Resource StructureDefinition/FHIR Server from package kbv.ita.aws#1.2.0 (172 ms)
Resources that use this resource
Resources that this resource uses
Source
{
"resourceType" : "StructureDefinition",
"url" : "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Leistungsgenehmigung_Psychotherapie",
"version" : "1.2.0",
"name" : "KBV_PR_AW_Leistungsgenehmigung_Psychotherapie",
"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_Psychotherapie|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",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Leistungsanfrage_Psychotherapie|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"
]
}
]
},
{
"id" : "CoverageEligibilityResponse.insurer.reference",
"path" : "CoverageEligibilityResponse.insurer.reference",
"mustSupport" : false
},
{
"id" : "CoverageEligibilityResponse.insurer.type",
"path" : "CoverageEligibilityResponse.insurer.type",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurer.identifier",
"path" : "CoverageEligibilityResponse.insurer.identifier",
"short" : "IK-Nummer des Versicherers",
"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",
"short" : "Name des Versicherers",
"definition" : "Die Angabe des Namens des Versicherers dient der geeigenten Darstellung fuer den Benutzer. Technisch ist ausschliesslich die IK-Nummer relevant",
"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" : "Referenz zur Krankenversicherung",
"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",
"definition" : "Dieses Element kann zweimal vorkommen. In einem Element wären dann alle Leistungen vor dem 1.4.2017 und in dem anderen Element wären alle Leistungen ab dem 1.4.2017 dokumentiert.",
"min" : 1,
"max" : "2",
"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"
},
{
"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"
},
{
"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" : "Psychotherapie_Leistungsinformation"
},
{
"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",
"short" : "Personeller Kontext der Therapie",
"definition" : "Anzugeben ist der Personenbezug der Leistung:\r\nLeistungen fuer Versicherten\r\nLeistungen fuer Bezugsperson",
"binding" : {
"strength" : "required",
"valueSet" : "https://fhir.kbv.de/ValueSet/KBV_VS_AW_Psychotherapie_Personenbezug"
}
},
{
"id" : "CoverageEligibilityResponse.insurance.item.unit.coding",
"path" : "CoverageEligibilityResponse.insurance.item.unit.coding",
"min" : 1,
"max" : "1"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.unit.coding.system",
"path" : "CoverageEligibilityResponse.insurance.item.unit.coding.system",
"min" : 1
},
{
"id" : "CoverageEligibilityResponse.insurance.item.unit.coding.code",
"path" : "CoverageEligibilityResponse.insurance.item.unit.coding.code",
"min" : 1
},
{
"id" : "CoverageEligibilityResponse.insurance.item.unit.coding.userSelected",
"path" : "CoverageEligibilityResponse.insurance.item.unit.coding.userSelected",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.unit.text",
"path" : "CoverageEligibilityResponse.insurance.item.unit.text",
"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" : "Anzahl der bewilligten Leistungen",
"definition" : "In diesem Element wird die Gesamtanzahl der bewilligten Thearpieeinheiten für die entsprechende Personengruppe dokumentiert.",
"max" : "1"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.benefit.type.coding",
"path" : "CoverageEligibilityResponse.insurance.item.benefit.type.coding",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.benefit.type.text",
"path" : "CoverageEligibilityResponse.insurance.item.benefit.type.text",
"min" : 1,
"fixedString" : "Anzahl_bewilligter_Leistungen"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.benefit.allowed[x]",
"path" : "CoverageEligibilityResponse.insurance.item.benefit.allowed[x]",
"slicing" : {
"discriminator" : [
{
"type" : "type",
"path" : "$this"
}
],
"rules" : "closed"
}
},
{
"id" : "CoverageEligibilityResponse.insurance.item.benefit.allowed[x]:allowedUnsignedInt",
"path" : "CoverageEligibilityResponse.insurance.item.benefit.allowed[x]",
"sliceName" : "allowedUnsignedInt",
"type" : [
{
"code" : "unsignedInt"
}
]
},
{
"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",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "text"
}
],
"rules" : "closed"
},
"min" : 1,
"max" : "1"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting",
"sliceName" : "leistungsinformationen_vor_1_4_2017",
"short" : "Leistungsinformationen vor dem 1.4.2017",
"definition" : "In diesem Element sollen alle Leistungen, die vor dem 1.4.2017 dokumentiert sind, eingetragen werden.",
"max" : "1"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.extension",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"rules" : "open"
}
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.extension:sonstige_GOP",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting.extension",
"sliceName" : "sonstige_GOP",
"type" : [
{
"code" : "Extension",
"profile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_AW_Abrechnung_Sonstige_GOP"
]
}
]
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "system"
}
],
"rules" : "open"
},
"min" : 1,
"max" : "1"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:bmae",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding",
"sliceName" : "bmae",
"max" : "1",
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:bmae.system",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.system",
"min" : 1,
"fixedUri" : "https://fhir.kbv.de/NamingSystem/KBV_NS_AW_BMAE"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:bmae.version",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.version",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:bmae.code",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.code",
"min" : 1
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:bmae.display",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.display",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:bmae.userSelected",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.userSelected",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:e-go",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding",
"sliceName" : "e-go",
"max" : "1",
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:e-go.system",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.system",
"min" : 1,
"fixedUri" : "https://fhir.kbv.de/NamingSystem/KBV_NS_AW_E-GO"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:e-go.version",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.version",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:e-go.code",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.code",
"min" : 1
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:e-go.display",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.display",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:e-go.userSelected",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.userSelected",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:ebm",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding",
"sliceName" : "ebm",
"max" : "1",
"mustSupport" : true
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:ebm.system",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.system",
"min" : 1,
"fixedUri" : "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_EBM"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:ebm.version",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.version",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:ebm.code",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.code",
"short" : "Leistungsziffer",
"min" : 1
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:ebm.display",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.display",
"max" : "0"
},
{
"id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:ebm.userSelected",
"path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.userSelected",
"max" : "0"
},
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XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.
FHIR