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{
"resourceType": "StructureDefinition",
"id": "BIVOT-PR-EVO-Prescription-Device",
"url": "https://fhir.biv-ot.org/eVerordnung/StructureDefinition/BIVOT_PR_EVO_Prescription_Device",
"version": "1.0.0",
"name": "BIVOT_PR_EVO_Prescription_Device",
"title": "BIVOT_PR_EVO_Prescription_Device",
"status": "active",
"date": "2026-07-20",
"publisher": "Bundesinnungsverband für Orthopädie-Technik",
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "DeviceRequest",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/DeviceRequest",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "DeviceRequest.id",
"path": "DeviceRequest.id",
"min": 1
},
{
"id": "DeviceRequest.meta",
"path": "DeviceRequest.meta",
"min": 1
},
{
"id": "DeviceRequest.meta.versionId",
"path": "DeviceRequest.meta.versionId",
"max": "0"
},
{
"id": "DeviceRequest.meta.lastUpdated",
"path": "DeviceRequest.meta.lastUpdated",
"max": "0"
},
{
"id": "DeviceRequest.meta.source",
"path": "DeviceRequest.meta.source",
"max": "0"
},
{
"id": "DeviceRequest.meta.profile",
"path": "DeviceRequest.meta.profile",
"short": "Profil der Hilfsmittelverordnung",
"definition": "Angabe des Profils BIVOT_PR_EVO_Prescription_Device bzw. eines davon abgeleiteten Profils (z. B. BIVOT_PR_EVO_Prescription_OpticalDevice) in der jeweils gültigen Version. Der konkrete Wert wird in den abgeleiteten bzw. verwendenden Profilen fixiert.",
"min": 1,
"max": "1"
},
{
"id": "DeviceRequest.meta.security",
"path": "DeviceRequest.meta.security",
"max": "0"
},
{
"id": "DeviceRequest.meta.tag",
"path": "DeviceRequest.meta.tag",
"max": "0"
},
{
"id": "DeviceRequest.implicitRules",
"path": "DeviceRequest.implicitRules",
"max": "0"
},
{
"id": "DeviceRequest.language",
"path": "DeviceRequest.language",
"max": "0"
},
{
"id": "DeviceRequest.text",
"path": "DeviceRequest.text",
"max": "0"
},
{
"id": "DeviceRequest.contained",
"path": "DeviceRequest.contained",
"max": "0"
},
{
"id": "DeviceRequest.extension",
"path": "DeviceRequest.extension",
"min": 1
},
{
"id": "DeviceRequest.extension:Zuzahlungsstatus",
"path": "DeviceRequest.extension",
"sliceName": "Zuzahlungsstatus",
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_StatusCoPayment"
]
}
],
"isModifier": false
},
{
"id": "DeviceRequest.extension:Notdienstgebuehr",
"path": "DeviceRequest.extension",
"sliceName": "Notdienstgebuehr",
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.biv-ot.org/eVerordnung/StructureDefinition/BIVOT_EX_EVO_EmergencyServicesFee"
]
}
],
"isModifier": false
},
{
"id": "DeviceRequest.extension:SER",
"path": "DeviceRequest.extension",
"sliceName": "SER",
"short": "Kennzeichen SER",
"definition": "Kennzeichnung, ob die Verordnung für Anspruchsberechtigte nach dem Sozialen Entschädigungsrecht (SER, SGB XIV; bisher Versorgungsleiden/BVG) erfolgt.",
"min": 1,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_SER"
]
}
],
"isModifier": false
},
{
"id": "DeviceRequest.extension:unfallinformationen",
"path": "DeviceRequest.extension",
"sliceName": "unfallinformationen",
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_Accident"
]
}
],
"isModifier": false
},
{
"id": "DeviceRequest.extension:Diagnose",
"path": "DeviceRequest.extension",
"sliceName": "Diagnose",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.biv-ot.org/eVerordnung/StructureDefinition/BIVOT_EX_EVO_DiagnosisICD"
]
}
],
"isModifier": false
},
{
"id": "DeviceRequest.extension:Verordnungszeitraum",
"path": "DeviceRequest.extension",
"sliceName": "Verordnungszeitraum",
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.biv-ot.org/eVerordnung/StructureDefinition/BIVOT_EX_EVO_Verordnungszeitraum"
]
}
],
"isModifier": false
},
{
"id": "DeviceRequest.extension:Folgeversorgung",
"path": "DeviceRequest.extension",
"sliceName": "Folgeversorgung",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.biv-ot.org/eVerordnung/StructureDefinition/BIVOT_EX_EVO_Folgeversorgung"
]
}
],
"isModifier": false
},
{
"id": "DeviceRequest.extension:Anzahl",
"path": "DeviceRequest.extension",
"sliceName": "Anzahl",
"short": "Anzahl",
"definition": "Anzahl der verordneten Hilfsmittel. Fehlt die Angabe, gilt die Anzahl 1.",
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.biv-ot.org/eVerordnung/StructureDefinition/BIVOT_EX_EVO_Anzahl"
]
}
],
"isModifier": false
},
{
"id": "DeviceRequest.identifier",
"path": "DeviceRequest.identifier",
"max": "0"
},
{
"id": "DeviceRequest.instantiatesCanonical",
"path": "DeviceRequest.instantiatesCanonical",
"max": "0"
},
{
"id": "DeviceRequest.instantiatesUri",
"path": "DeviceRequest.instantiatesUri",
"max": "0"
},
{
"id": "DeviceRequest.basedOn",
"path": "DeviceRequest.basedOn",
"max": "0"
},
{
"id": "DeviceRequest.priorRequest",
"path": "DeviceRequest.priorRequest",
"max": "0"
},
{
"id": "DeviceRequest.groupIdentifier",
"path": "DeviceRequest.groupIdentifier",
"max": "0"
},
{
"id": "DeviceRequest.status",
"path": "DeviceRequest.status",
"min": 1,
"fixedCode": "active"
},
{
"id": "DeviceRequest.intent",
"path": "DeviceRequest.intent",
"fixedCode": "order"
},
{
"id": "DeviceRequest.priority",
"path": "DeviceRequest.priority",
"max": "0"
},
{
"id": "DeviceRequest.code[x]",
"path": "DeviceRequest.code[x]",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "DeviceRequest.code[x].coding",
"path": "DeviceRequest.code[x].coding",
"short": "HMV-Positionsnummer",
"definition": "Strukturierte Angabe des verordneten Hilfsmittels über die 10-stellige Positionsnummer des Hilfsmittelverzeichnisses (HMV). Optional, da eine Verordnung auch als Freitext (nur code.text) erfolgen kann.",
"max": "1"
},
{
"id": "DeviceRequest.code[x].coding.system",
"path": "DeviceRequest.code[x].coding.system",
"min": 1,
"fixedUri": "http://fhir.de/sid/gkv/hmnr"
},
{
"id": "DeviceRequest.code[x].coding.version",
"path": "DeviceRequest.code[x].coding.version",
"max": "0"
},
{
"id": "DeviceRequest.code[x].coding.code",
"path": "DeviceRequest.code[x].coding.code",
"min": 1
},
{
"id": "DeviceRequest.code[x].coding.userSelected",
"path": "DeviceRequest.code[x].coding.userSelected",
"max": "0"
},
{
"id": "DeviceRequest.code[x].text",
"path": "DeviceRequest.code[x].text",
"short": "Bezeichnung des Hilfsmittels",
"definition": "Bezeichnung des verordneten Hilfsmittels als Text (Handelsname, Produktart oder Freitextverordnung). Pflichtangabe; die HMV-Positionsnummer kann ergänzend strukturiert in code.coding angegeben werden.",
"min": 1
},
{
"id": "DeviceRequest.parameter",
"path": "DeviceRequest.parameter",
"short": "Messwerte zur Verordnung",
"definition": "Kanal für strukturierte Messwerte zur Verordnung (z. B. Audiogramm-Werte bei Muster 15, Refraktionswerte bei Muster 8/8A). Die Messgröße wird mit LOINC kodiert; die konkreten Codes werden im Projektverlauf festgelegt, sobald geklärt ist, welche Messdaten technisch zur Verfügung stehen."
},
{
"id": "DeviceRequest.parameter.id",
"path": "DeviceRequest.parameter.id",
"max": "0"
},
{
"id": "DeviceRequest.parameter.code.id",
"path": "DeviceRequest.parameter.code.id",
"max": "0"
},
{
"id": "DeviceRequest.parameter.code.coding",
"path": "DeviceRequest.parameter.code.coding",
"max": "1"
},
{
"id": "DeviceRequest.parameter.code.coding.system",
"path": "DeviceRequest.parameter.code.coding.system",
"min": 1,
"fixedUri": "http://loinc.org"
},
{
"id": "DeviceRequest.parameter.code.coding.version",
"path": "DeviceRequest.parameter.code.coding.version",
"max": "0"
},
{
"id": "DeviceRequest.parameter.code.coding.code",
"path": "DeviceRequest.parameter.code.coding.code",
"min": 1
},
{
"id": "DeviceRequest.parameter.code.coding.userSelected",
"path": "DeviceRequest.parameter.code.coding.userSelected",
"max": "0"
},
{
"id": "DeviceRequest.parameter.code.text",
"path": "DeviceRequest.parameter.code.text",
"max": "0"
},
{
"id": "DeviceRequest.subject",
"path": "DeviceRequest.subject",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Patient|1.3"
]
}
]
},
{
"id": "DeviceRequest.encounter",
"path": "DeviceRequest.encounter",
"max": "0"
},
{
"id": "DeviceRequest.occurrence[x]",
"path": "DeviceRequest.occurrence[x]",
"max": "0"
},
{
"id": "DeviceRequest.authoredOn",
"path": "DeviceRequest.authoredOn",
"short": "Ausstellungsdatum",
"definition": "Ausstellungsdatum der Verordnung",
"min": 1
},
{
"id": "DeviceRequest.requester",
"path": "DeviceRequest.requester",
"min": 1,
"type": [
{
"code": "Reference",
"targetProfile": [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Practitioner|1.3"
]
}
]
},
{
"id": "DeviceRequest.performerType",
"path": "DeviceRequest.performerType",
"max": "0"
},
{
"id": "DeviceRequest.performer",
"path": "DeviceRequest.performer",
"max": "0"
},
{
"id": "DeviceRequest.reasonCode",
"path": "DeviceRequest.reasonCode",
"max": "0"
},
{
"id": "DeviceRequest.reasonReference",
"path": "DeviceRequest.reasonReference",
"max": "0"
},
{
"id": "DeviceRequest.insurance",
"path": "DeviceRequest.insurance",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Coverage|1.3"
]
}
]
},
{
"id": "DeviceRequest.supportingInfo",
"path": "DeviceRequest.supportingInfo",
"max": "0"
},
{
"id": "DeviceRequest.note",
"path": "DeviceRequest.note",
"short": "Begründung",
"definition": "Begründungen zur Verordnung als Freitext, z. B. Begründung der Nach-/Folgeversorgung (Muster 8/15), Begründung der Art der Sehhilfe (Muster 8, z. B. Lichtschutzgläser bei Aniridie) oder Begründung der binokularen Versorgung (Muster 8A)."
}
]
}
}
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