VGR-SE Reimbursement Implementation Guide
0.8.0 - qa
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
| Active as of 2025-08-02 |
<CapabilityStatement xmlns="http://hl7.org/fhir">
<id value="VGRReimbursementApplication"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CapabilityStatement VGRReimbursementApplication</b></p><a name="VGRReimbursementApplication"> </a><a name="hcVGRReimbursementApplication"> </a><h2 id="title">VGRReimbursement CapabilityStatement for Reimbursement Application</h2><ul><li>Implementation Guide Version: 0.8.0 </li><li>FHIR Version: 4.0.1 </li><li>Supported Formats: <code>json</code></li><li>Published on: 2025-08-02 </li><li>Published by: Vastra Gotalandsregionen </li></ul><blockquote class="impl-note"><p><strong>Note to Implementers: FHIR Capabilities</strong></p><p>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.</p></blockquote><h2 id="rest">FHIR RESTful Capabilities</h2><div class="panel panel-default"><div class="panel-heading"><h3 id="mode1" class="panel-title">Mode: <code>client</code></h3></div><div class="panel-body"><div><p>The Reimbursement system acts as a REST client consuming listed profiled resources through RESTful APIs.</p>
</div><div class="lead"><em>Security</em></div><div class="row"><div class="col-lg-6">Enable CORS: no</div><div class="col-lg-6">Security services supported: <code>OAuth</code></div></div><blockquote><div><p>Implementations <strong>SHALL</strong> meet the general security requirements documented in the bla bla bla.</p>
</div></blockquote></div></div><h3 id="resourcesCap1">Capabilities by Resource/Profile</h3><h4 id="resourcesSummary1">Summary</h4><p>The summary table lists the resources that are part of this configuration, and for each resource it lists:</p><ul><li>The relevant profiles (if any)</li><li>The interactions supported by each resource (<b><span class="bg-info">R</span></b>ead, <b><span class="bg-info">S</span></b>earch, <b><span class="bg-info">U</span></b>pdate, and <b><span class="bg-info">C</span></b>reate, are always shown, while <b><span class="bg-info">VR</span></b>ead, <b><span class="bg-info">P</span></b>atch, <b><span class="bg-info">D</span></b>elete, <b><span class="bg-info">H</span></b>istory on <b><span class="bg-info">I</span></b>nstance, or <b><span class="bg-info">H</span></b>istory on <b><span class="bg-info">T</span></b>ype are only present if at least one of the resources has support for them.</li><li><span>The required, recommended, and some optional search parameters (if any). </span></li><li>The linked resources enabled for <code>_include</code></li><li>The other resources enabled for <code>_revinclude</code></li><li>The operations on the resource (if any)</li></ul><div class="table-responsive"><table class="table table-condensed table-hover"><thead><tr><th><b>Resource Type</b></th><th><b>Profile</b></th><th class="text-center"><b title="GET a resource (read interaction)">R</b></th><th class="text-center"><b title="GET all set of resources of the type (search interaction)">S</b></th><th class="text-center"><b title="PUT a new resource version (update interaction)">U</b></th><th class="text-center"><b title="POST a new resource (create interaction)">C</b></th><th><b title="Required and recommended search parameters">Searches</b></th><th><code><b>_include</b></code></th><th><code><b>_revinclude</b></code></th><th><b>Operations</b></th></tr></thead><tbody><tr><td><a href="#Patient1-1">Patient</a></td><td>https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/SD_VGRBasePatient<br/><em>Additional supported profiles:</em><br/> <code>https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/SD_VGRBasePatient</code></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"/><td class="text-center"/><td>identifier</td><td/><td/><td/></tr><tr><td><a href="#Account1-2">Account</a></td><td>Supported Profiles<br/> <code>https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/VGRReimbursementAccount</code></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"/><td class="text-center"/><td class="text-center"/><td/><td><code>Account:coverage</code></td><td/><td/></tr><tr><td><a href="#Coverage1-3">Coverage</a></td><td>Supported Profiles<br/> <code>https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/VGRReimbursementCoverage</code></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"/><td class="text-center"/><td class="text-center"/><td/><td/><td/><td/></tr><tr><td><a href="#Encounter1-4">Encounter</a></td><td>Supported Profiles<br/> <code>https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/VGRReimbursementEncounter</code></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"/><td class="text-center"/><td>identifier, patient</td><td><code>Encounter:patient</code>, <code>Encounter:account</code></td><td/><td/></tr><tr><td><a href="#Organization1-5">Organization</a></td><td>http://hl7.se/fhir/ig/base/1.1.0/StructureDefinition/SEBaseOrganization<br/><em>Additional supported profiles:</em><br/> <code>https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/VGRReimbursementOrganization</code></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"/><td class="text-center"/><td class="text-center"/><td/><td/><td/><td/></tr></tbody></table></div><hr/><div class="panel panel-default"><div class="panel-heading"><h4 id="Patient1-1" class="panel-title"><span style="float: right;">Resource Conformance: unspecified </span>Patient</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-6"><span class="lead">Base System Profile</span><br/><code>https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/SD_VGRBasePatient</code></div><div class="col-lg-3"><span class="lead">Profile Conformance</span><br/><b>SHALL</b></div><div class="col-lg-3"><span class="lead">Reference Policy</span><br/></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><code>https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/SD_VGRBasePatient</code></p></div><div class="col-lg-6"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>read</code>, <code>search-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/patient.html#search">identifier</a></td><td><code>token</code></td><td><div><p>Search patient by identifier.system AND identifier.value in combination. Please note that searching by just identifier.value is not recommended for Patient resource.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"> </div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Account1-2" class="panel-title"><span style="float: right;">Resource Conformance: unspecified </span>Account</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/account.html">Account</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>read</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><code>https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/VGRReimbursementAccount</code></p></div></div><p/></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Coverage1-3" class="panel-title"><span style="float: right;">Resource Conformance: unspecified </span>Coverage</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/coverage.html">Coverage</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>read</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><code>https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/VGRReimbursementCoverage</code></p></div></div><p/></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Encounter1-4" class="panel-title"><span style="float: right;">Resource Conformance: unspecified </span>Encounter</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/encounter.html">Encounter</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>read</code>, <code>search-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><code>https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/VGRReimbursementEncounter</code></p></div></div><p/><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/encounter.html#search">identifier</a></td><td><code>token</code></td><td><div><p>Search encounter by identifier.system AND identifier.value in combination or just by identifier.value.</p>
</div></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/encounter.html#search">patient</a></td><td><code>reference</code></td><td><div><p>Search encounter by referenced subject Patient.id.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"> </div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Organization1-5" class="panel-title"><span style="float: right;">Resource Conformance: unspecified </span>Organization</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-6"><span class="lead">Base System Profile</span><br/><code>http://hl7.se/fhir/ig/base/1.1.0/StructureDefinition/SEBaseOrganization</code></div><div class="col-lg-3"><span class="lead">Profile Conformance</span><br/><b>SHALL</b></div><div class="col-lg-3"><span class="lead">Reference Policy</span><br/></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><code>https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/VGRReimbursementOrganization</code></p></div><div class="col-lg-6"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>read</code>.</li></ul></div></div><p/></div></div></div></div>
</text>
<url
value="https://fhir.vgregion.se/ig/reimbursement/CapabilityStatement/VGRReimbursementApplication"/>
<version value="0.8.0"/>
<name value="VGRReimbursementApplication"/>
<title
value="VGRReimbursement CapabilityStatement for Reimbursement Application"/>
<status value="active"/>
<experimental value="false"/>
<date value="2025-08-02"/>
<publisher value="Vastra Gotalandsregionen"/>
<contact>
<name value="Vastra Gotalandsregionen"/>
<telecom>
<system value="url"/>
<value value="https://fhir.vgregion.se"/>
</telecom>
<telecom>
<system value="email"/>
<value value="kompetensgrupp.fhir@vgregion.se"/>
</telecom>
</contact>
<description
value="This CapabilityStatement describes the requirements for a Reimbursement Application acting as a client to consume the necessary FHIR resources for reimbursement processing."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="SE"/>
<display value="Sweden"/>
</coding>
</jurisdiction>
<kind value="requirements"/>
<fhirVersion value="4.0.1"/>
<format value="json"/>
<rest>
<mode value="client"/>
<documentation
value="The Reimbursement system acts as a REST client consuming listed profiled resources through RESTful APIs."/>
<security>
<service>
<coding>
<code value="OAuth"/>
</coding>
</service>
<description
value="Implementations **SHALL** meet the general security requirements documented in the bla bla bla."/>
</security>
<resource>
<type value="Patient"/>
<profile
value="https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/SD_VGRBasePatient"/>
<supportedProfile
value="https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/SD_VGRBasePatient"/>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="read"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="search-type"/>
</interaction>
<searchParam>
<name value="identifier"/>
<definition
value="http://hl7.org/fhir/SearchParameter/Patient-identifier"/>
<type value="token"/>
<documentation
value="Search patient by identifier.system AND identifier.value in combination. Please note that searching by just identifier.value is not recommended for Patient resource."/>
</searchParam>
</resource>
<resource>
<type value="Account"/>
<supportedProfile
value="https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/VGRReimbursementAccount"/>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="read"/>
</interaction>
<searchInclude value="Account:coverage"/>
</resource>
<resource>
<type value="Coverage"/>
<supportedProfile
value="https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/VGRReimbursementCoverage"/>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="read"/>
</interaction>
</resource>
<resource>
<type value="Encounter"/>
<supportedProfile
value="https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/VGRReimbursementEncounter"/>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="read"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="search-type"/>
</interaction>
<searchInclude value="Encounter:patient"/>
<searchInclude value="Encounter:account"/>
<searchParam>
<name value="identifier"/>
<definition
value="http://hl7.org/fhir/SearchParameter/clinical-identifier"/>
<type value="token"/>
<documentation
value="Search encounter by identifier.system AND identifier.value in combination or just by identifier.value."/>
</searchParam>
<searchParam>
<name value="patient"/>
<definition
value="http://hl7.org/fhir/SearchParameter/clinical-patient"/>
<type value="reference"/>
<documentation
value="Search encounter by referenced subject Patient.id."/>
</searchParam>
</resource>
<resource>
<type value="Organization"/>
<profile
value="http://hl7.se/fhir/ig/base/1.1.0/StructureDefinition/SEBaseOrganization"/>
<supportedProfile
value="https://fhir.vgregion.se/conformance/se.vgregion.fhir.reimbursement/StructureDefinition/VGRReimbursementOrganization"/>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="read"/>
</interaction>
</resource>
</rest>
</CapabilityStatement>