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Resource StructureDefinition/FHIR Server from package kbv.ita.aws#1.2.0 (140 ms)

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_Leistungsgenehmigung_Heilmittel
Url https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Leistungsgenehmigung_Heilmittel
Version 1.2.0
Status active
Name KBV_PR_AW_Leistungsgenehmigung_Heilmittel
Experimental False
Copyright Copyright © [2020], Kassenärztliche Bundesvereinigung (KBV). All rights reserved.
Type CoverageEligibilityResponse
Kind resource

Resources that use this resource

StructureDefinition
https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Abrechnung_HzV_BesondereVersorgung_Selektiv KBV_PR_AW_Abrechnung_HzV_BesondereVersorgung_Selektiv
https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Abrechnung_vertragsaerztlich KBV_PR_AW_Abrechnung_vertragsaerztlich

Resources that this resource uses

StructureDefinition
https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Krankenversicherungsverhaeltnis KBV_PR_AW_Krankenversicherungsverhaeltnis
https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Leistungsanfrage_Heilmittel KBV_PR_AW_Leistungsanfrage_Heilmittel
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
https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_HM_DIAGNOSEGRUPPE KBV_VS_SFHIR_HM_DIAGNOSEGRUPPE


Source

{
  "resourceType" : "StructureDefinition",
  "url" : "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Leistungsgenehmigung_Heilmittel",
  "version" : "1.2.0",
  "name" : "KBV_PR_AW_Leistungsgenehmigung_Heilmittel",
  "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" : "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.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_Leistungsgenehmigung_Heilmittel|1.2.0"
      },
      {
        "id" : "CoverageEligibilityResponse.text",
        "path" : "CoverageEligibilityResponse.text",
        "min" : 1
      },
      {
        "id" : "CoverageEligibilityResponse.identifier",
        "path" : "CoverageEligibilityResponse.identifier",
        "max" : "0"
      },
      {
        "id" : "CoverageEligibilityResponse.purpose",
        "path" : "CoverageEligibilityResponse.purpose",
        "short" : "auth-requirements",
        "max" : "1",
        "fixedCode" : "auth-requirements"
      },
      {
        "id" : "CoverageEligibilityResponse.patient",
        "path" : "CoverageEligibilityResponse.patient",
        "short" : "Patientenbezug",
        "definition" : "Patient Resource.",
        "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" : "Angabe des Datums der Bewilligung",
        "mustSupport" : true
      },
      {
        "id" : "CoverageEligibilityResponse.requestor",
        "path" : "CoverageEligibilityResponse.requestor",
        "max" : "0"
      },
      {
        "id" : "CoverageEligibilityResponse.request",
        "path" : "CoverageEligibilityResponse.request",
        "short" : "Heilmittelanfrage",
        "definition" : "Die Heilmittelgenehmigung basiert immer auf einer Genehmigungsanfrage.",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Leistungsanfrage_Heilmittel|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",
        "short" : "complete",
        "fixedCode" : "complete"
      },
      {
        "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"
      },
      {
        "id" : "CoverageEligibilityResponse.insurer.identifier.value",
        "path" : "CoverageEligibilityResponse.insurer.identifier.value",
        "min" : 1
      },
      {
        "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",
        "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,
        "mustSupport" : true
      },
      {
        "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",
        "short" : "Genehmigungsdatum",
        "mustSupport" : true
      },
      {
        "id" : "CoverageEligibilityResponse.insurance.benefitPeriod.start",
        "path" : "CoverageEligibilityResponse.insurance.benefitPeriod.start",
        "definition" : "Anzugeben ist das Datum ab der die Genehmigung gültig ist.",
        "mustSupport" : true
      },
      {
        "id" : "CoverageEligibilityResponse.insurance.benefitPeriod.end",
        "path" : "CoverageEligibilityResponse.insurance.benefitPeriod.end",
        "short" : "Datum",
        "definition" : "Anzugeben ist das Datum bis zu dem die Genehmigung gültig ist.",
        "mustSupport" : true
      },
      {
        "id" : "CoverageEligibilityResponse.insurance.item",
        "path" : "CoverageEligibilityResponse.insurance.item",
        "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" : "Heilmittel_Leistungsinformation",
        "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.productOrService",
        "path" : "CoverageEligibilityResponse.insurance.item.productOrService",
        "max" : "0"
      },
      {
        "id" : "CoverageEligibilityResponse.insurance.item.modifier",
        "path" : "CoverageEligibilityResponse.insurance.item.modifier",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "coding.system"
            }
          ],
          "rules" : "closed"
        },
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "CoverageEligibilityResponse.insurance.item.modifier:diagnosegruppe",
        "path" : "CoverageEligibilityResponse.insurance.item.modifier",
        "sliceName" : "diagnosegruppe",
        "short" : "Indikationsschlüssel Diagnosegruppe",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_HM_DIAGNOSEGRUPPE"
        }
      },
      {
        "id" : "CoverageEligibilityResponse.insurance.item.modifier:diagnosegruppe.coding",
        "path" : "CoverageEligibilityResponse.insurance.item.modifier.coding",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "CoverageEligibilityResponse.insurance.item.modifier:diagnosegruppe.coding.system",
        "path" : "CoverageEligibilityResponse.insurance.item.modifier.coding.system",
        "min" : 1,
        "fixedUri" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_HM_DIAGNOSEGRUPPE",
        "mustSupport" : true
      },
      {
        "id" : "CoverageEligibilityResponse.insurance.item.modifier:diagnosegruppe.coding.code",
        "path" : "CoverageEligibilityResponse.insurance.item.modifier.coding.code",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "CoverageEligibilityResponse.insurance.item.modifier:diagnosegruppe.coding.userSelected",
        "path" : "CoverageEligibilityResponse.insurance.item.modifier.coding.userSelected",
        "max" : "0"
      },
      {
        "id" : "CoverageEligibilityResponse.insurance.item.modifier:diagnosegruppe.text",
        "path" : "CoverageEligibilityResponse.insurance.item.modifier.text",
        "max" : "0"
      },
      {
        "id" : "CoverageEligibilityResponse.insurance.item.modifier:icd_code",
        "path" : "CoverageEligibilityResponse.insurance.item.modifier",
        "sliceName" : "icd_code",
        "short" : "ICD Code",
        "definition" : "In diesem Attribut können ICD-Codes zur Begründung der Heilmittelverordnung angegeben werden.",
        "mustSupport" : true
      },
      {
        "id" : "CoverageEligibilityResponse.insurance.item.modifier:icd_code.coding",
        "path" : "CoverageEligibilityResponse.insurance.item.modifier.coding",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "CoverageEligibilityResponse.insurance.item.modifier:icd_code.coding.system",
        "path" : "CoverageEligibilityResponse.insurance.item.modifier.coding.system",
        "min" : 1,
        "fixedUri" : "http://fhir.de/CodeSystem/dimdi/icd-10-gm",
        "mustSupport" : true
      },
      {
        "id" : "CoverageEligibilityResponse.insurance.item.modifier:icd_code.coding.code",
        "path" : "CoverageEligibilityResponse.insurance.item.modifier.coding.code",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "CoverageEligibilityResponse.insurance.item.modifier:icd_code.coding.userSelected",
        "path" : "CoverageEligibilityResponse.insurance.item.modifier.coding.userSelected",
        "max" : "0"
      },
      {
        "id" : "CoverageEligibilityResponse.insurance.item.modifier:icd_code.text",
        "path" : "CoverageEligibilityResponse.insurance.item.modifier.text",
        "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",
        "short" : "Bezeichnung des Heilmittels",
        "definition" : "In diesem Feld muss die Bezeichnung des Heilmittels eingetragen werden.",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "CoverageEligibilityResponse.insurance.item.description",
        "path" : "CoverageEligibilityResponse.insurance.item.description",
        "short" : "Weitere Angaben",
        "definition" : "In diesem Feld können weitere Angaben zur Leistungsgenehmigung dokumentiert werden.",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "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",
        "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" : {
  }
}

XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.