Existing Wording: The conditional create operation allows a client to create a new resource only if some equivalent resource does not already exist on the server. The client defines what equivalence means in this case by supplying a FHIR search query in an If-None-Existheader as shown:

Proposed Wording: Remove

Comment:

The standard should not include support for conditional creates This action between a server and client should occur as a Search + Creates, as it gives clients the opportunity to validate the resource they are looking to create prior to modifying content within the server