國家級人體生物資料庫整合平台共同資料模式實作指引(NBCT Common Data Model IG)
1.0.0 - ci-build

This page is part of the 國家級人體生物資料庫整合平台共同資料模式實作指引(NBCT Common Data Model IG) (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: 國家級人體生物資料庫整合平台共同資料模式-用戶端 - JSON Representation

Active as of 2025-03-10

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{
  "resourceType" : "CapabilityStatement",
  "id" : "CDMClient",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>實作指引版本:0.1.0</li><li>FHIR版本:4.0.1</li><li>發佈日:2025-03-15</li></ul><h3 id=\"CDMClient\">國家級人體生物資料庫整合平台共同資料模式-用戶端</h3><ul><li>國家級人體生物資料庫整合平台共同資料模式-用戶端(NBCT Common Data Model Client)<strong>建議應該(SHOULD)</strong></li><ol><li>國家級人體生物資料庫整合平台共同資料模式-伺服端(NBCT Common Data Model Server)能力聲明中的查詢參數,支援讀取和查詢一個或多個Profile(s)。</li></ol><li><strong>安全性</strong></li><ol><li>有關要求和建議,請參閱一般安全注意事項部分。</li></ol><li><strong>系統互動能力:</strong></li><ul><li><strong>可能可以(MAY)</strong>支援交易互動(<code>transaction</code> interaction)。</li><li><strong>可能可以(MAY)</strong>支援批次互動(<code>batch</code> interaction)。</li><li><strong>可能可以(MAY)</strong>支援查詢系統互動(<code>search-system</code> interaction)。</li></ul></ul><h3 id=\"resource-details\" class=\"no_toc\">應用說明</h3><ul><li>此「國家級人體生物資料庫整合平台共同資料模式實作指引(NBCT Common Data Model IG)」中使用的 Bundle type為「document」,根據 HL7 FHIR 中規定,Bundle type為「document」時第一個資源須為Composition,並且將整個Bundle視為一個文件或報告來傳遞資料。但在癌症登記檔長表(CRLF)中沒有全部的資料都有相對應的國際編碼,因此CRLF資料先暫定不設計Bundle與Composition內容。</li></ul><h3 id=\"resource-details\" class=\"no_toc\">Resources或Profiles的RESTful功能</h3><ul><li>Profiles</li><ol><li><strong>必須(SHALL)</strong>支援<code>create</code>、<code>update</code></li></ol><li><strong>Resources支援查詢,查詢參數如表列:</strong></li><table class=\"grid\"><thead><tr><th>Resources型別</th><th>Profile</th><th>支援的Profiles</th><th>支援的查詢參數</th></tr></thead><tbody><tr><td><a>Bundle</a></td><td><a href=\"StructureDefinition-BundleTOTFA.html\">門診醫療申報檔(TOTFA) Bundle</a><br/><a href=\"StructureDefinition-BundleTOTFB.html\">住院醫療申報檔案(TOTFB) Bundle</a><br/><a href=\"StructureDefinition-BundleLABD.html\">檢驗檢查資料檔每日格式(LABD) Bundle</a><br/><a href=\"StructureDefinition-BundleLABM.html\">檢驗檢查資料檔每月格式(LABM) Bundle</a><br/><a href=\"StructureDefinition-BundleCASE.html\">癌症個案管理追蹤資料檔(CASE) Bundle</a><br/><a href=\"StructureDefinition-BundleDEATH.html\">死亡資料檔(DEATH) Bundle</a></td><td>-</td><td>_id,identifier</td></tr></tbody></table></ul><h4 id=\"bundle\" class=\"no_toc\">Bundle</h4><ul><li>預期的遵從度:<strong>建議應該(SHOULD)</strong></li><li>Profile:<a href=\"StructureDefinition-BundleTOTFA.html\">門診醫療申報檔(TOTFA) Bundle</a>,<a href=\"StructureDefinition-BundleTOTFB.html\">住院醫療申報檔案(TOTFB) Bundle</a>,<a href=\"StructureDefinition-BundleLABD.html\">檢驗檢查資料檔每日格式(LABD) Bundle</a>,<a href=\"StructureDefinition-BundleLABM.html\">檢驗檢查資料檔每月格式(LABM) Bundle</a>,<a href=\"StructureDefinition-BundleCASE.html\">癌症個案管理追蹤資料檔(CASE) Bundle</a>,<a href=\"StructureDefinition-BundleDEATH.html\">死亡資料檔(DEATH) Bundle</a></li><li><a href=\"https://build.fhir.org/codesystem-reference-handling-policy.html#reference-handling-policy-resolves\">支援的參照政策(Reference policy)</a>:<code>resolves</code>,Server會嘗試將邏輯參照(logical reference)解析為文字參照,意即轉換Reference.identifier為Reference.reference(但如果解析失敗,Server仍然會接收這個resource,請參閱<code>logical</code>)。</li><li>Profile</li><ul><li><strong>建議應該(SHOULD)</strong>支援<code>search-type</code>,<code>read</code>,<code>vread</code></li><li><strong>可能可以(MAY)</strong>支援<code>create</code>,<code>update</code>,<code>patch</code>,<code>delete</code></li></ul><li>查詢參數摘要</li><table class=\"grid\"><thead><tr><th>遵從度</th><th>參數</th><th>類型</th><th>範例</th></tr></thead><tbody><tr><td><strong>建議應該(SHOULD)</strong></td><td><a href=\"SearchParameter-Bundle-id.html\">_id</a></td><td>token</td><td><code class=\"highlighter-rouge\">GET [base]/Bundle?_id=[id]</code>,<br/><code class=\"highlighter-rouge\">GET [base]/Bundle/[id]</code></td></tr><tr><td><strong>建議應該(SHOULD)</strong></td><td><a href=\"SearchParameter-Bundle-identifier.html\">identifier</a></td><td>token</td><td><code class=\"highlighter-rouge\">GET [base]/Bundle?identifier={system|}[code]</code></td></tr></tbody></table></ul></div>"
  },
  "url" : "https://www.ghd.tw/cdm-fhir/CapabilityStatement/CDMClient",
  "version" : "1.0.0",
  "name" : "CapabilityStatementCDMClient",
  "title" : "國家級人體生物資料庫整合平台共同資料模式-用戶端",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-03-10",
  "publisher" : "國家級人體生物資料庫整合平台",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://ghd.tw/"
        }
      ]
    }
  ],
  "description" : "國家級人體生物資料庫整合平台共同資料模式-用戶端(Client)之能力聲明",
  "kind" : "requirements",
  "fhirVersion" : "4.0.1",
  "format" : [
    "xml",
    "json"
  ],
  "patchFormat" : [
    "application/json-patch+json"
  ],
  "rest" : [
    {
      "mode" : "client",
      "documentation" : "使用國家級人體生物資料庫整合平台共同資料模式-用戶端能力聲明中的查詢參數,支援讀取和查詢一個或多個Profile(s)。",
      "resource" : [
        {
          "type" : "Bundle",
          "supportedProfile" : [
            🔗 "https://www.ghd.tw/cdm-fhir/StructureDefinition/BundleCASE"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/BundleDEATH"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/BundleLABD"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/BundleLABM"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/BundleTOTFA"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/BundleTOTFB"
          ],
          "interaction" : [
            {
              "extension" : [
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                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
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              ],
              "code" : "create"
            },
            {
              "extension" : [
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                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        },
        {
          "type" : "CarePlan",
          "supportedProfile" : [
            🔗 "https://www.ghd.tw/cdm-fhir/StructureDefinition/CarePlan-LFM6"
          ],
          "interaction" : [
            {
              "extension" : [
                {
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              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
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          ]
        },
        {
          "type" : "ChargeItem",
          "supportedProfile" : [
            🔗 "https://www.ghd.tw/cdm-fhir/StructureDefinition/ChargeItemCDM"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/ChargeItemCMDorder"
          ],
          "interaction" : [
            {
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            },
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            }
          ],
          "referencePolicy" : [
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        },
        {
          "type" : "Composition",
          "supportedProfile" : [
            🔗 "https://www.ghd.tw/cdm-fhir/StructureDefinition/CompositionCASE"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/CompositionDEATH"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/CompositionLABD"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/CompositionLABM"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/CompositionTOTFA"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/CompositionTOTFB"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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              ],
              "code" : "create"
            },
            {
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                }
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              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        },
        {
          "type" : "Condition",
          "supportedProfile" : [
            🔗 "https://www.ghd.tw/cdm-fhir/StructureDefinition/Condition-Primary"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Condition-Secondary"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/ConditionDEATH"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/ConditionTOTFAB"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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                }
              ],
              "code" : "create"
            },
            {
              "extension" : [
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                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        },
        {
          "type" : "DiagnosticReport",
          "supportedProfile" : [
            🔗 "https://www.ghd.tw/cdm-fhir/StructureDefinition/DiagnosticReportLABDM"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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                }
              ],
              "code" : "create"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        },
        {
          "type" : "Encounter",
          "supportedProfile" : [
            🔗 "https://www.ghd.tw/cdm-fhir/StructureDefinition/EncounterLABD"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/EncounterLABM"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/EncounterTOTFA"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/EncounterTOTFB"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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                }
              ],
              "code" : "create"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        },
        {
          "type" : "MedicationRequest",
          "supportedProfile" : [
            🔗 "https://www.ghd.tw/cdm-fhir/StructureDefinition/MedicationRequestCDMorder"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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              ],
              "code" : "create"
            },
            {
              "extension" : [
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                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        },
        {
          "type" : "Observation",
          "supportedProfile" : [
            🔗 "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-Clinical-CancerStage"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-Clinical-Descriptor"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-Clinical-Metastasis"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-Clinical-Node"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-Clinical-Tumor"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-CRLF-BodyHeight"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-CRLF-BodyWeight"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-CRLF-btchew"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-CRLF-Drinking"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-CRLF-LVI"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-CRLF-NEXAM"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-CRLF-NPOSIT"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-CRLF-PNI"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-CRLF-PS"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-CRLF-Smoking"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-GradeClinical"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-GradePathology"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-LF8-ssf1"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-LF8-ssf2"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-LF8-ssf3"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-LF8-ssf4"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-LF8-ssf5"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-LF8-ssf6"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-LF8-ssf7"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-LF8-ssf8"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-LF8-ssf9"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-LF8-ssf10"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-Pathology-CancerStage"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-Pathology-Descriptor"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-Pathology-Metastasis"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-Pathology-Node"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-Pathology-Tumor"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-Tumor-Size"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/ObservationCASERecurrenceStatus"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/ObservationCASESurvivalStatus"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/ObservationCASETreatmentResponse"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/ObservationCDMorder"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/ObservationLABDM"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/ObservationTOTFB"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "create"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        },
        {
          "type" : "Organization",
          "supportedProfile" : [
            🔗 "https://www.ghd.tw/cdm-fhir/StructureDefinition/OrganizationCRLF"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/OrganizationLABDM"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/OrganizationTOTFAB"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "create"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        },
        {
          "type" : "Patient",
          "supportedProfile" : [
            🔗 "https://www.ghd.tw/cdm-fhir/StructureDefinition/PatientCDM"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/PatientCRLF"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/PatientDEATH"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "create"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        },
        {
          "type" : "Procedure",
          "supportedProfile" : [
            🔗 "https://www.ghd.tw/cdm-fhir/StructureDefinition/Procedure-Diag"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Procedure-EBRTTechnique"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Procedure-LFM1-DeclarationHospital"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Procedure-LFM1-ExternalHospital"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Procedure-LFM2-DeclarationHospital"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Procedure-LFM2-ExternalHospital"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Procedure-LFM3-DeclarationHospital"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Procedure-LFM3-ExternalHospital"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Procedure-LFM4"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Procedure-LFM5-DeclarationHospital"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Procedure-LFM5-ExternalHospital"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Procedure-LFM7"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Procedure-LTAndST-Sequence"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Procedure-MinimallyInvasiveSurgery"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Procedure-ORTTechnique"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Procedure-RadioTherapy-Other"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Procedure-RadioTherapy"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Procedure-RadiotherapyAndSurgery-Sequence"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Procedure-Surgical-OtherSite"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Procedure-Surgical-PrimarySite"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Procedure-Surgical-RegionalLymphNode"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/Procedure-SystemicTherapy"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/ProcedureCASE"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/ProcedureCDMorder"🔗 ,
            "https://www.ghd.tw/cdm-fhir/StructureDefinition/ProcedureTOTFAB"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "create"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        },
        {
          "type" : "Specimen",
          "supportedProfile" : [
            🔗 "https://www.ghd.tw/cdm-fhir/StructureDefinition/SpecimenLABDM"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "create"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        }
      ]
    }
  ]
}