Resource StructureDefinition/FHIR Server from package kbv.ita.erp#1.2.0-alpha (63 ms)
Resources that use this resource
Resources that this resource uses
Source
{
"resourceType" : "StructureDefinition",
"id" : "KBV-PR-FOR-Coverage",
"url" : "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Coverage",
"version" : "1.2.0",
"name" : "KBV_PR_FOR_Coverage",
"status" : "draft",
"date" : "2024-11-22",
"publisher" : "Kassenärztliche Bundesvereinigung (KBV)",
"fhirVersion" : "4.0.1",
"kind" : "resource",
"abstract" : false,
"type" : "Coverage",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Coverage",
"derivation" : "constraint",
"differential" : {
"element" : [
{
"id" : "Coverage",
"path" : "Coverage",
"definition" : "Das Versicherungsverhältnis, welches genutzt werden kann, um die Kosten für die Behandlungskosten zu tragen.",
"constraint" : [
{
"key" : "-for-angabeIKzustaendigeKrankenkasseEGKPflicht",
"severity" : "error",
"human" : "Das IK der zustaendigen Krankenkasse ist nicht vorhanden, sie ist aber bei den Kostentraegern vom Typ 'GKV', 'BG', 'SKT', 'PKV' oder 'UK' ein Pflichtelement.",
"expression" : "(type.coding.code='GKV' or type.coding.code='BG' or type.coding.code='SKT' or type.coding.code='UK' or type.coding.code='PKV') implies payor.identifier.exists()"
},
{
"key" : "-for-angabeVersichertenartPflicht",
"severity" : "error",
"human" : "Die Versichertenart ist nicht vorhanden, sie ist aber bei den Kostentraegern vom Typ 'GKV', 'BG', 'SKT', 'PKV' oder 'UK' ein Pflichtelement.",
"expression" : "(type.coding.code='GKV' or type.coding.code='BG' or type.coding.code='SKT' or type.coding.code='UK' or type.coding.code='PKV') implies extension('http://fhir.de/StructureDefinition/gkv/versichertenart').exists()"
},
{
"key" : "-for-angabeBesonderePersonengruppePflicht",
"severity" : "error",
"human" : "Die Besondere Personengruppe ist nicht vorhanden, sie ist aber bei den Kostentraegern vom Typ 'GKV', 'BG', 'SKT', 'PKV' oder 'UK' ein Pflichtelement.",
"expression" : "(type.coding.code='GKV' or type.coding.code='BG' or type.coding.code='SKT' or type.coding.code='UK' or type.coding.code='PKV') implies extension('http://fhir.de/StructureDefinition/gkv/besondere-personengruppe').exists()"
},
{
"key" : "-for-angabeIKKostentraegerVerbot",
"severity" : "error",
"human" : "Nur wenn der Kostentraeger vom Typ BG oder UK ist, dann kann das IK des Kostentraegers uebertragen werden",
"expression" : "(type.coding.code='GKV' or type.coding.code='SKT' or type.coding.code='SEL' or type.coding.code='PKV') implies payor.identifier.extension('https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_Alternative_IK').exists().not()"
},
{
"key" : "-for-angabeDMPPflicht",
"severity" : "error",
"human" : "Das DMP-Kennzeichen ist nicht vorhanden, dieses ist aber bei den Kostentraegern vom Typ 'GKV', 'BG', 'SKT', 'PKV' oder 'UK' ein Pflichtelement.",
"expression" : "(type.coding.code='GKV' or type.coding.code='BG' or type.coding.code='SKT' or type.coding.code='UK' or type.coding.code='PKV') implies extension('http://fhir.de/StructureDefinition/gkv/dmp-kennzeichen').exists()"
}
]
},
{
"id" : "Coverage.id",
"path" : "Coverage.id",
"min" : 1,
"mustSupport" : true
},
{
"id" : "Coverage.meta",
"path" : "Coverage.meta",
"min" : 1,
"mustSupport" : true
},
{
"id" : "Coverage.meta.versionId",
"path" : "Coverage.meta.versionId",
"max" : "0"
},
{
"id" : "Coverage.meta.lastUpdated",
"path" : "Coverage.meta.lastUpdated",
"max" : "0"
},
{
"id" : "Coverage.meta.source",
"path" : "Coverage.meta.source",
"max" : "0"
},
{
"id" : "Coverage.meta.profile",
"path" : "Coverage.meta.profile",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "$this"
}
],
"rules" : "open"
},
"min" : 1,
"mustSupport" : true
},
{
"id" : "Coverage.meta.profile:forProfile",
"path" : "Coverage.meta.profile",
"sliceName" : "forProfile",
"min" : 1,
"max" : "1",
"fixedCanonical" : "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Coverage|1.2",
"mustSupport" : true
},
{
"id" : "Coverage.meta.security",
"path" : "Coverage.meta.security",
"max" : "0"
},
{
"id" : "Coverage.meta.tag",
"path" : "Coverage.meta.tag",
"max" : "0"
},
{
"id" : "Coverage.implicitRules",
"path" : "Coverage.implicitRules",
"max" : "0"
},
{
"id" : "Coverage.language",
"path" : "Coverage.language",
"max" : "0"
},
{
"id" : "Coverage.text",
"path" : "Coverage.text",
"max" : "0"
},
{
"id" : "Coverage.contained",
"path" : "Coverage.contained",
"max" : "0"
},
{
"id" : "Coverage.extension",
"path" : "Coverage.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"rules" : "closed"
},
"max" : "4",
"mustSupport" : true
},
{
"id" : "Coverage.extension:BesonderePersonengruppe",
"path" : "Coverage.extension",
"sliceName" : "BesonderePersonengruppe",
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://fhir.de/StructureDefinition/gkv/besondere-personengruppe"
]
}
],
"mustSupport" : true
},
{
"id" : "Coverage.extension:BesonderePersonengruppe.value[x]",
"path" : "Coverage.extension.value[x]",
"min" : 1,
"mustSupport" : true
},
{
"id" : "Coverage.extension:BesonderePersonengruppe.value[x].system",
"path" : "Coverage.extension.value[x].system",
"mustSupport" : true
},
{
"id" : "Coverage.extension:BesonderePersonengruppe.value[x].version",
"path" : "Coverage.extension.value[x].version",
"max" : "0"
},
{
"id" : "Coverage.extension:BesonderePersonengruppe.value[x].code",
"path" : "Coverage.extension.value[x].code",
"mustSupport" : true
},
{
"id" : "Coverage.extension:BesonderePersonengruppe.value[x].display",
"path" : "Coverage.extension.value[x].display",
"max" : "0"
},
{
"id" : "Coverage.extension:BesonderePersonengruppe.value[x].userSelected",
"path" : "Coverage.extension.value[x].userSelected",
"max" : "0"
},
{
"id" : "Coverage.extension:DMPKennzeichen",
"path" : "Coverage.extension",
"sliceName" : "DMPKennzeichen",
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://fhir.de/StructureDefinition/gkv/dmp-kennzeichen"
]
}
],
"mustSupport" : true
},
{
"id" : "Coverage.extension:DMPKennzeichen.value[x]",
"path" : "Coverage.extension.value[x]",
"min" : 1,
"mustSupport" : true
},
{
"id" : "Coverage.extension:DMPKennzeichen.value[x].system",
"path" : "Coverage.extension.value[x].system",
"mustSupport" : true
},
{
"id" : "Coverage.extension:DMPKennzeichen.value[x].version",
"path" : "Coverage.extension.value[x].version",
"max" : "0"
},
{
"id" : "Coverage.extension:DMPKennzeichen.value[x].code",
"path" : "Coverage.extension.value[x].code",
"mustSupport" : true
},
{
"id" : "Coverage.extension:DMPKennzeichen.value[x].display",
"path" : "Coverage.extension.value[x].display",
"max" : "0"
},
{
"id" : "Coverage.extension:DMPKennzeichen.value[x].userSelected",
"path" : "Coverage.extension.value[x].userSelected",
"max" : "0"
},
{
"id" : "Coverage.extension:Versichertenart",
"path" : "Coverage.extension",
"sliceName" : "Versichertenart",
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://fhir.de/StructureDefinition/gkv/versichertenart"
]
}
],
"mustSupport" : true
},
{
"id" : "Coverage.extension:Versichertenart.value[x]",
"path" : "Coverage.extension.value[x]",
"min" : 1,
"mustSupport" : true
},
{
"id" : "Coverage.extension:Versichertenart.value[x].system",
"path" : "Coverage.extension.value[x].system",
"mustSupport" : true
},
{
"id" : "Coverage.extension:Versichertenart.value[x].version",
"path" : "Coverage.extension.value[x].version",
"max" : "0"
},
{
"id" : "Coverage.extension:Versichertenart.value[x].code",
"path" : "Coverage.extension.value[x].code",
"mustSupport" : true
},
{
"id" : "Coverage.extension:Versichertenart.value[x].display",
"path" : "Coverage.extension.value[x].display",
"max" : "0"
},
{
"id" : "Coverage.extension:Versichertenart.value[x].userSelected",
"path" : "Coverage.extension.value[x].userSelected",
"max" : "0"
},
{
"id" : "Coverage.extension:WOP",
"path" : "Coverage.extension",
"sliceName" : "WOP",
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://fhir.de/StructureDefinition/gkv/wop"
]
}
],
"mustSupport" : true
},
{
"id" : "Coverage.extension:WOP.value[x]",
"path" : "Coverage.extension.value[x]",
"min" : 1,
"mustSupport" : true
},
{
"id" : "Coverage.extension:WOP.value[x].system",
"path" : "Coverage.extension.value[x].system",
"mustSupport" : true
},
{
"id" : "Coverage.extension:WOP.value[x].version",
"path" : "Coverage.extension.value[x].version",
"max" : "0"
},
{
"id" : "Coverage.extension:WOP.value[x].code",
"path" : "Coverage.extension.value[x].code",
"mustSupport" : true
},
{
"id" : "Coverage.extension:WOP.value[x].display",
"path" : "Coverage.extension.value[x].display",
"max" : "0"
},
{
"id" : "Coverage.extension:WOP.value[x].userSelected",
"path" : "Coverage.extension.value[x].userSelected",
"max" : "0"
},
{
"id" : "Coverage.identifier",
"path" : "Coverage.identifier",
"short" : "Primaerer 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.",
"max" : "0",
"mustSupport" : true
},
{
"id" : "Coverage.status",
"path" : "Coverage.status",
"fixedCode" : "active",
"mustSupport" : true
},
{
"id" : "Coverage.type",
"path" : "Coverage.type",
"short" : "Kostenträgertyp",
"definition" : "Art des Kostenträgers",
"min" : 1,
"mustSupport" : true,
"binding" : {
"strength" : "required",
"valueSet" : "https://fhir.kbv.de/ValueSet/KBV_VS_FOR_Payor_type"
}
},
{
"id" : "Coverage.type.coding",
"path" : "Coverage.type.coding",
"min" : 1,
"max" : "1",
"mustSupport" : true
},
{
"id" : "Coverage.type.coding.system",
"path" : "Coverage.type.coding.system",
"min" : 1,
"mustSupport" : true
},
{
"id" : "Coverage.type.coding.version",
"path" : "Coverage.type.coding.version",
"max" : "0"
},
{
"id" : "Coverage.type.coding.code",
"path" : "Coverage.type.coding.code",
"min" : 1,
"mustSupport" : true
},
{
"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",
"max" : "0"
},
{
"id" : "Coverage.subscriberId",
"path" : "Coverage.subscriberId",
"max" : "0"
},
{
"id" : "Coverage.beneficiary",
"path" : "Coverage.beneficiary",
"short" : "Begünstigte Person",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Patient|1.2"
]
}
],
"mustSupport" : true
},
{
"id" : "Coverage.beneficiary.reference",
"path" : "Coverage.beneficiary.reference",
"definition" : "An dieser Stelle wird die Referenz zum Patienten hinterlegt.",
"min" : 1,
"mustSupport" : true
},
{
"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",
"constraint" : [
{
"key" : "-for-begrenzungDate",
"severity" : "error",
"human" : "Beschränkung auf die Angaben JJJJ-MM-TT",
"expression" : "end.toString().length() = 10"
}
],
"mustSupport" : true
},
{
"id" : "Coverage.period.start",
"path" : "Coverage.period.start",
"max" : "0"
},
{
"id" : "Coverage.period.end",
"path" : "Coverage.period.end",
"short" : "Versicherungsschutz Ende",
"definition" : "Angabe zum Versicherungsschutz Ende",
"min" : 1,
"mustSupport" : true
},
{
"id" : "Coverage.payor",
"path" : "Coverage.payor",
"max" : "1",
"mustSupport" : true
},
{
"id" : "Coverage.payor.reference",
"path" : "Coverage.payor.reference",
"max" : "0"
},
{
"id" : "Coverage.payor.type",
"path" : "Coverage.payor.type",
"max" : "0"
},
{
"id" : "Coverage.payor.identifier",
"path" : "Coverage.payor.identifier",
"short" : "IKs",
"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" : "closed"
},
"max" : "1"
},
{
"id" : "Coverage.payor.identifier.extension:alternativeID",
"path" : "Coverage.payor.identifier.extension",
"sliceName" : "alternativeID",
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_Alternative_IK"
]
}
],
"mustSupport" : true
},
{
"id" : "Coverage.payor.identifier.extension:alternativeID.value[x]",
"path" : "Coverage.payor.identifier.extension.value[x]",
"mustSupport" : true
},
{
"id" : "Coverage.payor.identifier.extension:alternativeID.value[x]:valueIdentifier",
"path" : "Coverage.payor.identifier.extension.value[x]",
"sliceName" : "valueIdentifier",
"mustSupport" : true
},
{
"id" : "Coverage.payor.identifier.extension:alternativeID.value[x]:valueIdentifier.use",
"path" : "Coverage.payor.identifier.extension.value[x].use",
"mustSupport" : false
},
{
"id" : "Coverage.payor.identifier.extension:alternativeID.value[x]:valueIdentifier.type",
"path" : "Coverage.payor.identifier.extension.value[x].type",
"mustSupport" : false
},
{
"id" : "Coverage.payor.identifier.extension:alternativeID.value[x]:valueIdentifier.type.coding",
"path" : "Coverage.payor.identifier.extension.value[x].type.coding",
"mustSupport" : false
},
{
"id" : "Coverage.payor.identifier.extension:alternativeID.value[x]:valueIdentifier.type.coding.system",
"path" : "Coverage.payor.identifier.extension.value[x].type.coding.system",
"mustSupport" : false
},
{
"id" : "Coverage.payor.identifier.extension:alternativeID.value[x]:valueIdentifier.type.coding.code",
"path" : "Coverage.payor.identifier.extension.value[x].type.coding.code",
"mustSupport" : false
},
{
"id" : "Coverage.payor.identifier.extension:alternativeID.value[x]:valueIdentifier.system",
"path" : "Coverage.payor.identifier.extension.value[x].system",
"mustSupport" : true
},
{
"id" : "Coverage.payor.identifier.extension:alternativeID.value[x]:valueIdentifier.value",
"path" : "Coverage.payor.identifier.extension.value[x].value",
"constraint" : [
{
"key" : "-for-laengeIK",
"severity" : "error",
"human" : "Die IK-Nummer muss 9-stellig numerisch sein.",
"expression" : "matches('^[0-9]{9}$')"
}
],
"mustSupport" : true
},
{
"id" : "Coverage.payor.identifier.type.coding.version",
"path" : "Coverage.payor.identifier.type.coding.version",
"max" : "0"
},
{
"id" : "Coverage.payor.identifier.type.coding.display",
"path" : "Coverage.payor.identifier.type.coding.display",
"max" : "0"
},
{
"id" : "Coverage.payor.identifier.type.coding.userSelected",
"path" : "Coverage.payor.identifier.type.coding.userSelected",
"max" : "0"
},
{
"id" : "Coverage.payor.identifier.type.text",
"path" : "Coverage.payor.identifier.type.text",
"max" : "0"
},
{
"id" : "Coverage.payor.identifier.system",
"path" : "Coverage.payor.identifier.system",
"mustSupport" : true
},
{
"id" : "Coverage.payor.identifier.value",
"path" : "Coverage.payor.identifier.value",
"constraint" : [
{
"key" : "-for-laengeIK",
"severity" : "error",
"human" : "Die IK-Nummer muss 9-stellig numerisch sein.",
"expression" : "matches('^[0-9]{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,
"maxLength" : 45,
"mustSupport" : true
},
{
"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