Resource StructureDefinition/FHIR Server from package kbv.ita.aws#1.2.0 (157 ms)
Resources that use this resource
Resources that this resource uses
Source
{
"resourceType" : "StructureDefinition",
"url" : "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Abrechnung_vertragsaerztlich",
"version" : "1.2.0",
"name" : "KBV_PR_AW_Abrechnung_vertragsaerztlich",
"status" : "active",
"publisher" : "Kassenärztliche Bundesvereinigung (KBV)",
"copyright" : "Copyright © [2020], Kassenärztliche Bundesvereinigung (KBV). All rights reserved.",
"fhirVersion" : "4.0.1",
"mapping" : [
{
"identity" : "workflow",
"uri" : "http://hl7.org/fhir/workflow",
"name" : "Workflow Pattern"
},
{
"identity" : "w5",
"uri" : "http://hl7.org/fhir/fivews",
"name" : "FiveWs Pattern Mapping"
},
{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
}
],
"kind" : "resource",
"abstract" : false,
"type" : "Claim",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Claim",
"derivation" : "constraint",
"differential" : {
"element" : [
{
"id" : "Claim",
"path" : "Claim",
"short" : "Vertragsärztlich",
"definition" : "Eine Abrechnung in der vertragsärztlichen Versorgung"
},
{
"id" : "Claim.id",
"path" : "Claim.id",
"min" : 1
},
{
"id" : "Claim.meta",
"path" : "Claim.meta",
"min" : 1
},
{
"id" : "Claim.meta.versionId",
"path" : "Claim.meta.versionId",
"min" : 1
},
{
"id" : "Claim.meta.lastUpdated",
"path" : "Claim.meta.lastUpdated",
"min" : 1
},
{
"id" : "Claim.meta.profile",
"path" : "Claim.meta.profile",
"min" : 1,
"max" : "1",
"fixedCanonical" : "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Abrechnung_vertragsaerztlich|1.2.0"
},
{
"id" : "Claim.text",
"path" : "Claim.text",
"min" : 1
},
{
"id" : "Claim.extension",
"path" : "Claim.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"rules" : "open"
}
},
{
"id" : "Claim.extension:zusatzinformationen",
"path" : "Claim.extension",
"sliceName" : "zusatzinformationen",
"short" : "Vertragsärztliche Abrechnung Zusatzinformationen",
"definition" : "Diese Extension dient zur Angabe von Zusatzinformationen für eine vertragsärztliche Abrechnung.",
"type" : [
{
"code" : "Extension",
"profile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_AW_Abrechnung_vertragsaerztlich_Zusatzinformation"
]
}
],
"mustSupport" : true
},
{
"id" : "Claim.extension:zusatzinformationen.extension",
"path" : "Claim.extension.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"rules" : "open"
}
},
{
"id" : "Claim.extension:zusatzinformationen.extension:schein-ID",
"path" : "Claim.extension.extension",
"sliceName" : "schein-ID",
"mustSupport" : true
},
{
"id" : "Claim.extension:zusatzinformationen.extension:kostentraeger-Abrechnungsbereich",
"path" : "Claim.extension.extension",
"sliceName" : "kostentraeger-Abrechnungsbereich",
"mustSupport" : true
},
{
"id" : "Claim.extension:zusatzinformationen.extension:abrechnungsgebiet",
"path" : "Claim.extension.extension",
"sliceName" : "abrechnungsgebiet",
"mustSupport" : true
},
{
"id" : "Claim.extension:zusatzinformationen.extension:scheinuntergruppe",
"path" : "Claim.extension.extension",
"sliceName" : "scheinuntergruppe",
"mustSupport" : true
},
{
"id" : "Claim.extension:zusatzinformationen.extension:kennziffer-SA",
"path" : "Claim.extension.extension",
"sliceName" : "kennziffer-SA",
"mustSupport" : true
},
{
"id" : "Claim.extension:zusatzinformationen.extension:abklaerung_somatischer_Ursachen_vor_Aufnahme_einer_Psychotherapie",
"path" : "Claim.extension.extension",
"sliceName" : "abklaerung_somatischer_Ursachen_vor_Aufnahme_einer_Psychotherapie",
"mustSupport" : true
},
{
"id" : "Claim.extension:zusatzinformationen.extension:unfall_Unfallfolgen",
"path" : "Claim.extension.extension",
"sliceName" : "unfall_Unfallfolgen",
"mustSupport" : true
},
{
"id" : "Claim.identifier",
"path" : "Claim.identifier",
"max" : "0"
},
{
"id" : "Claim.status",
"path" : "Claim.status",
"definition" : "nicht abgerechnet = draft\r\nabgerechnet = active",
"mustSupport" : true
},
{
"id" : "Claim.type.coding",
"path" : "Claim.type.coding",
"min" : 1,
"max" : "1"
},
{
"id" : "Claim.type.coding.system",
"path" : "Claim.type.coding.system",
"min" : 1,
"fixedUri" : "http://terminology.hl7.org/CodeSystem/claim-type"
},
{
"id" : "Claim.type.coding.code",
"path" : "Claim.type.coding.code",
"short" : "professional",
"min" : 1,
"fixedCode" : "professional"
},
{
"id" : "Claim.type.coding.userSelected",
"path" : "Claim.type.coding.userSelected",
"max" : "0"
},
{
"id" : "Claim.type.text",
"path" : "Claim.type.text",
"max" : "0"
},
{
"id" : "Claim.subType",
"path" : "Claim.subType",
"min" : 1,
"mustSupport" : true
},
{
"id" : "Claim.subType.coding",
"path" : "Claim.subType.coding",
"min" : 1,
"max" : "1",
"mustSupport" : true
},
{
"id" : "Claim.subType.coding.system",
"path" : "Claim.subType.coding.system",
"min" : 1,
"fixedUri" : "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Art",
"mustSupport" : true
},
{
"id" : "Claim.subType.coding.version",
"path" : "Claim.subType.coding.version",
"max" : "0"
},
{
"id" : "Claim.subType.coding.code",
"path" : "Claim.subType.coding.code",
"min" : 1,
"fixedCode" : "Vertragsaerztlich",
"mustSupport" : true
},
{
"id" : "Claim.subType.coding.display",
"path" : "Claim.subType.coding.display",
"max" : "0"
},
{
"id" : "Claim.subType.coding.userSelected",
"path" : "Claim.subType.coding.userSelected",
"max" : "0"
},
{
"id" : "Claim.subType.text",
"path" : "Claim.subType.text",
"max" : "0"
},
{
"id" : "Claim.use",
"path" : "Claim.use",
"short" : "claim",
"fixedCode" : "claim"
},
{
"id" : "Claim.patient",
"path" : "Claim.patient",
"label" : "TR01",
"short" : "Patientenbezug",
"definition" : "Patient Resource.",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Patient|1.2.0"
]
}
],
"mustSupport" : true
},
{
"id" : "Claim.patient.reference",
"path" : "Claim.patient.reference",
"min" : 1
},
{
"id" : "Claim.patient.type",
"path" : "Claim.patient.type",
"max" : "0"
},
{
"id" : "Claim.patient.identifier",
"path" : "Claim.patient.identifier",
"max" : "0"
},
{
"id" : "Claim.patient.display",
"path" : "Claim.patient.display",
"max" : "0"
},
{
"id" : "Claim.billablePeriod",
"path" : "Claim.billablePeriod",
"short" : "Abrechnungsquartal",
"definition" : "Anzugeben ist das Abrechnungsquartal. Dieses wird über ein Startdatum und eine Enddatum definiert. BSP Start 2020-01 Ende 2020-03",
"mustSupport" : true
},
{
"id" : "Claim.billablePeriod.start",
"path" : "Claim.billablePeriod.start",
"mustSupport" : true
},
{
"id" : "Claim.billablePeriod.end",
"path" : "Claim.billablePeriod.end",
"mustSupport" : true
},
{
"id" : "Claim.enterer",
"path" : "Claim.enterer",
"max" : "0"
},
{
"id" : "Claim.insurer",
"path" : "Claim.insurer",
"max" : "0"
},
{
"id" : "Claim.provider",
"path" : "Claim.provider",
"short" : "Behandelnderbezug",
"definition" : "BehandelnderFunktion Ressource.",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_BehandelnderFunktion|1.2.0"
]
}
],
"mustSupport" : true
},
{
"id" : "Claim.provider.reference",
"path" : "Claim.provider.reference",
"min" : 1
},
{
"id" : "Claim.provider.type",
"path" : "Claim.provider.type",
"max" : "0"
},
{
"id" : "Claim.provider.identifier",
"path" : "Claim.provider.identifier",
"max" : "0"
},
{
"id" : "Claim.provider.display",
"path" : "Claim.provider.display",
"max" : "0"
},
{
"id" : "Claim.priority.coding",
"path" : "Claim.priority.coding",
"min" : 1,
"max" : "1"
},
{
"id" : "Claim.priority.coding.system",
"path" : "Claim.priority.coding.system",
"min" : 1,
"fixedUri" : "http://terminology.hl7.org/CodeSystem/processpriority"
},
{
"id" : "Claim.priority.coding.code",
"path" : "Claim.priority.coding.code",
"short" : "normal",
"min" : 1,
"fixedCode" : "normal"
},
{
"id" : "Claim.priority.coding.userSelected",
"path" : "Claim.priority.coding.userSelected",
"max" : "0"
},
{
"id" : "Claim.priority.text",
"path" : "Claim.priority.text",
"max" : "0"
},
{
"id" : "Claim.fundsReserve",
"path" : "Claim.fundsReserve",
"max" : "0"
},
{
"id" : "Claim.related",
"path" : "Claim.related",
"short" : "Bezug zur vorlaeufigen Abrechnung",
"definition" : "Die Referenz zu der vorlaeufigen Abrechnung in der alle GOPs dokumentiert sind.",
"min" : 1,
"max" : "1",
"mustSupport" : true
},
{
"id" : "Claim.related.claim",
"path" : "Claim.related.claim",
"min" : 1,
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Abrechnung_Vorlaeufig|1.2.0"
]
}
],
"mustSupport" : true
},
{
"id" : "Claim.related.claim.reference",
"path" : "Claim.related.claim.reference",
"min" : 1
},
{
"id" : "Claim.related.claim.type",
"path" : "Claim.related.claim.type",
"max" : "0"
},
{
"id" : "Claim.related.claim.identifier",
"path" : "Claim.related.claim.identifier",
"max" : "0"
},
{
"id" : "Claim.related.claim.display",
"path" : "Claim.related.claim.display",
"max" : "0"
},
{
"id" : "Claim.related.relationship",
"path" : "Claim.related.relationship",
"max" : "0"
},
{
"id" : "Claim.related.reference",
"path" : "Claim.related.reference",
"max" : "0"
},
{
"id" : "Claim.prescription",
"path" : "Claim.prescription",
"max" : "0"
},
{
"id" : "Claim.originalPrescription",
"path" : "Claim.originalPrescription",
"max" : "0"
},
{
"id" : "Claim.payee",
"path" : "Claim.payee",
"max" : "0"
},
{
"id" : "Claim.referral",
"path" : "Claim.referral",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Weiterbehandlung_durch|1.2.0"
]
}
],
"mustSupport" : true
},
{
"id" : "Claim.referral.reference",
"path" : "Claim.referral.reference",
"min" : 1,
"mustSupport" : true
},
{
"id" : "Claim.referral.type",
"path" : "Claim.referral.type",
"max" : "0"
},
{
"id" : "Claim.referral.identifier",
"path" : "Claim.referral.identifier",
"max" : "0"
},
{
"id" : "Claim.referral.display",
"path" : "Claim.referral.display",
"max" : "0"
},
{
"id" : "Claim.facility",
"path" : "Claim.facility",
"max" : "0"
},
{
"id" : "Claim.careTeam",
"path" : "Claim.careTeam",
"max" : "0"
},
{
"id" : "Claim.supportingInfo",
"path" : "Claim.supportingInfo",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "category.coding.code"
}
],
"description" : "Ringversuchszertifikate\r\nLeistungsgenehmigung",
"rules" : "closed"
},
"short" : "Zusatzinformationen",
"definition" : "Anlage und Ringversuchszertifikate",
"mustSupport" : true
},
{
"id" : "Claim.supportingInfo:ringversuchszertifikat",
"path" : "Claim.supportingInfo",
"sliceName" : "ringversuchszertifikat",
"short" : "Ringversuchszertifikat",
"definition" : "Dieses Element kann zur Referenzierung von Ringversuchszertifikaten genutzt werden.",
"mustSupport" : true
},
{
"id" : "Claim.supportingInfo:ringversuchszertifikat.category.coding",
"path" : "Claim.supportingInfo.category.coding",
"min" : 1,
"max" : "1",
"mustSupport" : true
},
{
"id" : "Claim.supportingInfo:ringversuchszertifikat.category.coding.system",
"path" : "Claim.supportingInfo.category.coding.system",
"min" : 1,
"fixedUri" : "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Information_Kategorie",
"mustSupport" : true
},
{
"id" : "Claim.supportingInfo:ringversuchszertifikat.category.coding.version",
"path" : "Claim.supportingInfo.category.coding.version",
"max" : "0"
},
{
"id" : "Claim.supportingInfo:ringversuchszertifikat.category.coding.code",
"path" : "Claim.supportingInfo.category.coding.code",
"min" : 1,
"fixedCode" : "Ringversuchszertifikat",
"mustSupport" : true
},
{
"id" : "Claim.supportingInfo:ringversuchszertifikat.category.coding.display",
"path" : "Claim.supportingInfo.category.coding.display",
"max" : "0"
},
{
"id" : "Claim.supportingInfo:ringversuchszertifikat.category.coding.userSelected",
"path" : "Claim.supportingInfo.category.coding.userSelected",
"max" : "0"
},
{
"id" : "Claim.supportingInfo:ringversuchszertifikat.category.text",
"path" : "Claim.supportingInfo.category.text",
"max" : "0"
},
{
"id" : "Claim.supportingInfo:ringversuchszertifikat.code",
"path" : "Claim.supportingInfo.code",
"max" : "0"
},
{
"id" : "Claim.supportingInfo:ringversuchszertifikat.timing[x]",
"path" : "Claim.supportingInfo.timing[x]",
"max" : "0"
},
{
"id" : "Claim.supportingInfo:ringversuchszertifikat.value[x]",
"path" : "Claim.supportingInfo.value[x]",
"slicing" : {
"discriminator" : [
{
"type" : "type",
"path" : "$this"
}
],
"rules" : "closed"
},
"min" : 1,
"type" : [
{
"code" : "Reference"
}
]
},
{
"id" : "Claim.supportingInfo:ringversuchszertifikat.value[x]:valueReference",
"path" : "Claim.supportingInfo.value[x]",
"sliceName" : "valueReference",
"min" : 1,
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Ringversuchszertifikat|1.2.0"
]
}
],
"mustSupport" : true
},
{
"id" : "Claim.supportingInfo:ringversuchszertifikat.value[x]:valueReference.reference",
"path" : "Claim.supportingInfo.value[x].reference",
"min" : 1,
"mustSupport" : true
},
{
"id" : "Claim.supportingInfo:ringversuchszertifikat.value[x]:valueReference.type",
"path" : "Claim.supportingInfo.value[x].type",
"max" : "0"
},
{
"id" : "Claim.supportingInfo:ringversuchszertifikat.value[x]:valueReference.identifier",
"path" : "Claim.supportingInfo.value[x].identifier",
"max" : "0"
},
{
"id" : "Claim.supportingInfo:ringversuchszertifikat.value[x]:valueReference.display",
"path" : "Claim.supportingInfo.value[x].display",
"max" : "0"
},
{
"id" : "Claim.supportingInfo:ringversuchszertifikat.reason",
"path" : "Claim.supportingInfo.reason",
"max" : "0"
},
{
"id" : "Claim.supportingInfo:leistungsgenehmigung",
"path" : "Claim.supportingInfo",
"sliceName" : "leistungsgenehmigung",
"short" : "Leistungsgenehmingungen",
"definition" : "Dieses Attribut wird zur Referenzierung von Leistungsgenehmingungen genutzt.",
"mustSupport" : true
},
{
"id" : "Claim.supportingInfo:leistungsgenehmigung.category.coding",
"path" : "Claim.supportingInfo.category.coding",
"min" : 1,
"max" : "1",
"mustSupport" : true
},
{
"id" : "Claim.supportingInfo:leistungsgenehmigung.category.coding.system",
"path" : "Claim.supportingInfo.category.coding.system",
"min" : 1,
"fixedUri" : "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Information_Kategorie",
"mustSupport" : true
},
{
"id" : "Claim.supportingInfo:leistungsgenehmigung.category.coding.version",
"path" : "Claim.supportingInfo.category.coding.version",
"max" : "0"
},
{
"id" : "Claim.supportingInfo:leistungsgenehmigung.category.coding.code",
"path" : "Claim.supportingInfo.category.coding.code",
"min" : 1,
"fixedCode" : "Leistungsgenehmingung",
"mustSupport" : true
},
{
"id" : "Claim.supportingInfo:leistungsgenehmigung.category.coding.display",
"path" : "Claim.supportingInfo.category.coding.display",
"max" : "0"
},
{
"id" : "Claim.supportingInfo:leistungsgenehmigung.category.coding.userSelected",
"path" : "Claim.supportingInfo.category.coding.userSelected",
"max" : "0"
},
{
"id" : "Claim.supportingInfo:leistungsgenehmigung.category.text",
"path" : "Claim.supportingInfo.category.text",
"max" : "0"
},
{
"id" : "Claim.supportingInfo:leistungsgenehmigung.code",
"path" : "Claim.supportingInfo.code",
"max" : "0"
},
{
"id" : "Claim.supportingInfo:leistungsgenehmigung.timing[x]",
"path" : "Claim.supportingInfo.timing[x]",
"max" : "0"
},
{
"id" : "Claim.supportingInfo:leistungsgenehmigung.value[x]",
"path" : "Claim.supportingInfo.value[x]",
"slicing" : {
"discriminator" : [
{
"type" : "type",
"path" : "$this"
}
],
"rules" : "closed"
},
"min" : 1,
"type" : [
{
"code" : "Reference"
}
]
},
{
"id" : "Claim.supportingInfo:leistungsgenehmigung.value[x]:valueReference",
"path" : "Claim.supportingInfo.value[x]",
"sliceName" : "valueReference",
"min" : 1,
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Leistungsgenehmigung_Heilmittel|1.2.0",
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Leistungsgenehmigung_Psychotherapie|1.2.0"
]
}
],
"mustSupport" : true
},
{
"id" : "Claim.supportingInfo:leistungsgenehmigung.value[x]:valueReference.reference",
"path" : "Claim.supportingInfo.value[x].reference",
"min" : 1,
"mustSupport" : true
},
{
"id" : "Claim.supportingInfo:leistungsgenehmigung.value[x]:valueReference.type",
"path" : "Claim.supportingInfo.value[x].type",
"max" : "0"
},
{
"id" : "Claim.supportingInfo:leistungsgenehmigung.value[x]:valueReference.identifier",
"path" : "Claim.supportingInfo.value[x].identifier",
"max" : "0"
},
{
"id" : "Claim.supportingInfo:leistungsgenehmigung.value[x]:valueReference.display",
"path" : "Claim.supportingInfo.value[x].display",
"max" : "0"
},
{
"id" : "Claim.supportingInfo:leistungsgenehmigung.reason",
"path" : "Claim.supportingInfo.reason",
"max" : "0"
},
{
"id" : "Claim.diagnosis",
"path" : "Claim.diagnosis",
"max" : "0"
},
{
"id" : "Claim.procedure",
"path" : "Claim.procedure",
"max" : "0"
},
{
"id" : "Claim.insurance",
"path" : "Claim.insurance",
"short" : "Krankenversicherung",
"definition" : "Referenz zur Krankenversicherung",
"max" : "1",
"mustSupport" : true
},
{
"id" : "Claim.insurance.identifier",
"path" : "Claim.insurance.identifier",
"max" : "0"
},
{
"id" : "Claim.insurance.coverage",
"path" : "Claim.insurance.coverage",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Krankenversicherungsverhaeltnis|1.2.0"
]
}
],
"mustSupport" : true
},
{
"id" : "Claim.insurance.coverage.reference",
"path" : "Claim.insurance.coverage.reference",
"min" : 1,
"mustSupport" : true
},
{
"id" : "Claim.insurance.coverage.type",
"path" : "Claim.insurance.coverage.type",
"max" : "0"
},
{
"id" : "Claim.insurance.coverage.identifier",
"path" : "Claim.insurance.coverage.identifier",
"max" : "0"
},
{
"id" : "Claim.insurance.coverage.display",
"path" : "Claim.insurance.coverage.display",
"max" : "0"
},
{
"id" : "Claim.insurance.businessArrangement",
"path" : "Claim.insurance.businessArrangement",
"max" : "0"
},
{
"id" : "Claim.insurance.preAuthRef",
"path" : "Claim.insurance.preAuthRef",
"max" : "0"
},
{
"id" : "Claim.insurance.claimResponse",
"path" : "Claim.insurance.claimResponse",
"max" : "0"
},
{
"id" : "Claim.accident",
"path" : "Claim.accident",
"max" : "0"
},
{
"id" : "Claim.item",
"path" : "Claim.item",
"max" : "0"
},
{
"id" : "Claim.total",
"path" : "Claim.total",
"max" : "0"
}
]
},
"text" : {
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.
FHIR