance.oauth_token_endpoint %>" disabled>
       </div>
     </div>
 
     <div class="form-group row">
-      <label class="col-sm-2 col-form-label">OAuth Reg</label>
+      <label class="col-sm-2 col-form-label" for="state_oauth_reg">OAuth Reg</label>
       <div class="col-sm-10">
-        <input type="text" class="form-control" value="<%=instance.oauth_register_endpoint %>" disabled>
+        <input type="text" class="form-control" id="state_oauth_reg" value="<%=instance.oauth_register_endpoint %>" disabled>
       </div>
     </div>
 
     <h4>Client OAuth Endpoints</h4>
 
     <div class="form-group row">
-      <label class="col-sm-2 col-form-label">Launch URI</label>
+      <label class="col-sm-2 col-form-label" for="state_launch_uri">Launch URI</label>
       <div class="col-sm-10">
-        <input type="text" class="form-control" value="<%=instance.initiate_login_uri %>" disabled>
+        <input type="text" class="form-control" id="state_launch_uri" value="<%=instance.initiate_login_uri %>" disabled>
       </div>
     </div>
 
     <div class="form-group row">
-      <label class="col-sm-2 col-form-label">Redir URI</label>
+      <label class="col-sm-2 col-form-label" for="state_redir_uri">Redir URI</label>
       <div class="col-sm-10">
-        <input type="text" class="form-control" value="<%=instance.redirect_uris %>" disabled>
+        <input type="text" class="form-control" id="state_redir_uri" value="<%=instance.redirect_uris %>" disabled>
       </div>
     </div>
 
@@ -73,46 +73,46 @@
     <h4>OAuth Client Data</h4>
 
     <div class="form-group row">
-      <label class="col-sm-2 col-form-label">Scopes</label>
+      <label class="col-sm-2 col-form-label" for="state_scopes">Scopes</label>
       <div class="col-sm-10">
-        <input type="text" class="form-control" value="<%=instance.scopes %>" disabled>
+        <input type="text" class="form-control" id="state_scopes" value="<%=instance.scopes %>" disabled>
       </div>
     </div>
 
     <div class="form-group row">
-      <label class="col-sm-2 col-form-label">Client ID</label>
+      <label class="col-sm-2 col-form-label" for="state_client_id">Client ID</label>
       <div class="col-sm-10">
-        <input type="text" class="form-control" value="<%=instance.client_id %>" disabled>
+        <input type="text" class="form-control" id="state_client_id" value="<%=instance.client_id %>" disabled>
       </div>
     </div>
 
     <% if instance.confidential_client %>
     <div class="form-group row">
-      <label class="col-sm-2 col-form-label">Client Secret</label>
+      <label class="col-sm-2 col-form-label" for="state_client_secret">Client Secret</label>
       <div class="col-sm-10">
-        <input type="text" class="form-control" value="<%=instance.client_secret %>" disabled>
+        <input type="text" class="form-control" id="state_client_secret" value="<%=instance.client_secret %>" disabled>
       </div>
     </div>
     <%end %>
 
     <div class="form-group row">
-      <label class="col-sm-2 col-form-label">Client State</label>
+      <label class="col-sm-2 col-form-label" for="state_client_state">Client State</label>
       <div class="col-sm-10">
-        <input type="text" class="form-control" value="<%=instance.state %>" disabled>
+        <input type="text" class="form-control" id="state_client_state" value="<%=instance.state %>" disabled>
       </div>
     </div>
 
     <div class="form-group row">
-      <label class="col-sm-2 col-form-label">Bearer Token</label>
+      <label class="col-sm-2 col-form-label" for="state_bearer_token">Bearer Token</label>
       <div class="col-sm-10">
-        <input type="text" class="form-control" value="<%=instance.token %>" disabled>
+        <input type="text" class="form-control" id="state_bearer_token" value="<%=instance.token %>" disabled>
       </div>
     </div>
 
     <div class="form-group row">
-      <label class="col-sm-2 col-form-label">Refresh Token</label>
+      <label class="col-sm-2 col-form-label" for="state_refresh_token">Refresh Token</label>
       <div class="col-sm-10">
-        <input type="text" class="form-control" value="<%=instance.refresh_token %>" disabled>
+        <input type="text" class="form-control" id="state_refresh_token" value="<%=instance.refresh_token %>" disabled>
       </div>
     </div>
 
@@ -120,9 +120,9 @@
       <h4>Authorized Resources</h4>
       <%instance.resource_references.map(&:resource_type).uniq.each do |resource_type| %>
         <div class="form-group row">
-          <label class="col-sm-2 col-form-label"><%=resource_type %></label>
+          <label class="col-sm-2 col-form-label" for="state_<%=resource_type.downcase%>%>"><%=resource_type %></label>
           <div class="col-sm-10">
-            <texatarea readonly class="form-control" rows=3><%=instance.resource_references.select{|r| r.resource_type == resource_type}.map(&:resource_id).join(', ') %></textarea>
+            <texatarea readonly class="form-control" id="state_<%=resource_type.downcase%>%>" rows=3><%=instance.resource_references.select{|r| r.resource_type == resource_type}.map(&:resource_id).join(', ') %></textarea>
           </div>
         </div>
       <% end %>
diff --git a/lib/app/views/test_details.erb b/lib/app/views/test_details.erb
index b3587397c..dc61c18d4 100644
--- a/lib/app/views/test_details.erb
+++ b/lib/app/views/test_details.erb
@@ -1,5 +1,5 @@
 <div class="modal-header">
-  <h5 class="modal-title" id="exampleModalLabel">
+  <h5 class="modal-title" id="testDetailsModalLabel">
     <%=@test.id %>:
     Test Details: <%=@test.name %>
   </h5>
diff --git a/lib/app/views/test_result_details.erb b/lib/app/views/test_result_details.erb
index 548af81cd..c42db4bbf 100644
--- a/lib/app/views/test_result_details.erb
+++ b/lib/app/views/test_result_details.erb
@@ -1,5 +1,5 @@
 <div class="modal-header">
-  <h5 class="modal-title" id="exampleModalLabel">
+  <h5 class="modal-title" id="testResultDetailsModalLabel">
     Test Result: <%=@test_result.result.titleize %>
   </h5>
   <button type="button" class="close" data-dismiss="modal" aria-label="Close">

From 96c5b740f865e06c4ba9e153260ea7f8c1c52d05 Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Fri, 11 Oct 2019 11:09:25 -0400
Subject: [PATCH 119/144] 508 fixes for report and some contrast problems.

---
 lib/app/views/report.erb | 12 ++++++------
 public/css/styles.css    | 21 +++++++++++++--------
 2 files changed, 19 insertions(+), 14 deletions(-)

diff --git a/lib/app/views/report.erb b/lib/app/views/report.erb
index e057f49f9..f250712f4 100644
--- a/lib/app/views/report.erb
+++ b/lib/app/views/report.erb
@@ -17,7 +17,7 @@
           <div class="metrics-value">
             <%=report_summary[:final_result].to_s.upcase%>
           </div>
-          <div class="text-muted">
+          <div>
             Final Result
           </div>
         </div>
@@ -27,7 +27,7 @@
               <div class="metrics-value-small">
                 <%=report_summary[:request_response] %>
               </div>
-              <div class="text-muted">
+              <div>
                 Requests
               </div>
             </div>
@@ -35,7 +35,7 @@
               <div class="metrics-value-small">
                 <%=report_summary[:resource_references]%>
               </div>
-              <div class="text-muted">
+              <div>
                 Resource References
               </div>
             </div>
@@ -43,7 +43,7 @@
               <div class="metrics-value-small">
                 <%=report_summary[:supported_resources]%> / <%=report_summary[:resources_tested]%>
               </div>
-              <div class="text-muted">
+              <div>
                 Supported Resources
               </div>
             </div>
@@ -53,7 +53,7 @@
               <div class="metrics-value-small">
                 <%=report_summary[:fhir_version].upcase%>
               </div>
-              <div class="text-muted">
+              <div>
                 FHIR Version
               </div>
             </div>
@@ -61,7 +61,7 @@
               <div class="metrics-value-small">
                 <%=report_summary[:app_version]%>
               </div>
-              <div class="text-muted">
+              <div>
                 Inferno Version
               </div>
             </div>
diff --git a/public/css/styles.css b/public/css/styles.css
index 64c077b13..b81a811fb 100644
--- a/public/css/styles.css
+++ b/public/css/styles.css
@@ -6,6 +6,10 @@ html {
   min-width: 960px;
 }
 
+a {
+  color: #004fa5;
+}
+
 @font-face {
   font-family: 'Source Sans Pro';
   src: url('../source-sans/SourceSansPro-Regular.ttf') format('truetype'),
@@ -332,7 +336,8 @@ body {
   padding: 0;
   vertical-align: initial;
   border: none;
-  color: #007bff;
+  color: #00308c;
+  font-weight: bold;
   background: none;
 }
  .sequence-expand-button:hover {
@@ -413,7 +418,7 @@ body {
 }
 
 .sequence-score-error {
-  background-color: #f0f;
+  background-color: #900390;
   color: #fff;
   border: 2px solid #fff;
   padding-top: 3px;
@@ -482,7 +487,7 @@ body {
 }
 
 .group-nav-score-error {
-  background-color: #f0f;
+  background-color: #900390;
   color: #fff;
   border: 2px solid #fff;
   padding-top: 3px;
@@ -539,7 +544,7 @@ body {
 }
 
 .group-score-error {
-  background-color: #f0f;
+  background-color: #900390;
   color: #fff;
   border: 2px solid #fff;
   padding-top: 3px;
@@ -678,7 +683,7 @@ body {
 }
 
 .nav.nav-tabs.result-details-tabs .nav-link{
-  color: #007bff;
+  color: #00308c;
   padding: .25rem .8rem;
 }
 
@@ -704,7 +709,7 @@ body {
   padding: 0;
   vertical-align: initial;
   border: none;
-  color: #007bff;
+  color: #1679c7;
   background: none;
   cursor: pointer;
 }
@@ -718,7 +723,7 @@ body {
   padding: 0;
   vertical-align: initial;
   border: none;
-  color: #007bff;
+  color: #00308c;
   background: none;
   cursor: pointer;
 }
@@ -750,7 +755,7 @@ body {
 }
 
 .result-details-icon-error {
-  color: #f0f;
+  color: #900390;
   padding-top: 3px;
   font-weight: bold;
   width: 11px;

From 75e4b885ad9943d0c20b0187b2d727e08b3b4a03 Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Fri, 11 Oct 2019 11:20:23 -0400
Subject: [PATCH 120/144] Reduce size of javascript function.

---
 public/js/app.js | 4 +---
 1 file changed, 1 insertion(+), 3 deletions(-)

diff --git a/public/js/app.js b/public/js/app.js
index c6dde3505..5e0a18a7d 100644
--- a/public/js/app.js
+++ b/public/js/app.js
@@ -361,8 +361,7 @@ $(function(){
       modules.forEach(function(mod){$(document.getElementById(mod)).attr('disabled', true);});
       presetCheck = document.getElementById(preset.module);
       if(presetCheck){
-        $(presetCheck).prop("checked", true);
-        $(presetCheck).attr("disabled", false);
+        $(presetCheck).prop("checked", true).attr("disabled", false);
       }
 
       document.getElementById("preset").value = JSON.stringify(preset);
@@ -374,7 +373,6 @@ $(function(){
       document.getElementById("preset").value = "";
       document.getElementById("instructions-link").style.display = "none";
     }
-
   }
 
   // Call when we initially load

From a2c5051e7a4dae40204838a21b7ba627df5bd579 Mon Sep 17 00:00:00 2001
From: Michael O'Keefe <mokeefe@mitre.org>
Date: Fri, 11 Oct 2019 14:28:15 -0400
Subject: [PATCH 121/144] Fix Cancelling a test in progress

---
 lib/app/endpoint/test_set_endpoints.rb | 10 +++++-----
 1 file changed, 5 insertions(+), 5 deletions(-)

diff --git a/lib/app/endpoint/test_set_endpoints.rb b/lib/app/endpoint/test_set_endpoints.rb
index b513e38fb..85e76023a 100644
--- a/lib/app/endpoint/test_set_endpoints.rb
+++ b/lib/app/endpoint/test_set_endpoints.rb
@@ -86,12 +86,12 @@ def self.included(klass)
             sequence.tests.each_with_index do |test, index|
               next if index < current_test_count
 
-              sequence_result.test_results << Inferno::Models::TestResult.new(test_id: test[:test_id],
-                                                                              name: test[:name],
+              sequence_result.test_results << Inferno::Models::TestResult.new(test_id: test.id,
+                                                                              name: test.name,
                                                                               result: 'cancel',
-                                                                              url: test[:url],
-                                                                              description: test[:description],
-                                                                              test_index: test[:test_index],
+                                                                              url: test.link,
+                                                                              description: test.description,
+                                                                              test_index: test.index,
                                                                               message: cancel_message)
             end
 

From 041e28d0cc71c8e8f0354a836afbd62a9e1e65a4 Mon Sep 17 00:00:00 2001
From: Michael O'Keefe <mokeefe@mitre.org>
Date: Fri, 11 Oct 2019 14:37:56 -0400
Subject: [PATCH 122/144] Fix two HTML ID Attributes that were malformed
 because of double-quotes in the string

---
 lib/app/views/guided.erb | 4 ++--
 lib/app/views/report.erb | 2 +-
 2 files changed, 3 insertions(+), 3 deletions(-)

diff --git a/lib/app/views/guided.erb b/lib/app/views/guided.erb
index 112bac458..63a9d7c86 100644
--- a/lib/app/views/guided.erb
+++ b/lib/app/views/guided.erb
@@ -114,8 +114,8 @@
               <div class='align-items-center'>
                 <div class='group-overview-box'>
                   <% if group.test_cases.length > 1 %>
-                    
-                    <a class="sequence-anchor" id="<%=group.test_cases.map {|tc| tc.sequence.sequence_name}%>" name="<%=group.test_cases.map {|tc| tc.sequence.sequence_name}.join(',')%>"></a>
+
+                    <a class="sequence-anchor" id="<%=group.test_cases.map {|tc| tc.sequence.sequence_name}.join(',')%>" name="<%=group.test_cases.map {|tc| tc.sequence.sequence_name}.join(',')%>"></a>
 
                   <% end %>
                   <h1>
diff --git a/lib/app/views/report.erb b/lib/app/views/report.erb
index e057f49f9..bcf9efab2 100644
--- a/lib/app/views/report.erb
+++ b/lib/app/views/report.erb
@@ -76,7 +76,7 @@
         <div class='row align-items-center'>
           <div class='col'>
             <% if group.test_cases.length > 1 %>
-              <a class="sequence-anchor" id="<%=group.test_cases.map {|tc| tc.sequence.sequence_name}%>" name="<%=group.test_cases.map {|tc| tc.sequence.sequence_name}.join(',')%>"></a>
+              <a class="sequence-anchor" id="<%=group.test_cases.map {|tc| tc.sequence.sequence_name}.join(',')%>" name="<%=group.test_cases.map {|tc| tc.sequence.sequence_name}.join(',')%>"></a>
             <% end %>
             <h3>
               <%= group.name %>

From 0c84520e2fff264b47e7c9eab0f47f168ae7536c Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Fri, 11 Oct 2019 16:56:27 -0400
Subject: [PATCH 123/144] Fix rubocop issue.

---
 test/unit/sequence_base_test.rb | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/test/unit/sequence_base_test.rb b/test/unit/sequence_base_test.rb
index 7dee6560d..3eca25a93 100644
--- a/test/unit/sequence_base_test.rb
+++ b/test/unit/sequence_base_test.rb
@@ -76,7 +76,7 @@ def set_resource_reference(resource, type)
       end
     end
   end
-  
+
   describe '#fetch_all_bundled_resources' do
     before do
       @bundle1 = FHIR.from_contents(load_fixture(:bundle_1))

From 29ef92729b8e02a0dacce8d7ebfaff002151d7d4 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Mon, 14 Oct 2019 09:44:58 -0400
Subject: [PATCH 124/144] Remove additional test case

---
 .../bulk_data/bulk_data_export_sequence.rb    | 60 ++++++++++---------
 .../onc_bulk_data_group_export_sequence.rb    |  6 +-
 lib/app/modules/bulk_data_module.yml          |  1 -
 3 files changed, 36 insertions(+), 31 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
index fafe8d15f..a09f17ac5 100644
--- a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
@@ -27,6 +27,10 @@ def type_parameter
         endpoint
       end
 
+      def save_output?
+        false
+      end
+
       def check_export_kick_off(search_params: nil)
         @search_params = search_params
         reply = export_kick_off(endpoint, resource_id, search_params: search_params)
@@ -60,7 +64,7 @@ def check_export_kick_off_fail_invalid_parameter(search_params)
         assert_response_bad(reply)
       end
 
-      def check_export_status(url = @content_location, timeout: 180, save_output: false)
+      def check_export_status(url = @content_location, timeout: 180)
         skip 'Server response did not have Content-Location in header' unless url.present?
         reply = export_status_check(url, timeout)
 
@@ -79,34 +83,33 @@ def check_export_status(url = @content_location, timeout: 180, save_output: fals
         assert_status_reponse_required_field(response_body)
 
         @output = response_body['output']
-        
-        if save_output
-          @saved_output = @output.clone
-        end
       end
 
-      def assert_output_has_type_url(output = @output,
-                                     search_params = @search_params)
+      def assert_output_has_type_url(output = @output)
         assert output.present?, 'Sever response did not have output data'
 
-        search_type = search_params['_type'].split(',').map(&:strip) if search_params&.key?('_type')
-
         output.each do |file|
           ['type', 'url'].each do |key|
             assert file.key?(key), "Output file did not contain \"#{key}\" as required"
           end
+        end
+      end
+
+      def assert_output_has_correct_type(output = @output,
+        search_params = @search_params)
+        assert output.present?, 'Sever response did not have output data'
 
-          assert search_type.include?(file['type']), "Output file had type #{file['type']} not specified in export parameter #{search_params['_type']}" if search_type.present?
+        search_type = search_params['_type'].split(',').map(&:strip) if search_params&.key?('_type')
+
+        output.each do |file|
+        assert search_type.include?(file['type']), "Output file had type #{file['type']} not specified in export parameter #{search_params['_type']}" if search_type.present?
         end
       end
 
       def check_file_request(output = @output, index:0)
         skip 'Sever response did not have output data' unless output.present?
-        check_output_file(output[index])
-      end
 
-      def check_output_file(file)
-        return unless file.present?
+        file = output[index]
 
         headers = { accept: 'application/fhir+ndjson' }
         url = file['url']
@@ -126,8 +129,8 @@ def check_ndjson(ndjson, type)
         end
       end
 
-      def check_delete_request(url)
-        reply = @client.delete(url, {})
+      def check_delete_request
+        reply = delete_export
         skip 'Server did not accept client request to delete export file after export completed' if is_4xx_error?(reply)
         assert_response_accepted(reply)
       end
@@ -135,7 +138,11 @@ def check_delete_request(url)
       def check_cancel_request
         @content_location = nil
         check_export_kick_off
-        check_delete_request(@content_location)
+        check_delete_request
+      end
+
+      def delete_export(url = @content_location)
+        @client.delete(url, {})
       end
 
       details %(
@@ -204,7 +211,7 @@ def check_cancel_request
           )
         end
 
-        check_export_status(save_output: true)
+        check_export_status
       end
 
       test 'Completed Status Check shall return output with type and url' do
@@ -220,7 +227,7 @@ def check_cancel_request
 
       test 'Server shall return FHIR resources in ndjson file' do
         metadata do
-          id '10'
+          id '07'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
           description %(
           )
@@ -229,16 +236,16 @@ def check_cancel_request
         check_file_request
       end
 
-      test 'Server should return "202 Accepted" for delete export content' do
+      test 'Server shall return "202 Accepted" for delete export request' do
         metadata do
-          id '07'
+          id '08'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
           description %(
           )
           optional
         end
 
-        check_delete_request(@content_location)
+        check_delete_request
       end
 
       test 'Server shall return "202 Accepted" for cancel export request' do
@@ -277,12 +284,13 @@ def check_cancel_request
         skip 'Server does not support _type parameter' unless @server_supports_type_parameter
 
         check_export_status
-        assert_output_has_type_url
+        assert_output_has_correct_type
+        delete_export
       end
 
       test 'Server shall reject $export operation with invalid _type parameters' do
         metadata do
-          id '10'
+          id '11'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
           description %(
           )
@@ -341,10 +349,6 @@ def get_wait_time(wait_time, reply)
         end
       end
 
-      def delete_request(url)
-        @client.delete(url)
-      end
-
       def assert_status_reponse_required_field(response_body)
         ['transactionTime', 'request', 'requiresAccessToken', 'output', 'error'].each do |key|
           assert response_body.key?(key), "Complete Status response did not contain \"#{key}\" as required"
diff --git a/lib/app/modules/bulk_data/onc_bulk_data_group_export_sequence.rb b/lib/app/modules/bulk_data/onc_bulk_data_group_export_sequence.rb
index 1b790853e..00c99b489 100644
--- a/lib/app/modules/bulk_data/onc_bulk_data_group_export_sequence.rb
+++ b/lib/app/modules/bulk_data/onc_bulk_data_group_export_sequence.rb
@@ -13,13 +13,15 @@ class OncBulkDataGroupExportSequence < BulkDataGroupExportSequence
 
       description 'Verify that Group compartment export on the Bulk Data server follow ONC Health IT Certification'
 
-      test_id_prefix 'ONC-Group'      
+      test_id_prefix 'ONC-Group'    
+
+      requires :group_id, :token
 
       def required_resources
         ['AllergyIntolerance', 'CarePlan', 'CareTeam', 'Condition', 'Device', 'DiagnosticReport', 'DocumentReference', 'Goal', 'Immunization', 'Medication', 'MedicationStatement', 'MedicatinRequest', 'Observation', 'Patient', 'Procedure']
       end
 
-      def check_output_type(output = @saved_output)
+      def check_output_type(output = @output)
         
         output_types = output.map{|file| file['type']}
 
diff --git a/lib/app/modules/bulk_data_module.yml b/lib/app/modules/bulk_data_module.yml
index 6d900385d..d0b0ee543 100644
--- a/lib/app/modules/bulk_data_module.yml
+++ b/lib/app/modules/bulk_data_module.yml
@@ -14,5 +14,4 @@ test_sets:
         sequences:
           - BulkDataPatientExportSequence
           - BulkDataGroupExportSequence
-          - OncBulkDataGroupExportSequence
 

From ad7bdc22a08073c64ebe049c6629a06d2fd9c961 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Mon, 14 Oct 2019 10:29:18 -0400
Subject: [PATCH 125/144] remove extra test cases

---
 .../bulk_data/bulk_data_export_sequence.rb    | 20 ++++-----
 .../onc_bulk_data_group_export_sequence.rb    | 44 -------------------
 lib/app/modules/bulk_data_module.yml          |  3 +-
 .../onc_group_export_sequence_test.rb         | 43 ------------------
 .../bulk_data/patient_export_sequence_test.rb |  2 +-
 5 files changed, 10 insertions(+), 102 deletions(-)
 delete mode 100644 lib/app/modules/bulk_data/onc_bulk_data_group_export_sequence.rb
 delete mode 100644 test/sequence/bulk_data/onc_group_export_sequence_test.rb

diff --git a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
index c201c77ea..4293eccd0 100644
--- a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
@@ -96,17 +96,17 @@ def assert_output_has_type_url(output = @output)
       end
 
       def assert_output_has_correct_type(output = @output,
-        search_params = @search_params)
+                                         search_params = @search_params)
         assert output.present?, 'Sever response did not have output data'
 
         search_type = search_params['_type'].split(',').map(&:strip) if search_params&.key?('_type')
 
         output.each do |file|
-        assert search_type.include?(file['type']), "Output file had type #{file['type']} not specified in export parameter #{search_params['_type']}" if search_type.present?
+          assert search_type.include?(file['type']), "Output file had type #{file['type']} not specified in export parameter #{search_params['_type']}" if search_type.present?
         end
       end
 
-      def check_file_request(output = @output, index:0)
+      def check_file_request(output = @output, index: 0)
         skip 'Sever response did not have output data' unless output.present?
 
         file = output[index]
@@ -250,7 +250,7 @@ def delete_export(url = @content_location)
 
       test 'Server shall return "202 Accepted" for cancel export request' do
         metadata do
-          id '08'
+          id '09'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
           description %(
           )
@@ -262,7 +262,7 @@ def delete_export(url = @content_location)
 
       test 'Server shall return "202 Accepted" and "Content-location" for $export operation with _type parameters' do
         metadata do
-          id '09'
+          id '10'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
           description %(
           )
@@ -274,7 +274,7 @@ def delete_export(url = @content_location)
 
       test 'Server shall return FHIR resources required by _type filter' do
         metadata do
-          id '10'
+          id '11'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
           description %(
           )
@@ -290,24 +290,20 @@ def delete_export(url = @content_location)
 
       test 'Server shall reject $export operation with invalid _type parameters' do
         metadata do
-          id '11'
+          id '12'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
           description %(
           )
           optional
         end
 
-        check_export_kick_off_fail_invalid_parameter({'_type' => 'UnknownResource'})
+        check_export_kick_off_fail_invalid_parameter('_type' => 'UnknownResource')
       end
 
       private
 
       def export_kick_off(endpoint,
-<<<<<<< HEAD
                           id = nil,
-=======
-                          id: nil,
->>>>>>> e3640888dc7ccfba66647b614728e0849bd53102
                           search_params: nil,
                           headers: { accept: 'application/fhir+json', prefer: 'respond-async' })
         url = ''
diff --git a/lib/app/modules/bulk_data/onc_bulk_data_group_export_sequence.rb b/lib/app/modules/bulk_data/onc_bulk_data_group_export_sequence.rb
deleted file mode 100644
index 00c99b489..000000000
--- a/lib/app/modules/bulk_data/onc_bulk_data_group_export_sequence.rb
+++ /dev/null
@@ -1,44 +0,0 @@
-# frozen_string_literal: true
-
-require_relative 'bulk_data_group_export_sequence'
-
-module Inferno
-  module Sequence
-    class OncBulkDataGroupExportSequence < BulkDataGroupExportSequence    
-      extends_sequence BulkDataGroupExportSequence
-
-      group 'ONC Bulk Data Group Export'
-
-      title 'ONC Group Compartment Export Tests'
-
-      description 'Verify that Group compartment export on the Bulk Data server follow ONC Health IT Certification'
-
-      test_id_prefix 'ONC-Group'    
-
-      requires :group_id, :token
-
-      def required_resources
-        ['AllergyIntolerance', 'CarePlan', 'CareTeam', 'Condition', 'Device', 'DiagnosticReport', 'DocumentReference', 'Goal', 'Immunization', 'Medication', 'MedicationStatement', 'MedicatinRequest', 'Observation', 'Patient', 'Procedure']
-      end
-
-      def check_output_type(output = @output)
-        
-        output_types = output.map{|file| file['type']}
-
-        required_resources.each do |type|
-          skip "#{type} was not in Server bulk data output" unless output_types.include?(type)
-        end
-      end
-
-      test 'Server shall return FHIR resources required by ONC Health IT Certification' do
-        metadata do
-          id '01'
-          link 'https://www.hl7.org/fhir/us/core/general-guidance.html'
-          description %(
-          )
-        end
-        check_output_type
-      end
-    end
-  end
-end
\ No newline at end of file
diff --git a/lib/app/modules/bulk_data_module.yml b/lib/app/modules/bulk_data_module.yml
index d0b0ee543..f204be5df 100644
--- a/lib/app/modules/bulk_data_module.yml
+++ b/lib/app/modules/bulk_data_module.yml
@@ -10,8 +10,7 @@ test_sets:
       - name: Discovery
         sequences:
           - BulkDataCapabilityStatementSequence
-      - name: Patient export
+      - name: Group Export
         sequences:
-          - BulkDataPatientExportSequence
           - BulkDataGroupExportSequence
 
diff --git a/test/sequence/bulk_data/onc_group_export_sequence_test.rb b/test/sequence/bulk_data/onc_group_export_sequence_test.rb
deleted file mode 100644
index 3e9415cd5..000000000
--- a/test/sequence/bulk_data/onc_group_export_sequence_test.rb
+++ /dev/null
@@ -1,43 +0,0 @@
-# frozen_string_literal: true
-
-require_relative '../../test_helper'
-
-class OncBulkDataGroupExportSequenceTest < MiniTest::Test
-  def setup
-    @instance = Inferno::Models::TestingInstance.new(
-      url: 'http://www.example.com',
-      client_name: 'Inferno',
-      base_url: 'http://localhost:4567',
-      client_endpoint_key: Inferno::SecureRandomBase62.generate(32),
-      client_id: SecureRandom.uuid,
-      selected_module: 'bulk_data',
-      oauth_authorize_endpoint: 'http://oauth_reg.example.com/authorize',
-      oauth_token_endpoint: 'http://oauth_reg.example.com/token',
-      scopes: 'launch openid patient/*.* profile',
-      token: 99_897_979
-    )
-
-    @instance.save!
-    client = FHIR::Client.new(@instance.url)
-    client.use_stu3
-    client.default_json
-
-    @sequence = Inferno::Sequence::OncBulkDataGroupExportSequence.new(@instance, client, true)
-
-    @expected_output = @sequence.required_resources.map{|type| {'type' => type}}
-  end
-
-  def test_check_output_type_pass_with_required_types
-    assert @sequence.check_output_type(@expected_output)
-  end
-
-  def test_check_output_type_fail_with_missing_type
-    actual_output = @expected_output.clone
-    actual_output.pop
-
-    assert_raises Inferno::SkipException do
-      @sequence.check_output_type(actual_output)
-    end
-  end
-
-end
\ No newline at end of file
diff --git a/test/sequence/bulk_data/patient_export_sequence_test.rb b/test/sequence/bulk_data/patient_export_sequence_test.rb
index d009adb97..4e403d683 100644
--- a/test/sequence/bulk_data/patient_export_sequence_test.rb
+++ b/test/sequence/bulk_data/patient_export_sequence_test.rb
@@ -277,7 +277,7 @@ def test_output_file_fail_no_url
   def test_output_file_fail_unmached_type
     search_params = { '_type' => 'Condition' }
     assert_raises Inferno::AssertionException do
-      @sequence.assert_output_has_type_url(@complete_status['output'], search_params)
+      @sequence.assert_output_has_correct_type(@complete_status['output'], search_params)
     end
   end
 

From b461247e88e8a9d0f03b91e2fa4fc33dd3ede8c2 Mon Sep 17 00:00:00 2001
From: Michael O'Keefe <mokeefe@mitre.org>
Date: Thu, 10 Oct 2019 08:42:19 -0400
Subject: [PATCH 126/144] Add a log of which valueset validators have been
 added to Inferno, and display that in a modal when you click on the version #
 in the UI. Also add some tests for terminology.

---
 lib/app/utils/terminology.rb                  |   5 ++++
 lib/app/views/layout.erb                      |  22 ++++++++++++++-
 lib/app/views/server_state.erb                |  19 +++++++++++++
 ...org_fhir_us_core_ValueSet_birthsex.msgpack | Bin 0 -> 540 bytes
 ..._ValueSet_us-core-narrative-status.msgpack | Bin 0 -> 540 bytes
 test/fixtures/validators/manifest.yml         |   9 +++++++
 test/unit/terminology_test.rb                 |  25 ++++++++++++++++++
 7 files changed, 79 insertions(+), 1 deletion(-)
 create mode 100644 lib/app/views/server_state.erb
 create mode 100644 test/fixtures/validators/hl7_org_fhir_us_core_ValueSet_birthsex.msgpack
 create mode 100644 test/fixtures/validators/hl7_org_fhir_us_core_ValueSet_us-core-narrative-status.msgpack
 create mode 100644 test/fixtures/validators/manifest.yml
 create mode 100644 test/unit/terminology_test.rb

diff --git a/lib/app/utils/terminology.rb b/lib/app/utils/terminology.rb
index 590005527..d8ef4f371 100644
--- a/lib/app/utils/terminology.rb
+++ b/lib/app/utils/terminology.rb
@@ -127,6 +127,7 @@ def self.load_validators(directory = 'resources/terminology/validators/bloom')
         # Register the validators with FHIR Models for validation
         FHIR::DSTU2::StructureDefinition.validates_vs(validator[:url], &validate_fn)
         FHIR::StructureDefinition.validates_vs(validator[:url], &validate_fn)
+        @@loaded_validators[validator[:url]] = validator[:count]
       end
     end
 
@@ -134,6 +135,10 @@ def self.get_valueset(url)
       @known_valuesets[url].valueset || raise(UnknownValueSetException, url)
     end
 
+    def self.loaded_validators
+      @@loaded_validators
+    end
+
     class UnknownValueSetException < StandardError
       def initialize(value_set)
         super("Unknown ValueSet: #{value_set}")
diff --git a/lib/app/views/layout.erb b/lib/app/views/layout.erb
index e37fd6097..d3bcc2118 100644
--- a/lib/app/views/layout.erb
+++ b/lib/app/views/layout.erb
@@ -39,6 +39,24 @@
     </script>
 
     <%= yield %>
+
+    <!-- global modals -->
+    <div class="modal fade" id="ServerStatusModal" tabindex="-1" role="dialog" aria-labelledby="ServerStatusModalLabel" aria-hidden="true">
+      <div class="modal-dialog modal-lg" role="document">
+        <div class="modal-content">
+          <div class="modal-header">
+            <h5 class="modal-title" id="ServerStatusModalLabel">Server State</h5>
+            <button type="button" class="close" data-dismiss="modal" aria-label="Close">
+              <span aria-hidden="true">&times;</span>
+            </button>
+          </div>
+          <div class="modal-body">
+            <%= erb(:server_state, {}, {}) %>
+          </div>
+        </div>
+      </div>
+    </div>
+
     <footer class="footer">
       <div class="container row">
         <div class="col-sm text-left">
@@ -48,7 +66,9 @@
           <a target="_blank" href="https://github.com/onc-healthit/inferno/issues">Issues</a>
         </div>
         <div class="col-sm text-right">
-          Version <%= version %>
+          <a href="#" data-toggle="modal" data-target="#ServerStatusModal">
+            Version <%= version %>
+          </a>
         </div>
       </div>
     </footer>
diff --git a/lib/app/views/server_state.erb b/lib/app/views/server_state.erb
new file mode 100644
index 000000000..70d8df06f
--- /dev/null
+++ b/lib/app/views/server_state.erb
@@ -0,0 +1,19 @@
+<div id="server-state">
+  <h4>Valuesets Used in Inferno:</h4>
+  <table class="table table-striped">
+    <thead>
+      <tr>
+        <th>Valueset URL</th>
+        <th>Code count</th>
+      </tr>
+    </thead>
+    <tbody>
+      <% Inferno::Terminology.loaded_validators.sort.each do |url, count| %>
+        <tr>
+          <td><%= url %></td>
+          <td><%= count %></td>
+        </tr>
+      <% end %>
+    </tbody>
+  </table>
+</div>
diff --git a/test/fixtures/validators/hl7_org_fhir_us_core_ValueSet_birthsex.msgpack b/test/fixtures/validators/hl7_org_fhir_us_core_ValueSet_birthsex.msgpack
new file mode 100644
index 0000000000000000000000000000000000000000..b6d5a232c394e9b8916a0432a130876e6737fbaa
GIT binary patch
literal 540
zcmX@XB*8T4w0%I5@1>6`|4cl=#K}1IEF%Lm*IEAOw;2C2U;q{j5e5bUEMh1^4GfGZ
zd~`0VB#hSpW8kIHOa`h2>vMo=g1Q$|6;vLRg6U*nP(YDnLg9fpm?9WTPy_@R5TS>|
oK|muFQ1rk#kU+*E30H;0K-h&O2x4-e%YgjB=m3&}fCdN!0Kt<G(f|Me

literal 0
HcmV?d00001

diff --git a/test/fixtures/validators/hl7_org_fhir_us_core_ValueSet_us-core-narrative-status.msgpack b/test/fixtures/validators/hl7_org_fhir_us_core_ValueSet_us-core-narrative-status.msgpack
new file mode 100644
index 0000000000000000000000000000000000000000..23270d6bdb56b0aee32fab372d2b0cca95d3ea30
GIT binary patch
literal 540
zcmX@XB*8T4w0%I5@1>6`|4cl=#K}1IEF%LG*IEAOw;2C2z<>jcK@`maQKdkXVuT_V
z1d~Ko15xUs&O%Yk!oVT`6mUQhB)~y6hY4LZ)EgWOsOr#_f%%MBMd5-3q~Yo)WH^BI
Jql7-lQvg*{4+#JO

literal 0
HcmV?d00001

diff --git a/test/fixtures/validators/manifest.yml b/test/fixtures/validators/manifest.yml
new file mode 100644
index 000000000..6c4525989
--- /dev/null
+++ b/test/fixtures/validators/manifest.yml
@@ -0,0 +1,9 @@
+---
+- :url: http://hl7.org/fhir/us/core/ValueSet/us-core-narrative-status
+  :file: hl7_org_fhir_us_core_ValueSet_us-core-narrative-status.msgpack
+  :count: 2
+  :type: bloom
+- :url: http://hl7.org/fhir/us/core/ValueSet/birthsex
+  :file: hl7_org_fhir_us_core_ValueSet_birthsex.msgpack
+  :count: 3
+  :type: bloom
diff --git a/test/unit/terminology_test.rb b/test/unit/terminology_test.rb
new file mode 100644
index 000000000..b3898af5e
--- /dev/null
+++ b/test/unit/terminology_test.rb
@@ -0,0 +1,25 @@
+# frozen_string_literal: true
+
+require_relative '../test_helper'
+
+class TerminologyTest < Minitest::Test
+  NARRATIVE_STATUS_VS = 'http://hl7.org/fhir/us/core/ValueSet/us-core-narrative-status'
+  BIRTH_SEX_VS = 'http://hl7.org/fhir/us/core/ValueSet/birthsex'
+
+  def setup
+    # Load a minimal set of validators
+    # Note: these could already be loaded through sequence_base
+    Inferno::Terminology.load_validators('test/fixtures/validators')
+  end
+
+  def test_validator_hash_counts
+    assert_equal 2, Inferno::Terminology.loaded_validators[NARRATIVE_STATUS_VS]
+    assert_equal 3, Inferno::Terminology.loaded_validators[BIRTH_SEX_VS]
+  end
+
+  def test_validators_set_on_structure_definition
+    refute_nil FHIR::DSTU2::StructureDefinition.vs_validators[NARRATIVE_STATUS_VS], "No validator function set on StructureDefinition for the #{NARRATIVE_STATUS_VS} valueset"
+
+    refute_nil FHIR::DSTU2::StructureDefinition.vs_validators[BIRTH_SEX_VS], "No validator function set on StructureDefinition for the #{BIRTH_SEX_VS} valueset"
+  end
+end

From f5a196b3ce44ca10b1656d1695408e480cab9760 Mon Sep 17 00:00:00 2001
From: Michael O'Keefe <mokeefe@mitre.org>
Date: Thu, 10 Oct 2019 12:13:50 -0400
Subject: [PATCH 127/144] Rename 'code count' to 'concept count'

---
 lib/app/views/server_state.erb | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/lib/app/views/server_state.erb b/lib/app/views/server_state.erb
index 70d8df06f..c3a57ffdf 100644
--- a/lib/app/views/server_state.erb
+++ b/lib/app/views/server_state.erb
@@ -4,7 +4,7 @@
     <thead>
       <tr>
         <th>Valueset URL</th>
-        <th>Code count</th>
+        <th>Concept Count</th>
       </tr>
     </thead>
     <tbody>

From accf867650359fe708e239e36c6cbd8dccea8924 Mon Sep 17 00:00:00 2001
From: Michael O'Keefe <mokeefe@mitre.org>
Date: Fri, 11 Oct 2019 07:32:45 -0400
Subject: [PATCH 128/144] Use a class instance variable for the
 loaded_variables Hash

---
 lib/app/utils/terminology.rb | 9 ++++-----
 1 file changed, 4 insertions(+), 5 deletions(-)

diff --git a/lib/app/utils/terminology.rb b/lib/app/utils/terminology.rb
index d8ef4f371..09776fefe 100644
--- a/lib/app/utils/terminology.rb
+++ b/lib/app/utils/terminology.rb
@@ -20,6 +20,9 @@ class Terminology
 
     @known_valuesets = {}
 
+    @loaded_validators = {}
+    class << self; attr_reader :loaded_validators; end
+
     def self.load_valuesets_from_directory(directory, include_subdirectories = false)
       directory += '/**/' if include_subdirectories
       valueset_files = Dir["#{directory}/ValueSet*"]
@@ -127,7 +130,7 @@ def self.load_validators(directory = 'resources/terminology/validators/bloom')
         # Register the validators with FHIR Models for validation
         FHIR::DSTU2::StructureDefinition.validates_vs(validator[:url], &validate_fn)
         FHIR::StructureDefinition.validates_vs(validator[:url], &validate_fn)
-        @@loaded_validators[validator[:url]] = validator[:count]
+        @loaded_validators[validator[:url]] = validator[:count]
       end
     end
 
@@ -135,10 +138,6 @@ def self.get_valueset(url)
       @known_valuesets[url].valueset || raise(UnknownValueSetException, url)
     end
 
-    def self.loaded_validators
-      @@loaded_validators
-    end
-
     class UnknownValueSetException < StandardError
       def initialize(value_set)
         super("Unknown ValueSet: #{value_set}")

From c384ed812de370db65db21dd22ccf1479a28611b Mon Sep 17 00:00:00 2001
From: Michael O'Keefe <mokeefe@mitre.org>
Date: Fri, 11 Oct 2019 07:33:55 -0400
Subject: [PATCH 129/144] Change modal title, and add a description of how to
 load the validators if they're empty

---
 lib/app/views/layout.erb       |  2 +-
 lib/app/views/server_state.erb | 34 ++++++++++++++++++++--------------
 2 files changed, 21 insertions(+), 15 deletions(-)

diff --git a/lib/app/views/layout.erb b/lib/app/views/layout.erb
index d3bcc2118..491cacdf1 100644
--- a/lib/app/views/layout.erb
+++ b/lib/app/views/layout.erb
@@ -45,7 +45,7 @@
       <div class="modal-dialog modal-lg" role="document">
         <div class="modal-content">
           <div class="modal-header">
-            <h5 class="modal-title" id="ServerStatusModalLabel">Server State</h5>
+            <h5 class="modal-title" id="ServerStatusModalLabel">Server Configuration</h5>
             <button type="button" class="close" data-dismiss="modal" aria-label="Close">
               <span aria-hidden="true">&times;</span>
             </button>
diff --git a/lib/app/views/server_state.erb b/lib/app/views/server_state.erb
index c3a57ffdf..b82b09063 100644
--- a/lib/app/views/server_state.erb
+++ b/lib/app/views/server_state.erb
@@ -1,19 +1,25 @@
 <div id="server-state">
   <h4>Valuesets Used in Inferno:</h4>
-  <table class="table table-striped">
-    <thead>
-      <tr>
-        <th>Valueset URL</th>
-        <th>Concept Count</th>
-      </tr>
-    </thead>
-    <tbody>
-      <% Inferno::Terminology.loaded_validators.sort.each do |url, count| %>
+  <% if Inferno::Terminology.loaded_validators.count.zero? %>
+    <p>No valuesets are loaded. To load valueset validators, follow the instructions
+    <a href="https://github.com/onc-healthit/inferno/wiki/Installing-Terminology-Validators" target="_blank">in our wiki</a>.
+    </p>
+  <% else %>
+    <table class="table table-striped">
+      <thead>
         <tr>
-          <td><%= url %></td>
-          <td><%= count %></td>
+          <th>Valueset URL</th>
+          <th>Concept Count</th>
         </tr>
-      <% end %>
-    </tbody>
-  </table>
+      </thead>
+      <tbody>
+        <% Inferno::Terminology.loaded_validators.sort.each do |url, count| %>
+          <tr>
+            <td><%= url %></td>
+            <td><%= count %></td>
+          </tr>
+        <% end %>
+      </tbody>
+    </table>
+    <% end #if %>
 </div>

From 2b0d365ac79eba5f5d61c1992e2ebf192884be14 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Mon, 14 Oct 2019 12:21:44 -0400
Subject: [PATCH 130/144] Remove save_output?

---
 lib/app/modules/bulk_data/bulk_data_export_sequence.rb      | 6 +-----
 .../modules/bulk_data/bulk_data_group_export_sequence.rb    | 4 ----
 2 files changed, 1 insertion(+), 9 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
index 4293eccd0..3d2df6331 100644
--- a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
@@ -24,11 +24,7 @@ def resource_id
       end
 
       def type_parameter
-        endpoint
-      end
-
-      def save_output?
-        false
+        'Patient'
       end
 
       def check_export_kick_off(search_params: nil)
diff --git a/lib/app/modules/bulk_data/bulk_data_group_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_group_export_sequence.rb
index c436943ea..9ad79bd8f 100644
--- a/lib/app/modules/bulk_data/bulk_data_group_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_group_export_sequence.rb
@@ -24,10 +24,6 @@ def endpoint
       def resource_id
         @instance.group_id
       end
-
-      def type_parameter
-        'Patient'
-      end
     end
   end
 end

From 43b955bc66384b972b5bb1323aa1cefd7fb0d6cb Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Mon, 14 Oct 2019 12:56:40 -0400
Subject: [PATCH 131/144] Remove bulk_data from config.yml

---
 config.yml | 2 --
 1 file changed, 2 deletions(-)

diff --git a/config.yml b/config.yml
index 929039fdc..4dd5124f5 100644
--- a/config.yml
+++ b/config.yml
@@ -44,8 +44,6 @@ modules:
   - smart
   - argonaut
   - uscore_v3.0.0
-  - uscore_v3.0.1
-  - bulk_data
 
 # preset fhir servers: optional. Minimally requires name, uri, module, optional inferno_uri, client_id, client_secret, scopes, instructions link
 presets:

From 6b82fd5181262220a04bc4c3353cab1c0db016a6 Mon Sep 17 00:00:00 2001
From: Hershil Patel <hershil@mitre.org>
Date: Mon, 14 Oct 2019 17:05:43 -0400
Subject: [PATCH 132/144] updated link

---
 lib/app/modules/onc_program/onc_smart_discovery_sequence.rb | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/lib/app/modules/onc_program/onc_smart_discovery_sequence.rb b/lib/app/modules/onc_program/onc_smart_discovery_sequence.rb
index 5d9d96031..8ab6497a6 100644
--- a/lib/app/modules/onc_program/onc_smart_discovery_sequence.rb
+++ b/lib/app/modules/onc_program/onc_smart_discovery_sequence.rb
@@ -65,7 +65,7 @@ class ONCSMARTDiscoverySequence < SMARTDiscoverySequence
       test 'Well-known configuration declares support for required capabilities' do
         metadata do
           id '06'
-          link 'http://hl7.org/fhir/smart-app-launch/conformance/index.html#using-well-known'
+          link 'http://hl7.org/fhir/smart-app-launch/conformance/index.html#core-capabilities'
           description %(
             A SMART on FHIR server SHALL convey its capabilities to app
             developers by listing a set of the capabilities. The following

From 088ec03dcd503637474c732f0b941616665a9956 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Mon, 14 Oct 2019 18:36:27 -0400
Subject: [PATCH 133/144] Remove delete_request

---
 .../bulk_data/bulk_data_export_sequence.rb    | 34 ++++---------------
 1 file changed, 6 insertions(+), 28 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
index 3d2df6331..c8db50441 100644
--- a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
@@ -125,20 +125,11 @@ def check_ndjson(ndjson, type)
         end
       end
 
-      def check_delete_request
-        reply = delete_export
-        skip 'Server did not accept client request to delete export file after export completed' if is_4xx_error?(reply)
-        assert_response_accepted(reply)
-      end
-
       def check_cancel_request
         @content_location = nil
         check_export_kick_off
-        check_delete_request
-      end
-
-      def delete_export(url = @content_location)
-        @client.delete(url, {})
+        reply = @client.delete(@content_location, {})
+        assert_response_accepted(reply)
       end
 
       details %(
@@ -232,21 +223,9 @@ def delete_export(url = @content_location)
         check_file_request
       end
 
-      test 'Server shall return "202 Accepted" for delete export request' do
-        metadata do
-          id '08'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
-          description %(
-          )
-          optional
-        end
-
-        check_delete_request
-      end
-
       test 'Server shall return "202 Accepted" for cancel export request' do
         metadata do
-          id '09'
+          id '08'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
           description %(
           )
@@ -258,7 +237,7 @@ def delete_export(url = @content_location)
 
       test 'Server shall return "202 Accepted" and "Content-location" for $export operation with _type parameters' do
         metadata do
-          id '10'
+          id '09'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
           description %(
           )
@@ -270,7 +249,7 @@ def delete_export(url = @content_location)
 
       test 'Server shall return FHIR resources required by _type filter' do
         metadata do
-          id '11'
+          id '10'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
           description %(
           )
@@ -281,12 +260,11 @@ def delete_export(url = @content_location)
 
         check_export_status
         assert_output_has_correct_type
-        delete_export
       end
 
       test 'Server shall reject $export operation with invalid _type parameters' do
         metadata do
-          id '12'
+          id '11'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
           description %(
           )

From 68b42244f83d2162fca9ce94e5eaf6f81a6307db Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Mon, 14 Oct 2019 22:18:50 -0400
Subject: [PATCH 134/144] add _since parameter

---
 .../modules/bulk_data/bulk_data_export_sequence.rb   | 12 ++++++++++++
 1 file changed, 12 insertions(+)

diff --git a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
index c8db50441..cb36026eb 100644
--- a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
@@ -274,6 +274,18 @@ def check_cancel_request
         check_export_kick_off_fail_invalid_parameter('_type' => 'UnknownResource')
       end
 
+      test 'Server shall return "202 Accepted" and "Content-location" for $export operation with _since parameters' do
+        metadata do
+          id '09'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
+          description %(
+          )
+          optional
+        end
+
+        check_export_kick_off(search_params: { '_type' => type_parameter, '_since' => '2019-01-01' })
+      end
+
       private
 
       def export_kick_off(endpoint,

From d7cbcbe3a9bcc31e4f4f422e9eb59f56e4fbe09f Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Tue, 15 Oct 2019 09:55:18 -0400
Subject: [PATCH 135/144] finiah _since parameter

---
 .../bulk_data/bulk_data_export_sequence.rb    | 29 ++++++++++++++-----
 .../bulk_data/patient_export_sequence_test.rb | 26 +++++++++++++++--
 2 files changed, 45 insertions(+), 10 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
index cb36026eb..674d6a494 100644
--- a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
@@ -102,15 +102,18 @@ def assert_output_has_correct_type(output = @output,
         end
       end
 
+      def get_file(file)
+        headers = { accept: 'application/fhir+ndjson' }
+        url = file['url']
+        @client.get(url, @client.fhir_headers(headers))
+      end
+
       def check_file_request(output = @output, index: 0)
         skip 'Sever response did not have output data' unless output.present?
 
         file = output[index]
-
-        headers = { accept: 'application/fhir+ndjson' }
-        url = file['url']
         type = file['type']
-        reply = @client.get(url, @client.fhir_headers(headers))
+        reply = get_file(file)
         assert_response_content_type(reply, 'application/fhir+ndjson')
 
         check_ndjson(reply.body, type)
@@ -235,7 +238,7 @@ def check_cancel_request
         check_cancel_request
       end
 
-      test 'Server shall return "202 Accepted" and "Content-location" for $export operation with _type parameters' do
+      test 'Server should accept $export operation with _type parameters' do
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
@@ -274,9 +277,9 @@ def check_cancel_request
         check_export_kick_off_fail_invalid_parameter('_type' => 'UnknownResource')
       end
 
-      test 'Server shall return "202 Accepted" and "Content-location" for $export operation with _since parameters' do
+      test 'Server should $export operation with _since parameters' do
         metadata do
-          id '09'
+          id '12'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
           description %(
           )
@@ -286,6 +289,18 @@ def check_cancel_request
         check_export_kick_off(search_params: { '_type' => type_parameter, '_since' => '2019-01-01' })
       end
 
+      test 'Server shall rejct $export operation with invalid _since parameters' do
+        metadata do
+          id '13'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
+          description %(
+          )
+          optional
+        end
+
+        check_export_kick_off_fail_invalid_parameter('_type' => type_parameter, '_since' => '2018-13-13')
+      end
+
       private
 
       def export_kick_off(endpoint,
diff --git a/test/sequence/bulk_data/patient_export_sequence_test.rb b/test/sequence/bulk_data/patient_export_sequence_test.rb
index 4e403d683..dc143a971 100644
--- a/test/sequence/bulk_data/patient_export_sequence_test.rb
+++ b/test/sequence/bulk_data/patient_export_sequence_test.rb
@@ -84,6 +84,16 @@ def include_export_stub_type_patient(status_code: 202,
       )
   end
 
+  def include_export_stub_type_patient_since_2019(status_code: 202,
+                                                  response_headers: { content_location: @content_location })
+    stub_request(:get, 'http://www.example.com/Patient/$export?_since=2019-01-01&_type=Patient')
+      .with(headers: @export_request_headers)
+      .to_return(
+        status: status_code,
+        headers: response_headers
+      )
+  end
+
   def include_export_stub_type_patient_not_supports(status_code: 400,
                                                     response_headers: { content_location: @content_location })
 
@@ -117,7 +127,7 @@ def include_export_stub_invalid_prefer
       )
   end
 
-  def include_export_stub_invalid_parameter
+  def include_export_stub_invalid_type
     stub_request(:get, 'http://www.example.com/Patient/$export?_type=UnknownResource')
       .with(headers: @export_request_headers)
       .to_return(
@@ -125,6 +135,14 @@ def include_export_stub_invalid_parameter
       )
   end
 
+  def include_export_stub_invalid_since
+    stub_request(:get, 'http://www.example.com/Patient/$export?_since=2018-13-13&_type=Patient')
+      .with(headers: @export_request_headers)
+      .to_return(
+        status: 400
+      )
+  end
+
   def include_status_check_stub(status_code: 200,
                                 response_headers: { content_type: 'application/json' },
                                 response_body: @complete_status)
@@ -158,11 +176,13 @@ def test_all_pass
     WebMock.reset!
 
     include_export_stub_no_token
-    include_export_stub_type_patient
     include_export_stub
     include_export_stub_invalid_accept
     include_export_stub_invalid_prefer
-    include_export_stub_invalid_parameter
+    include_export_stub_type_patient
+    include_export_stub_invalid_type
+    include_export_stub_type_patient_since_2019
+    include_export_stub_invalid_since
     include_status_check_stub
     include_file_request_stub
     include_delete_request_stub

From e40e8a4d717d01486a5aa326bcefa3496c479322 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Tue, 15 Oct 2019 10:31:00 -0400
Subject: [PATCH 136/144] add _outputFormat parameter

---
 .../bulk_data/bulk_data_export_sequence.rb    | 48 ++++++++++++++++++-
 .../bulk_data/patient_export_sequence_test.rb | 33 +++++++++++++
 2 files changed, 79 insertions(+), 2 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
index 674d6a494..1f22ba2ca 100644
--- a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
@@ -131,7 +131,7 @@ def check_ndjson(ndjson, type)
       def check_cancel_request
         @content_location = nil
         check_export_kick_off
-        reply = @client.delete(@content_location, {})
+        reply = delete_request(@content_location)
         assert_response_accepted(reply)
       end
 
@@ -277,7 +277,7 @@ def check_cancel_request
         check_export_kick_off_fail_invalid_parameter('_type' => 'UnknownResource')
       end
 
-      test 'Server should $export operation with _since parameters' do
+      test 'Server should accept $export operation with _since parameters' do
         metadata do
           id '12'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
@@ -287,6 +287,7 @@ def check_cancel_request
         end
 
         check_export_kick_off(search_params: { '_type' => type_parameter, '_since' => '2019-01-01' })
+        delete_request(@content_location)
       end
 
       test 'Server shall rejct $export operation with invalid _since parameters' do
@@ -301,6 +302,45 @@ def check_cancel_request
         check_export_kick_off_fail_invalid_parameter('_type' => type_parameter, '_since' => '2018-13-13')
       end
 
+      test 'Server should accept $export operation with _outputFormat=application/fhir+ndjson' do
+        metadata do
+          id '14'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
+          description %(
+          )
+          optional
+        end
+
+        check_export_kick_off(search_params: { '_outputFormat' => 'application/fhir+ndjson' })
+        delete_request(@content_location)
+      end
+
+      test 'Server should accept $export operation with _outputFormat=application/ndjson' do
+        metadata do
+          id '15'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
+          description %(
+          )
+          optional
+        end
+
+        check_export_kick_off(search_params: { '_outputFormat' => 'application/ndjson' })
+        delete_request(@content_location)
+      end
+
+      test 'Server should accept $export operation with _outputFormat=ndjson' do
+        metadata do
+          id '16'
+          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
+          description %(
+          )
+          optional
+        end
+
+        check_export_kick_off(search_params: { '_outputFormat' => 'ndjson' })
+        delete_request(@content_location)
+      end
+
       private
 
       def export_kick_off(endpoint,
@@ -350,6 +390,10 @@ def get_wait_time(wait_time, reply)
         end
       end
 
+      def delete_request(url)
+        @client.delete(url, {})
+      end
+
       def assert_status_reponse_required_field(response_body)
         ['transactionTime', 'request', 'requiresAccessToken', 'output', 'error'].each do |key|
           assert response_body.key?(key), "Complete Status response did not contain \"#{key}\" as required"
diff --git a/test/sequence/bulk_data/patient_export_sequence_test.rb b/test/sequence/bulk_data/patient_export_sequence_test.rb
index dc143a971..bff643e3a 100644
--- a/test/sequence/bulk_data/patient_export_sequence_test.rb
+++ b/test/sequence/bulk_data/patient_export_sequence_test.rb
@@ -94,6 +94,36 @@ def include_export_stub_type_patient_since_2019(status_code: 202,
       )
   end
 
+  def include_export_stub_outputformat_application_fhir_ndjson(status_code: 202,
+                                                               response_headers: { content_location: @content_location })
+    stub_request(:get, 'http://www.example.com/Patient/$export?_outputFormat=application/fhir%2Bndjson')
+      .with(headers: @export_request_headers)
+      .to_return(
+        status: status_code,
+        headers: response_headers
+      )
+  end
+
+  def include_export_stub_outputformat_application_ndjson(status_code: 202,
+                                                          response_headers: { content_location: @content_location })
+    stub_request(:get, 'http://www.example.com/Patient/$export?_outputFormat=application/ndjson')
+      .with(headers: @export_request_headers)
+      .to_return(
+        status: status_code,
+        headers: response_headers
+      )
+  end
+
+  def include_export_stub_outputformat_ndjson(status_code: 202,
+                                              response_headers: { content_location: @content_location })
+    stub_request(:get, 'http://www.example.com/Patient/$export?_outputFormat=ndjson')
+      .with(headers: @export_request_headers)
+      .to_return(
+        status: status_code,
+        headers: response_headers
+      )
+  end
+
   def include_export_stub_type_patient_not_supports(status_code: 400,
                                                     response_headers: { content_location: @content_location })
 
@@ -183,6 +213,9 @@ def test_all_pass
     include_export_stub_invalid_type
     include_export_stub_type_patient_since_2019
     include_export_stub_invalid_since
+    include_export_stub_outputformat_application_fhir_ndjson
+    include_export_stub_outputformat_application_ndjson
+    include_export_stub_outputformat_ndjson
     include_status_check_stub
     include_file_request_stub
     include_delete_request_stub

From 5f59c6a410ffc622c70d4117dea11749a5fd614d Mon Sep 17 00:00:00 2001
From: Chase <czhou@mitre.org>
Date: Wed, 16 Oct 2019 15:47:37 -0400
Subject: [PATCH 137/144] Fix profile validation

---
 .../modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb   | 3 +--
 1 file changed, 1 insertion(+), 2 deletions(-)

diff --git a/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
index d447de775..c5b4cc25f 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
@@ -89,8 +89,7 @@ def validate_resource_item(resource, property, value)
 
         @observation = reply&.resource&.entry&.first&.resource
         @observation_ary = fetch_all_bundled_resources(reply&.resource)
-        save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply)
-
+        save_resource_ids_in_bundle(versioned_resource_class('Observation'), reply, Inferno::ValidationUtil::US_CORE_R4_URIS[:pulse_oximetry])
         save_delayed_sequence_references(@observation)
         validate_search_reply(versioned_resource_class('Observation'), reply, search_params)
       end

From 14aa0a0b2f3617b9de2702b4b170cec665ba4743 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Wed, 16 Oct 2019 20:49:35 -0400
Subject: [PATCH 138/144] fix PR comments

---
 config.yml                                    |  1 +
 .../bulk_data/bulk_data_export_sequence.rb    | 46 +++++++++++++++----
 2 files changed, 38 insertions(+), 9 deletions(-)

diff --git a/config.yml b/config.yml
index 4dd5124f5..91af03f9b 100644
--- a/config.yml
+++ b/config.yml
@@ -44,6 +44,7 @@ modules:
   - smart
   - argonaut
   - uscore_v3.0.0
+  - uscore_v3.0.1
 
 # preset fhir servers: optional. Minimally requires name, uri, module, optional inferno_uri, client_id, client_secret, scopes, instructions link
 presets:
diff --git a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
index 3d2df6331..8cd258f9d 100644
--- a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
@@ -9,7 +9,7 @@ class BulkDataExportSequence < SequenceBase
 
       description 'Verify that system level export on the Bulk Data server follow the Bulk Data Access Implementation Guide'
 
-      test_id_prefix 'BulkData'
+      test_id_prefix 'BD'
 
       requires :token
 
@@ -93,7 +93,7 @@ def assert_output_has_type_url(output = @output)
 
       def assert_output_has_correct_type(output = @output,
                                          search_params = @search_params)
-        assert output.present?, 'Sever response did not have output data'
+        assert output.present?, 'Server response did not have output data'
 
         search_type = search_params['_type'].split(',').map(&:strip) if search_params&.key?('_type')
 
@@ -103,7 +103,7 @@ def assert_output_has_correct_type(output = @output,
       end
 
       def check_file_request(output = @output, index: 0)
-        skip 'Sever response did not have output data' unless output.present?
+        skip 'Server response did not have output data' unless output.present?
 
         file = output[index]
 
@@ -155,6 +155,7 @@ def delete_export(url = @content_location)
           id '01'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-kick-off-request'
           description %(
+            The FHIR server SHALL limit the data returned to only those FHIR resources for which the client is authorized.
           )
         end
 
@@ -171,28 +172,35 @@ def delete_export(url = @content_location)
           id '02'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-kick-off-request'
           description %(
+            Response - Success
+            * HTTP Status Code of 202 Accepted
+            * Content-Location header with the absolute URL of an endpoint for subsequent status requests (polling location)
           )
         end
 
         check_export_kick_off
       end
 
-      test 'Server shall reject for $export operation with invalid Accept header' do
+      test 'Server shall reject $export operation with invalid Accept header' do
         metadata do
           id '03'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#headers'
           description %(
+            Accept (string, required)
+            * Specifies the format of the optional OperationOutcome resource response to the kick-off request. Currently, only application/fhir+json is supported.
           )
         end
 
         check_export_kick_off_fail_invalid_accept
       end
 
-      test 'Server shall reject for $export operation with invalid Prefer header' do
+      test 'Server shall reject $export operation with invalid Prefer header' do
         metadata do
           id '04'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#headers'
           description %(
+            Prefer (string, required)
+            * Specifies whether the response is immediate or asynchronous. The header SHALL be set to respond-async https://tools.ietf.org/html/rfc7240.
           )
         end
 
@@ -204,6 +212,11 @@ def delete_export(url = @content_location)
           id '05'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-status-request'
           description %(
+            Clients SHOULD follow an exponential backoff approach when polling for status. Servers SHOULD respond with
+            * In-Progress Status: HTTP Status Code of 202 Accepted
+            * Complete Status: HTTP status of 200 OK and Content-Type header of application/json
+            The JSON object of Complete Status SHALL contain these required field:
+            transactionTime, request, requiresAccessToken, output, and error
           )
         end
 
@@ -215,7 +228,13 @@ def delete_export(url = @content_location)
           id '06'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-status-request'
           description %(
-          )
+            The value of output field is an array of file items with one entry for each generated file.
+            If no resources are returned from the kick-off request, the server SHOULD return an empty array.
+            Each file item SHALL contain the following fields:
+            - type - the FHIR resource type that is contained in the file.
+            Each file SHALL contain resources of only one type, but a server MAY create more than one file for each resource type returned.
+            - url - the path to the file. The format of the file SHOULD reflect that requested in the _outputFormat parameter of the initial kick-off request.
+         )
         end
 
         assert_output_has_type_url
@@ -237,6 +256,7 @@ def delete_export(url = @content_location)
           id '08'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
           description %(
+
           )
           optional
         end
@@ -249,6 +269,8 @@ def delete_export(url = @content_location)
           id '09'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
           description %(
+            Response - Success
+            * HTTP Status Code of 202 Accepted
           )
           optional
         end
@@ -256,11 +278,12 @@ def delete_export(url = @content_location)
         check_cancel_request
       end
 
-      test 'Server shall return "202 Accepted" and "Content-location" for $export operation with _type parameters' do
+      test 'Server shall return "202 Accepted" and "Content-location" for $export operation with _type parameter' do
         metadata do
           id '10'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
           description %(
+            Server shall accept $export operation with _type parameter
           )
           optional
         end
@@ -268,11 +291,15 @@ def delete_export(url = @content_location)
         check_export_kick_off(search_params: { '_type' => type_parameter })
       end
 
-      test 'Server shall return FHIR resources required by _type filter' do
+      test 'Server shall return FHIR resources required by _type parameter' do
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
           description %(
+            Only resources of the specified resource types(s) SHALL be included in the response.
+            If this parameter is omitted, the server SHALL return all supported resources within the scope of the client authorization.
+            For Patient- and Group-level requests, the Patient Compartment SHOULD be used as a point of reference for
+            recommended resources to be returned.
           )
           optional
         end
@@ -284,11 +311,12 @@ def delete_export(url = @content_location)
         delete_export
       end
 
-      test 'Server shall reject $export operation with invalid _type parameters' do
+      test 'Server shall reject $export operation with invalid _type parameter' do
         metadata do
           id '12'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
           description %(
+            Server SHALL return HTTP Code 4xx for invalid _type parameters
           )
           optional
         end

From f080346456501975cab58b26f564916b11bdc275 Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Thu, 17 Oct 2019 09:35:06 -0400
Subject: [PATCH 139/144] Fix PR comments

---
 .../bulk_data/bulk_data_export_sequence.rb    | 25 ++++++-------------
 1 file changed, 7 insertions(+), 18 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
index 8cd258f9d..3d9f1ffc7 100644
--- a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
@@ -245,28 +245,17 @@ def delete_export(url = @content_location)
           id '07'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
           description %(
+            Servers SHALL support [Newline Delimited JSON](http://ndjson.org),
+            but MAY choose to support additional output formats.
           )
         end
 
         check_file_request
       end
 
-      test 'Server shall return "202 Accepted" for delete export request' do
-        metadata do
-          id '08'
-          link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
-          description %(
-
-          )
-          optional
-        end
-
-        check_delete_request
-      end
-
       test 'Server shall return "202 Accepted" for cancel export request' do
         metadata do
-          id '09'
+          id '08'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#bulk-data-delete-request'
           description %(
             Response - Success
@@ -280,7 +269,7 @@ def delete_export(url = @content_location)
 
       test 'Server shall return "202 Accepted" and "Content-location" for $export operation with _type parameter' do
         metadata do
-          id '10'
+          id '09'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
           description %(
             Server shall accept $export operation with _type parameter
@@ -293,7 +282,7 @@ def delete_export(url = @content_location)
 
       test 'Server shall return FHIR resources required by _type parameter' do
         metadata do
-          id '11'
+          id '10'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
           description %(
             Only resources of the specified resource types(s) SHALL be included in the response.
@@ -313,10 +302,10 @@ def delete_export(url = @content_location)
 
       test 'Server shall reject $export operation with invalid _type parameter' do
         metadata do
-          id '12'
+          id '11'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
           description %(
-            Server SHALL return HTTP Code 4xx for invalid _type parameters
+            Server SHALL return HTTP Code 400 for invalid _type parameters
           )
           optional
         end

From c0b54887097e8538b96b119bf719218d35b2eac8 Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Thu, 17 Oct 2019 11:52:13 -0400
Subject: [PATCH 140/144] Minor wording changes.

---
 lib/app/views/server_state.erb | 15 +++++++++++----
 1 file changed, 11 insertions(+), 4 deletions(-)

diff --git a/lib/app/views/server_state.erb b/lib/app/views/server_state.erb
index b82b09063..f77e64dc0 100644
--- a/lib/app/views/server_state.erb
+++ b/lib/app/views/server_state.erb
@@ -1,9 +1,16 @@
 <div id="server-state">
-  <h4>Valuesets Used in Inferno:</h4>
+  <h4>Additional ValueSets and CodeSystems</h4>
+  <p>
+     Inferno is capable of validating ValueSet bindings even if they are not expanded within the core FHIR specification.
+     This typically occurs when Implementation Guides provide additional ValueSets, or if the ValueSet is too large to
+     be expanded and provided in the Core FHIR specification. Additionally, Inferno can check codes belong to a CodeSystem that they state membership to.
+     Below is a list of ValueSets and CodeSystems loaded into this runniing instance of Inferno.  Visit
+    <a href="https://github.com/onc-healthit/inferno/wiki/Installing-Terminology-Validators" target="_blank">our wiki</a> to see how to load additional
+    ValueSets and CodeSystems for validation.
+  <p>
+
   <% if Inferno::Terminology.loaded_validators.count.zero? %>
-    <p>No valuesets are loaded. To load valueset validators, follow the instructions
-    <a href="https://github.com/onc-healthit/inferno/wiki/Installing-Terminology-Validators" target="_blank">in our wiki</a>.
-    </p>
+    <p>No additional ValueSets or CodeSystems beyond those provided within the Core FHIR specification are loaded.</p>
   <% else %>
     <table class="table table-striped">
       <thead>

From ea3156d04967623bd66d88e45aadc7c3cf477d24 Mon Sep 17 00:00:00 2001
From: Rob Scanlon <robscanlon@gmail.com>
Date: Thu, 17 Oct 2019 16:26:40 -0400
Subject: [PATCH 141/144] Regenerate US Core v301 after merge.

---
 .../uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb        | 6 ------
 1 file changed, 6 deletions(-)

diff --git a/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb b/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
index 19976508e..60da8ed6e 100644
--- a/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
+++ b/lib/app/modules/uscore_v3.0.1/us_core_pulse_oximetry_sequence.rb
@@ -60,10 +60,7 @@ def validate_resource_item(resource, property, value)
         @client.set_no_auth
         omit 'Do not test if no bearer token set' if @instance.token.blank?
 
-        patient_val = @instance.patient_id
-        code_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'code'))
         search_params = { patient: @instance.patient_id, code: '59408-5' }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
         reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
         @client.set_bearer_token(@instance.token)
@@ -79,10 +76,7 @@ def validate_resource_item(resource, property, value)
           versions :r4
         end
 
-        patient_val = @instance.patient_id
-        code_val = get_value_for_search_param(resolve_element_from_path(@observation_ary, 'code'))
         search_params = { patient: @instance.patient_id, code: '59408-5' }
-        search_params.each { |param, value| skip "Could not resolve #{param} in given resource" if value.nil? }
 
         reply = get_resource_by_params(versioned_resource_class('Observation'), search_params)
         assert_response_ok(reply)

From 8da7a2af9c723aa30690d2554e906c09b90dba8d Mon Sep 17 00:00:00 2001
From: Yunwei Wang <yunwwang@gmail.com>
Date: Thu, 17 Oct 2019 19:01:24 -0400
Subject: [PATCH 142/144] Fix typo

---
 .../bulk_data/bulk_data_export_sequence.rb       | 16 ++++++++--------
 1 file changed, 8 insertions(+), 8 deletions(-)

diff --git a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
index 61d0b0ab0..8f4df9c1f 100644
--- a/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
+++ b/lib/app/modules/bulk_data/bulk_data_export_sequence.rb
@@ -261,7 +261,7 @@ def check_cancel_request
         check_cancel_request
       end
 
-      test 'Server should accept $export operation with _type parameters' do
+      test 'Server should accept $export operation with _type parameter' do
         metadata do
           id '09'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
@@ -274,7 +274,7 @@ def check_cancel_request
         check_export_kick_off(search_params: { '_type' => type_parameter })
       end
 
-      test 'Server shall return FHIR resources required by _type filter' do
+      test 'Server shall return FHIR resources required by _type parameter' do
         metadata do
           id '10'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
@@ -293,7 +293,7 @@ def check_cancel_request
         assert_output_has_correct_type
       end
 
-      test 'Server shall reject $export operation with invalid _type parameters' do
+      test 'Server shall reject $export operation with invalid _type parameter' do
         metadata do
           id '11'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#file-request'
@@ -306,7 +306,7 @@ def check_cancel_request
         check_export_kick_off_fail_invalid_parameter('_type' => 'UnknownResource')
       end
 
-      test 'Server should accept $export operation with _since parameters' do
+      test 'Server should accept $export operation with _since parameter' do
         metadata do
           id '12'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
@@ -320,7 +320,7 @@ def check_cancel_request
         delete_request(@content_location)
       end
 
-      test 'Server shall rejct $export operation with invalid _since parameters' do
+      test 'Server shall rejct $export operation with invalid _since parameter' do
         metadata do
           id '13'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
@@ -333,7 +333,7 @@ def check_cancel_request
         check_export_kick_off_fail_invalid_parameter('_type' => type_parameter, '_since' => '2018-13-13')
       end
 
-      test 'Server should accept $export operation with _outputFormat=application/fhir+ndjson' do
+      test 'Server should accept $export operation with parameter _outputFormat=application/fhir+ndjson' do
         metadata do
           id '14'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
@@ -347,7 +347,7 @@ def check_cancel_request
         delete_request(@content_location)
       end
 
-      test 'Server should accept $export operation with _outputFormat=application/ndjson' do
+      test 'Server should accept $export operation with parameter _outputFormat=application/ndjson' do
         metadata do
           id '15'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'
@@ -361,7 +361,7 @@ def check_cancel_request
         delete_request(@content_location)
       end
 
-      test 'Server should accept $export operation with _outputFormat=ndjson' do
+      test 'Server should accept $export operation with parameter _outputFormat=ndjson' do
         metadata do
           id '16'
           link 'https://build.fhir.org/ig/HL7/bulk-data/export/index.html#query-parameters'

From cb47eea82ecc7fa798392b26535a2d28cf94408b Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Fri, 18 Oct 2019 13:48:28 -0400
Subject: [PATCH 143/144] remove required capabilities test

---
 .../onc_smart_discovery_sequence.rb           | 34 -------------------
 1 file changed, 34 deletions(-)

diff --git a/lib/app/modules/onc_program/onc_smart_discovery_sequence.rb b/lib/app/modules/onc_program/onc_smart_discovery_sequence.rb
index 8ab6497a6..7f2582c89 100644
--- a/lib/app/modules/onc_program/onc_smart_discovery_sequence.rb
+++ b/lib/app/modules/onc_program/onc_smart_discovery_sequence.rb
@@ -47,40 +47,6 @@ class ONCSMARTDiscoverySequence < SMARTDiscoverySequence
         * [The OAuth 2.0 Authorization Framework](https://tools.ietf.org/html/rfc6749)
         * [OpenID Connect Core](https://openid.net/specs/openid-connect-core-1_0.html)
       )
-
-      REQUIRED_SMART_CAPABILITIES = [
-        'launch-ehr',
-        'launch-standalone',
-        'client-public',
-        'client-confidential-symmetric',
-        'sso-openid-connect',
-        'context-ehr-patient',
-        'context-standalone-patient',
-        'context-standalone-encounter',
-        'permission-offline',
-        'permission-patient',
-        'permission-user'
-      ].freeze
-
-      test 'Well-known configuration declares support for required capabilities' do
-        metadata do
-          id '06'
-          link 'http://hl7.org/fhir/smart-app-launch/conformance/index.html#core-capabilities'
-          description %(
-            A SMART on FHIR server SHALL convey its capabilities to app
-            developers by listing a set of the capabilities. The following
-            capabilities are required: #{REQUIRED_SMART_CAPABILITIES.join(', ')}
-          )
-        end
-
-        assert @well_known_configuration.present?, 'No .well-known/smart-configuration'
-
-        capabilities = @well_known_configuration['capabilities']
-        assert capabilities.is_a?(Array), 'The well-known capabilities are not an array'
-
-        missing_capabilities = REQUIRED_SMART_CAPABILITIES - capabilities
-        assert missing_capabilities.empty?, "The following required capabilities are missing: #{missing_capabilities.join(', ')}"
-      end
     end
   end
 end

From 95e16c97cb4c66b14fbf83cb792c1184f08b31b4 Mon Sep 17 00:00:00 2001
From: Stephen MacVicar <smacvicar@mitre.org>
Date: Tue, 22 Oct 2019 08:02:00 -0400
Subject: [PATCH 144/144] bump version to 2.7.0

---
 lib/version.rb | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/lib/version.rb b/lib/version.rb
index 382dba3de..05e8842d4 100644
--- a/lib/version.rb
+++ b/lib/version.rb
@@ -1,5 +1,5 @@
 # frozen_string_literal: true
 
 module Inferno
-  VERSION = '2.6.0'
+  VERSION = '2.7.0'
 end