Resource StructureDefinition/FHIR Server from package kbv.ita.aws#1.2.0 (156 ms)
Resources that use this resource
Resources that this resource uses
Source
{
"resourceType" : "StructureDefinition",
"url" : "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Krankenversicherungsverhaeltnis",
"version" : "1.2.0",
"name" : "KBV_PR_AW_Krankenversicherungsverhaeltnis",
"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" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
},
{
"identity" : "w5",
"uri" : "http://hl7.org/fhir/fivews",
"name" : "FiveWs Pattern Mapping"
},
{
"identity" : "cdanetv4",
"uri" : "http://www.cda-adc.ca/en/services/cdanet/",
"name" : "Canadian Dental Association eclaims standard"
},
{
"identity" : "v2",
"uri" : "http://hl7.org/v2",
"name" : "HL7 v2 Mapping"
},
{
"identity" : "cpha3pharm",
"uri" : "http://www.pharmacists.ca/",
"name" : "Canadian Pharmacy Associaiton eclaims standard"
}
],
"kind" : "resource",
"abstract" : false,
"type" : "Coverage",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Coverage",
"derivation" : "constraint",
"differential" : {
"element" : [
{
"id" : "Coverage",
"path" : "Coverage",
"short" : "Versicherungsdaten",
"definition" : "Kostenuebernahme im Rahmen eines Versicherungsverhaeltnisses in Deutschland"
},
{
"id" : "Coverage.id",
"path" : "Coverage.id",
"min" : 1
},
{
"id" : "Coverage.meta",
"path" : "Coverage.meta",
"min" : 1
},
{
"id" : "Coverage.meta.versionId",
"path" : "Coverage.meta.versionId",
"min" : 1
},
{
"id" : "Coverage.meta.lastUpdated",
"path" : "Coverage.meta.lastUpdated",
"min" : 1
},
{
"id" : "Coverage.meta.profile",
"path" : "Coverage.meta.profile",
"min" : 1,
"max" : "1",
"fixedCanonical" : "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Krankenversicherungsverhaeltnis|1.2.0"
},
{
"id" : "Coverage.text",
"path" : "Coverage.text",
"min" : 1
},
{
"id" : "Coverage.extension",
"path" : "Coverage.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"rules" : "open"
}
},
{
"id" : "Coverage.extension:einlesedatumKarte",
"path" : "Coverage.extension",
"sliceName" : "einlesedatumKarte",
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://fhir.de/StructureDefinition/gkv/einlesedatum-karte"
]
}
]
},
{
"id" : "Coverage.extension:onlinepruefung",
"path" : "Coverage.extension",
"sliceName" : "onlinepruefung",
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://fhir.de/StructureDefinition/gkv/onlinepruefung-egk"
]
}
]
},
{
"id" : "Coverage.extension:versionEgk",
"path" : "Coverage.extension",
"sliceName" : "versionEgk",
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://fhir.de/StructureDefinition/gkv/version-vsdm"
]
}
]
},
{
"id" : "Coverage.extension:generationEgk",
"path" : "Coverage.extension",
"sliceName" : "generationEgk",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://fhir.de/StructureDefinition/gkv/generation-egk"
]
}
]
},
{
"id" : "Coverage.extension:versichertenart",
"path" : "Coverage.extension",
"sliceName" : "versichertenart",
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://fhir.de/StructureDefinition/gkv/versichertenart"
]
}
]
},
{
"id" : "Coverage.extension:kostenerstattung",
"path" : "Coverage.extension",
"sliceName" : "kostenerstattung",
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://fhir.de/StructureDefinition/gkv/kostenerstattung"
]
}
]
},
{
"id" : "Coverage.extension:wop",
"path" : "Coverage.extension",
"sliceName" : "wop",
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://fhir.de/StructureDefinition/gkv/wop"
]
}
]
},
{
"id" : "Coverage.extension:besonderePersonengruppe",
"path" : "Coverage.extension",
"sliceName" : "besonderePersonengruppe",
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://fhir.de/StructureDefinition/gkv/besondere-personengruppe"
]
}
]
},
{
"id" : "Coverage.extension:dmpKennzeichen",
"path" : "Coverage.extension",
"sliceName" : "dmpKennzeichen",
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://fhir.de/StructureDefinition/gkv/dmp-kennzeichen"
]
}
]
},
{
"id" : "Coverage.extension:ruhenderLeistungsanspruch",
"path" : "Coverage.extension",
"sliceName" : "ruhenderLeistungsanspruch",
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://fhir.de/StructureDefinition/gkv/ruhender-leistungsanspruch"
]
}
]
},
{
"id" : "Coverage.extension:zuzahlungsstatus",
"path" : "Coverage.extension",
"sliceName" : "zuzahlungsstatus",
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://fhir.de/StructureDefinition/gkv/zuzahlungsstatus"
]
}
]
},
{
"id" : "Coverage.extension:skt-Zusatzangabe",
"path" : "Coverage.extension",
"sliceName" : "skt-Zusatzangabe",
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_AW_SKT_Zusatzangabe"
]
}
],
"mustSupport" : true
},
{
"id" : "Coverage.identifier",
"path" : "Coverage.identifier",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "type.coding.code"
}
],
"rules" : "open"
},
"short" : "Primärer Identifier der Versicherung",
"definition" : "Ein gesetzliches Versicherungsverhältnis sollte stets durch die eindeutige 30-stellige Versichertennummer identifiziert werden. Ist diese nicht bekannt, so wird die 10-stellige VersichertenID statt dessen verwendet.",
"comment" : "TODO: Constraint, der prüft, dass mindestens entweder eine VersichertenID oder eine Krankenversichertennummer angegeben wurde.",
"max" : "1",
"mustSupport" : true
},
{
"id" : "Coverage.identifier:KrankenversichertenID",
"path" : "Coverage.identifier",
"sliceName" : "KrankenversichertenID",
"max" : "1",
"type" : [
{
"code" : "Identifier",
"profile" : [
"http://fhir.de/StructureDefinition/identifier-kvid-10"
]
}
],
"mustSupport" : true
},
{
"id" : "Coverage.identifier:KrankenversichertenID.type",
"path" : "Coverage.identifier.type",
"min" : 1
},
{
"id" : "Coverage.identifier:KrankenversichertenID.period",
"path" : "Coverage.identifier.period",
"max" : "0"
},
{
"id" : "Coverage.identifier:KrankenversichertenID.assigner",
"path" : "Coverage.identifier.assigner",
"max" : "0"
},
{
"id" : "Coverage.identifier:KVK-Versichertennummer",
"path" : "Coverage.identifier",
"sliceName" : "KVK-Versichertennummer",
"max" : "1",
"mustSupport" : true
},
{
"id" : "Coverage.identifier:KVK-Versichertennummer.use",
"path" : "Coverage.identifier.use",
"max" : "0"
},
{
"id" : "Coverage.identifier:KVK-Versichertennummer.type",
"path" : "Coverage.identifier.type",
"min" : 1
},
{
"id" : "Coverage.identifier:KVK-Versichertennummer.type.coding",
"path" : "Coverage.identifier.type.coding",
"min" : 1,
"max" : "1"
},
{
"id" : "Coverage.identifier:KVK-Versichertennummer.type.coding.system",
"path" : "Coverage.identifier.type.coding.system",
"min" : 1,
"fixedUri" : "https://fhir.kbv.de/CodeSystem/KBV_CS_Base_identifier_type"
},
{
"id" : "Coverage.identifier:KVK-Versichertennummer.type.coding.version",
"path" : "Coverage.identifier.type.coding.version",
"max" : "0"
},
{
"id" : "Coverage.identifier:KVK-Versichertennummer.type.coding.code",
"path" : "Coverage.identifier.type.coding.code",
"min" : 1,
"fixedCode" : "kvk"
},
{
"id" : "Coverage.identifier:KVK-Versichertennummer.type.coding.display",
"path" : "Coverage.identifier.type.coding.display",
"max" : "0"
},
{
"id" : "Coverage.identifier:KVK-Versichertennummer.type.coding.userSelected",
"path" : "Coverage.identifier.type.coding.userSelected",
"max" : "0"
},
{
"id" : "Coverage.identifier:KVK-Versichertennummer.type.text",
"path" : "Coverage.identifier.type.text",
"max" : "0"
},
{
"id" : "Coverage.identifier:KVK-Versichertennummer.system",
"path" : "Coverage.identifier.system",
"min" : 1,
"fixedUri" : "http://fhir.de/NamingSystem/gkv/kvk-versichertennummer"
},
{
"id" : "Coverage.identifier:KVK-Versichertennummer.value",
"path" : "Coverage.identifier.value",
"min" : 1
},
{
"id" : "Coverage.identifier:KVK-Versichertennummer.period",
"path" : "Coverage.identifier.period",
"max" : "0"
},
{
"id" : "Coverage.identifier:KVK-Versichertennummer.assigner",
"path" : "Coverage.identifier.assigner",
"max" : "0"
},
{
"id" : "Coverage.identifier:versichertennummer_pkv",
"path" : "Coverage.identifier",
"sliceName" : "versichertennummer_pkv",
"max" : "1",
"type" : [
{
"code" : "Identifier",
"profile" : [
"http://fhir.de/StructureDefinition/identifier-pkv"
]
}
],
"mustSupport" : true
},
{
"id" : "Coverage.identifier:versichertennummer_pkv.type.text",
"path" : "Coverage.identifier.type.text",
"max" : "0"
},
{
"id" : "Coverage.identifier:versichertennummer_pkv.period",
"path" : "Coverage.identifier.period",
"max" : "0"
},
{
"id" : "Coverage.identifier:versichertennummer_pkv.assigner",
"path" : "Coverage.identifier.assigner",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Organisation|1.2.0"
]
}
]
},
{
"id" : "Coverage.identifier:pseudo-Krankenversichertennummer",
"path" : "Coverage.identifier",
"sliceName" : "pseudo-Krankenversichertennummer",
"max" : "1"
},
{
"id" : "Coverage.identifier:pseudo-Krankenversichertennummer.type",
"path" : "Coverage.identifier.type",
"min" : 1
},
{
"id" : "Coverage.identifier:pseudo-Krankenversichertennummer.type.coding",
"path" : "Coverage.identifier.type.coding",
"min" : 1,
"max" : "1"
},
{
"id" : "Coverage.identifier:pseudo-Krankenversichertennummer.type.coding.system",
"path" : "Coverage.identifier.type.coding.system",
"min" : 1,
"fixedUri" : "https://fhir.kbv.de/CodeSystem/KBV_CS_Base_identifier_type"
},
{
"id" : "Coverage.identifier:pseudo-Krankenversichertennummer.type.coding.version",
"path" : "Coverage.identifier.type.coding.version",
"max" : "0"
},
{
"id" : "Coverage.identifier:pseudo-Krankenversichertennummer.type.coding.code",
"path" : "Coverage.identifier.type.coding.code",
"min" : 1,
"fixedCode" : "PseudoversichertenID"
},
{
"id" : "Coverage.identifier:pseudo-Krankenversichertennummer.type.coding.display",
"path" : "Coverage.identifier.type.coding.display",
"max" : "0"
},
{
"id" : "Coverage.identifier:pseudo-Krankenversichertennummer.type.coding.userSelected",
"path" : "Coverage.identifier.type.coding.userSelected",
"max" : "0"
},
{
"id" : "Coverage.identifier:pseudo-Krankenversichertennummer.type.text",
"path" : "Coverage.identifier.type.text",
"max" : "0"
},
{
"id" : "Coverage.identifier:pseudo-Krankenversichertennummer.system",
"path" : "Coverage.identifier.system",
"min" : 1,
"fixedUri" : "http://fhir.de/NamingSystem/gkv/pseudo-kvid"
},
{
"id" : "Coverage.identifier:pseudo-Krankenversichertennummer.value",
"path" : "Coverage.identifier.value",
"min" : 1
},
{
"id" : "Coverage.identifier:pseudo-Krankenversichertennummer.period",
"path" : "Coverage.identifier.period",
"max" : "0"
},
{
"id" : "Coverage.identifier:pseudo-Krankenversichertennummer.assigner",
"path" : "Coverage.identifier.assigner",
"max" : "0"
},
{
"id" : "Coverage.status",
"path" : "Coverage.status",
"short" : "active | cancelled",
"definition" : "Der Status der Ressource darf nur active oder cancelled sein"
},
{
"id" : "Coverage.type",
"path" : "Coverage.type",
"short" : "Versicherungsart",
"definition" : "Art der Versicherung: Selbstzahler, gesetzliche/private Versicherung, Berufsgenossenschaft oder Sozialamt",
"binding" : {
"strength" : "required",
"valueSet" : "http://fhir.de/ValueSet/versicherungsart-de-basis"
}
},
{
"id" : "Coverage.type.coding",
"path" : "Coverage.type.coding",
"min" : 1,
"max" : "1"
},
{
"id" : "Coverage.type.coding.system",
"path" : "Coverage.type.coding.system",
"min" : 1,
"fixedUri" : "http://fhir.de/CodeSystem/versicherungsart-de-basis"
},
{
"id" : "Coverage.type.coding.version",
"path" : "Coverage.type.coding.version",
"min" : 1
},
{
"id" : "Coverage.type.coding.code",
"path" : "Coverage.type.coding.code",
"min" : 1
},
{
"id" : "Coverage.type.coding.display",
"path" : "Coverage.type.coding.display",
"max" : "0"
},
{
"id" : "Coverage.type.coding.userSelected",
"path" : "Coverage.type.coding.userSelected",
"max" : "0"
},
{
"id" : "Coverage.type.text",
"path" : "Coverage.type.text",
"max" : "0"
},
{
"id" : "Coverage.policyHolder",
"path" : "Coverage.policyHolder",
"max" : "0"
},
{
"id" : "Coverage.subscriber",
"path" : "Coverage.subscriber",
"short" : "Hauptversicherte Person / Mitglied",
"definition" : "Hauptversicherte Person (ggf. abweichend von beneficiary), z.B. bei Familienversicherung. Es muss entweder eine Referenz(mit den Attributen Haupterversichertenname und dessen ID) vorhanden sein oder die Attribute identifier und display müssen gefüllt sein.",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Patient|1.2.0",
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Bezugsperson|1.2.0"
]
}
],
"mustSupport" : true
},
{
"id" : "Coverage.subscriber.type",
"path" : "Coverage.subscriber.type",
"max" : "0"
},
{
"id" : "Coverage.subscriber.identifier",
"path" : "Coverage.subscriber.identifier",
"short" : "HauptversichertenID",
"definition" : "Eine ID des Hauptversicherten",
"mustSupport" : true
},
{
"id" : "Coverage.subscriber.identifier.type",
"path" : "Coverage.subscriber.identifier.type",
"min" : 1
},
{
"id" : "Coverage.subscriber.identifier.type.coding",
"path" : "Coverage.subscriber.identifier.type.coding",
"min" : 1,
"max" : "1"
},
{
"id" : "Coverage.subscriber.identifier.type.coding.system",
"path" : "Coverage.subscriber.identifier.type.coding.system",
"min" : 1,
"fixedUri" : "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Krankenversicherung_ID_Typ"
},
{
"id" : "Coverage.subscriber.identifier.type.coding.version",
"path" : "Coverage.subscriber.identifier.type.coding.version",
"max" : "0"
},
{
"id" : "Coverage.subscriber.identifier.type.coding.code",
"path" : "Coverage.subscriber.identifier.type.coding.code",
"min" : 1,
"fixedCode" : "HauptversichertenID"
},
{
"id" : "Coverage.subscriber.identifier.type.coding.display",
"path" : "Coverage.subscriber.identifier.type.coding.display",
"max" : "0"
},
{
"id" : "Coverage.subscriber.identifier.type.coding.userSelected",
"path" : "Coverage.subscriber.identifier.type.coding.userSelected",
"max" : "0"
},
{
"id" : "Coverage.subscriber.identifier.type.text",
"path" : "Coverage.subscriber.identifier.type.text",
"max" : "0"
},
{
"id" : "Coverage.subscriber.identifier.system",
"path" : "Coverage.subscriber.identifier.system",
"min" : 1
},
{
"id" : "Coverage.subscriber.identifier.value",
"path" : "Coverage.subscriber.identifier.value",
"short" : "HauptversichertenID",
"definition" : "VersichertenID des Hauptversicherten",
"min" : 1
},
{
"id" : "Coverage.subscriber.identifier.period",
"path" : "Coverage.subscriber.identifier.period",
"max" : "0"
},
{
"id" : "Coverage.subscriber.identifier.assigner",
"path" : "Coverage.subscriber.identifier.assigner",
"max" : "0"
},
{
"id" : "Coverage.subscriber.display",
"path" : "Coverage.subscriber.display",
"short" : "Hauptversichertenname",
"definition" : "Anzugeben ist der Name des Hauptversicherten.",
"mustSupport" : true
},
{
"id" : "Coverage.subscriberId",
"path" : "Coverage.subscriberId",
"max" : "0"
},
{
"id" : "Coverage.beneficiary",
"path" : "Coverage.beneficiary",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Patient|1.2.0"
]
}
],
"mustSupport" : true
},
{
"id" : "Coverage.beneficiary.reference",
"path" : "Coverage.beneficiary.reference",
"min" : 1
},
{
"id" : "Coverage.beneficiary.type",
"path" : "Coverage.beneficiary.type",
"max" : "0"
},
{
"id" : "Coverage.beneficiary.identifier",
"path" : "Coverage.beneficiary.identifier",
"max" : "0"
},
{
"id" : "Coverage.beneficiary.display",
"path" : "Coverage.beneficiary.display",
"max" : "0"
},
{
"id" : "Coverage.dependent",
"path" : "Coverage.dependent",
"max" : "0"
},
{
"id" : "Coverage.relationship",
"path" : "Coverage.relationship",
"max" : "0"
},
{
"id" : "Coverage.period",
"path" : "Coverage.period",
"definition" : "In diesem Element werden der Beginn und das Ende des Krankenversicherungsverhaeltnisses angegeben",
"mustSupport" : true
},
{
"id" : "Coverage.payor",
"path" : "Coverage.payor",
"max" : "1",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Organisation|1.2.0"
]
}
],
"mustSupport" : true
},
{
"id" : "Coverage.payor.identifier",
"path" : "Coverage.payor.identifier",
"short" : "IKs",
"min" : 1,
"type" : [
{
"code" : "Identifier",
"profile" : [
"http://fhir.de/StructureDefinition/identifier-iknr"
]
}
],
"mustSupport" : true
},
{
"id" : "Coverage.payor.identifier.extension",
"path" : "Coverage.payor.identifier.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"rules" : "open"
}
},
{
"id" : "Coverage.payor.identifier.extension:alternative_IK",
"path" : "Coverage.payor.identifier.extension",
"sliceName" : "alternative_IK",
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_Alternative_IK"
]
}
],
"mustSupport" : true
},
{
"id" : "Coverage.payor.identifier.extension:alternative_IK.value[x]:valueIdentifier",
"path" : "Coverage.payor.identifier.extension.value[x]",
"sliceName" : "valueIdentifier"
},
{
"id" : "Coverage.payor.identifier.extension:alternative_IK.value[x]:valueIdentifier.system",
"path" : "Coverage.payor.identifier.extension.value[x].system",
"mustSupport" : true
},
{
"id" : "Coverage.payor.identifier.extension:alternative_IK.value[x]:valueIdentifier.value",
"path" : "Coverage.payor.identifier.extension.value[x].value",
"mustSupport" : true
},
{
"id" : "Coverage.payor.identifier.type.coding:XX-Type",
"path" : "Coverage.payor.identifier.type.coding",
"sliceName" : "XX-Type"
},
{
"id" : "Coverage.payor.identifier.type.coding:XX-Type.version",
"path" : "Coverage.payor.identifier.type.coding.version",
"max" : "0"
},
{
"id" : "Coverage.payor.identifier.type.coding:XX-Type.display",
"path" : "Coverage.payor.identifier.type.coding.display",
"max" : "0"
},
{
"id" : "Coverage.payor.identifier.type.coding:XX-Type.userSelected",
"path" : "Coverage.payor.identifier.type.coding.userSelected",
"max" : "0"
},
{
"id" : "Coverage.payor.identifier.system",
"path" : "Coverage.payor.identifier.system",
"mustSupport" : true
},
{
"id" : "Coverage.payor.identifier.value",
"path" : "Coverage.payor.identifier.value",
"maxLength" : 9,
"mustSupport" : true
},
{
"id" : "Coverage.payor.identifier.period",
"path" : "Coverage.payor.identifier.period",
"max" : "0"
},
{
"id" : "Coverage.payor.identifier.assigner",
"path" : "Coverage.payor.identifier.assigner",
"max" : "0"
},
{
"id" : "Coverage.payor.display",
"path" : "Coverage.payor.display",
"short" : "Kostenträgername",
"min" : 1
},
{
"id" : "Coverage.class",
"path" : "Coverage.class",
"max" : "0"
},
{
"id" : "Coverage.order",
"path" : "Coverage.order",
"max" : "0"
},
{
"id" : "Coverage.network",
"path" : "Coverage.network",
"max" : "0"
},
{
"id" : "Coverage.costToBeneficiary",
"path" : "Coverage.costToBeneficiary",
"max" : "0"
},
{
"id" : "Coverage.subrogation",
"path" : "Coverage.subrogation",
"max" : "0"
},
{
"id" : "Coverage.contract",
"path" : "Coverage.contract",
"max" : "0"
}
]
},
"text" : {
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.
FHIR