| Package | kbv.ita.aws |
| Type | StructureDefinition |
| Id | Id |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=kbv.ita.aws@1.2.0&canonical=https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Kur_Kurgenehmigung |
| Url | https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Kur_Kurgenehmigung |
| Version | 1.2.0 |
| Status | active |
| Name | KBV_PR_AW_Kur_Kurgenehmigung |
| Experimental | False |
| Copyright | Copyright © [2020], Kassenärztliche Bundesvereinigung (KBV). All rights reserved. |
| Type | CoverageEligibilityResponse |
| Kind | resource |
No resources found
| StructureDefinition | |
https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Krankenversicherungsverhaeltnis  | KBV_PR_AW_Krankenversicherungsverhaeltnis |
| https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Kur_Antrag | KBV_PR_AW_Kur_Antrag |
| https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Organisation | KBV_PR_AW_Organisation |
| https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Patient | KBV_PR_AW_Patient |
FHIR{
"resourceType" : "StructureDefinition",
"url" : "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Kur_Kurgenehmigung",
"version" : "1.2.0",
"name" : "KBV_PR_AW_Kur_Kurgenehmigung",
"status" : "active",
"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" : "cdanetv4",
"uri" : "http://www.cda-adc.ca/en/services/cdanet/",
"name" : "Canadian Dental Association eclaims standard"
},
{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
}
],
"kind" : "resource",
"abstract" : false,
"type" : "CoverageEligibilityResponse",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/CoverageEligibilityResponse",
"derivation" : "constraint",
"differential" : {
"element" : [
{
"id" : "CoverageEligibilityResponse",
"path" : "CoverageEligibilityResponse",
"short" : "Kurgenehmigung",
"definition" : "Diese Ressource beschreibt eine Genehmigung für eine Kur."
},
{
"id" : "CoverageEligibilityResponse.id",
"path" : "CoverageEligibilityResponse.id",
"min" : 1
},
{
"id" : "CoverageEligibilityResponse.meta",
"path" : "CoverageEligibilityResponse.meta",
"min" : 1
},
{
"id" : "CoverageEligibilityResponse.meta.versionId",
"path" : "CoverageEligibilityResponse.meta.versionId",
"min" : 1
},
{
"id" : "CoverageEligibilityResponse.meta.lastUpdated",
"path" : "CoverageEligibilityResponse.meta.lastUpdated",
"min" : 1
},
{
"id" : "CoverageEligibilityResponse.meta.profile",
"path" : "CoverageEligibilityResponse.meta.profile",
"min" : 1,
"max" : "1",
"fixedCanonical" : "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Kur_Kurgenehmigung|1.2.0"
},
{
"id" : "CoverageEligibilityResponse.text",
"path" : "CoverageEligibilityResponse.text",
"min" : 1
},
{
"id" : "CoverageEligibilityResponse.identifier",
"path" : "CoverageEligibilityResponse.identifier",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.status",
"path" : "CoverageEligibilityResponse.status",
"definition" : "Der Status einer Kurgenehmigung ist active oder cancelled."
},
{
"id" : "CoverageEligibilityResponse.purpose",
"path" : "CoverageEligibilityResponse.purpose",
"max" : "1",
"fixedCode" : "auth-requirements"
},
{
"id" : "CoverageEligibilityResponse.patient",
"path" : "CoverageEligibilityResponse.patient",
"label" : "TR01",
"short" : "Patientenbezug",
"definition" : "Siehe reason for inclusion and constrainment.",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Patient|1.2.0"
]
}
],
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.patient.reference",
"path" : "CoverageEligibilityResponse.patient.reference",
"min" : 1
},
{
"id" : "CoverageEligibilityResponse.patient.type",
"path" : "CoverageEligibilityResponse.patient.type",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.patient.identifier",
"path" : "CoverageEligibilityResponse.patient.identifier",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.patient.display",
"path" : "CoverageEligibilityResponse.patient.display",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.serviced[x]",
"path" : "CoverageEligibilityResponse.serviced[x]",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.created",
"path" : "CoverageEligibilityResponse.created",
"short" : "Bewilligungsdatum",
"definition" : "Bewilligungsdatum der Kurgenehmigung",
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.requestor",
"path" : "CoverageEligibilityResponse.requestor",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.request",
"path" : "CoverageEligibilityResponse.request",
"short" : "Kurantrag",
"definition" : "Referenz zum Kurantrag",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Kur_Antrag|1.2.0"
]
}
],
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.request.reference",
"path" : "CoverageEligibilityResponse.request.reference",
"min" : 1
},
{
"id" : "CoverageEligibilityResponse.request.type",
"path" : "CoverageEligibilityResponse.request.type",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.request.identifier",
"path" : "CoverageEligibilityResponse.request.identifier",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.request.display",
"path" : "CoverageEligibilityResponse.request.display",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.outcome",
"path" : "CoverageEligibilityResponse.outcome",
"definition" : "Der Status ist complete.",
"fixedCode" : "complete"
},
{
"id" : "CoverageEligibilityResponse.disposition",
"path" : "CoverageEligibilityResponse.disposition",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurer",
"path" : "CoverageEligibilityResponse.insurer",
"short" : "Versicherer",
"definition" : "Gibt den Kostentraeger des Versicherten an. Die Angabe der IK-Nummer als logische Referenz sowie des Namend als Display ist zwingend erforderlich. Die Referenz auf eine Resource vom Typ Organization, die weitere Details zur Versicherung enthalten kann (z.B. Adresse, Kontaktdaten) ist optional.",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Organisation|1.2.0"
]
}
],
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.insurer.type",
"path" : "CoverageEligibilityResponse.insurer.type",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurer.identifier",
"path" : "CoverageEligibilityResponse.insurer.identifier",
"min" : 1,
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.insurer.identifier.use",
"path" : "CoverageEligibilityResponse.insurer.identifier.use",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurer.identifier.type",
"path" : "CoverageEligibilityResponse.insurer.identifier.type",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurer.identifier.system",
"path" : "CoverageEligibilityResponse.insurer.identifier.system",
"min" : 1,
"fixedUri" : "http://fhir.de/NamingSystem/arge-ik/iknr",
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.insurer.identifier.value",
"path" : "CoverageEligibilityResponse.insurer.identifier.value",
"min" : 1,
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.insurer.identifier.period",
"path" : "CoverageEligibilityResponse.insurer.identifier.period",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurer.identifier.assigner",
"path" : "CoverageEligibilityResponse.insurer.identifier.assigner",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurer.display",
"path" : "CoverageEligibilityResponse.insurer.display",
"min" : 1,
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.insurance",
"path" : "CoverageEligibilityResponse.insurance",
"min" : 1,
"max" : "1",
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.insurance.coverage",
"path" : "CoverageEligibilityResponse.insurance.coverage",
"short" : "Krankenversicherung",
"definition" : "In diesem Element ist eine Referenz zu einer Krankenversicherung oder aber ein Identifier einer Krankenversicherung, von der die Genehmigung erteilt wurde, anzugeben.",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Krankenversicherungsverhaeltnis|1.2.0"
]
}
],
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.insurance.coverage.reference",
"path" : "CoverageEligibilityResponse.insurance.coverage.reference",
"min" : 1
},
{
"id" : "CoverageEligibilityResponse.insurance.coverage.type",
"path" : "CoverageEligibilityResponse.insurance.coverage.type",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.coverage.identifier",
"path" : "CoverageEligibilityResponse.insurance.coverage.identifier",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.coverage.display",
"path" : "CoverageEligibilityResponse.insurance.coverage.display",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.inforce",
"path" : "CoverageEligibilityResponse.insurance.inforce",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.benefitPeriod",
"path" : "CoverageEligibilityResponse.insurance.benefitPeriod",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item",
"path" : "CoverageEligibilityResponse.insurance.item",
"min" : 1,
"max" : "1",
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.insurance.item.category",
"path" : "CoverageEligibilityResponse.insurance.item.category",
"min" : 1,
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.insurance.item.category.coding",
"path" : "CoverageEligibilityResponse.insurance.item.category.coding",
"min" : 1,
"max" : "1",
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.insurance.item.category.coding.system",
"path" : "CoverageEligibilityResponse.insurance.item.category.coding.system",
"min" : 1,
"fixedUri" : "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Eligibility_Kategorie",
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.insurance.item.category.coding.version",
"path" : "CoverageEligibilityResponse.insurance.item.category.coding.version",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.category.coding.code",
"path" : "CoverageEligibilityResponse.insurance.item.category.coding.code",
"min" : 1,
"fixedCode" : "Genehmigte_Kurdauer_in_Wochen",
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.insurance.item.category.coding.display",
"path" : "CoverageEligibilityResponse.insurance.item.category.coding.display",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.category.coding.userSelected",
"path" : "CoverageEligibilityResponse.insurance.item.category.coding.userSelected",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.category.text",
"path" : "CoverageEligibilityResponse.insurance.item.category.text",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.productOrService",
"path" : "CoverageEligibilityResponse.insurance.item.productOrService",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.modifier",
"path" : "CoverageEligibilityResponse.insurance.item.modifier",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.provider",
"path" : "CoverageEligibilityResponse.insurance.item.provider",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.excluded",
"path" : "CoverageEligibilityResponse.insurance.item.excluded",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.name",
"path" : "CoverageEligibilityResponse.insurance.item.name",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.description",
"path" : "CoverageEligibilityResponse.insurance.item.description",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.network",
"path" : "CoverageEligibilityResponse.insurance.item.network",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.unit",
"path" : "CoverageEligibilityResponse.insurance.item.unit",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.term",
"path" : "CoverageEligibilityResponse.insurance.item.term",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.benefit",
"path" : "CoverageEligibilityResponse.insurance.item.benefit",
"short" : "Genehmigte Kurdauer in Wochen",
"definition" : "In diesem Element wird die genehmigte Kurdauer in Wochen angegeben",
"min" : 1,
"max" : "1",
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.insurance.item.benefit.type",
"path" : "CoverageEligibilityResponse.insurance.item.benefit.type",
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.insurance.item.benefit.type.coding",
"path" : "CoverageEligibilityResponse.insurance.item.benefit.type.coding",
"min" : 1,
"max" : "1",
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.insurance.item.benefit.type.coding.system",
"path" : "CoverageEligibilityResponse.insurance.item.benefit.type.coding.system",
"min" : 1,
"fixedUri" : "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Eligibility_Kategorie",
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.insurance.item.benefit.type.coding.version",
"path" : "CoverageEligibilityResponse.insurance.item.benefit.type.coding.version",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.benefit.type.coding.code",
"path" : "CoverageEligibilityResponse.insurance.item.benefit.type.coding.code",
"min" : 1,
"fixedCode" : "Genehmigte_Kurdauer_in_Wochen",
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.insurance.item.benefit.type.coding.display",
"path" : "CoverageEligibilityResponse.insurance.item.benefit.type.coding.display",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.benefit.type.coding.userSelected",
"path" : "CoverageEligibilityResponse.insurance.item.benefit.type.coding.userSelected",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.benefit.type.text",
"path" : "CoverageEligibilityResponse.insurance.item.benefit.type.text",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.benefit.allowed[x]",
"path" : "CoverageEligibilityResponse.insurance.item.benefit.allowed[x]",
"slicing" : {
"discriminator" : [
{
"type" : "type",
"path" : "$this"
}
],
"rules" : "closed"
},
"short" : "Genehmigte Kurdauer in WOCHEN",
"definition" : "Genehmigte Kurdauer in WOCHEN",
"min" : 1,
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.insurance.item.benefit.allowed[x]:allowedUnsignedInt",
"path" : "CoverageEligibilityResponse.insurance.item.benefit.allowed[x]",
"sliceName" : "allowedUnsignedInt",
"min" : 1,
"type" : [
{
"code" : "unsignedInt"
}
],
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.insurance.item.benefit.used[x]",
"path" : "CoverageEligibilityResponse.insurance.item.benefit.used[x]",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationRequired",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationRequired",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationUrl",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationUrl",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.preAuthRef",
"path" : "CoverageEligibilityResponse.preAuthRef",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.form",
"path" : "CoverageEligibilityResponse.form",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.error",
"path" : "CoverageEligibilityResponse.error",
"max" : "0"
}
]
},
"text" : {
}
}
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