Add additional guidance in the use of $everything.  Use _type to identify resourceTypes to return, including Provenance. The following has been added to section 4.0.3  Patient $everything via alternate secure transport:   The FHIR Specification provides for a Patient-everything operation . The supported format is: URL: [base] /Patient/ [id] /$everything Health Plans SHOULD enable support for a Patient-everything bundle to be created. Exchange of this bundle SHOULD be accomplished using SMART or SMART Backend services. The bundle may alternatively be exchanged via a transport method that supports the secure exchange of PHI. This operation is intended to simplify requests from a client application when requesting records for a patient. $everything is an operation. Operations do not support the full range of query parameters available to a regular search request. PDex recommends the use of _revInclude in search operations to retrieve associated Provenance resources. In cases where Provenance is being requested as part of the $everythng operation this is accomplished by specifying Provenance as one of a list of resources included in the _type parameter of the $everything operation. Example of _type parameter:   _type=Condition,Device,Encounter,Immunization,Observation,Procedure,Provenance A Health Plan’s FHIR API SHOULD support the Patient-everything operation as defined in the FHIR R4 specification here: https://www.hl7.org/fhir/operation-patient-everything.html