VGR-SE Reimbursement Implementation Guide
0.8.0 - qa
This page is part of the VGR Reimbursement Implementation Guide (v0.8.0: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. No current official version has been published yet. For a full list of available versions, see the Directory of published versions
| Official URL: https://fhir.vgregion.se/ig/reimbursement/CapabilityStatement/VGRReimbursementApplication | Version: 0.8.0 | |||
| Active as of 2025-08-02 | Computable Name: VGRReimbursementApplication | |||
This CapabilityStatement describes the requirements for a Reimbursement Application acting as a client to consume the necessary FHIR resources for reimbursement processing.
Raw OpenAPI-Swagger Definition file | Download
jsonNote to Implementers: FHIR Capabilities
Any FHIR capability may be 'allowed' by the system unless explicitly marked as 'SHALL NOT'. A few items are marked as MAY in the Implementation Guide to highlight their potential relevance to the use case.
clientThe Reimbursement system acts as a REST client consuming listed profiled resources through RESTful APIs.
OAuthImplementations SHALL meet the general security requirements documented in the bla bla bla.
The summary table lists the resources that are part of this configuration, and for each resource it lists:
_include_revinclude| Resource Type | Profile | R | S | U | C | Searches | _include | _revinclude | Operations |
|---|---|---|---|---|---|---|---|---|---|
| Patient | https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/SD_VGRBasePatient Additional supported profiles: https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/SD_VGRBasePatient | Y | Y | identifier | |||||
| Account | Supported Profileshttps://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/VGRReimbursementAccount | Y | Account:coverage | ||||||
| Coverage | Supported Profileshttps://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/VGRReimbursementCoverage | Y | |||||||
| Encounter | Supported Profileshttps://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/VGRReimbursementEncounter | Y | Y | identifier, patient | Encounter:patient, Encounter:account | ||||
| Organization | http://hl7.se/fhir/ig/base/1.1.0/StructureDefinition/SEBaseOrganization Additional supported profiles: https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/VGRReimbursementOrganization | Y |
https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/SD_VGRBasePatienthttps://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/SD_VGRBasePatient
read, search-type.| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| SHALL | identifier | token | Search patient by identifier.system AND identifier.value in combination. Please note that searching by just identifier.value is not recommended for Patient resource. |
https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/VGRReimbursementAccount
https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/VGRReimbursementCoverage
https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/VGRReimbursementEncounter
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| SHALL | identifier | token | Search encounter by identifier.system AND identifier.value in combination or just by identifier.value. |
| SHALL | patient | reference | Search encounter by referenced subject Patient.id. |
http://hl7.se/fhir/ig/base/1.1.0/StructureDefinition/SEBaseOrganizationhttps://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/VGRReimbursementOrganization
read.