diff --git a/docs/terminology-module/aidbox-terminology-module/capabilities.md b/docs/terminology-module/aidbox-terminology-module/capabilities.md
index 971a8c7af..9a4b7d3db 100644
--- a/docs/terminology-module/aidbox-terminology-module/capabilities.md
+++ b/docs/terminology-module/aidbox-terminology-module/capabilities.md
@@ -16,16 +16,18 @@ This page provides a comprehensive overview of all FHIR terminology operations a
 
 ## Supported Operations
 
-| Resource       | Operation        | Status |
-| -------------- | ---------------- | ------ |
-| **CodeSystem** | `$lookup`        | ✅      |
-|                | `$validate-code` | ✅      |
-|                | `$subsumes`      | ❌      |
-|                | `$find-matches`  | ❌      |
-| **ValueSet**   | `$expand`        | ✅      |
-|                | `$validate-code` | ✅      |
-| **ConceptMap** | `$translate`     | ✅      |
-|                | `$closure`       | ❌      |
+| Resource       | Operation            | Status | FHIR Standard |
+| -------------- | -------------------- | ------ | ------------- |
+| **CodeSystem** | `$lookup`            | ✅      | ✅             |
+|                | `$validate-code`     | ✅      | ✅             |
+|                | `$subsumes`          | ❌      | ✅             |
+|                | `$find-matches`      | ❌      | ✅             |
+|                | `$codesystem-import` | ✅      | ❌             |
+|                | `$codesystem-export` | ✅      | ❌             |
+| **ValueSet**   | `$expand`            | ✅      | ✅             |
+|                | `$validate-code`     | ✅      | ✅             |
+| **ConceptMap** | `$translate`         | ✅      | ✅             |
+|                | `$closure`           | ❌      | ✅             |
 
 ## Features
 
@@ -42,7 +44,7 @@ This page provides a comprehensive overview of all FHIR terminology operations a
 | ValueSet inclusion/exclusion                 | ✅      | Deep set operations support                                       | 2507    |
 | Lookup displays, designation, and properties | ✅      | All concept attributes                                            | 2507    |
 | Text search filter                           | ✅      | Free-text concept search                                          | 2507    |
-| Property filters                             | ✅      | Property-based filtering: `=`, `in`, `regex`, etc                 | 2507    |
+| Property filters                             | ✅      | Property-based filtering: `=`, `in`, `regex`, etc                 | 2507    ****|
 | Multi-language support                       | ✅      | Translations via `displaylanguage`, HTTP header, designation, etc | 2507    |
 | Active/Inactive filtering                    | ✅      | Via `status`, `inactive`, `notSelectable`, etc                    | 2507    |
 | Hierarchy via `parent`, `child`              | ✅      |                                                                   | 2507    |
@@ -58,4 +60,5 @@ This page provides a comprehensive overview of all FHIR terminology operations a
 | Ad-hoc ValueSets                             | ✅      | ValueSet as a `Parameter`                                         | 2507    |
 | R4/R5/R6 format conversion                   | ✅      | E.g.: `expansion.contains.concept.property` or extensions         | 2507    |
 | Batch validation                             | ❌      |                                                                   |         |
+| Streaming operations                         | ✅      | Aidbox specific, large terminologies                              | 2511    |
 
diff --git a/docs/terminology-module/fhir-terminology/codesystem.md b/docs/terminology-module/fhir-terminology/codesystem.md
index 1ebd96c42..1dc5a347c 100644
--- a/docs/terminology-module/fhir-terminology/codesystem.md
+++ b/docs/terminology-module/fhir-terminology/codesystem.md
@@ -264,7 +264,7 @@ GET /fhir/CodeSystem/$validate-code?url=http://hl7.org/fhir/administrative-gende
   "resourceType": "Parameters",
   "parameter": [
     {
-      "name": "result", 
+      "name": "result",
       "valueBoolean": false
     },
     {
@@ -276,3 +276,74 @@ GET /fhir/CodeSystem/$validate-code?url=http://hl7.org/fhir/administrative-gende
 ```
 {% endtab %}
 {% endtabs %}
+
+## Aidbox-Specific Operations
+
+The following operations are Aidbox-specific extensions that are not part of the FHIR specification. These streaming operations are designed to handle large CodeSystems that exceed the default request body size limit.
+
+The Aidbox Terminology Module is optimized for typical FHIR interactions (create, read, update) with relatively small content. By default, Aidbox supports a maximum request body size of [**20,971,520 bytes**](../../reference/all-settings.md#web.max-body) (approximately 20 MB). For large terminologies like RxNorm (which contains approximately 225,000 concepts), regular CRUD operations become impractical.
+
+**Consider using the streaming operations when:**
+- Your CodeSystem content exceeds the default body size limit
+- You need to import/export large terminologies (e.g. RxNorm)
+
+> **Important:** Regular Aidbox validation does NOT run when using streaming operations. These operations prioritize performance and scalability for large terminologies over comprehensive validation.
+
+### $codesystem-import
+
+Imports a large CodeSystem using HTTP streaming. This operation accepts a complete CodeSystem resource and streams is content efficiently in the Fhir Artifacts Registry(FAR).
+
+{% tabs %}
+{% tab title="Request" %}
+```bash
+POST /fhir/CodeSystem/:id/$codesystem-import
+Content-Type: application/octet-stream
+
+< /tx/rxnorm.json
+```
+
+Example using wget:
+```bash
+wget --debug \
+  --method=POST \
+  --header='content-type: application/octet-stream' \
+  --progress=dot:mega \
+  --body-file=/tx/rxnorm.json \
+  'http://localhost:8080/fhir/CodeSystem/rxnorm/$codesystem-import'
+```
+
+The request body should contain a complete CodeSystem resource in JSON format with all concepts included.
+{% endtab %}
+
+### $codesystem-export
+
+Exports a CodeSystem using HTTP streaming, allowing you to retrieve large terminologies without running out of memory.
+
+{% tabs %}
+{% tab title="Request" %}
+```bash
+GET /fhir/CodeSystem/:id/$codesystem-export
+```
+
+Example using wget:
+```bash
+wget --debug \
+  --method=GET \
+  --output-document=/tmp/rxnorm.json \
+  --progress=dot:mega \
+  'http://localhost:8080/fhir/CodeSystem/rxnorm/$codesystem-export'
+```
+{% endtab %}
+
+The operation streams the complete CodeSystem resource including all concepts.
+{% endtab %}
+{% endtabs %}
+
+### Configuration Requirements
+
+To use streaming operations with large CodeSystems, you must increase the maximum [request body size](../../reference/all-settings.md#web.max-body):
+
+**Environment Variable:**
+```yaml
+BOX_WEB_MAX_BODY=1073741824
+```
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