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Source1

{
  "resourceType": "StructureDefinition",
  "id": "InterneLeistungen",
  "url": "https://tiplu.de/fhir/StructureDefinition/InterneLeistungen",
  "version": "2.0.3",
  "name": "InterneLeistungen",
  "title": "ChargeItem für interne Leistungen",
  "status": "active",
  "date": "2026-05-28",
  "publisher": "Tiplu GmbH",
  "contact": [
    {
      "name": "Tiplu GmbH",
      "telecom": [
        {
          "system": "email",
          "value": "fhir@tiplu.de"
        }
      ]
    }
  ],
  "description": "Leistungen des Krankenhauses, die nicht über den Einheitlichen Bewertungsmaßstab (EBM) 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.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.context",
        "path": "ChargeItem.context",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://tiplu.de/fhir/StructureDefinition/AmbulanterBesuch",
              "http://hl7.org/fhir/StructureDefinition/Encounter"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "ChargeItem.occurrence[x]",
        "path": "ChargeItem.occurrence[x]",
        "mustSupport": true
      },
      {
        "id": "ChargeItem.quantity",
        "path": "ChargeItem.quantity",
        "mustSupport": true
      },
      {
        "id": "ChargeItem.account",
        "path": "ChargeItem.account",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://tiplu.de/fhir/StructureDefinition/AmbulanterSchein",
              "http://hl7.org/fhir/StructureDefinition/Account"
            ]
          }
        ],
        "mustSupport": true
      }
    ]
  }
}