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Source1

{
  "resourceType": "StructureDefinition",
  "id": "InterneLeistungen",
  "url": "https://tiplu.de/fhir/StructureDefinition/InterneLeistungen",
  "version": "2.0.4",
  "name": "InterneLeistungen",
  "title": "ChargeItem für tarifneutrale Leistungen",
  "status": "active",
  "date": "2026-08-26",
  "publisher": "Tiplu GmbH",
  "contact": [
    {
      "name": "Tiplu GmbH",
      "telecom": [
        {
          "system": "email",
          "value": "fhir@tiplu.de"
        }
      ]
    }
  ],
  "description": "Leistungen des Krankenhauses, die nicht über einen Tarif abgerechnet werden.",
  "copyright": "Tiplu GmbH",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "ChargeItem",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ChargeItem",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "ChargeItem.meta.security",
        "path": "ChargeItem.meta.security",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "ChargeItem.meta.security:versiegelt",
        "path": "ChargeItem.meta.security",
        "sliceName": "versiegelt",
        "short": "Hier wird der Code BTG 'break the glass'als Security Label verwendet.",
        "min": 0,
        "max": "*",
        "patternCoding": {
          "code": "BTG",
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
          "display": "break the glass"
        },
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/ValueSet/security-labels"
        }
      },
      {
        "id": "ChargeItem.identifier",
        "path": "ChargeItem.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "ChargeItem.identifier:Auftragsnummer",
        "path": "ChargeItem.identifier",
        "sliceName": "Auftragsnummer",
        "short": "Auftragsnummer",
        "min": 0,
        "max": "1",
        "patternIdentifier": {
          "type": {
            "coding": [
              {
                "code": "PLAC",
                "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
              }
            ]
          }
        },
        "mustSupport": true
      },
      {
        "id": "ChargeItem.identifier:Auftragsnummer.type",
        "path": "ChargeItem.identifier.type",
        "mustSupport": true
      },
      {
        "id": "ChargeItem.identifier:Auftragsnummer.system",
        "path": "ChargeItem.identifier.system",
        "mustSupport": true
      },
      {
        "id": "ChargeItem.identifier:Auftragsnummer.value",
        "path": "ChargeItem.identifier.value",
        "mustSupport": true
      },
      {
        "id": "ChargeItem.status",
        "path": "ChargeItem.status",
        "mustSupport": true
      },
      {
        "id": "ChargeItem.code",
        "path": "ChargeItem.code",
        "mustSupport": true
      },
      {
        "id": "ChargeItem.code.coding",
        "path": "ChargeItem.code.coding",
        "comment": "Die Codes für interne Leistungen sind krankenhausspezifisch und sollten durch einen passendes CodeSystem mit einem Canonical nach dem folgenden Schema dargestellt werden: 'https://fhir.krankenhaus.de/CodeSystem/kundencodes-leistungen'.",
        "mustSupport": true
      },
      {
        "id": "ChargeItem.code.coding.system",
        "path": "ChargeItem.code.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "ChargeItem.code.coding.code",
        "path": "ChargeItem.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "ChargeItem.code.coding.display",
        "path": "ChargeItem.code.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "ChargeItem.subject",
        "path": "ChargeItem.subject",
        "mustSupport": true
      },
      {
        "id": "ChargeItem.occurrence[x]",
        "path": "ChargeItem.occurrence[x]",
        "mustSupport": true
      },
      {
        "id": "ChargeItem.performingOrganization",
        "path": "ChargeItem.performingOrganization",
        "short": "Leistungserbringende Fachabteilung",
        "mustSupport": true
      },
      {
        "id": "ChargeItem.requestingOrganization",
        "path": "ChargeItem.requestingOrganization",
        "short": "Anfordernde Fachabteilung",
        "mustSupport": true
      },
      {
        "id": "ChargeItem.quantity",
        "path": "ChargeItem.quantity",
        "mustSupport": true
      },
      {
        "id": "ChargeItem.account",
        "path": "ChargeItem.account",
        "mustSupport": true
      }
    ]
  }
}