{ "description": "醫療保險理賠實作指引-伺服端(Server)之能力聲明", "_filename": "CapabilityStatement-CapabilityStatementiClaimServer.json", "package_name": "tw.cathay.fhir.iclaim", "format": [ "xml", "json" ], "date": "2024-07-19", "publisher": "國泰金控", "patchFormat": [ "application/json-patch+json" ], "fhirVersion": "4.0.1", "name": "CapabilityStatementiClaimServer", "type": null, "experimental": "false", "resourceType": "CapabilityStatement", "title": "醫療保險理賠實作指引-伺服端", "package_version": "1.0.0", "status": "active", "id": "3d4105f3-fe72-4018-a21e-cc9b8a3e277d", "kind": "requirements", "implementationGuide": [ "https://claim.cgh.org.tw/iclaim/ImplementationGuide/tw.cathay.fhir.iclaim" ], "url": "https://claim.cgh.org.tw/iclaim/CapabilityStatement/CapabilityStatementiClaimServer", "version": "1.0.0", "contact": [ { "name": "國泰金控", "telecom": [ { "value": "https://www.cathayholdings.com/holdings/", "system": "url" } ] } ], "rest": [ { "mode": "server", "resource": [ { "type": "Bundle", "profile": "https://claim.cgh.org.tw/iclaim/StructureDefinition/bundle-iclaim", "_profile": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, "interaction": [ { "code": "create", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, { "code": "update", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, { "code": "read", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, { "code": "vread", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] } ], "searchParam": [ { "name": "Bundleidentifier", "type": "token", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ], "definition": "https://claim.cgh.org.tw/iclaim/SearchParameter/Bundle-identifier" } ], "referencePolicy": [ "resolves" ], "conditionalCreate": true, "conditionalUpdate": true }, { "type": "Composition", "profile": "https://claim.cgh.org.tw/iclaim/StructureDefinition/composition-iclaim", "_profile": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, "interaction": [ { "code": "create", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, { "code": "update", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, { "code": "read", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, { "code": "vread", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] } ], "searchParam": [ { "name": "patient", "type": "reference", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ], "definition": "https://claim.cgh.org.tw/iclaim/SearchParameter/Composition-patient" }, { "name": "entry", "type": "reference", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ], "definition": "https://claim.cgh.org.tw/iclaim/SearchParameter/Composition-entry" } ], "referencePolicy": [ "resolves" ], "conditionalCreate": true, "conditionalUpdate": true }, { "type": "Claim", "profile": "https://claim.cgh.org.tw/iclaim/StructureDefinition/claim-iclaim", "_profile": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, "interaction": [ { "code": "create", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, { "code": "update", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] } ], "referencePolicy": [ "resolves" ], "conditionalCreate": true, "conditionalUpdate": true }, { "type": "Condition", "profile": "https://claim.cgh.org.tw/iclaim/StructureDefinition/condition-iclaim", "_profile": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, "interaction": [ { "code": "create", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, { "code": "update", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] } ], "referencePolicy": [ "resolves" ], "conditionalCreate": true, "conditionalUpdate": true }, { "type": "Coverage", "profile": "https://claim.cgh.org.tw/iclaim/StructureDefinition/coverage-iclaim", "_profile": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, "interaction": [ { "code": "create", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, { "code": "update", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] } ], "referencePolicy": [ "resolves" ], "conditionalCreate": true, "conditionalUpdate": true }, { "type": "DiagnosticReport", "profile": "https://claim.cgh.org.tw/iclaim/StructureDefinition/diagnosticreport-iclaim", "_profile": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, "interaction": [ { "code": "create", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, { "code": "update", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] } ], "referencePolicy": [ "resolves" ], "conditionalCreate": true, "conditionalUpdate": true }, { "type": "Encounter", "profile": "https://claim.cgh.org.tw/iclaim/StructureDefinition/encounter-iclaim", "_profile": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, "interaction": [ { "code": "create", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, { "code": "update", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] } ], "searchParam": [ { "name": "EncounterIdentifier", "type": "token", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ], "definition": "https://claim.cgh.org.tw/iclaim/SearchParameter/Encounter-identifier" } ], "referencePolicy": [ "resolves" ], "conditionalCreate": true, "conditionalUpdate": true }, { "type": "Observation", "profile": "https://claim.cgh.org.tw/iclaim/StructureDefinition/observation-iclaim", "_profile": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, "interaction": [ { "code": "create", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, { "code": "update", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] } ], "referencePolicy": [ "resolves" ], "conditionalCreate": true, "conditionalUpdate": true }, { "type": "Organization", "_profile": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, "interaction": [ { "code": "create", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, { "code": "update", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] } ], "referencePolicy": [ "resolves" ], "supportedProfile": [ "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-hosp-twcore", "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-co-twcore" ], "conditionalCreate": true, "conditionalUpdate": true }, { "type": "Patient", "profile": "https://claim.cgh.org.tw/iclaim/StructureDefinition/patient-iclaim", "_profile": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, "interaction": [ { "code": "create", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, { "code": "update", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] } ], "searchParam": [ { "name": "PatientIdentifier", "type": "token", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ], "definition": "https://claim.cgh.org.tw/iclaim/SearchParameter/Patient-identifier" } ], "referencePolicy": [ "resolves" ], "conditionalCreate": true, "conditionalUpdate": true }, { "type": "Practitioner", "profile": "https://claim.cgh.org.tw/iclaim/StructureDefinition/practitioner-iclaim", "_profile": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, "interaction": [ { "code": "create", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, { "code": "update", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] } ], "referencePolicy": [ "resolves" ], "conditionalCreate": true, "conditionalUpdate": true }, { "type": "PractitionerRole", "profile": "https://claim.cgh.org.tw/iclaim/StructureDefinition/practitionerrole-iclaim", "_profile": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, "interaction": [ { "code": "create", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] }, { "code": "update", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", "valueCode": "SHALL" } ] } ], "referencePolicy": [ "resolves" ], "conditionalCreate": true, "conditionalUpdate": true } ], "documentation": "醫療保險理賠實作指引-伺服端(Server)必須(SHALL):(1)支援本實作指引中所有profiles (2)根據FHIR規範實作RESTful (3)回傳狀態碼-①(Status 400):無效參數(invalid parameter)、②(Status 401/4xx):未經授權的請求(unauthorized request)、③(Status 403):未充分授權的資料存取範圍(insufficient premission scope)、④(Status 404):未知的resource(unknown resource) (4)支援JSON格式 (5)支援XML格式 (6)可識別每個新增到Server的實例(instance)之meta.profile是否為醫療保險理賠Profiles Defining URL,並確認實例是否依循Profile製作。" } ] }