diff --git a/content/millennium/r4/foundation/conformance/capability-statement.md b/content/millennium/r4/foundation/conformance/capability-statement.md
index e02f609a4..8aafbe21c 100644
--- a/content/millennium/r4/foundation/conformance/capability-statement.md
+++ b/content/millennium/r4/foundation/conformance/capability-statement.md
@@ -44,7 +44,7 @@ Authorization is not required.
 
     curl -i -H "Accept: application/fhir+json" "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/metadata"
 
-<%= RequestButton.get('ehr-code', :r4, 'metadata', 200, :r4_auth_metadata) %>
+<%= RequestButton.get('ehr', :r4, 'metadata', 200, :r4_auth_metadata) %>
 
 [`:serviceRootURL/metadata`]: ../../#service-root-url
 
@@ -72,4 +72,4 @@ Authorization is not required.
 
     curl -i -H "Accept: application/json" "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/.well-known/smart-configuration"
 
-<%= RequestButton.get('ehr-code', :r4, '.well-known/smart-configuration', 200, :r4_well_known) %>
+<%= RequestButton.get('ehr', :r4, '.well-known/smart-configuration', 200, :r4_well_known) %>
diff --git a/lib/resources/example_json/r4_examples_capabilitystatement.rb b/lib/resources/example_json/r4_examples_capabilitystatement.rb
index 4fa8bab35..fd1620593 100644
--- a/lib/resources/example_json/r4_examples_capabilitystatement.rb
+++ b/lib/resources/example_json/r4_examples_capabilitystatement.rb
@@ -9,10 +9,13 @@ module Resources
       'name': 'CernerCapabilityStatement',
       'title': 'Cerner Capability Statement',
       'status': 'active',
+      'date': '2023-11-21',
       'publisher': 'Cerner',
-      'date': '2019-10-22',
       'description': 'Cerner implementation of FHIR on top of Millennium',
       'kind': 'instance',
+      'instantiates': [
+        'http://hl7.org/fhir/us/core/CapabilityStatement/us-core-server'
+      ],
       'implementation': {
         'description': 'Cerner implementation of FHIR on top of Millennium',
         'url': 'https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d'
@@ -66,29 +69,34 @@ module Resources
                   'documentation': 'The entity that caused the expenses. It is a required field if the _id or '\
                                    '-guarantor fields are not given. Must be set with identifier.'
                 },
+                {
+                  'name': '-encounter',
+                  'type': 'reference',
+                  'documentation': 'The encounter associated with the resource.'
+                },
                 {
                   'name': '-guarantor',
                   'type': 'reference',
-                  'documentation': 'The entity that responsible for payment. It is a required field if the _id '\
-                                   'or patient fields are not given.'
+                  'documentation': 'The entity that responsible for payment. It is a required field if the _id or '\
+                                   'patient fields are not given.'
                 },
                 {
                   'name': 'type',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Account-type',
-                  'type': 'string',
+                  'type': 'token',
                   'documentation': 'The identifier for the account. Required in every search request.'
                 },
                 {
                   'name': 'identifier',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Account-identifier',
-                  'type': 'number',
+                  'type': 'token',
                   'documentation': 'Statement Account number. Must be set with patients'
                 },
                 {
                   'name': '_count',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
                   'type': 'number',
-                  'documentation': "The maximum number of results to return. Not honoured when '_id' is set."
+                  'documentation': "The maximum number of results to return in a page. Not honored when '_id' is set."
                 }
               ]
             },
@@ -105,6 +113,9 @@ module Resources
                   'code': 'search-type'
                 }
               ],
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
               'searchParam': [
                 {
                   'name': '_id',
@@ -115,13 +126,13 @@ module Resources
                 },
                 {
                   'name': 'patient',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-allergyintolerance-patient',
                   'type': 'reference',
                   'documentation': 'Who the sensitivity is for. It is a required field if the _id field is not given.'
                 },
                 {
                   'name': 'clinical-status',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/AllergyIntolerance-clinical-status',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-allergyintolerance-clinical-status',
                   'type': 'token',
                   'documentation': 'Certainty of the allergy or intolerance.'
                 }
@@ -149,43 +160,54 @@ module Resources
                   'name': '_count',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
                   'type': 'number',
-                  'documentation': "The maximum number of results to return. Not honoured when '_id' is set."
+                  'documentation': "The maximum number of results to return in a page. Not honored when '_id' is set."
                 },
                 {
                   'name': 'date',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Appointment-date',
                   'type': 'date',
-                  'documentation': 'A date or date range from which to find appointments. This must be set when using '\
-                                   "patient, practitioner or location. The 'date' parameter may be provided once "\
-                                   'without a prefix or time component to imply a date range or once without a prefix '\
-                                   'and with a time component to search for appointments at a specific time. '\
-                                   "Alternately it may be provided twice with 'le' and 'gt' prefixes to search for "\
-                                   'appointments within a specific range. The date prefix pair must create a closed '\
-                                   'range.'
+                  'documentation': 'A date or date range from which to find appointments. This or the '\
+                                   "'-date-or-req-period' parameter must be set when using patient, practitioner or "\
+                                   "location. The 'date' parameter may be provided once without a prefix or time "\
+                                   'component to imply a date range or once without a prefix and with a time '\
+                                   'component to search for appointments at a specific time. Alternately it may be '\
+                                   "provided twice with 'le' and 'gt' prefixes to search for appointments "\
+                                   'within a specific range. The date prefix pair must create a closed range.'
+                },
+                {
+                  'name': '-date-or-req-period',
+                  'type': 'date',
+                  'documentation': 'A start date or requested period from which to find appointments. This or the '\
+                                   "'date' parameter must be set when using patient, practitioner or location. The "\
+                                   "'-date-or-req-period' parameter may be provided once without a prefix or time "\
+                                   'component to imply a date range or once without a prefix and with a time '\
+                                   'component to search for appointments at a specific time. Alternately it may be '\
+                                   "provided twice with 'le' and 'gt' prefixes to search for appointments within a "\
+                                   'specific range. The date prefix pair must create a closed range.'
                 },
                 {
                   'name': 'patient',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Appointment-patient',
                   'type': 'reference',
                   'documentation': "One of the individuals of the appointment is this patient. Either the '_id' "\
-                                   "parameter or one of the 'patient', 'practitioner' or 'location' parameters "\
-                                   'must be set.'
+                                   "parameter or one of the 'patient', 'practitioner' or 'location' parameters must "\
+                                   'be set.'
                 },
                 {
                   'name': 'practitioner',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Appointment-practitioner',
                   'type': 'reference',
-                  'documentation': 'One of the individuals of the appointment is this practitioner. Either the '\
-                                   "'_id' parameter or one of the 'patient', 'practitioner' or 'location' parameters "\
-                                   'must be set.'
+                  'documentation': "One of the individuals of the appointment is this practitioner. Either the '_id' "\
+                                   "parameter or one of the 'patient', 'practitioner' or 'location' parameters must "\
+                                   'be set.'
                 },
                 {
                   'name': 'location',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Appointment-location',
                   'type': 'reference',
-                  'documentation': 'This location is listed in the participants of the appointment. Either the '\
-                                   "'_id' parameter or one of the 'patient', 'practitioner' or 'location' parameters "\
-                                   'must be set.'
+                  'documentation': "This location is listed in the participants of the appointment. Either the '_id' "\
+                                   "parameter or one of the 'patient', 'practitioner' or 'location' parameters must "\
+                                   'be set.'
                 },
                 {
                   'name': 'status',
@@ -196,112 +218,125 @@ module Resources
               ]
             },
             {
-              "type": 'CarePlan',
-              "supportedProfile": [
+              'type': 'Binary',
+              'interaction': [
+                {
+                  'code': 'read'
+                }
+              ],
+              'operation': [
+                {
+                  'name': 'autogen-ccd-if',
+                  'definition': 'https://fhir-ehr.cerner.com/r4/OperationDefinition/binary-autogen-ccd-if',
+                  'documentation': 'Generate Continuity of Care Document (CCD)'
+                }
+              ]
+            },
+            {
+              'type': 'CarePlan',
+              'supportedProfile': [
                 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan'
               ],
-              "interaction": [
+              'interaction': [
                 {
-                  "code": 'read'
+                  'code': 'read'
                 },
                 {
-                  "code": 'search-type'
+                  'code': 'search-type'
                 }
               ],
-              "searchRevInclude": [
+              'searchRevInclude': [
                 'Provenance:target'
               ],
-              "searchParam": [
+              'searchParam': [
                 {
-                  "name": '_id',
-                  "definition": 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
-                  "type": 'token',
-                  "documentation": 'A single or comma separated list of CarePlan ids.'
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of CarePlan ids.'
                 },
                 {
-                  "name": 'date',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-date',
-                  "type": 'date',
-                  "documentation": "A date range with which to find CarePlans. If used, the ‘date’ parameter
-                    must be provided twice. Once with a 'ge' prefix representing the earliest date, and once
-                    with a 'le’ prefix representing the latest date. The date prefix pair must create a closed range."
+                  'name': 'date',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-date',
+                  'type': 'date',
+                  'documentation': 'A date range with which to find CarePlans. If used, the ‘date’ parameter must be '\
+                                   "provided twice. Once with a 'ge' prefix representing the earliest date, and once "\
+                                   "with a 'le’ prefix representing the latest date. The date prefix pair must create "\
+                                   'a closed range.'
                 },
                 {
-                  "name": 'patient',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-patient',
-                  "type": 'reference',
-                  "documentation": 'Who the careplan is for. It is a required field if the _id field is not given.'
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-patient',
+                  'type': 'reference',
+                  'documentation': 'Who the careplan is for. It is a required field if the _id field is not given.'
                 },
                 {
-                  "name": 'category',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-category',
-                  "type": 'token',
-                  "documentation": 'The category of the careplan. Category assess-plan is supported as of now.'
+                  'name': 'category',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-category',
+                  'type': 'token',
+                  'documentation': 'The category of the careplan. Category assess-plan is supported as of now.'
                 },
                 {
-                  "name": '_count',
-                  "definition": 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
-                  "type": 'number',
-                  "documentation": "The maximum number of results to return. Not honored when '_id' is set."
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': "The maximum number of results to return. Not honored when '_id' is set."
                 }
               ]
             },
             {
-              "type": 'CareTeam',
-              "supportedProfile": [
+              'type': 'CareTeam',
+              'supportedProfile': [
                 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam'
               ],
-              "interaction": [
+              'interaction': [
                 {
-                  "code": 'read'
+                  'code': 'read'
                 },
                 {
-                  "code": 'search-type'
+                  'code': 'search-type'
                 }
               ],
-              "searchRevInclude": [
+              'searchRevInclude': [
                 'Provenance:target'
               ],
-              "searchParam": [
+              'searchParam': [
                 {
-                  "name": '_id',
-                  "definition": 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
-                  "type": 'token',
-                  "documentation": 'CareTeam id supports only the single id. It is a required field if the
-                  patient or encounter fields are not given.'
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'CareTeam id supports only the single id. It is a required field if the patient or '\
+                                   'encounter fields are not given.'
                 },
                 {
-                  "name": 'category',
-                  "definition": 'http://hl7.org/fhir/R4/SearchParameter/CareTeam-category',
-                  "type": 'token',
-                  "documentation": 'The category of the careteam. Category Longitudinal (patient level) or Encounter
-                  is supported as of now.'
+                  'name': 'category',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/CareTeam-category',
+                  'type': 'token',
+                  'documentation': 'The category of the careteam. Category Longitudinal (patient level) or Encounter '\
+                                   'is supported as of now.'
                 },
                 {
-                  "name": 'encounter',
-                  "definition": 'http://hl7.org/fhir/R4/SearchParameter/clinical-encounter',
-                  "type": 'reference',
-                  "documentation": 'The Encounter level CareTeam are displayed.'
+                  'name': 'encounter',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-encounter',
+                  'type': 'reference',
+                  'documentation': 'The Encounter level CareTeam are displayed.'
                 },
                 {
-                  "name": 'patient',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-careteam-patient',
-                  "type": 'reference',
-                  "documentation": 'Who the careteam is for. It is a required field if the _id field is not given.'
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-careteam-patient',
+                  'type': 'reference',
+                  'documentation': 'Who the careteam is for. It is a required field if the _id field is not given.'
                 },
                 {
-                  "name": 'status',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-careteam-status',
-                  "type": 'token',
-                  "documentation": 'The status of the CareTeam.'
+                  'name': 'status',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-careteam-status',
+                  'type': 'token',
+                  'documentation': 'The status of the CareTeam.'
                 }
               ]
             },
             {
-              'type': 'Condition',
-              'supportedProfile': [
-                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition'
-              ],
+              'type': 'ChargeItem',
               'interaction': [
                 {
                   'code': 'read'
@@ -315,59 +350,51 @@ module Resources
                   'name': '_id',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
                   'type': 'token',
-                  'documentation': 'A single or comma separated list of Condition ids. It is a required field if the '\
-                                   'patient or subject fields are not given.'
+                  'documentation': 'ChargeItem id supports only the single id. It is a required field if the account '\
+                                   'or context fields are not given.'
                 },
                 {
-                  'name': 'patient',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-patient',
+                  'name': 'context',
                   'type': 'reference',
-                  'documentation': 'Who has the condition. It is a required field if the subject or _id fields are '\
+                  'documentation': "Encounter associated with the ChargeItem. If provided, the '-status' parameter "\
+                                   'must also be provided. It is a required field if the _id or account fields are '\
                                    'not given.'
                 },
                 {
-                  'name': 'subject',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Condition-subject',
+                  'name': 'account',
                   'type': 'reference',
-                  'documentation': 'Who has the condition. It is a required field if the patient or _id fields are '\
+                  'documentation': "Account associated with the ChargeItem. If provided, the '-status' parameter must "\
+                                   'also be provided. It is a required field if the _id or context fields are '\
                                    'not given.'
                 },
                 {
-                  'name': 'clinical-status',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Condition-clinical-status',
+                  'name': '-status',
                   'type': 'token',
-                  'documentation': 'The clinical status of the condition.'
+                  'documentation': "The status of the ChargeItem. Must be set to 'billable'. Must be provided with "\
+                                   'the context and account parameter.'
                 },
                 {
-                  'name': 'category',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Condition-category',
-                  'type': 'token',
-                  'documentation': 'The category of the condition. Categories problem-list-item, '\
-                                   'encounter-diagnosis and health-concern are supported as of now.'
-                }
-              ]
-            },
-            {
-              'type': 'Coverage',
-              'interaction': [
-                {
-                  'code': 'search-type'
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': "The maximum number of results to return in a page. Not honored when '_id' is set."
                 }
               ],
-              'searchParam': [
+              'operation': [
                 {
-                  'name': 'patient',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Coverage-patient',
-                  'type': 'reference',
-                  'documentation': 'Retrieve coverages for a patient.'
+                  'name': 'credit',
+                  'definition': 'https://fhir-ehr.cerner.com/r4/OperationDefinition/charge-item-credit',
+                  'documentation': 'Creates an offsetting ChargeItem for an existing debit ChargeItem.'
+                },
+                {
+                  'name': 'modify',
+                  'definition': 'https://fhir-ehr.cerner.com/r4/OperationDefinition/charge-item-modify',
+                  'documentation': 'Modifies an existing ChargeItem resulting in a newly created ChargeItem.'
                 }
               ]
             },
             {
-              'type': 'Device',
-              'supportedProfile': [
-                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device'
-              ],
+              'type': 'Communication',
               'interaction': [
                 {
                   'code': 'read'
@@ -381,112 +408,102 @@ module Resources
                   'name': '_id',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
                   'type': 'token',
-                  'documentation': 'A single or comma separated list of Device ids. It is a required field if the '\
-                                   'patient field is not given.'
+                  'documentation': 'A single or comma separated list of Communication ids. It is a required field if '\
+                                   'the category, -email-status, received and recipient fields are not given.'
                 },
                 {
-                  'name': 'patient',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Device-patient',
+                  'name': 'category',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Communication-category',
+                  'type': 'token',
+                  'documentation': 'The message category. It is a required field if the _id field is not given. Must '\
+                                   'be set with received, recipient and -email-status.'
+                },
+                {
+                  'name': 'received',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Communication-received',
+                  'type': 'date',
+                  'documentation': 'When the message is received. It is a required field if the _id field is not '\
+                                   'given. Must be set with category, recipient and -email-status. If used, the '\
+                                   "‘received’ parameter may be provided once or twice. Once with a 'ge' prefix "\
+                                   "representing the earliest received date, and/or once with a 'le’ prefix "\
+                                   'representing the latest received date.'
+                },
+                {
+                  'name': 'recipient',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Communication-recipient',
                   'type': 'reference',
-                  'documentation': 'The patient to whom Device is affixed. It is a required field if the _id '\
-                                   'field is not given.'
+                  'documentation': 'The recipient of the message. It is a required field if the _id field is not '\
+                                   'given. Must be set with category, recipient and -email-status.'
+                },
+                {
+                  'name': '-email-status',
+                  'type': 'token',
+                  'documentation': 'The email status of the message. It is a required field if the _id field is not '\
+                                   'given. Must be set with category, received and recipient.'
                 }
               ]
             },
             {
-              "type": 'DocumentReference',
-              "supportedProfile": [
-                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference'
+              'type': 'Condition',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition'
               ],
-              "interaction": [
-                {
-                  "code": 'read'
-                },
-                {
-                  "code": 'search-type'
-                },
+              'interaction': [
                 {
-                  "code": 'create'
+                  'code': 'read'
                 },
                 {
-                  "code": 'update'
+                  'code': 'search-type'
                 }
               ],
-              "updateCreate": false,
-              "searchRevInclude": [
+              'searchRevInclude': [
                 'Provenance:target'
               ],
-              "searchParam": [
-                {
-                  "name": '_id',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-id',
-                  "type": 'token',
-                  "documentation": 'A single or comma separated list of DocumentReference ids.
-                  It is a required field if the patient field is not given.'
-                },
-                {
-                  "name": 'patient',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-patient',
-                  "type": 'reference',
-                  "documentation": 'The patient the document is about.
-                  It is a required field if the subject field is not given.'
-                },
+              'searchParam': [
                 {
-                  "name": 'encounter',
-                  "definition": 'http://hl7.org/fhir/R4/SearchParameter/clinical-encounter',
-                  "type": 'reference',
-                  "documentation": 'The Encounter in which the document was created.'
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of Condition ids. It is a required field if the '\
+                                   'patient or subject fields are not given.'
                 },
                 {
-                  "name": 'period',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-period',
-                  "type": 'date',
-                  "documentation": "A date range with which to find Documents. If used, the 'period' parameter
-                  must be provided twice. Once with a 'ge' prefix representing the earliest date, and once with
-                  a 'lt' prefix representing the latest date. The period prefix pair must create a closed range
-                  and cannot be equal to each other."
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-patient',
+                  'type': 'reference',
+                  'documentation': 'Who has the condition. It is a required field if the subject or _id fields are '\
+                                   'not given.'
                 },
                 {
-                  "name": '_count',
-                  "definition": 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
-                  "type": 'number',
-                  "documentation": 'The maximum number of results to return in a page.'
+                  'name': 'encounter',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Condition-encounter',
+                  'type': 'reference',
+                  'documentation': 'The encounter of the patient. Only encounter-diagnosis are returned.'
                 },
                 {
-                  "name": 'type',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-type',
-                  "type": 'token',
-                  "documentation": 'The kind of document (LOINC if possible).'
+                  'name': 'subject',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Condition-subject',
+                  'type': 'reference',
+                  'documentation': 'Who has the condition. It is a required field if the patient or _id fields are '\
+                                   'not given.'
                 },
                 {
-                  "name": 'category',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-category',
-                  "type": 'token',
-                  "documentation": 'The categorization of document.'
+                  'name': 'clinical-status',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-clinical-status',
+                  'type': 'token',
+                  'documentation': 'The clinical status of the condition.'
                 },
                 {
-                  "name": 'date',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-date',
-                  "type": 'date',
-                  "documentation": "A date parameter may be provided once with a prefix and time component to
-                  imply a date range. Alternately it may be provided twice with 'le', 'lt', 'ge', or 'gt'
-                  prefixes and time component to search for procedures within a specific range. The date and
-                  prefix pairs must create a closed range. Must be set with patient."
-                }
-              ],
-              "operation": [
-                {
-                  "name": 'USCoreFetchDocumentReferences',
-                  "definition": 'http://hl7.org/fhir/us/core/OperationDefinition/docref',
-                  "documentation": 'US Core Fetch DocumentReferences'
+                  'name': 'category',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-category',
+                  'type': 'token',
+                  'documentation': 'The category of the condition. Categories problem-list-item, encounter-diagnosis '\
+                                   'and health-concern are supported as of now.'
                 }
               ]
             },
             {
-              'type': 'Encounter',
-              'supportedProfile': [
-                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter'
-              ],
+              'type': 'Consent',
               'interaction': [
                 {
                   'code': 'read'
@@ -495,78 +512,76 @@ module Resources
                   'code': 'search-type'
                 }
               ],
+              'searchInclude': [
+                'Consent:actor',
+                'Consent:patient'
+              ],
               'searchParam': [
                 {
                   'name': '_id',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
                   'type': 'token',
-                  'documentation': 'A single or comma separated list of Encounter ids. It is a required field if '\
-                                   'the patient or subject fields are not given.'
-                },
-                {
-                  'name': '_count',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
-                  'type': 'number',
-                  'documentation': "The maximum number of results to return. Not honored when '_id' is set."
+                  'documentation': 'A single or comma separated list of Consent ids.'
                 },
                 {
                   'name': 'patient',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-patient',
                   'type': 'reference',
-                  'documentation': 'The patient present at the encounter. It is a required field if the _id or '\
-                                   'subject fields are not given.'
+                  'documentation': 'Who the consent applies to. It is a required field if the _id field is not given.'
                 },
                 {
-                  'name': 'subject',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Encounter-subject',
+                  'name': 'actor',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Consent-actor',
                   'type': 'reference',
-                  'documentation': 'The patient present at the encounter. It is a required field if the _id or '\
-                                   'patient fields are not given.'
+                  'documentation': 'Resource for the actor (or group, by role). It is a required field if the _id '\
+                                   'field is not given.'
+                },
+                {
+                  'name': 'patient.identifier',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Consent-patient.identifier',
+                  'type': 'token',
+                  'documentation': 'The patient.identifier allows to search by patient aliases. Federated Person '\
+                                   'Principle, SSN, MRN etc... are supported as of now. It is a required field if '\
+                                   'the _id field is not given.'
+                },
+                {
+                  'name': 'actor.identifier',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Consent-actor.identifier',
+                  'type': 'token',
+                  'documentation': 'The actor.identifier allows to search by related person aliases. Federated Person '\
+                                   'Principle is the only supported alias as of now. It is a required field if the '\
+                                   '_id field is not given.'
                 }
               ]
             },
             {
-              "type": 'Goal',
-              "supportedProfile": [
-                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal'
-              ],
-              "interaction": [
+              'type': 'Coverage',
+              'interaction': [
                 {
-                  "code": 'read'
+                  'code': 'search-type'
                 },
                 {
-                  "code": 'search-type'
+                  'code': 'delete'
                 }
               ],
-              "searchRevInclude": [
-                'Provenance:target'
-              ],
-              "searchParam": [
-                {
-                  "name": '_id',
-                  "definition": 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
-                  "type": 'token',
-                  "documentation": 'Goal id supports only the single id. It is a required field if
-                  the patient field is not given.'
-                },
+              'searchParam': [
                 {
-                  "name": 'patient',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-goal-patient',
-                  "type": 'reference',
-                  "documentation": 'Who has the goal is for. It is a required field if the _id field is not given.'
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Coverage-patient',
+                  'type': 'reference',
+                  'documentation': 'Retrieve coverages for a patient.'
                 },
                 {
-                  "name": 'target-date',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-goal-target-date',
-                  "type": 'date',
-                  "documentation": 'A date or date range from which to find Goals.'
+                  'name': '-encounter',
+                  'type': 'reference',
+                  'documentation': 'Retrieve coverages for an encounter.'
                 }
               ]
             },
             {
-              'type': 'Immunization',
+              'type': 'Device',
               'supportedProfile': [
-                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization'
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device'
               ],
               'interaction': [
                 {
@@ -576,106 +591,97 @@ module Resources
                   'code': 'search-type'
                 }
               ],
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
               'searchParam': [
                 {
                   'name': '_id',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
                   'type': 'token',
-                  'documentation': 'A single or comma separated list of Immunization ids. It is a required field '\
-                                   'if the patient field is not given.'
+                  'documentation': 'A single or comma separated list of Device ids. It is a required field if the '\
+                                   'patient field is not given.'
                 },
                 {
                   'name': 'patient',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-device-patient',
                   'type': 'reference',
-                  'documentation': 'The patient for the vaccination record. It is a required field if the _id field '\
+                  'documentation': 'The patient to whom Device is affixed. It is a required field if the _id field '\
                                    'is not given.'
-                },
-                {
-                  'name': 'date',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-date',
-                  'type': 'date',
-                  'documentation': 'Vaccination (non)-Administration Date.'
                 }
               ]
             },
             {
-              "type": 'Location',
-              "supportedProfile": [
-                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-location'
+              'type': 'DiagnosticReport',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab'
               ],
-              "interaction": [
+              'interaction': [
                 {
-                  "code": 'read'
+                  'code': 'read'
                 },
                 {
-                  "code": 'search-type'
+                  'code': 'search-type'
                 }
               ],
-              "searchParam": [
-                {
-                  "name": '_id',
-                  "definition": 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
-                  "type": 'token',
-                  "documentation": 'A single or comma separated list of Location ids. It is a
-                  required field if the -physicalType field is not given'
-                },
-                {
-                  "name": '-physicalType',
-                  "type": 'token',
-                  "documentation": "The Location's physical type. It is a required field if the _id field is not given"
-                },
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
+              'searchParam': [
                 {
-                  "name": 'identifier',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-location-identifier',
-                  "type": 'token',
-                  "documentation": "A location's identifier."
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of DiagnosticReport ids. It is a required field '\
+                                   'if the patient field is not given.'
                 },
                 {
-                  "name": 'address',
-                  "type": 'string',
-                  "documentation": 'A (part of the) address of the location'
+                  'name': 'category',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-category',
+                  'type': 'token',
+                  'documentation': 'Which diagnostic discipline/department created the report.'
                 },
                 {
-                  "name": 'address-city',
-                  "type": 'string',
-                  "documentation": 'A city specified in an address. It is a required field if the
-                  address-state or address-postalcode fields are not given'
+                  'name': 'code',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-code',
+                  'type': 'token',
+                  'documentation': 'The code for the report.'
                 },
                 {
-                  "name": 'address-state',
-                  "type": 'string',
-                  "documentation": 'A state specified in an address'
+                  'name': 'encounter',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-encounter',
+                  'type': 'reference',
+                  'documentation': 'The Encounter when the report was made.'
                 },
                 {
-                  "name": 'address-postalcode',
-                  "type": 'string',
-                  "documentation": 'A postal code specified in an address'
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-patient',
+                  'type': 'reference',
+                  'documentation': 'The subject of the report. It is a required field.'
                 },
                 {
-                  "name": 'name',
-                  "type": 'string',
-                  "documentation": "A portion of the location's name or alias"
+                  'name': 'date',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-date',
+                  'type': 'date',
+                  'documentation': 'A date range with which to find Documents. A date parameter may be provided once '\
+                                   'with or without prefix and time component to imply a date range. Alternately it '\
+                                   "may be provided twice with 'le', 'lt', 'ge', or 'gt'  prefixes and time component "\
+                                   'to search for procedures within a specific range. The date and prefix pairs must '\
+                                   'create a closed range. Must be set with patient or subject.'
                 },
                 {
-                  "name": 'organization',
-                  "type": 'reference',
-                  "documentation": 'Searches for locations that are managed by the provided organization'
-                }
-              ]
-            },
-            {
-              'type': 'OperationDefinition',
-              'interaction': [
-                {
-                  'code': 'read'
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': 'The maximum number of results to return in a page.'
                 }
               ]
             },
             {
-              'type': 'Patient',
+              'type': 'DocumentReference',
               'supportedProfile': [
-                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient'
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference'
               ],
               'interaction': [
                 {
@@ -685,106 +691,183 @@ module Resources
                   'code': 'search-type'
                 }
               ],
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
               'searchParam': [
                 {
                   'name': '_id',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-id',
                   'type': 'token',
-                  'documentation': "A single or comma separated list of Patient ids. Either the '_id' parameter, "\
-                                   "or a combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
-                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
+                  'documentation': 'A single or comma separated list of DocumentReference ids. It is a required field '\
+                                   'if the patient field is not given.'
                 },
                 {
-                  'name': 'identifier',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Patient-identifier',
-                  'type': 'token',
-                  'documentation': "A patient identifier. Either the '_id' parameter, or a combination of "\
-                                   "'identifier', 'birthdate', 'name', 'given', 'family', 'address-postalcode', "\
-                                   "'phone', or 'email' parameters must be provided."
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-patient',
+                  'type': 'reference',
+                  'documentation': 'The patient the document is about. It is a required field if the subject field is '\
+                                   'not given.'
                 },
                 {
-                  'name': 'name',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Patient-name',
-                  'type': 'string',
-                  'documentation': "The beginning of any name of the patient. Either the '_id' parameter, or a "\
-                                   "combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
-                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
+                  'name': 'encounter',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-encounter',
+                  'type': 'reference',
+                  'documentation': 'The Encounter in which the document was created.'
                 },
                 {
-                  'name': 'given',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-given',
-                  'type': 'string',
-                  'documentation': "The beginning of the given name of the patient. Either the '_id' parameter, "\
-                                   "or a combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
-                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
+                  'name': 'period',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-period',
+                  'type': 'date',
+                  'documentation': "A date range with which to find Documents. If used, the 'period' parameter must "\
+                                   "be provided twice. Once with a 'ge' prefix representing the earliest date, and "\
+                                   "once with a 'lt' prefix representing the latest date. The period prefix pair must "\
+                                   'create a closed range and cannot be equal to each other.'
                 },
                 {
-                  'name': 'family',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-family',
-                  'type': 'string',
-                  'documentation': "The beginning of the family name of the patient. Either the '_id' parameter, "\
-                                   "or a combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
-                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': 'The maximum number of results to return in a page.'
                 },
                 {
-                  'name': 'address-postalcode',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-address-postalcode',
-                  'type': 'string',
-                  'documentation': "The postal code of the address of the patient. Either the '_id' parameter, or "\
-                                   "a combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
-                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
+                  'name': 'type',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-type',
+                  'type': 'token',
+                  'documentation': 'The kind of document (LOINC if possible).'
                 },
                 {
-                  'name': 'birthdate',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-birthdate',
+                  'name': 'category',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-category',
+                  'type': 'token',
+                  'documentation': 'The categorization of document.'
+                },
+                {
+                  'name': 'date',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-date',
                   'type': 'date',
-                  'documentation': "The date of birth of the patient. Either the '_id' parameter, or a combination "\
-                                   "of 'identifier', 'birthdate', 'name', 'given', 'family', 'address-postalcode', "\
-                                   "'phone', or 'email' parameters must be provided."
+                  'documentation': 'It must be provided  once with a prefix to imply a date  range or without a '\
+                                   'prefix to search for document(s) at a specific date. Alternately it may be '\
+                                   'provided twice with `le`, `lt`, `ge`, or `gt` prefixes to search for document(s) '\
+                                   'within specific range. The date and prefix pairs must create a closed range. For '\
+                                   "a single 'date' occurrence, `time` component is optional but for two `date` "\
+                                   'occurrences, must include `time` component.'
+                }
+              ],
+              'operation': [
+                {
+                  'name': 'USCoreFetchDocumentReferences',
+                  'definition': 'http://hl7.org/fhir/us/core/OperationDefinition/docref',
+                  'documentation': 'US Core Fetch DocumentReferences'
+                }
+              ]
+            },
+            {
+              'type': 'Encounter',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter'
+              ],
+              'interaction': [
+                {
+                  'code': 'read'
                 },
                 {
-                  'name': 'phone',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-phone',
+                  'code': 'search-type'
+                }
+              ],
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-id',
                   'type': 'token',
-                  'documentation': "The value of the phone number of the patient. Either the '_id' parameter, or a "\
-                                   "combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
-                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
+                  'documentation': 'A single or comma separated list of Encounter ids. It is a required field if the '\
+                                   'account or identifier or -pageContext or patient or subject fields are not given.'
                 },
                 {
-                  'name': 'email',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-email',
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': "The maximum number of results to return in a page. Not honored when '_id' is set."
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-patient',
+                  'type': 'reference',
+                  'documentation': 'The patient present at the encounter. It is a required field if the account or '\
+                                   '_id or identifier or -pageContext or subject fields are not given.'
+                },
+                {
+                  'name': 'subject',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Encounter-subject',
+                  'type': 'reference',
+                  'documentation': 'The patient present at the encounter. It is a required field if the account or '\
+                                   '_id or identifier or -pageContext or patient fields are not given.'
+                },
+                {
+                  'name': 'status',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-status',
                   'type': 'token',
-                  'documentation': "The value of the email address of the patient. Either the '_id' parameter, or a "\
-                                   "combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
-                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
+                  'documentation': 'The status of the encounter. Must be set with patient.'
                 },
                 {
-                  'name': 'gender',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-gender',
+                  'name': 'date',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-date',
+                  'type': 'date',
+                  'documentation': 'A date parameter may be provided once with a prefix and time component to imply a '\
+                                   "date range. Alternately it may be provided twice with 'le', 'lt', 'ge', or 'gt' "\
+                                   'prefixes and time component to search for encounters within a specific range. The '\
+                                   'date and prefix pairs must create a closed range. Must be set with patient or '\
+                                   'subject.'
+                },
+                {
+                  'name': 'identifier',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-identifier',
                   'type': 'token',
-                  'documentation': 'The administrative gender of the patient. Gender may only be provided if another '\
-                                   "parameter other than '_id' is provided"
+                  'documentation': "An encounter's identifier. It is a required field if the account or _id or "\
+                                   '-pageContext or patient or subject fields are not given.'
+                }
+              ]
+            },
+            {
+              'type': 'FamilyMemberHistory',
+              'interaction': [
+                {
+                  'code': 'read'
                 },
                 {
-                  'name': '_count',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
-                  'type': 'number',
-                  'documentation': "The maximum number of results to return. Not honoured when '_id' or 'identifier' "\
-                                   'are set.'
+                  'code': 'search-type'
                 }
               ],
-              'operation': [
+              'searchParam': [
                 {
-                  'name': 'health-cards-issue',
-                  'definition': 'https://spec.smarthealth.cards/artifacts/operation-patient-i-health-cards-issue.json',
-                  'documentation': 'Issues verifiable health cards for the patient'
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of FamilyMemberHistory ids. It is a required '\
+                                   'field if the patient field is not given.'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-patient',
+                  'type': 'reference',
+                  'documentation': 'Who the family member history is for. It is a required field if the _id field '\
+                                   'is not given. It is a required field if the status parameter is provided.'
+                },
+                {
+                  'name': 'status',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/status',
+                  'type': 'token',
+                  'documentation': 'The status of the FamilyMemberHistory.'
                 }
               ]
             },
             {
-              'type': 'Practitioner',
+              'type': 'Goal',
               'supportedProfile': [
-                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner'
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal'
               ],
               'interaction': [
                 {
@@ -794,17 +877,36 @@ module Resources
                   'code': 'search-type'
                 }
               ],
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
               'searchParam': [
                 {
                   'name': '_id',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
                   'type': 'token',
-                  'documentation': 'A single or comma separated list of Practitioner ids.'
+                  'documentation': 'Goal id supports only the single id. It is a required field if the patient '\
+                                   'field is not given.'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-goal-patient',
+                  'type': 'reference',
+                  'documentation': 'Who has the goal is for. It is a required field if the _id field is not given.'
+                },
+                {
+                  'name': 'target-date',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-goal-target-date',
+                  'type': 'date',
+                  'documentation': 'A date or date range from which to find Goals.'
                 }
               ]
             },
             {
-              'type': 'RelatedPerson',
+              'type': 'Immunization',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization'
+              ],
               'interaction': [
                 {
                   'code': 'read'
@@ -813,166 +915,2252 @@ module Resources
                   'code': 'search-type'
                 }
               ],
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
               'searchParam': [
                 {
                   'name': '_id',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
                   'type': 'token',
-                  'documentation': 'A single or comma separated list of RelatedPerson ids. It is a required field '\
-                                   'if the identifier or patient fields are not given.'
-                },
-                {
-                  'name': 'identifier',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Patient-identifier',
-                  'type': 'token',
-                  'documentation': 'An Identifier of the RelatedPerson. It is a required field if the id or patient '\
-                                   'fields are not given'
+                  'documentation': 'A single or comma separated list of Immunization ids. It is a required field '\
+                                   'if the patient field is not given.'
                 },
                 {
                   'name': 'patient',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-immunization-patient',
                   'type': 'reference',
-                  'documentation': 'The patient this related person is related to. It is a required field if the id '\
-                                   'or identifier fields are not given'
+                  'documentation': 'The patient for the vaccination record. It is a required field if the _id '\
+                                   'field is not given.'
+                },
+                {
+                  'name': 'date',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-immunization-date',
+                  'type': 'date',
+                  'documentation': 'Vaccination (non)-Administration Date.'
+                },
+                {
+                  'name': 'target-disease',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-immunization-target-disease',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of target diseases the dose is being '\
+                                   'administered against.'
                 }
               ]
             },
             {
-              'type': 'StructureDefinition',
+              'type': 'InsurancePlan',
               'interaction': [
                 {
                   'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of InsurancePlan ids.'
+                },
+                {
+                  'name': 'owned-by',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/InsurancePlan-owned-by',
+                  'type': 'reference',
+                  'documentation': 'The organization that is providing the health insurance product.'
                 }
               ]
-            }
-          ]
-        }
-      ]
-    }.freeze
-
-    R4_AUTH_METADATA ||= {
-      'resourceType': 'CapabilityStatement',
-      'url': 'https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/metadata',
-      'name': 'CernerCapabilityStatement',
-      'title': 'Cerner Capability Statement',
-      'status': 'active',
-      'publisher': 'Cerner',
-      'date': '2019-10-22',
-      'description': 'Cerner implementation of FHIR on top of Millennium',
-      'kind': 'instance',
-      'implementation': {
-        'description': 'Cerner implementation of FHIR on top of Millennium',
-        'url': 'https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d'
-      },
-      'fhirVersion': '4.0.1',
-      'format': [
-        'json',
-        'application/fhir+json'
-      ],
-      'patchFormat': [
-        'application/json-patch+json'
-      ],
-      'rest': [
-        {
-          'mode': 'server',
-          'documentation': 'Cerner implementation of FHIR on top of Millennium',
-          'security': {
-            'extension': [
-              {
-                'url': 'http://fhir-registry.smarthealthit.org/StructureDefinition/oauth-uris',
-                'extension': [
-                  {
-                    'url': 'token',
-                    'valueUri': 'https://authorization.cerner.com/tenants/ec2458f2-1e24-41c8-b71b-0e701af7583d/'\
-                                'protocols/oauth2/profiles/smart-v1/token'
-                  },
-                  {
-                    'url': 'authorize',
-                    'valueUri': 'https://authorization.cerner.com/tenants/ec2458f2-1e24-41c8-b71b-0e701af7583d/'\
-                                'protocols/oauth2/profiles/smart-v1/personas/provider/authorize'
-                  }
-                ]
-              }
-            ],
-            'cors': true,
-            'service': [
-              {
-                'coding': [
-                  {
-                    'system': 'http://terminology.hl7.org/CodeSystem/restful-security-service',
-                    'code': 'SMART-on-FHIR'
-                  }
-                ],
-                'text': 'OAuth2 using SMART-on-FHIR profile (see http://docs.smarthealthit.org/).'
-              }
-            ],
-            'description': 'OAuth2 plus SMART extensions'
-          },
-          'resource': [
+            },
             {
-              'type': 'CapabilityStatement',
+              'type': 'Location',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-location'
+              ],
               'interaction': [
                 {
                   'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of Location ids. It is a required field if '\
+                                   'the -physicalType field is not given'
+                },
+                {
+                  'name': '-physicalType',
+                  'type': 'token',
+                  'documentation': "The Location's physical type. It is a required field if the _id field is not "\
+                                   'given'
+                },
+                {
+                  'name': 'identifier',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-location-identifier',
+                  'type': 'token',
+                  'documentation': "A location's identifier."
+                },
+                {
+                  'name': 'address',
+                  'type': 'string',
+                  'documentation': 'A (part of the) address of the location'
+                },
+                {
+                  'name': 'address-city',
+                  'type': 'string',
+                  'documentation': 'A city specified in an address. It is a required field if the address-state '\
+                                   'or address-postalcode fields are not given'
+                },
+                {
+                  'name': 'address-state',
+                  'type': 'string',
+                  'documentation': 'A state specified in an address'
+                },
+                {
+                  'name': 'address-postalcode',
+                  'type': 'string',
+                  'documentation': 'A postal code specified in an address'
+                },
+                {
+                  'name': 'name',
+                  'type': 'string',
+                  'documentation': "A portion of the location's name or alias"
+                },
+                {
+                  'name': 'organization',
+                  'type': 'reference',
+                  'documentation': 'Searches for locations that are managed by the provided organization'
+                }
+              ]
+            },
+            {
+              'type': 'MedicationAdministration',
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of MedicationAdministration ids.'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/medicationadministration-patient',
+                  'type': 'reference',
+                  'documentation': 'The identity of a patient to list administrations for. It is a required field if '\
+                                   'the _id field is not given.'
+                },
+                {
+                  'name': 'status',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/medicationadministration-status',
+                  'type': 'token',
+                  'documentation': 'MedicationAdministration event status.'
+                },
+                {
+                  'name': 'performer',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/medicationadministration-performer',
+                  'type': 'reference',
+                  'documentation': 'The identity of the individual who administered the medication.'
+                },
+                {
+                  'name': 'effective-time',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/medicationadministration-effective-time',
+                  'type': 'date',
+                  'documentation': "A effective-time parameter may be provided once with 'le' or 'lt' or 'ge' or 'gt' "\
+                                   'prefix and time component to imply a date range. Alternately it may be provided '\
+                                   "twice with 'le', 'lt', 'ge', or 'gt' prefixes and time component to search for "\
+                                   'medications administered within a specific range. The date and prefix pairs must '\
+                                   'create a closed range.'
+                }
+              ]
+            },
+            {
+              'type': 'MedicationRequest',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest'
+              ],
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of MedicationRequest ids.'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-patient',
+                  'type': 'reference',
+                  'documentation': 'The patient to return MedicationRequests for. It is a required field if the _id '\
+                                   'field is not given.'
+                },
+                {
+                  'name': 'intent',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-intent',
+                  'type': 'token',
+                  'documentation': 'The intent of the MedicationRequest.'
+                },
+                {
+                  'name': 'status',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-status',
+                  'type': 'token',
+                  'documentation': 'The status of the MedicationRequest.'
+                },
+                {
+                  'name': '_lastUpdated',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-lastUpdated',
+                  'type': 'date',
+                  'documentation': 'When the resource version last changed.'
+                },
+                {
+                  'name': '-timing-boundsPeriod',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-dosageInstruction-timing-repeat-boundsPeriod',
+                  'type': 'date',
+                  'documentation': 'The date-time within the period the medication should be given to the patient. '\
+                                   "Must be prefixed by 'ge'."
+                },
+                {
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': "The maximum number of results to return in a page. Not honored when '_id' is set."
+                }
+              ]
+            },
+            {
+              'type': 'NutritionOrder',
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of NutritionOrder ids.'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-patient',
+                  'type': 'reference',
+                  'documentation': 'The patient to return NutritionOrders for. It is a required field if the _id '\
+                                   'field is not given.'
+                },
+                {
+                  'name': 'status',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/NutritionOrder-status',
+                  'type': 'token',
+                  'documentation': 'The status of the NutritionOrder.'
+                },
+                {
+                  'name': '_lastUpdated',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-lastUpdated',
+                  'type': 'date',
+                  'documentation': 'When the resource version last changed.'
+                },
+                {
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': "The maximum number of results to return in a page. Not honored when '_id' is set."
+                }
+              ]
+            },
+            {
+              'type': 'Observation',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi',
+                'http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-temperature',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-head-circumference',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs',
+                'http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age',
+                'http://hl7.org/fhir/us/core/StructureDefinition/head-occipital-frontal-circumference-percentile'
+              ],
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of Observation ids. It is a required field if '\
+                                   'the patient field is not given.'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-patient',
+                  'type': 'reference',
+                  'documentation': 'The patient the observation is about. It is a required field if the subject field '\
+                                   'is not given.'
+                },
+                {
+                  'name': 'subject',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Observation-subject',
+                  'type': 'reference',
+                  'documentation': 'The patient subject the observation is about. It is a required field if the '\
+                                   'patient field is not given.'
+                },
+                {
+                  'name': 'category',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-category',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of classifications of the type of observation.'
+                },
+                {
+                  'name': 'code',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-code',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of observation types.'
+                },
+                {
+                  'name': 'date',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-date',
+                  'type': 'date',
+                  'documentation': "A date or date range from which to find observations. The 'date' parameter may be "\
+                                   'provided once without a prefix or time component to imply a date range or once '\
+                                   'without a prefix and with a time component to search for observations at a '\
+                                   "specific time. Alternately it may be provided twice with 'le', 'lt', 'ge', or "\
+                                   "'gt' prefixes to search for observations within a specific range. The date and "\
+                                   'prefix pairs must create a closed range.'
+                },
+                {
+                  'name': '_lastUpdated',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-lastUpdated',
+                  'type': 'date',
+                  'documentation': 'A date or date range used to search for observations which were last updated in '\
+                                   "that period. The '_lastUpdated' parameter may be provided once without a prefix "\
+                                   'or time component to imply a date range or once without a prefix and with a time '\
+                                   'component to search for observations at a specific time. Alternately it may be '\
+                                   "provided twice with 'le', 'lt', 'ge', or 'gt' prefixes to search for observations "\
+                                   'within a specific range. The date and prefix pairs must create a closed range.'
+                },
+                {
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': 'The maximum number of results to return in a page.'
+                }
+              ]
+            },
+            {
+              'type': 'OperationDefinition',
+              'interaction': [
+                {
+                  'code': 'read'
+                }
+              ]
+            },
+            {
+              'type': 'Organization',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization'
+              ],
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of Organization ids.'
+                },
+                {
+                  'name': 'identifier',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Organization-identifier',
+                  'type': 'token',
+                  'documentation': "The Organization's Identifier."
+                },
+                {
+                  'name': 'type',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Organization-type',
+                  'type': 'token',
+                  'documentation': "The Organization's type."
+                },
+                {
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Organization-count',
+                  'type': 'number',
+                  'documentation': 'The maximum number of results to return in a page.'
+                },
+                {
+                  'name': 'name',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Organization-name',
+                  'type': 'string',
+                  'documentation': "The Organization's name."
+                },
+                {
+                  'name': 'address',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Organization-address',
+                  'type': 'string',
+                  'documentation': "The Organization's address."
+                }
+              ],
+              'operation': [
+                {
+                  'name': 'get-cg-for-mrcu',
+                  'definition': 'https://fhir-ehr.cerner.com/r4/OperationDefinition/organization-get-cg-for-mrcu',
+                  'documentation': 'Retrieves details for a caregiver organization given a care unit organization id.'
+                }
+              ]
+            },
+            {
+              'type': 'Patient',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient'
+              ],
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-id',
+                  'type': 'token',
+                  'documentation': "A single or comma separated list of Patient ids. Either the '_id' parameter, or a "\
+                                   "combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
+                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
+                },
+                {
+                  'name': 'identifier',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-identifier',
+                  'type': 'token',
+                  'documentation': "A patient identifier. Either the '_id' parameter, or a combination of "\
+                                   "'identifier', 'birthdate', 'name', 'given', 'family', 'address-postalcode', "\
+                                   "'phone', or 'email' parameters must be provided."
+                },
+                {
+                  'name': 'name',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-name',
+                  'type': 'string',
+                  'documentation': "The beginning of any name of the patient. Either the '_id' parameter, or a "\
+                                   "combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
+                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
+                },
+                {
+                  'name': 'given',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-given',
+                  'type': 'string',
+                  'documentation': "The beginning of the given name of the patient. Either the '_id' parameter, or a "\
+                                   "combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
+                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
+                },
+                {
+                  'name': 'family',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-family',
+                  'type': 'string',
+                  'documentation': "The beginning of the family name of the patient. Either the '_id' parameter, or a "\
+                                   "combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
+                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
+                },
+                {
+                  'name': 'address-postalcode',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-address-postalcode',
+                  'type': 'string',
+                  'documentation': "The postal code of the address of the patient. Either the '_id' parameter, or a "\
+                                   "combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
+                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
+                },
+                {
+                  'name': 'birthdate',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-birthdate',
+                  'type': 'date',
+                  'documentation': "The date of birth of the patient. Either the '_id' parameter, or a combination "\
+                                   "of 'identifier', 'birthdate', 'name', 'given', 'family', 'address-postalcode', "\
+                                   "'phone', or 'email' parameters must be provided."
+                },
+                {
+                  'name': 'phone',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-phone',
+                  'type': 'token',
+                  'documentation': "The value of the phone number of the patient. Either the '_id' parameter, or a "\
+                                   "combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
+                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
+                },
+                {
+                  'name': 'email',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-email',
+                  'type': 'token',
+                  'documentation': "The value of the email address of the patient. Either the '_id' parameter, or a "\
+                                   "combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
+                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
+                },
+                {
+                  'name': 'gender',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-gender',
+                  'type': 'token',
+                  'documentation': 'The administrative gender of the patient. Gender may only be provided if another '\
+                                   "parameter other than '_id' is provided"
+                },
+                {
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': "The maximum number of results to return in a page. Not honored when '_id' or "\
+                                   "'identifier' are set."
+                }
+              ],
+              'operation': [
+                {
+                  'name': 'health-cards-issue',
+                  'definition': 'https://spec.smarthealth.cards/artifacts/operation-patient-i-health-cards-issue.json',
+                  'documentation': 'Issues verifiable health cards for the patient.'
+                }
+              ]
+            },
+            {
+              'type': 'Person',
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of Person ids. It is a required field if the '\
+                                   'identifier field is not given'
+                },
+                {
+                  'name': 'identifier',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Person-identifier',
+                  'type': 'token',
+                  'documentation': "A person's Identifier. It is a required field if the _id field is not given"
+                }
+              ]
+            },
+            {
+              'type': 'Practitioner',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner'
+              ],
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': "A single or comma separated list of Practitioner ids. Either the '_id', "\
+                                   "'identifier', 'name', 'active' or 'family' parameter, or a combination of 'given' "\
+                                   "and 'family' parameters must be provided."
+                },
+                {
+                  'name': 'identifier',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-practitioner-identifier',
+                  'type': 'token',
+                  'documentation': "A practitioner's Identifier. Either the '_id', 'identifier', 'name', 'active' or "\
+                                   "'family' parameter, or a combination of 'given' and 'family' parameters must be "\
+                                   'provided.'
+                },
+                {
+                  'name': 'given',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-given',
+                  'type': 'string',
+                  'documentation': "The beginning of the given name of the practitioner. Either the '_id', "\
+                                   "'identifier', 'name', 'active' or 'family' parameter, or a combination of 'given' "\
+                                   "and 'family' parameters must be provided."
+                },
+                {
+                  'name': 'family',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-family',
+                  'type': 'string',
+                  'documentation': "The beginning of the family name of the practitioner. Either the '_id', "\
+                                   "'identifier', 'name', 'active' or 'family' parameter, or a combination of 'given' "\
+                                   "and 'family' parameters must be provided."
+                },
+                {
+                  'name': 'name',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-name',
+                  'type': 'string',
+                  'documentation': 'The beginning of the first, last or middle name of the practitioner. Either the '\
+                                   "'_id', 'identifier', 'name', 'active' or 'family' parameter, or a combination of "\
+                                   "'given' and 'family' parameters must be provided."
+                },
+                {
+                  'name': 'active',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-active',
+                  'type': 'token',
+                  'documentation': "Whether the practitioner record is active. Either the '_id', 'identifier', "\
+                                   "'name', 'active' or 'family' parameter, or a combination of 'given' and 'family' "\
+                                   'parameters must be provided.'
+                },
+                {
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': "The maximum number of results to return in a page. Not honored when '_id' is set. "\
+                                   "Either the '_id', 'identifier', 'name', 'active' or 'family' parameter, or a "\
+                                   "combination of 'given' and 'family' parameters must be provided."
+                }
+              ]
+            },
+            {
+              'type': 'Procedure',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure'
+              ],
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of Procedure ids. It is a required field if the '\
+                                   'patient or subject fields are not given'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-patient',
+                  'type': 'reference',
+                  'documentation': 'Search by subject - a patient. It is a required field if the _id or subject '\
+                                   'fields are not given'
+                },
+                {
+                  'name': 'subject',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-patient',
+                  'type': 'reference',
+                  'documentation': 'Search by subject. It is a required field if the _id or patient fields are '\
+                                   'not given'
+                },
+                {
+                  'name': 'date',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-date',
+                  'type': 'date',
+                  'documentation': 'A date parameter may be provided once without a prefix or time component to imply '\
+                                   'a date range or once without a prefix and with a time component. Alternately it '\
+                                   "may be provided twice with 'le', 'lt', 'ge', or 'gt' prefixes to search for "\
+                                   'procedures within a specific range. The date and prefix pairs must create a '\
+                                   'closed range. Must be set with patient or subject.'
+                }
+              ]
+            },
+            {
+              'type': 'Provenance',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-provenance'
+              ],
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of Provenance ids. It is a required field if the '\
+                                   'target field is not given'
+                },
+                {
+                  'name': 'target',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Provenance-target',
+                  'type': 'reference',
+                  'documentation': 'The resource(s) the Provenance is associated with. It is a required field if the '\
+                                   '_id field is not given'
+                }
+              ]
+            },
+            {
+              'type': 'Questionnaire',
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of Questionnaire ids.'
+                }
+              ]
+            },
+            {
+              'type': 'QuestionnaireResponse',
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of QuestionnaireResponse ids. It is a required '\
+                                   'field if the patient field is not given.'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/QuestionnaireResponse-patient',
+                  'type': 'reference',
+                  'documentation': 'The patient that is the subject of the questionnaire response. It is a required '\
+                                   'field if the _id field is not given'
+                }
+              ]
+            },
+            {
+              'type': 'RelatedPerson',
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of RelatedPerson ids. It is a required field if '\
+                                   'the identifier or patient or -encounter fields are not given.'
+                },
+                {
+                  'name': 'identifier',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Patient-identifier',
+                  'type': 'token',
+                  'documentation': 'An Identifier of the RelatedPerson. It is a required field if the id or patient '\
+                                   'or -encounter fields are not given'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-patient',
+                  'type': 'reference',
+                  'documentation': 'The patient this related person is related to. It is a required field if the id '\
+                                   'or identifier or -encounter fields are not given'
+                },
+                {
+                  'name': '-encounter',
+                  'type': 'reference',
+                  'documentation': 'The encounter this related person is related to. It is a required field if the id '\
+                                   'or identifier or patient fields are not given'
+                },
+                {
+                  'name': '-relationship-level',
+                  'type': 'token',
+                  'documentation': "The resource's relationship to either the patient or encounter level. Must be "\
+                                   'provided with Patient and Identifier searches.'
+                }
+              ]
+            },
+            {
+              'type': 'Schedule',
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': "A single or comma separated list of Schedule ids. The '_id' parameter must be set."
+                }
+              ]
+            },
+            {
+              'type': 'ServiceRequest',
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of ServiceRequest ids.'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-patient',
+                  'type': 'reference',
+                  'documentation': 'The patient to return ServiceRequests for. It is a required field if the subject '\
+                                   'or _id fields are not given.'
+                },
+                {
+                  'name': 'subject',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/ServiceRequest-subject',
+                  'type': 'reference',
+                  'documentation': 'Individual or Entity the service is ordered for. It is a required field if the '\
+                                   'patient or _id fields are not given.'
+                },
+                {
+                  'name': 'code',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-code',
+                  'type': 'token',
+                  'documentation': 'What is being requested/ordered.'
+                },
+                {
+                  'name': '_lastUpdated',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-lastUpdated',
+                  'type': 'date',
+                  'documentation': 'When the resource version last changed.'
+                },
+                {
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': "The maximum number of results to return in a page. Not honored when '_id' is set."
+                }
+              ]
+            },
+            {
+              'type': 'Slot',
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchInclude': [
+                'Slot:schedule',
+                'Schedule:actor:Practitioner'
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': "A single or comma separated list of Slot ids. Either the '_id' parameter or "\
+                                   "'service-type' must be set."
+                },
+                {
+                  'name': 'start',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Slot-date',
+                  'type': 'date',
+                  'documentation': "A date or date range from which the slots are to be retrieved. The 'start' "\
+                                   'parameter is required when service-type, schedule.actor, -location is provided. '\
+                                   "When provided, must use both 'lt' and 'ge' prefixes to search for slots within a "\
+                                   'specific range. Time component should be provided for both the instances. The '\
+                                   'date and prefix pairs must create a closed range.'
+                },
+                {
+                  'name': 'service-type',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Service-type',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of appointment types that can be booked into the '\
+                                   "slot. Either the '_id' parameter or 'service-type' must be set."
+                },
+                {
+                  'name': 'schedule.actor',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Slot-schedule.actor',
+                  'type': 'reference',
+                  'documentation': 'A single or comma separated list of schedule actors. Must be Practitioner actors.'
+                },
+                {
+                  'name': '-location',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Slot-location',
+                  'type': 'reference',
+                  'documentation': 'A single or comma separated list of Location references.'
+                },
+                {
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': 'The maximum number of results to return in a page. This value should be in the '\
+                                   'range [5,200]. If no value is provided, a default page size of 50 will be used.'
+                }
+              ]
+            },
+            {
+              'type': 'StructureDefinition',
+              'interaction': [
+                {
+                  'code': 'read'
+                }
+              ]
+            }
+          ]
+        }
+      ]
+    }.freeze
+
+    R4_AUTH_METADATA ||= {
+      'resourceType': 'CapabilityStatement',
+      'url': 'https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/metadata',
+      'name': 'CernerCapabilityStatement',
+      'title': 'Cerner Capability Statement',
+      'status': 'active',
+      'date': '2023-11-21',
+      'publisher': 'Cerner',
+      'description': 'Cerner implementation of FHIR on top of Millennium',
+      'kind': 'instance',
+      'instantiates': [
+        'http://hl7.org/fhir/us/core/CapabilityStatement/us-core-server',
+        'http://hl7.org/fhir/uv/bulkdata/CapabilityStatement/bulk-data'
+      ],
+      'implementation': {
+        'description': 'Cerner implementation of FHIR on top of Millennium',
+        'url': 'https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d'
+      },
+      'fhirVersion': '4.0.1',
+      'format': [
+        'json',
+        'application/fhir+json'
+      ],
+      'patchFormat': [
+        'application/json-patch+json'
+      ],
+      'rest': [
+        {
+          'mode': 'server',
+          'documentation': 'Cerner implementation of FHIR on top of Millennium',
+          'security': {
+            'extension': [
+              {
+                'extension': [
+                  {
+                    'valueUri': 'https://authorization.cerner.com/tenants/ec2458f2-1e24-41c8-b71b-0e701af7583d/'\
+                                'protocols/oauth2/profiles/smart-v1/token',
+                    'url': 'token'
+                  },
+                  {
+                    'valueUri': 'https://authorization.cerner.com/tenants/ec2458f2-1e24-41c8-b71b-0e701af7583d/'\
+                                'protocols/oauth2/profiles/smart-v1/token/revoke',
+                    'url': 'revoke'
+                  },
+                  {
+                    'valueUri': 'https://authorization.cerner.com/tenants/ec2458f2-1e24-41c8-b71b-0e701af7583d/'\
+                                'protocols/oauth2/profiles/smart-v1/personas/provider/authorize',
+                    'url': 'authorize'
+                  },
+                  {
+                    'valueUri': 'https://authorization.cerner.com/tenants/ec2458f2-1e24-41c8-b71b-0e701af7583d/'\
+                                'personas/provider/my-authorizations',
+                    'url': 'manage'
+                  },
+                  {
+                    'valueUri': 'https://authorization.cerner.com/tokeninfo',
+                    'url': 'introspect'
+                  }
+                ],
+                'url': 'http://fhir-registry.smarthealthit.org/StructureDefinition/oauth-uris'
+              }
+            ],
+            'cors': true,
+            'service': [
+              {
+                'coding': [
+                  {
+                    'system': 'http://terminology.hl7.org/CodeSystem/restful-security-service',
+                    'code': 'SMART-on-FHIR'
+                  }
+                ],
+                'text': 'OAuth2 using SMART-on-FHIR profile (see http://docs.smarthealthit.org/).'
+              }
+            ],
+            'description': 'OAuth2 plus SMART extensions'
+          },
+          'resource': [
+            {
+              'type': 'CapabilityStatement',
+              'interaction': [
+                {
+                  'code': 'read'
+                }
+              ]
+            },
+            {
+              'type': 'Account',
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of Account ids. It is a required field if the '\
+                                   '-guarantor or patient fields are not given.'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Account-patient',
+                  'type': 'reference',
+                  'documentation': 'The entity that caused the expenses. It is a required field if the _id or '\
+                                   '-guarantor fields are not given. Must be set with identifier.'
+                },
+                {
+                  'name': '-encounter',
+                  'type': 'reference',
+                  'documentation': 'The encounter associated with the resource.'
+                },
+                {
+                  'name': '-guarantor',
+                  'type': 'reference',
+                  'documentation': 'The entity that responsible for payment. It is a required field if the _id or '\
+                                   'patient fields are not given.'
+                },
+                {
+                  'name': 'type',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Account-type',
+                  'type': 'token',
+                  'documentation': 'The identifier for the account. Required in every search request.'
+                },
+                {
+                  'name': 'identifier',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Account-identifier',
+                  'type': 'token',
+                  'documentation': 'Statement Account number. Must be set with patients'
+                },
+                {
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': "The maximum number of results to return in a page. Not honored when '_id' is set."
+                }
+              ]
+            },
+            {
+              'type': 'AllergyIntolerance',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance'
+              ],
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                },
+                {
+                  'code': 'create'
+                },
+                {
+                  'code': 'update'
+                }
+              ],
+              'updateCreate': false,
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of AllergyIntolerance ids. It is a required '\
+                                   'field if the patient field is not given.'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-allergyintolerance-patient',
+                  'type': 'reference',
+                  'documentation': 'Who the sensitivity is for. It is a required field if the _id field is not given.'
+                },
+                {
+                  'name': 'clinical-status',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-allergyintolerance-clinical-status',
+                  'type': 'token',
+                  'documentation': 'Certainty of the allergy or intolerance.'
+                }
+              ]
+            },
+            {
+              'type': 'Appointment',
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                },
+                {
+                  'code': 'create'
+                },
+                {
+                  'code': 'patch'
+                }
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': "A single or comma separated list of Appointment ids. Either the '_id' parameter "\
+                                   "or one of the 'patient', 'practitioner' or 'location' parameters must be set."
+                },
+                {
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': "The maximum number of results to return in a page. Not honored when '_id' is set."
+                },
+                {
+                  'name': 'date',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Appointment-date',
+                  'type': 'date',
+                  'documentation': 'A date or date range from which to find appointments. This or the '\
+                                   "'-date-or-req-period' parameter must be set when using patient, practitioner or "\
+                                   "location. The 'date' parameter may be provided once without a prefix or time "\
+                                   'component to imply a date range or once without a prefix and with a time '\
+                                   'component to search for appointments at a specific time. Alternately it may be '\
+                                   "provided twice with 'le' and 'gt' prefixes to search for appointments within a "\
+                                   'specific range. The date prefix pair must create a closed range.'
+                },
+                {
+                  'name': '-date-or-req-period',
+                  'type': 'date',
+                  'documentation': 'A start date or requested period from which to find appointments. This or the '\
+                                   "'date' parameter must be set when using patient, practitioner or location. The "\
+                                   "'-date-or-req-period' parameter may be provided once without a prefix or time "\
+                                   'component to imply a date range or once without a prefix and with a time '\
+                                   'component to search for appointments at a specific time. Alternately it may be '\
+                                   "provided twice with 'le' and 'gt' prefixes to search for appointments within a "\
+                                   'specific range. The date prefix pair must create a closed range.'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Appointment-patient',
+                  'type': 'reference',
+                  'documentation': "One of the individuals of the appointment is this patient. Either the '_id' "\
+                                   "parameter or one of the 'patient', 'practitioner' or 'location' parameters must "\
+                                   'be set.'
+                },
+                {
+                  'name': 'practitioner',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Appointment-practitioner',
+                  'type': 'reference',
+                  'documentation': "One of the individuals of the appointment is this practitioner. Either the '_id' "\
+                                   "parameter or one of the 'patient', 'practitioner' or 'location' parameters must "\
+                                   'be set.'
+                },
+                {
+                  'name': 'location',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Appointment-location',
+                  'type': 'reference',
+                  'documentation': "This location is listed in the participants of the appointment. Either the '_id' "\
+                                   "parameter or one of the 'patient', 'practitioner' or 'location' parameters must "\
+                                   'be set.'
+                },
+                {
+                  'name': 'status',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Appointment-status',
+                  'type': 'token',
+                  'documentation': 'The overall status of the appointment.'
+                }
+              ]
+            },
+            {
+              'type': 'Basic',
+              'interaction': [
+                {
+                  'code': 'create'
+                }
+              ]
+            },
+            {
+              'type': 'Binary',
+              'interaction': [
+                {
+                  'code': 'read'
+                }
+              ],
+              'operation': [
+                {
+                  'name': 'autogen-ccd-if',
+                  'definition': 'https://fhir-ehr.cerner.com/r4/OperationDefinition/binary-autogen-ccd-if',
+                  'documentation': 'Generate Continuity of Care Document (CCD)'
+                }
+              ]
+            },
+            {
+              'type': 'CarePlan',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan'
+              ],
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of CarePlan ids.'
+                },
+                {
+                  'name': 'date',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-date',
+                  'type': 'date',
+                  'documentation': 'A date range with which to find CarePlans. If used, the ‘date’ parameter must be '\
+                                   "provided twice. Once with a 'ge' prefix representing the earliest date, and once "\
+                                   "with a 'le’ prefix representing the latest date. The date prefix pair must create "\
+                                   'a closed range.'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-patient',
+                  'type': 'reference',
+                  'documentation': 'Who the careplan is for. It is a required field if the _id field is not given.'
+                },
+                {
+                  'name': 'category',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-category',
+                  'type': 'token',
+                  'documentation': 'The category of the careplan. Category assess-plan is supported as of now.'
+                },
+                {
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': "The maximum number of results to return. Not honored when '_id' is set."
+                }
+              ]
+            },
+            {
+              'type': 'CareTeam',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam'
+              ],
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'CareTeam id supports only the single id. It is a required field if the patient or '\
+                                   'encounter fields are not given.'
+                },
+                {
+                  'name': 'category',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/CareTeam-category',
+                  'type': 'token',
+                  'documentation': 'The category of the careteam. Category Longitudinal (patient level) or Encounter '\
+                                   'is supported as of now.'
+                },
+                {
+                  'name': 'encounter',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-encounter',
+                  'type': 'reference',
+                  'documentation': 'The Encounter level CareTeam are displayed.'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-careteam-patient',
+                  'type': 'reference',
+                  'documentation': 'Who the careteam is for. It is a required field if the _id field is not given.'
+                },
+                {
+                  'name': 'status',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-careteam-status',
+                  'type': 'token',
+                  'documentation': 'The status of the CareTeam.'
+                }
+              ]
+            },
+            {
+              'type': 'ChargeItem',
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'ChargeItem id supports only the single id. It is a required field if the account '\
+                                   'or context fields are not given.'
+                },
+                {
+                  'name': 'context',
+                  'type': 'reference',
+                  'documentation': "Encounter associated with the ChargeItem. If provided, the '-status' parameter "\
+                                   'must also be provided. It is a required field if the _id or account fields are '\
+                                   'not given.'
+                },
+                {
+                  'name': 'account',
+                  'type': 'reference',
+                  'documentation': "Account associated with the ChargeItem. If provided, the '-status' parameter must "\
+                                   'also be provided. It is a required field if the _id or context fields are not '\
+                                   'given.'
+                },
+                {
+                  'name': '-status',
+                  'type': 'token',
+                  'documentation': "The status of the ChargeItem. Must be set to 'billable'. Must be provided with "\
+                                   'the context and account parameter.'
+                },
+                {
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': "The maximum number of results to return in a page. Not honored when '_id' is set."
+                }
+              ],
+              'operation': [
+                {
+                  'name': 'credit',
+                  'definition': 'https://fhir-ehr.cerner.com/r4/OperationDefinition/charge-item-credit',
+                  'documentation': 'Creates an offsetting ChargeItem for an existing debit ChargeItem.'
+                },
+                {
+                  'name': 'modify',
+                  'definition': 'https://fhir-ehr.cerner.com/r4/OperationDefinition/charge-item-modify',
+                  'documentation': 'Modifies an existing ChargeItem resulting in a newly created ChargeItem.'
+                },
+                {
+                  'name': 'create',
+                  'definition': 'https://fhir-ehr.cerner.com/r4/OperationDefinition/charge-item-create',
+                  'documentation': 'Creates a charge event which can result in the creation of one or more ChargeItems.'
+                }
+              ]
+            },
+            {
+              'type': 'Communication',
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                },
+                {
+                  'code': 'create'
+                },
+                {
+                  'code': 'patch'
+                }
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of Communication ids. It is a required field if '\
+                                   'the category, -email-status, received and recipient fields are not given.'
+                },
+                {
+                  'name': 'category',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Communication-category',
+                  'type': 'token',
+                  'documentation': 'The message category. It is a required field if the _id field is not given. Must '\
+                                   'be set with received, recipient and -email-status.'
+                },
+                {
+                  'name': 'received',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Communication-received',
+                  'type': 'date',
+                  'documentation': 'When the message is received. It is a required field if the _id field is not '\
+                                   'given. Must be set with category, recipient and -email-status. If used, the '\
+                                   "‘received’ parameter may be provided once or twice. Once with a 'ge' prefix "\
+                                   "representing the earliest received date, and/or once with a 'le’ prefix "\
+                                   'representing the latest received date.'
+                },
+                {
+                  'name': 'recipient',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Communication-recipient',
+                  'type': 'reference',
+                  'documentation': 'The recipient of the message. It is a required field if the _id field is not '\
+                                   'given. Must be set with category, recipient and -email-status.'
+                },
+                {
+                  'name': '-email-status',
+                  'type': 'token',
+                  'documentation': 'The email status of the message. It is a required field if the _id field is not '\
+                                   'given. Must be set with category, received and recipient.'
+                }
+              ]
+            },
+            {
+              'type': 'Condition',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition'
+              ],
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                },
+                {
+                  'code': 'create'
+                },
+                {
+                  'code': 'update'
+                }
+              ],
+              'updateCreate': false,
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of Condition ids. It is a required field if the '\
+                                   'patient or subject fields are not given.'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-patient',
+                  'type': 'reference',
+                  'documentation': 'Who has the condition. It is a required field if the subject or _id fields are '\
+                                   'not given.'
+                },
+                {
+                  'name': 'encounter',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Condition-encounter',
+                  'type': 'reference',
+                  'documentation': 'The encounter of the patient. Only encounter-diagnosis are returned.'
+                },
+                {
+                  'name': 'subject',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Condition-subject',
+                  'type': 'reference',
+                  'documentation': 'Who has the condition. It is a required field if the patient or _id fields are '\
+                                   'not given.'
+                },
+                {
+                  'name': 'clinical-status',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-clinical-status',
+                  'type': 'token',
+                  'documentation': 'The clinical status of the condition.'
+                },
+                {
+                  'name': 'category',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-category',
+                  'type': 'token',
+                  'documentation': 'The category of the condition. Categories problem-list-item, encounter-diagnosis '\
+                                   'and health-concern are supported as of now.'
+                }
+              ]
+            },
+            {
+              'type': 'Consent',
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchInclude': [
+                'Consent:actor',
+                'Consent:patient'
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of Consent ids.'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-patient',
+                  'type': 'reference',
+                  'documentation': 'Who the consent applies to. It is a required field if the _id field is not given.'
+                },
+                {
+                  'name': 'actor',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Consent-actor',
+                  'type': 'reference',
+                  'documentation': 'Resource for the actor (or group, by role). It is a required field if the _id '\
+                                   'field is not given.'
+                },
+                {
+                  'name': 'patient.identifier',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Consent-patient.identifier',
+                  'type': 'token',
+                  'documentation': 'The patient.identifier allows to search by patient aliases. Federated Person '\
+                                   'Principle, SSN, MRN etc... are supported as of now. It is a required field if the '\
+                                   '_id field is not given.'
+                },
+                {
+                  'name': 'actor.identifier',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Consent-actor.identifier',
+                  'type': 'token',
+                  'documentation': 'The actor.identifier allows to search by related person aliases. Federated Person '\
+                                   'Principle is the only supported alias as of now. It is a required field if the '\
+                                   '_id field is not given.'
+                }
+              ]
+            },
+            {
+              'type': 'Coverage',
+              'interaction': [
+                {
+                  'code': 'search-type'
+                },
+                {
+                  'code': 'create'
+                },
+                {
+                  'code': 'patch'
+                },
+                {
+                  'code': 'delete'
+                }
+              ],
+              'searchParam': [
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Coverage-patient',
+                  'type': 'reference',
+                  'documentation': 'Retrieve coverages for a patient.'
+                },
+                {
+                  'name': '-encounter',
+                  'type': 'reference',
+                  'documentation': 'Retrieve coverages for an encounter.'
+                }
+              ]
+            },
+            {
+              'type': 'Device',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device'
+              ],
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of Device ids. It is a required field if the '\
+                                   'patient field is not given.'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-device-patient',
+                  'type': 'reference',
+                  'documentation': 'The patient to whom Device is affixed. It is a required field if the _id field is '\
+                                   'not given.'
+                }
+              ]
+            },
+            {
+              'type': 'DiagnosticReport',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab'
+              ],
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of DiagnosticReport ids. It is a required field '\
+                                   'if the patient field is not given.'
+                },
+                {
+                  'name': 'category',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-category',
+                  'type': 'token',
+                  'documentation': 'Which diagnostic discipline/department created the report.'
+                },
+                {
+                  'name': 'code',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-code',
+                  'type': 'token',
+                  'documentation': 'The code for the report.'
+                },
+                {
+                  'name': 'encounter',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-encounter',
+                  'type': 'reference',
+                  'documentation': 'The Encounter when the report was made.'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-patient',
+                  'type': 'reference',
+                  'documentation': 'The subject of the report. It is a required field.'
+                },
+                {
+                  'name': 'date',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-date',
+                  'type': 'date',
+                  'documentation': 'A date range with which to find Documents. A date parameter may be provided once '\
+                                   'with or without prefix and time component to imply a date range. Alternately it '\
+                                   "may be provided twice with 'le', 'lt', 'ge', or 'gt'  prefixes and time component "\
+                                   'to search for procedures within a specific range. The date and prefix pairs must '\
+                                   'create a closed range. Must be set with patient or subject.'
+                },
+                {
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': 'The maximum number of results to return in a page.'
+                }
+              ]
+            },
+            {
+              'type': 'DocumentReference',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference'
+              ],
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                },
+                {
+                  'code': 'create'
+                },
+                {
+                  'code': 'update'
+                }
+              ],
+              'updateCreate': false,
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of DocumentReference ids. It is a required field '\
+                                   'if the patient field is not given.'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-patient',
+                  'type': 'reference',
+                  'documentation': 'The patient the document is about. It is a required field if the subject field is '\
+                                   'not given.'
+                },
+                {
+                  'name': 'encounter',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-encounter',
+                  'type': 'reference',
+                  'documentation': 'The Encounter in which the document was created.'
+                },
+                {
+                  'name': 'period',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-period',
+                  'type': 'date',
+                  'documentation': "A date range with which to find Documents. If used, the 'period' parameter must "\
+                                   "be provided twice. Once with a 'ge' prefix representing the earliest date, and "\
+                                   "once with a 'lt' prefix representing the latest date. The period prefix pair must "\
+                                   'create a closed range and cannot be equal to each other.'
+                },
+                {
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': 'The maximum number of results to return in a page.'
+                },
+                {
+                  'name': 'type',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-type',
+                  'type': 'token',
+                  'documentation': 'The kind of document (LOINC if possible).'
+                },
+                {
+                  'name': 'category',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-category',
+                  'type': 'token',
+                  'documentation': 'The categorization of document.'
+                },
+                {
+                  'name': 'date',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-date',
+                  'type': 'date',
+                  'documentation': 'It must be provided  once with a prefix to imply a date  range or without a '\
+                                   'prefix to search for document(s) at a specific date. Alternately it may be '\
+                                   'provided twice with `le`, `lt`, `ge`, or `gt` prefixes to search for document(s) '\
+                                   'within specific range. The date and prefix pairs must create a closed range. For '\
+                                   "a single 'date' occurrence, `time` component is optional but for two `date` "\
+                                   'occurrences, must include `time` component.'
+                }
+              ],
+              'operation': [
+                {
+                  'name': 'USCoreFetchDocumentReferences',
+                  'definition': 'http://hl7.org/fhir/us/core/OperationDefinition/docref',
+                  'documentation': 'US Core Fetch DocumentReferences'
+                }
+              ]
+            },
+            {
+              'type': 'Encounter',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter'
+              ],
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                },
+                {
+                  'code': 'create'
+                },
+                {
+                  'code': 'patch'
+                }
+              ],
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of Encounter ids. It is a required field if the '\
+                                   'account or identifier or -pageContext or patient or subject fields are not given.'
+                },
+                {
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': "The maximum number of results to return in a page. Not honored when '_id' is set."
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-patient',
+                  'type': 'reference',
+                  'documentation': 'The patient present at the encounter. It is a required field if the account or '\
+                                   '_id or identifier or -pageContext or subject fields are not given.'
+                },
+                {
+                  'name': 'subject',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Encounter-subject',
+                  'type': 'reference',
+                  'documentation': 'The patient present at the encounter. It is a required field if the account or '\
+                                   '_id or identifier or -pageContext or patient fields are not given.'
+                },
+                {
+                  'name': 'status',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-status',
+                  'type': 'token',
+                  'documentation': 'The status of the encounter. Must be set with patient.'
+                },
+                {
+                  'name': 'date',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-date',
+                  'type': 'date',
+                  'documentation': 'A date parameter may be provided once with a prefix and time component to imply a '\
+                                   "date range. Alternately it may be provided twice with 'le', 'lt', 'ge', or 'gt' "\
+                                   'prefixes and time component to search for encounters within a specific range. The '\
+                                   'date and prefix pairs must create a closed range. Must be set with patient or '\
+                                   'subject.'
+                },
+                {
+                  'name': 'identifier',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-identifier',
+                  'type': 'token',
+                  'documentation': "An encounter's identifier. It is a required field if the account or _id or "\
+                                   '-pageContext or patient or subject fields are not given.'
+                }
+              ]
+            },
+            {
+              'type': 'FamilyMemberHistory',
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                },
+                {
+                  'code': 'create'
+                },
+                {
+                  'code': 'update'
+                }
+              ],
+              'updateCreate': false,
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of FamilyMemberHistory ids. It is a required '\
+                                   'field if the patient field is not given.'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-patient',
+                  'type': 'reference',
+                  'documentation': 'Who the family member history is for. It is a required field if the _id field is '\
+                                   'not given. It is a required field if the status parameter is provided.'
+                },
+                {
+                  'name': 'status',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/status',
+                  'type': 'token',
+                  'documentation': 'The status of the FamilyMemberHistory.'
+                }
+              ]
+            },
+            {
+              'type': 'Goal',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal'
+              ],
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'Goal id supports only the single id. It is a required field if the patient field '\
+                                   'is not given.'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-goal-patient',
+                  'type': 'reference',
+                  'documentation': 'Who has the goal is for. It is a required field if the _id field is not given.'
+                },
+                {
+                  'name': 'target-date',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-goal-target-date',
+                  'type': 'date',
+                  'documentation': 'A date or date range from which to find Goals.'
+                }
+              ]
+            },
+            {
+              'type': 'Group',
+              'operation': [
+                {
+                  'name': 'export',
+                  'definition': 'https://fhir-ehr.cerner.com/r4/OperationDefinition/group-export',
+                  'documentation': 'Operation to obtain a detailed set of FHIR resources of diverse resource types '\
+                                   'pertaining to all members of the specified Group'
+                }
+              ]
+            },
+            {
+              'type': 'Immunization',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization'
+              ],
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                },
+                {
+                  'code': 'create'
+                },
+                {
+                  'code': 'update'
+                }
+              ],
+              'updateCreate': false,
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of Immunization ids. It is a required field if '\
+                                   'the patient field is not given.'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-immunization-patient',
+                  'type': 'reference',
+                  'documentation': 'The patient for the vaccination record. It is a required field if the _id field '\
+                                   'is not given.'
+                },
+                {
+                  'name': 'date',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-immunization-date',
+                  'type': 'date',
+                  'documentation': 'Vaccination (non)-Administration Date.'
+                },
+                {
+                  'name': 'target-disease',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-immunization-target-disease',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of target diseases the dose is being '\
+                                   'administered against.'
+                }
+              ]
+            },
+            {
+              'type': 'InsurancePlan',
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of InsurancePlan ids.'
+                },
+                {
+                  'name': 'owned-by',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/InsurancePlan-owned-by',
+                  'type': 'reference',
+                  'documentation': 'The organization that is providing the health insurance product.'
+                }
+              ]
+            },
+            {
+              'type': 'Location',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-location'
+              ],
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of Location ids. It is a required field if the '\
+                                   '-physicalType field is not given'
+                },
+                {
+                  'name': '-physicalType',
+                  'type': 'token',
+                  'documentation': "The Location's physical type. It is a required field if the _id field is not given"
+                },
+                {
+                  'name': 'identifier',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-location-identifier',
+                  'type': 'token',
+                  'documentation': "A location's identifier."
+                },
+                {
+                  'name': 'address',
+                  'type': 'string',
+                  'documentation': 'A (part of the) address of the location'
+                },
+                {
+                  'name': 'address-city',
+                  'type': 'string',
+                  'documentation': 'A city specified in an address. It is a required field if the address-state or '\
+                                   'address-postalcode fields are not given'
+                },
+                {
+                  'name': 'address-state',
+                  'type': 'string',
+                  'documentation': 'A state specified in an address'
+                },
+                {
+                  'name': 'address-postalcode',
+                  'type': 'string',
+                  'documentation': 'A postal code specified in an address'
+                },
+                {
+                  'name': 'name',
+                  'type': 'string',
+                  'documentation': "A portion of the location's name or alias"
+                },
+                {
+                  'name': 'organization',
+                  'type': 'reference',
+                  'documentation': 'Searches for locations that are managed by the provided organization'
+                }
+              ]
+            },
+            {
+              'type': 'MedicationAdministration',
+              'interaction': [
+                {
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
+                }
+              ],
+              'searchParam': [
+                {
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of MedicationAdministration ids.'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/medicationadministration-patient',
+                  'type': 'reference',
+                  'documentation': 'The identity of a patient to list administrations for. It is a required field if '\
+                                   'the _id field is not given.'
+                },
+                {
+                  'name': 'status',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/medicationadministration-status',
+                  'type': 'token',
+                  'documentation': 'MedicationAdministration event status.'
+                },
+                {
+                  'name': 'performer',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/medicationadministration-performer',
+                  'type': 'reference',
+                  'documentation': 'The identity of the individual who administered the medication.'
+                },
+                {
+                  'name': 'effective-time',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/medicationadministration-effective-time',
+                  'type': 'date',
+                  'documentation': "A effective-time parameter may be provided once with 'le' or 'lt' or 'ge' or 'gt' "\
+                                   'prefix and time component to imply a date range. Alternately it may be provided '\
+                                   "twice with 'le', 'lt', 'ge', or 'gt' prefixes and time component to search for "\
+                                   'medications administered within a specific range. The date and prefix pairs must '\
+                                   'create a closed range.'
                 }
               ]
             },
             {
-              'type': 'Account',
+              'type': 'MedicationRequest',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest'
+              ],
               'interaction': [
                 {
                   'code': 'read'
                 },
                 {
                   'code': 'search-type'
+                },
+                {
+                  'code': 'create'
+                },
+                {
+                  'code': 'patch'
                 }
               ],
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
               'searchParam': [
                 {
                   'name': '_id',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
                   'type': 'token',
-                  'documentation': 'A single or comma separated list of Account ids. It is a required field if the '\
-                                   '-guarantor or patient fields are not given.'
+                  'documentation': 'A single or comma separated list of MedicationRequest ids.'
                 },
                 {
                   'name': 'patient',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Account-patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-patient',
                   'type': 'reference',
-                  'documentation': 'The entity that caused the expenses. It is a required field if the _id or '\
-                                   '-guarantor fields are not given. Must be set with identifier.'
+                  'documentation': 'The patient to return MedicationRequests for. It is a required field if the _id '\
+                                   'field is not given.'
                 },
                 {
-                  'name': '-guarantor',
-                  'type': 'reference',
-                  'documentation': 'The entity that responsible for payment. It is a required field if the _id or '\
-                                   'patient fields are not given.'
+                  'name': 'intent',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-intent',
+                  'type': 'token',
+                  'documentation': 'The intent of the MedicationRequest.'
                 },
                 {
-                  'name': 'type',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Account-type',
-                  'type': 'string',
-                  'documentation': 'The identifier for the account. Required in every search request.'
+                  'name': 'status',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-status',
+                  'type': 'token',
+                  'documentation': 'The status of the MedicationRequest.'
                 },
                 {
-                  'name': 'identifier',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Account-identifier',
-                  'type': 'number',
-                  'documentation': 'Statement Account number. Must be set with patients'
+                  'name': '_lastUpdated',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-lastUpdated',
+                  'type': 'date',
+                  'documentation': 'When the resource version last changed.'
+                },
+                {
+                  'name': '-timing-boundsPeriod',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-dosageInstruction-timing-repeat-boundsPeriod',
+                  'type': 'date',
+                  'documentation': 'The date-time within the period the medication should be given to the patient. '\
+                                   "Must be prefixed by 'ge'."
                 },
                 {
                   'name': '_count',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
                   'type': 'number',
-                  'documentation': "The maximum number of results to return. Not honoured when '_id' is set."
+                  'documentation': "The maximum number of results to return in a page. Not honored when '_id' is set."
                 }
               ]
             },
             {
-              'type': 'AllergyIntolerance',
-              'supportedProfile': [
-                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance'
-              ],
+              'type': 'NutritionOrder',
               'interaction': [
                 {
                   'code': 'read'
@@ -986,25 +3174,54 @@ module Resources
                   'name': '_id',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
                   'type': 'token',
-                  'documentation': 'A single or comma separated list of AllergyIntolerance ids. It is a required '\
-                                   'field if the patient field is not given.'
+                  'documentation': 'A single or comma separated list of NutritionOrder ids.'
                 },
                 {
                   'name': 'patient',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-patient',
                   'type': 'reference',
-                  'documentation': 'Who the sensitivity is for. It is a required field if the _id field is not given.'
+                  'documentation': 'The patient to return NutritionOrders for. It is a required field if the _id '\
+                                   'field is not given.'
                 },
                 {
-                  'name': 'clinical-status',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/AllergyIntolerance-clinical-status',
+                  'name': 'status',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/NutritionOrder-status',
                   'type': 'token',
-                  'documentation': 'Certainty of the allergy or intolerance.'
+                  'documentation': 'The status of the NutritionOrder.'
+                },
+                {
+                  'name': '_lastUpdated',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-lastUpdated',
+                  'type': 'date',
+                  'documentation': 'When the resource version last changed.'
+                },
+                {
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': "The maximum number of results to return in a page. Not honored when '_id' is set."
                 }
               ]
             },
             {
-              'type': 'Appointment',
+              'type': 'Observation',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi',
+                'http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-temperature',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-head-circumference',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs',
+                'http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age',
+                'http://hl7.org/fhir/us/core/StructureDefinition/head-occipital-frontal-circumference-percentile'
+              ],
               'interaction': [
                 {
                   'code': 'read'
@@ -1016,182 +3233,151 @@ module Resources
                   'code': 'create'
                 },
                 {
-                  'code': 'patch'
+                  'code': 'update'
                 }
               ],
+              'updateCreate': false,
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
               'searchParam': [
                 {
                   'name': '_id',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
                   'type': 'token',
-                  'documentation': "A single or comma separated list of Appointment ids. Either the '_id' parameter "\
-                                   "or one of the 'patient', 'practitioner' or 'location' parameters must be set."
-                },
-                {
-                  'name': '_count',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
-                  'type': 'number',
-                  'documentation': "The maximum number of results to return. Not honoured when '_id' is set."
-                },
-                {
-                  'name': 'date',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Appointment-date',
-                  'type': 'date',
-                  'documentation': 'A date or date range from which to find appointments. This must be set when '\
-                                   "using patient, practitioner or location. The 'date' parameter may be provided "\
-                                   'once without a prefix or time component to imply a date range or once without a '\
-                                   'prefix and with a time component to search for appointments at a specific time. '\
-                                   "Alternately it may be provided twice with 'le' and 'gt' prefixes to search for "\
-                                   'appointments within a specific range. The date prefix pair must create a closed '\
-                                   'range.'
+                  'documentation': 'A single or comma separated list of Observation ids. It is a required field if '\
+                                   'the patient field is not given.'
                 },
                 {
                   'name': 'patient',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Appointment-patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-patient',
                   'type': 'reference',
-                  'documentation': "One of the individuals of the appointment is this patient. Either the '_id' "\
-                                   "parameter or one of the 'patient', 'practitioner' or 'location' parameters must "\
-                                   'be set.'
+                  'documentation': 'The patient the observation is about. It is a required field if the subject field '\
+                                   'is not given.'
                 },
                 {
-                  'name': 'practitioner',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Appointment-practitioner',
+                  'name': 'subject',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Observation-subject',
                   'type': 'reference',
-                  'documentation': "One of the individuals of the appointment is this practitioner. Either the '_id' "\
-                                   "parameter or one of the 'patient', 'practitioner' or 'location' parameters must "\
-                                   'be set.'
+                  'documentation': 'The patient subject the observation is about. It is a required field if the '\
+                                   'patient field is not given.'
                 },
                 {
-                  'name': 'location',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Appointment-location',
-                  'type': 'reference',
-                  'documentation': "This location is listed in the participants of the appointment. Either the '_id' "\
-                                   "parameter or one of the 'patient', 'practitioner' or 'location' parameters "\
-                                   'must be set.'
+                  'name': 'category',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-category',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of classifications of the type of observation.'
                 },
                 {
-                  'name': 'status',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Appointment-status',
+                  'name': 'code',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-code',
                   'type': 'token',
-                  'documentation': 'The overall status of the appointment.'
+                  'documentation': 'A single or comma separated list of observation types.'
+                },
+                {
+                  'name': 'date',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-date',
+                  'type': 'date',
+                  'documentation': "A date or date range from which to find observations. The 'date' parameter may be "\
+                                   'provided once without a prefix or time component to imply a date range or once '\
+                                   'without a prefix and with a time component to search for observations at a '\
+                                   "specific time. Alternately it may be provided twice with 'le', 'lt', 'ge', or "\
+                                   "'gt' prefixes to search for observations within a specific range. The date and "\
+                                   'prefix pairs must create a closed range.'
+                },
+                {
+                  'name': '_lastUpdated',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-lastUpdated',
+                  'type': 'date',
+                  'documentation': 'A date or date range used to search for observations which were last updated in '\
+                                   "that period. The '_lastUpdated' parameter may be provided once without a prefix "\
+                                   'or time component to imply a date range or once without a prefix and with a time '\
+                                   'component to search for observations at a specific time. Alternately it may be '\
+                                   "provided twice with 'le', 'lt', 'ge', or 'gt' prefixes to search for observations "\
+                                   'within a specific range. The date and prefix pairs must create a closed range.'
+                },
+                {
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': 'The maximum number of results to return in a page.'
                 }
               ]
             },
             {
-              'type': 'Basic',
+              'type': 'OperationDefinition',
               'interaction': [
                 {
-                  'code': 'create'
+                  'code': 'read'
                 }
               ]
             },
             {
-              "type": 'CarePlan',
-              "supportedProfile": [
-                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan'
+              'type': 'Organization',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization'
               ],
-              "interaction": [
+              'interaction': [
                 {
-                  "code": 'read'
+                  'code': 'read'
+                },
+                {
+                  'code': 'search-type'
                 },
                 {
-                  "code": 'search-type'
+                  'code': 'create'
                 }
               ],
-              "searchRevInclude": [
-                'Provenance:target'
-              ],
-              "searchParam": [
+              'searchParam': [
                 {
-                  "name": '_id',
-                  "definition": 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
-                  "type": 'token',
-                  "documentation": 'A single or comma separated list of CarePlan ids.'
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of Organization ids.'
                 },
                 {
-                  "name": 'date',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-date',
-                  "type": 'date',
-                  "documentation": "A date range with which to find CarePlans. If used, the ‘date’
-                  parameter must be provided twice. Once with a 'ge' prefix representing the earliest date,
-                  and once with a 'le’ prefix representing the latest date. The date prefix pair must create
-                  a closed range."
+                  'name': 'identifier',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Organization-identifier',
+                  'type': 'token',
+                  'documentation': "The Organization's Identifier."
                 },
                 {
-                  "name": 'patient',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-patient',
-                  "type": 'reference',
-                  "documentation": 'Who the careplan is for. It is a required field if the _id field is not given.'
+                  'name': 'type',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Organization-type',
+                  'type': 'token',
+                  'documentation': "The Organization's type."
                 },
                 {
-                  "name": 'category',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-category',
-                  "type": 'token',
-                  "documentation": 'The category of the careplan. Category assess-plan is supported as of now.'
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Organization-count',
+                  'type': 'number',
+                  'documentation': 'The maximum number of results to return in a page.'
                 },
                 {
-                  "name": '_count',
-                  "definition": 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
-                  "type": 'number',
-                  "documentation": "The maximum number of results to return. Not honored when '_id' is set."
-                }
-              ]
-            },
-            {
-              "type": 'CareTeam',
-              "supportedProfile": [
-                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam'
-              ],
-              "interaction": [
-                {
-                  "code": 'read'
+                  'name': 'name',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Organization-name',
+                  'type': 'string',
+                  'documentation': "The Organization's name."
                 },
                 {
-                  "code": 'search-type'
+                  'name': 'address',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Organization-address',
+                  'type': 'string',
+                  'documentation': "The Organization's address."
                 }
               ],
-              "searchRevInclude": [
-                'Provenance:target'
-              ],
-              "searchParam": [
-                {
-                  "name": '_id',
-                  "definition": 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
-                  "type": 'token',
-                  "documentation": 'CareTeam id supports only the single id. It is a required field if
-                  the patient or encounter fields are not given.'
-                },
-                {
-                  "name": 'category',
-                  "definition": 'http://hl7.org/fhir/R4/SearchParameter/CareTeam-category',
-                  "type": 'token',
-                  "documentation": 'The category of the careteam. Category Longitudinal (patient level)
-                  or Encounter is supported as of now.'
-                },
-                {
-                  "name": 'encounter',
-                  "definition": 'http://hl7.org/fhir/R4/SearchParameter/clinical-encounter',
-                  "type": 'reference',
-                  "documentation": 'The Encounter level CareTeam are displayed.'
-                },
-                {
-                  "name": 'patient',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-careteam-patient',
-                  "type": 'reference',
-                  "documentation": 'Who the careteam is for. It is a required field if the _id field is not given.'
-                },
+              'operation': [
                 {
-                  "name": 'status',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-careteam-status',
-                  "type": 'token',
-                  "documentation": 'The status of the CareTeam.'
+                  'name': 'get-cg-for-mrcu',
+                  'definition': 'https://fhir-ehr.cerner.com/r4/OperationDefinition/organization-get-cg-for-mrcu',
+                  'documentation': 'Retrieves details for a caregiver organization given a care unit organization id.'
                 }
               ]
             },
             {
-              'type': 'Condition',
+              'type': 'Patient',
               'supportedProfile': [
-                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition'
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient'
               ],
               'interaction': [
                 {
@@ -1204,71 +3390,110 @@ module Resources
                   'code': 'create'
                 },
                 {
-                  'code': 'update'
+                  'code': 'patch'
                 }
               ],
-              'updateCreate': false,
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
               'searchParam': [
                 {
                   'name': '_id',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-id',
                   'type': 'token',
-                  'documentation': 'A single or comma separated list of Condition ids. It is a required field if the'\
-                                   ' patient or subject fields are not given.'
+                  'documentation': "A single or comma separated list of Patient ids. Either the '_id' parameter, or a "\
+                                   "combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
+                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
                 },
                 {
-                  'name': 'patient',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-patient',
-                  'type': 'reference',
-                  'documentation': 'Who has the condition. It is a required field if the subject or _id fields are '\
-                                   'not given.'
+                  'name': 'identifier',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-identifier',
+                  'type': 'token',
+                  'documentation': "A patient identifier. Either the '_id' parameter, or a combination of "\
+                                   "'identifier', 'birthdate', 'name', 'given', 'family', 'address-postalcode', "\
+                                   "'phone', or 'email' parameters must be provided."
                 },
                 {
-                  'name': 'subject',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Condition-subject',
-                  'type': 'reference',
-                  'documentation': 'Who has the condition. It is a required field if the patient or _id fields are '\
-                                   'not given.'
+                  'name': 'name',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-name',
+                  'type': 'string',
+                  'documentation': "The beginning of any name of the patient. Either the '_id' parameter, or a "\
+                                   "combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
+                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
                 },
                 {
-                  'name': 'clinical-status',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Condition-clinical-status',
+                  'name': 'given',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-given',
+                  'type': 'string',
+                  'documentation': "The beginning of the given name of the patient. Either the '_id' parameter, or a "\
+                                   "combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
+                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
+                },
+                {
+                  'name': 'family',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-family',
+                  'type': 'string',
+                  'documentation': "The beginning of the family name of the patient. Either the '_id' parameter, or a "\
+                                   "combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
+                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
+                },
+                {
+                  'name': 'address-postalcode',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-address-postalcode',
+                  'type': 'string',
+                  'documentation': "The postal code of the address of the patient. Either the '_id' parameter, or a "\
+                                   "combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
+                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
+                },
+                {
+                  'name': 'birthdate',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-birthdate',
+                  'type': 'date',
+                  'documentation': "The date of birth of the patient. Either the '_id' parameter, or a combination "\
+                                   "of 'identifier', 'birthdate', 'name', 'given', 'family', 'address-postalcode', "\
+                                   "'phone', or 'email' parameters must be provided."
+                },
+                {
+                  'name': 'phone',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-phone',
                   'type': 'token',
-                  'documentation': 'The clinical status of the condition.'
+                  'documentation': "The value of the phone number of the patient. Either the '_id' parameter, or a "\
+                                   "combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
+                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
                 },
                 {
-                  'name': 'category',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Condition-category',
+                  'name': 'email',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-email',
                   'type': 'token',
-                  'documentation': 'The category of the condition. Categories problem-list-item and '\
-                                   'encounter-diagnosis are supported as of now.'
-                }
-              ]
-            },
-            {
-              'type': 'Coverage',
-              'interaction': [
+                  'documentation': "The value of the email address of the patient. Either the '_id' parameter, or a "\
+                                   "combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
+                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
+                },
                 {
-                  'code': 'search-type'
+                  'name': 'gender',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-gender',
+                  'type': 'token',
+                  'documentation': 'The administrative gender of the patient. Gender may only be provided if another '\
+                                   "parameter other than '_id' is provided"
                 },
                 {
-                  'code': 'create'
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': "The maximum number of results to return in a page. Not honored when '_id' or "\
+                                   "'identifier' are set."
                 }
               ],
-              'searchParam': [
+              'operation': [
                 {
-                  'name': 'patient',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Coverage-patient',
-                  'type': 'reference',
-                  'documentation': 'Retrieve coverages for a patient.'
+                  'name': 'health-cards-issue',
+                  'definition': 'https://spec.smarthealth.cards/artifacts/operation-patient-i-health-cards-issue.json',
+                  'documentation': 'Issues verifiable health cards for the patient.'
                 }
-              ]
-            },
-            {
-              'type': 'Device',
-              'supportedProfile': [
-                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device'
-              ],
+              ]
+            },
+            {
+              'type': 'Person',
               'interaction': [
                 {
                   'code': 'read'
@@ -1282,111 +3507,96 @@ module Resources
                   'name': '_id',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
                   'type': 'token',
-                  'documentation': 'A single or comma separated list of Device ids. It is a required field if '\
-                                   'the patient field is not given.'
+                  'documentation': 'A single or comma separated list of Person ids. It is a required field if the '\
+                                   'identifier field is not given'
                 },
                 {
-                  'name': 'patient',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Device-patient',
-                  'type': 'reference',
-                  'documentation': 'The patient to whom Device is affixed. It is a required field if the _id '\
-                                   'field is not given.'
+                  'name': 'identifier',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Person-identifier',
+                  'type': 'token',
+                  'documentation': "A person's Identifier. It is a required field if the _id field is not given"
                 }
               ]
             },
             {
-              "type": 'DocumentReference',
-              "supportedProfile": [
-                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference'
+              'type': 'Practitioner',
+              'supportedProfile': [
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner'
               ],
-              "interaction": [
-                {
-                  "code": 'read'
-                },
+              'interaction': [
                 {
-                  "code": 'search-type'
+                  'code': 'read'
                 },
                 {
-                  "code": 'create'
+                  'code': 'search-type'
                 },
                 {
-                  "code": 'update'
+                  'code': 'create'
                 }
               ],
-              "updateCreate": false,
-              "searchRevInclude": [
-                'Provenance:target'
-              ],
-              "searchParam": [
-                {
-                  "name": '_id',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-id',
-                  "type": 'token',
-                  "documentation": 'A single or comma separated list of DocumentReference ids. It is a
-                  required field if the patient field is not given.'
-                },
+              'searchParam': [
                 {
-                  "name": 'patient',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-patient',
-                  "type": 'reference',
-                  "documentation": 'The patient the document is about. It is a required field if the
-                  subject field is not given.'
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': "A single or comma separated list of Practitioner ids. Either the '_id', "\
+                                   "'identifier', 'name', 'active' or 'family' parameter, or a combination of 'given' "\
+                                   "and 'family' parameters must be provided."
                 },
                 {
-                  "name": 'encounter',
-                  "definition": 'http://hl7.org/fhir/R4/SearchParameter/clinical-encounter',
-                  "type": 'reference',
-                  "documentation": 'The Encounter in which the document was created.'
+                  'name': 'identifier',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-practitioner-identifier',
+                  'type': 'token',
+                  'documentation': "A practitioner's Identifier. Either the '_id', 'identifier', 'name', 'active' or "\
+                                   "'family' parameter, or a combination of 'given' and 'family' parameters must be "\
+                                   'provided.'
                 },
                 {
-                  "name": 'period',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-period',
-                  "type": 'date',
-                  "documentation": "A date range with which to find Documents. If used, the 'period' parameter
-                  must be provided twice. Once with a 'ge' prefix representing the earliest date, and once with
-                  a 'lt' prefix representing the latest date. The period prefix pair must create a closed range
-                  and cannot be equal to each other."
+                  'name': 'given',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-given',
+                  'type': 'string',
+                  'documentation': "The beginning of the given name of the practitioner. Either the '_id', "\
+                                   "'identifier', 'name', 'active' or 'family' parameter, or a combination of 'given' "\
+                                   "and 'family' parameters must be provided."
                 },
                 {
-                  "name": '_count',
-                  "definition": 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
-                  "type": 'number',
-                  "documentation": 'The maximum number of results to return in a page.'
+                  'name': 'family',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-family',
+                  'type': 'string',
+                  'documentation': "The beginning of the family name of the practitioner. Either the '_id', "\
+                                   "'identifier', 'name', 'active' or 'family' parameter, or a combination of 'given' "\
+                                   "and 'family' parameters must be provided."
                 },
                 {
-                  "name": 'type',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-type',
-                  "type": 'token',
-                  "documentation": 'The kind of document (LOINC if possible).'
+                  'name': 'name',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-name',
+                  'type': 'string',
+                  'documentation': 'The beginning of the first, last or middle name of the practitioner. Either the '\
+                                   "'_id', 'identifier', 'name', 'active' or 'family' parameter, or a combination of "\
+                                   "'given' and 'family' parameters must be provided."
                 },
                 {
-                  "name": 'category',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-category',
-                  "type": 'token',
-                  "documentation": 'The categorization of document.'
+                  'name': 'active',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-active',
+                  'type': 'token',
+                  'documentation': "Whether the practitioner record is active. Either the '_id', 'identifier', "\
+                                   "'name', 'active' or 'family' parameter, or a combination of 'given' and 'family' "\
+                                   'parameters must be provided.'
                 },
                 {
-                  "name": 'date',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-date',
-                  "type": 'date',
-                  "documentation": "A date parameter may be provided once with a prefix and time component to
-                  imply a date range. Alternately it may be provided twice with 'le', 'lt', 'ge', or 'gt' prefixes and
-                  time component to search for procedures within a specific range. The date and prefix pairs must create
-                  a closed range. Must be set with patient."
-                }
-              ],
-              "operation": [
-                {
-                  "name": 'USCoreFetchDocumentReferences',
-                  "definition": 'http://hl7.org/fhir/us/core/OperationDefinition/docref',
-                  "documentation": 'US Core Fetch DocumentReferences'
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': "The maximum number of results to return in a page. Not honored when '_id' is set. "\
+                                   "Either the '_id', 'identifier', 'name', 'active' or 'family' parameter, or a "\
+                                   "combination of 'given' and 'family' parameters must be provided."
                 }
               ]
             },
             {
-              'type': 'Encounter',
+              'type': 'Procedure',
               'supportedProfile': [
-                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter'
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure'
               ],
               'interaction': [
                 {
@@ -1397,83 +3607,49 @@ module Resources
                 },
                 {
                   'code': 'create'
-                },
-                {
-                  'code': 'patch'
                 }
               ],
+              'searchRevInclude': [
+                'Provenance:target'
+              ],
               'searchParam': [
                 {
                   'name': '_id',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
                   'type': 'token',
-                  'documentation': 'A single or comma separated list of Encounter ids. It is a required field if '\
-                                   'the patient or subject fields are not given.'
-                },
-                {
-                  'name': '_count',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
-                  'type': 'number',
-                  'documentation': "The maximum number of results to return. Not honored when '_id' is set."
+                  'documentation': 'A single or comma separated list of Procedure ids. It is a required field if the '\
+                                   'patient or subject fields are not given'
                 },
                 {
                   'name': 'patient',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-patient',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-patient',
                   'type': 'reference',
-                  'documentation': 'The patient present at the encounter. It is a required field if the _id or '\
-                                   'subject fields are not given.'
+                  'documentation': 'Search by subject - a patient. It is a required field if the _id or subject '\
+                                   'fields are not given'
                 },
                 {
                   'name': 'subject',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Encounter-subject',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-patient',
                   'type': 'reference',
-                  'documentation': 'The patient present at the encounter. It is a required field if the _id or '\
-                                   'patient fields are not given.'
-                }
-              ]
-            },
-            {
-              "type": 'Goal',
-              "supportedProfile": [
-                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal'
-              ],
-              "interaction": [
-                {
-                  "code": 'read'
-                },
-                {
-                  "code": 'search-type'
-                }
-              ],
-              "searchRevInclude": [
-                'Provenance:target'
-              ],
-              "searchParam": [
-                {
-                  "name": '_id',
-                  "definition": 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
-                  "type": 'token',
-                  "documentation": 'Goal id supports only the single id. It is a required field if the patient
-                  field is not given.'
+                  'documentation': 'Search by subject. It is a required field if the _id or patient fields are '\
+                                   'not given'
                 },
                 {
-                  "name": 'patient',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-goal-patient',
-                  "type": 'reference',
-                  "documentation": 'Who has the goal is for. It is a required field if the _id field is not given.'
-                },
-                {
-                  "name": 'target-date',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-goal-target-date',
-                  "type": 'date',
-                  "documentation": 'A date or date range from which to find Goals.'
+                  'name': 'date',
+                  'definition': 'http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-date',
+                  'type': 'date',
+                  'documentation': 'A date parameter may be provided once without a prefix or time component to imply '\
+                                   'a date range or once without a prefix and with a time component. Alternately it '\
+                                   "may be provided twice with 'le', 'lt', 'ge', or 'gt' prefixes to search for "\
+                                   'procedures within a specific range. The date and prefix pairs must create a '\
+                                   'closed range. Must be set with patient or subject.'
                 }
               ]
             },
             {
-              'type': 'Immunization',
+              'type': 'Provenance',
               'supportedProfile': [
-                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization'
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-provenance'
               ],
               'interaction': [
                 {
@@ -1481,6 +3657,9 @@ module Resources
                 },
                 {
                   'code': 'search-type'
+                },
+                {
+                  'code': 'create'
                 }
               ],
               'searchParam': [
@@ -1488,102 +3667,70 @@ module Resources
                   'name': '_id',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
                   'type': 'token',
-                  'documentation': 'A single or comma separated list of Immunization ids. It is a required field if '\
-                                   'the patient field is not given.'
+                  'documentation': 'A single or comma separated list of Provenance ids. It is a required field if the '\
+                                   'target field is not given'
                 },
                 {
-                  'name': 'patient',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-patient',
+                  'name': 'target',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Provenance-target',
                   'type': 'reference',
-                  'documentation': 'The patient for the vaccination record. It is a required field if the _id field '\
-                                   'is not given.'
-                },
-                {
-                  'name': 'date',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-date',
-                  'type': 'date',
-                  'documentation': 'Vaccination (non)-Administration Date.'
+                  'documentation': 'The resource(s) the Provenance is associated with. It is a required field if the '\
+                                   '_id field is not given'
                 }
               ]
             },
             {
-              "type": 'Location',
-              "supportedProfile": [
-                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-location'
-              ],
-              "interaction": [
+              'type': 'Questionnaire',
+              'interaction': [
                 {
-                  "code": 'read'
+                  'code': 'read'
                 },
                 {
-                  "code": 'search-type'
+                  'code': 'search-type'
                 }
               ],
-              "searchParam": [
-                {
-                  "name": '_id',
-                  "definition": 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
-                  "type": 'token',
-                  "documentation": 'A single or comma separated list of Location ids. It is a required
-                  field if the -physicalType field is not given'
-                },
-                {
-                  "name": '-physicalType',
-                  "type": 'token',
-                  "documentation": "The Location's physical type. It is a required field if the _id field is not given"
-                },
-                {
-                  "name": 'identifier',
-                  "definition": 'http://hl7.org/fhir/us/core/SearchParameter/us-core-location-identifier',
-                  "type": 'token',
-                  "documentation": "A location's identifier."
-                },
+              'searchParam': [
                 {
-                  "name": 'address',
-                  "type": 'string',
-                  "documentation": 'A (part of the) address of the location'
-                },
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of Questionnaire ids.'
+                }
+              ]
+            },
+            {
+              'type': 'QuestionnaireResponse',
+              'interaction': [
                 {
-                  "name": 'address-city',
-                  "type": 'string',
-                  "documentation": 'A city specified in an address. It is a required field if the address-state or
-                  address-postalcode fields are not given'
+                  'code': 'read'
                 },
                 {
-                  "name": 'address-state',
-                  "type": 'string',
-                  "documentation": 'A state specified in an address'
+                  'code': 'search-type'
                 },
                 {
-                  "name": 'address-postalcode',
-                  "type": 'string',
-                  "documentation": 'A postal code specified in an address'
-                },
+                  'code': 'update'
+                }
+              ],
+              'updateCreate': false,
+              'searchParam': [
                 {
-                  "name": 'name',
-                  "type": 'string',
-                  "documentation": "A portion of the location's name or alias"
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': 'A single or comma separated list of QuestionnaireResponse ids. It is a required '\
+                                   'field if the patient field is not given.'
                 },
                 {
-                  "name": 'organization',
-                  "type": 'reference',
-                  "documentation": 'Searches for locations that are managed by the provided organization'
-                }
-              ]
-            },
-            {
-              'type': 'OperationDefinition',
-              'interaction': [
-                {
-                  'code': 'read'
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/QuestionnaireResponse-patient',
+                  'type': 'reference',
+                  'documentation': 'The patient that is the subject of the questionnaire response. It is a required '\
+                                   'field if the _id field is not given'
                 }
               ]
             },
             {
-              'type': 'Patient',
-              'supportedProfile': [
-                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient'
-              ],
+              'type': 'RelatedPerson',
               'interaction': [
                 {
                   'code': 'read'
@@ -1603,95 +3750,58 @@ module Resources
                   'name': '_id',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
                   'type': 'token',
-                  'documentation': "A single or comma separated list of Patient ids. Either the '_id' parameter, "\
-                                   "or a combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
-                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
+                  'documentation': 'A single or comma separated list of RelatedPerson ids. It is a required field if '\
+                                   'the identifier or patient or -encounter fields are not given.'
                 },
                 {
                   'name': 'identifier',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Patient-identifier',
                   'type': 'token',
-                  'documentation': "A patient identifier. Either the '_id' parameter, or a combination of "\
-                                   "'identifier', 'birthdate', 'name', 'given', 'family', 'address-postalcode', "\
-                                   "'phone', or 'email' parameters must be provided."
-                },
-                {
-                  'name': 'name',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Patient-name',
-                  'type': 'string',
-                  'documentation': "The beginning of any name of the patient. Either the '_id' parameter, or a "\
-                                   "combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
-                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
-                },
-                {
-                  'name': 'given',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-given',
-                  'type': 'string',
-                  'documentation': "The beginning of the given name of the patient. Either the '_id' parameter, or "\
-                                   "a combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
-                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
-                },
-                {
-                  'name': 'family',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-family',
-                  'type': 'string',
-                  'documentation': "The beginning of the family name of the patient. Either the '_id' parameter, or "\
-                                   "a combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
-                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
+                  'documentation': 'An Identifier of the RelatedPerson. It is a required field if the id or patient '\
+                                   'or -encounter fields are not given'
                 },
                 {
-                  'name': 'address-postalcode',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-address-postalcode',
-                  'type': 'string',
-                  'documentation': "The postal code of the address of the patient. Either the '_id' parameter, or "\
-                                   "a combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
-                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-patient',
+                  'type': 'reference',
+                  'documentation': 'The patient this related person is related to. It is a required field if the id '\
+                                   'or identifier or -encounter fields are not given'
                 },
                 {
-                  'name': 'birthdate',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-birthdate',
-                  'type': 'date',
-                  'documentation': "The date of birth of the patient. Either the '_id' parameter, or a combination "\
-                                   "of 'identifier', 'birthdate', 'name', 'given', 'family', 'address-postalcode', "\
-                                   "'phone', or 'email' parameters must be provided."
+                  'name': '-encounter',
+                  'type': 'reference',
+                  'documentation': 'The encounter this related person is related to. It is a required field if the id '\
+                                   'or identifier or patient fields are not given'
                 },
                 {
-                  'name': 'phone',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-phone',
+                  'name': '-relationship-level',
                   'type': 'token',
-                  'documentation': "The value of the phone number of the patient. Either the '_id' parameter, or "\
-                                   "a combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
-                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
-                },
+                  'documentation': "The resource's relationship to either the patient or encounter level. Must be "\
+                                   'provided with Patient and Identifier searches.'
+                }
+              ]
+            },
+            {
+              'type': 'Schedule',
+              'interaction': [
                 {
-                  'name': 'email',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-email',
-                  'type': 'token',
-                  'documentation': "The value of the email address of the patient. Either the '_id' parameter, or "\
-                                   "a combination of 'identifier', 'birthdate', 'name', 'given', 'family', "\
-                                   "'address-postalcode', 'phone', or 'email' parameters must be provided."
+                  'code': 'read'
                 },
                 {
-                  'name': 'gender',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/individual-gender',
-                  'type': 'token',
-                  'documentation': 'The administrative gender of the patient. Gender may only be provided if another '\
-                                   "parameter other than '_id' is provided"
-                },
+                  'code': 'search-type'
+                }
+              ],
+              'searchParam': [
                 {
-                  'name': '_count',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
-                  'type': 'number',
-                  'documentation': "The maximum number of results to return. Not honoured when '_id' or 'identifier' "\
-                                   'are set.'
+                  'name': '_id',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
+                  'type': 'token',
+                  'documentation': "A single or comma separated list of Schedule ids. The '_id' parameter must be set."
                 }
               ]
             },
             {
-              'type': 'Practitioner',
-              'supportedProfile': [
-                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner'
-              ],
+              'type': 'ServiceRequest',
               'interaction': [
                 {
                   'code': 'read'
@@ -1705,41 +3815,102 @@ module Resources
                   'name': '_id',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
                   'type': 'token',
-                  'documentation': 'A single or comma separated list of Practitioner ids.'
+                  'documentation': 'A single or comma separated list of ServiceRequest ids.'
+                },
+                {
+                  'name': 'patient',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-patient',
+                  'type': 'reference',
+                  'documentation': 'The patient to return ServiceRequests for. It is a required field if the subject '\
+                                   'or _id fields are not given.'
+                },
+                {
+                  'name': 'subject',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/ServiceRequest-subject',
+                  'type': 'reference',
+                  'documentation': 'Individual or Entity the service is ordered for. It is a required field if the '\
+                                   'patient or _id fields are not given.'
+                },
+                {
+                  'name': 'code',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-code',
+                  'type': 'token',
+                  'documentation': 'What is being requested/ordered.'
+                },
+                {
+                  'name': '_lastUpdated',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-lastUpdated',
+                  'type': 'date',
+                  'documentation': 'When the resource version last changed.'
+                },
+                {
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': "The maximum number of results to return in a page. Not honored when '_id' is set."
                 }
               ]
             },
             {
-              'type': 'RelatedPerson',
+              'type': 'Slot',
               'interaction': [
                 {
                   'code': 'read'
                 },
                 {
                   'code': 'search-type'
+                },
+                {
+                  'code': 'patch'
                 }
               ],
+              'searchInclude': [
+                'Slot:schedule',
+                'Schedule:actor:Practitioner'
+              ],
               'searchParam': [
                 {
                   'name': '_id',
                   'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-id',
                   'type': 'token',
-                  'documentation': 'A single or comma separated list of RelatedPerson ids. It is a required field '\
-                                   'if the identifier or patient fields are not given.'
+                  'documentation': "A single or comma separated list of Slot ids. Either the '_id' parameter or "\
+                                   "'service-type' must be set."
                 },
                 {
-                  'name': 'identifier',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Patient-identifier',
+                  'name': 'start',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Slot-date',
+                  'type': 'date',
+                  'documentation': "A date or date range from which the slots are to be retrieved. The 'start' "\
+                                   'parameter is required when service-type, schedule.actor, -location is provided. '\
+                                   "When provided, must use both 'lt' and 'ge' prefixes to search for slots within a "\
+                                   'specific range. Time component should be provided for both the instances. The '\
+                                   'date and prefix pairs must create a closed range.'
+                },
+                {
+                  'name': 'service-type',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Service-type',
                   'type': 'token',
-                  'documentation': 'An Identifier of the RelatedPerson. It is a required field if '\
-                                   'the id or patient fields are not given'
+                  'documentation': 'A single or comma separated list of appointment types that can be booked into the '\
+                                   "slot. Either the '_id' parameter or 'service-type' must be set."
                 },
                 {
-                  'name': 'patient',
-                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/clinical-patient',
+                  'name': 'schedule.actor',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Slot-schedule.actor',
+                  'type': 'reference',
+                  'documentation': 'A single or comma separated list of schedule actors. Must be Practitioner actors.'
+                },
+                {
+                  'name': '-location',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Slot-location',
                   'type': 'reference',
-                  'documentation': 'The patient this related person is related to. It is a required field if '\
-                                   'the id or identifier fields are not given'
+                  'documentation': 'A single or comma separated list of Location references.'
+                },
+                {
+                  'name': '_count',
+                  'definition': 'http://hl7.org/fhir/R4/SearchParameter/Resource-count',
+                  'type': 'number',
+                  'documentation': 'The maximum number of results to return in a page. This value should be in the '\
+                                   'range [5,200]. If no value is provided, a default page size of 50 will be used.'
                 }
               ]
             },
@@ -1761,8 +3932,8 @@ module Resources
                                 'protocols/oauth2/profiles/smart-v1/personas/provider/authorize',
       'token_endpoint': 'https://authorization.cerner.com/tenants/ec2458f2-1e24-41c8-b71b-0e701af7583d/'\
                         'protocols/oauth2/profiles/smart-v1/token',
-      'revocation_endpoint': 'https://authorization.devcerner.com/tenants/'\
-                        '2c400054-42d8-4e74-87b7-80b5bd5fde9f/protocols/oauth2/profiles/smart-v1/token/revoke',
+      'revocation_endpoint': 'https://authorization.cerner.com/tenants/ec2458f2-1e24-41c8-b71b-0e701af7583d/'\
+                        'protocols/oauth2/profiles/smart-v1/token/revoke',
       'token_endpoint_auth_methods_supported': [
         'client_secret_basic',
         'private_key_jwt'
@@ -1771,12 +3942,18 @@ module Resources
         'RS384',
         'ES384'
       ],
+      'jwks_uri': 'https://authorization.cerner.com/jwk',
+      'grant_types_supported': [
+        'authorization_code',
+        'client_credentials'
+      ],
       'scopes_supported': [
         'launch',
         'profile',
         'fhirUser',
         'openid',
         'online_access',
+        'offline_access',
         'user/Account.read',
         'patient/Account.read',
         'system/Account.read',
@@ -1804,12 +3981,27 @@ module Resources
         'user/CareTeam.read',
         'patient/CareTeam.read',
         'system/CareTeam.read',
+        'user/ChargeItem.read',
+        'patient/ChargeItem.read',
+        'system/ChargeItem.read',
+        'user/ChargeItem.write',
+        'patient/ChargeItem.write',
+        'system/ChargeItem.write',
+        'user/Communication.read',
+        'patient/Communication.read',
+        'system/Communication.read',
+        'user/Communication.write',
+        'patient/Communication.write',
+        'system/Communication.write',
         'user/Condition.read',
         'patient/Condition.read',
         'system/Condition.read',
         'user/Condition.write',
         'patient/Condition.write',
         'system/Condition.write',
+        'user/Consent.read',
+        'patient/Consent.read',
+        'system/Consent.read',
         'user/Coverage.read',
         'patient/Coverage.read',
         'system/Coverage.read',
@@ -1819,6 +4011,9 @@ module Resources
         'user/Device.read',
         'patient/Device.read',
         'system/Device.read',
+        'user/DiagnosticReport.read',
+        'patient/DiagnosticReport.read',
+        'system/DiagnosticReport.read',
         'user/DocumentReference.read',
         'patient/DocumentReference.read',
         'system/DocumentReference.read',
@@ -1831,12 +4026,29 @@ module Resources
         'user/Encounter.write',
         'patient/Encounter.write',
         'system/Encounter.write',
+        'user/FamilyMemberHistory.read',
+        'patient/FamilyMemberHistory.read',
+        'system/FamilyMemberHistory.read',
+        'user/FamilyMemberHistory.write',
+        'patient/FamilyMemberHistory.write',
+        'system/FamilyMemberHistory.write',
+        'user/Goal.read',
+        'patient/Goal.read',
+        'system/Goal.read',
         'user/Immunization.read',
         'patient/Immunization.read',
         'system/Immunization.read',
         'user/Immunization.write',
         'patient/Immunization.write',
         'system/Immunization.write',
+        'user/InsurancePlan.read',
+        'patient/InsurancePlan.read',
+        'system/InsurancePlan.read',
+        'user/Location.read',
+        'system/Location.read',
+        'user/MedicationAdministration.read',
+        'patient/MedicationAdministration.read',
+        'system/MedicationAdministration.read',
         'user/MedicationRequest.read',
         'patient/MedicationRequest.read',
         'system/MedicationRequest.read',
@@ -1881,35 +4093,58 @@ module Resources
         'user/Provenance.write',
         'patient/Provenance.write',
         'system/Provenance.write',
+        'user/Questionnaire.read',
+        'patient/Questionnaire.read',
+        'system/Questionnaire.read',
+        'user/QuestionnaireResponse.read',
+        'patient/QuestionnaireResponse.read',
+        'system/QuestionnaireResponse.read',
+        'user/QuestionnaireResponse.write',
+        'patient/QuestionnaireResponse.write',
+        'system/QuestionnaireResponse.write',
         'user/RelatedPerson.read',
         'patient/RelatedPerson.read',
         'system/RelatedPerson.read',
+        'user/RelatedPerson.write',
+        'patient/RelatedPerson.write',
+        'system/RelatedPerson.write',
         'user/Schedule.read',
         'patient/Schedule.read',
         'system/Schedule.read',
         'user/ServiceRequest.read',
         'patient/ServiceRequest.read',
         'system/ServiceRequest.read',
+        'user/Slot.read',
+        'patient/Slot.read',
+        'system/Slot.read',
+        'user/Slot.write',
+        'patient/Slot.write',
+        'system/Slot.write',
         'system/FinancialTransaction.write'
       ],
       'response_types_supported': [
         'code'
       ],
-      'management_endpoint': 'https://authorization.devcerner.com/tenants/'\
-                             '2c400054-42d8-4e74-87b7-80b5bd5fde9f/personas/provider/my-authorizations',
+      'management_endpoint': 'https://authorization.cerner.com/tenants/'\
+                             'ec2458f2-1e24-41c8-b71b-0e701af7583d/personas/provider/my-authorizations',
       'introspection_endpoint': 'https://authorization.cerner.com/tokeninfo',
-      'capabilities': %w[
-        launch-ehr
-        launch-standalone
-        client-public
-        client-confidential-symmetric
-        sso-openid-connect
-        context-banner
-        context-style
-        context-ehr-patient
-        context-ehr-encounter
-        permission-patient
-        permission-user
+      'capabilities': [
+        'authorize-post',
+        'launch-ehr',
+        'launch-standalone',
+        'client-public',
+        'client-confidential-symmetric',
+        'sso-openid-connect',
+        'context-banner',
+        'context-style',
+        'context-ehr-patient',
+        'context-ehr-encounter',
+        'permission-patient',
+        'permission-user',
+        'permission-offline',
+        'permission-online',
+        'permission-v1',
+        'health-cards'
       ]
     }.freeze