FHIR IG Statistics: StructureDefinition/KBV_PR_AW_Abrechnung_BG

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{
  "resourceType": "StructureDefinition",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Abrechnung_BG",
  "version": "1.2.0",
  "name": "KBV_PR_AW_Abrechnung_BG",
  "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": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Claim",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Claim",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Claim.id",
        "path": "Claim.id",
        "min": 1
      },
      {
        "id": "Claim.meta",
        "path": "Claim.meta",
        "min": 1
      },
      {
        "id": "Claim.meta.versionId",
        "path": "Claim.meta.versionId",
        "min": 1
      },
      {
        "id": "Claim.meta.lastUpdated",
        "path": "Claim.meta.lastUpdated",
        "min": 1
      },
      {
        "id": "Claim.meta.profile",
        "path": "Claim.meta.profile",
        "min": 1,
        "max": "1",
        "fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Abrechnung_BG|1.2.0"
      },
      {
        "id": "Claim.text",
        "path": "Claim.text",
        "min": 1
      },
      {
        "id": "Claim.extension",
        "path": "Claim.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Claim.extension:mahnung",
        "path": "Claim.extension",
        "sliceName": "mahnung",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_EX_AW_Abrechnung_Mahnung"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Claim.extension:mahnung.extension",
        "path": "Claim.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Claim.extension:mahnung.extension:mahndatum",
        "path": "Claim.extension.extension",
        "sliceName": "mahndatum",
        "mustSupport": true
      },
      {
        "id": "Claim.extension:mahnung.extension:mahnstufe",
        "path": "Claim.extension.extension",
        "sliceName": "mahnstufe",
        "mustSupport": true
      },
      {
        "id": "Claim.extension:mahnung.extension:mahngebuehr",
        "path": "Claim.extension.extension",
        "sliceName": "mahngebuehr",
        "mustSupport": true
      },
      {
        "id": "Claim.extension:mahnung.extension:zahldatum",
        "path": "Claim.extension.extension",
        "sliceName": "zahldatum",
        "mustSupport": true
      },
      {
        "id": "Claim.extension:mahnung.extension:zahlbetrag",
        "path": "Claim.extension.extension",
        "sliceName": "zahlbetrag",
        "mustSupport": true
      },
      {
        "id": "Claim.extension:unfallbetrieb",
        "path": "Claim.extension",
        "sliceName": "unfallbetrieb",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_EX_AW_Abrechnung_BG_Unfallbetrieb"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Claim.extension:unfallbetrieb.extension",
        "path": "Claim.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Claim.extension:unfallbetrieb.extension:reference",
        "path": "Claim.extension.extension",
        "sliceName": "reference",
        "mustSupport": true
      },
      {
        "id": "Claim.extension:unfallbetrieb.extension:kontaktdaten",
        "path": "Claim.extension.extension",
        "sliceName": "kontaktdaten",
        "mustSupport": true
      },
      {
        "id": "Claim.extension:unfallbetrieb.extension:ort",
        "path": "Claim.extension.extension",
        "sliceName": "ort",
        "mustSupport": true
      },
      {
        "id": "Claim.identifier",
        "path": "Claim.identifier",
        "short": "Rechnungsnummer",
        "definition": "Dieses Attribut beinhaltet die Rechnungsnummer einer Abrechnung zur einer Begegnung",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Claim.identifier.use",
        "path": "Claim.identifier.use",
        "max": "0"
      },
      {
        "id": "Claim.identifier.type",
        "path": "Claim.identifier.type",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Claim.identifier.type.coding",
        "path": "Claim.identifier.type.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Claim.identifier.type.coding.system",
        "path": "Claim.identifier.type.coding.system",
        "min": 1,
        "fixedUri": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Identifiertyp"
      },
      {
        "id": "Claim.identifier.type.coding.version",
        "path": "Claim.identifier.type.coding.version",
        "max": "0"
      },
      {
        "id": "Claim.identifier.type.coding.code",
        "path": "Claim.identifier.type.coding.code",
        "short": "Rechnungsnummer",
        "definition": "Festgelegter Wert zur Typifizierung des Identifiers: Rechnungsnummer",
        "min": 1,
        "fixedCode": "Rechnungsnummer",
        "mustSupport": true
      },
      {
        "id": "Claim.identifier.type.coding.display",
        "path": "Claim.identifier.type.coding.display",
        "max": "0"
      },
      {
        "id": "Claim.identifier.type.coding.userSelected",
        "path": "Claim.identifier.type.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Claim.identifier.type.text",
        "path": "Claim.identifier.type.text",
        "max": "0"
      },
      {
        "id": "Claim.identifier.system",
        "path": "Claim.identifier.system",
        "max": "0"
      },
      {
        "id": "Claim.identifier.value",
        "path": "Claim.identifier.value",
        "short": "Rechnungsnummer",
        "definition": "Angabe der Rechnungsnummer",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Claim.identifier.period",
        "path": "Claim.identifier.period",
        "max": "0"
      },
      {
        "id": "Claim.identifier.assigner",
        "path": "Claim.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Claim.status",
        "path": "Claim.status",
        "short": "active | draft",
        "definition": "Zur Auswahl des Status stehen folgende Möglichkeiten bereit:\r\nnicht abgerechnet = draft\r\nabgerechnet = active",
        "mustSupport": true
      },
      {
        "id": "Claim.type.coding",
        "path": "Claim.type.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Claim.type.coding.system",
        "path": "Claim.type.coding.system",
        "min": 1,
        "fixedUri": "http://terminology.hl7.org/CodeSystem/claim-type"
      },
      {
        "id": "Claim.type.coding.code",
        "path": "Claim.type.coding.code",
        "short": "professional",
        "min": 1,
        "fixedCode": "professional"
      },
      {
        "id": "Claim.type.coding.userSelected",
        "path": "Claim.type.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Claim.type.text",
        "path": "Claim.type.text",
        "max": "0"
      },
      {
        "id": "Claim.subType",
        "path": "Claim.subType",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Claim.subType.coding",
        "path": "Claim.subType.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Claim.subType.coding.system",
        "path": "Claim.subType.coding.system",
        "min": 1,
        "fixedUri": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Art",
        "mustSupport": true
      },
      {
        "id": "Claim.subType.coding.version",
        "path": "Claim.subType.coding.version",
        "max": "0"
      },
      {
        "id": "Claim.subType.coding.code",
        "path": "Claim.subType.coding.code",
        "min": 1,
        "fixedCode": "BG",
        "mustSupport": true
      },
      {
        "id": "Claim.subType.coding.display",
        "path": "Claim.subType.coding.display",
        "max": "0"
      },
      {
        "id": "Claim.subType.coding.userSelected",
        "path": "Claim.subType.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Claim.subType.text",
        "path": "Claim.subType.text",
        "max": "0"
      },
      {
        "id": "Claim.use",
        "path": "Claim.use",
        "fixedCode": "claim"
      },
      {
        "id": "Claim.patient",
        "path": "Claim.patient",
        "label": "TR01",
        "short": "Patientenbezug",
        "definition": "Patient Resource.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Patient|1.2.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Claim.patient.reference",
        "path": "Claim.patient.reference",
        "min": 1
      },
      {
        "id": "Claim.patient.type",
        "path": "Claim.patient.type",
        "max": "0"
      },
      {
        "id": "Claim.patient.identifier",
        "path": "Claim.patient.identifier",
        "max": "0"
      },
      {
        "id": "Claim.patient.display",
        "path": "Claim.patient.display",
        "max": "0"
      },
      {
        "id": "Claim.billablePeriod",
        "path": "Claim.billablePeriod",
        "max": "0"
      },
      {
        "id": "Claim.created",
        "path": "Claim.created",
        "short": "Rechnungsdatum",
        "definition": "In diesem Feld wird das Rechnungsdatum der Abrechnung eingetragen.",
        "mustSupport": true
      },
      {
        "id": "Claim.enterer",
        "path": "Claim.enterer",
        "max": "0"
      },
      {
        "id": "Claim.insurer",
        "path": "Claim.insurer",
        "short": "Rechnungsempfaenger",
        "definition": "Rechnungsempfaenger",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Organisation|1.2.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Claim.insurer.reference",
        "path": "Claim.insurer.reference",
        "mustSupport": true
      },
      {
        "id": "Claim.insurer.type",
        "path": "Claim.insurer.type",
        "max": "0"
      },
      {
        "id": "Claim.insurer.identifier",
        "path": "Claim.insurer.identifier",
        "short": "AbrechnungsIK",
        "definition": "Nummer des Institutionskennzeichens",
        "mustSupport": true
      },
      {
        "id": "Claim.insurer.identifier.use",
        "path": "Claim.insurer.identifier.use",
        "max": "0"
      },
      {
        "id": "Claim.insurer.identifier.type",
        "path": "Claim.insurer.identifier.type",
        "max": "0"
      },
      {
        "id": "Claim.insurer.identifier.system",
        "path": "Claim.insurer.identifier.system",
        "min": 1,
        "fixedUri": "http://fhir.de/NamingSystem/arge-ik/iknr",
        "mustSupport": true
      },
      {
        "id": "Claim.insurer.identifier.value",
        "path": "Claim.insurer.identifier.value",
        "short": "IKNummer",
        "definition": "IKNummer",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Claim.insurer.identifier.period",
        "path": "Claim.insurer.identifier.period",
        "max": "0"
      },
      {
        "id": "Claim.insurer.identifier.assigner",
        "path": "Claim.insurer.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Claim.insurer.display",
        "path": "Claim.insurer.display",
        "max": "0"
      },
      {
        "id": "Claim.provider",
        "path": "Claim.provider",
        "short": "Organisation des Rechnungserstellers",
        "definition": "Verweis auf die Organisation des Rechnungserstellers",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Betriebsstaette|1.2.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Claim.provider.reference",
        "path": "Claim.provider.reference",
        "mustSupport": true
      },
      {
        "id": "Claim.provider.type",
        "path": "Claim.provider.type",
        "max": "0"
      },
      {
        "id": "Claim.provider.identifier",
        "path": "Claim.provider.identifier",
        "short": "IKNR",
        "definition": "IK der Betriebsstätte mit der die Abrechnung zu kennzeichnen ist.",
        "mustSupport": true
      },
      {
        "id": "Claim.provider.identifier.use",
        "path": "Claim.provider.identifier.use",
        "max": "0"
      },
      {
        "id": "Claim.provider.identifier.type",
        "path": "Claim.provider.identifier.type",
        "max": "0"
      },
      {
        "id": "Claim.provider.identifier.system",
        "path": "Claim.provider.identifier.system",
        "min": 1,
        "fixedUri": "http://fhir.de/NamingSystem/arge-ik/iknr",
        "mustSupport": true
      },
      {
        "id": "Claim.provider.identifier.value",
        "path": "Claim.provider.identifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Claim.provider.identifier.period",
        "path": "Claim.provider.identifier.period",
        "max": "0"
      },
      {
        "id": "Claim.provider.identifier.assigner",
        "path": "Claim.provider.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Claim.provider.display",
        "path": "Claim.provider.display",
        "max": "0"
      },
      {
        "id": "Claim.priority.coding",
        "path": "Claim.priority.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Claim.priority.coding.system",
        "path": "Claim.priority.coding.system",
        "min": 1,
        "fixedUri": "http://terminology.hl7.org/CodeSystem/processpriority"
      },
      {
        "id": "Claim.priority.coding.version",
        "path": "Claim.priority.coding.version",
        "max": "0"
      },
      {
        "id": "Claim.priority.coding.code",
        "path": "Claim.priority.coding.code",
        "short": "normal",
        "min": 1,
        "fixedCode": "normal"
      },
      {
        "id": "Claim.priority.coding.display",
        "path": "Claim.priority.coding.display",
        "max": "0"
      },
      {
        "id": "Claim.priority.coding.userSelected",
        "path": "Claim.priority.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Claim.priority.text",
        "path": "Claim.priority.text",
        "max": "0"
      },
      {
        "id": "Claim.fundsReserve",
        "path": "Claim.fundsReserve",
        "max": "0"
      },
      {
        "id": "Claim.related",
        "path": "Claim.related",
        "short": "Bezug zur vorlaeufigen Abrechnung",
        "definition": "Die Referenz zu der vorlaeufigen Abrechnung in der alle GOPs dokumentiert sind.",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Claim.related.claim",
        "path": "Claim.related.claim",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Abrechnung_Vorlaeufig|1.2.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Claim.related.claim.reference",
        "path": "Claim.related.claim.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Claim.related.claim.type",
        "path": "Claim.related.claim.type",
        "max": "0"
      },
      {
        "id": "Claim.related.claim.identifier",
        "path": "Claim.related.claim.identifier",
        "max": "0"
      },
      {
        "id": "Claim.related.claim.display",
        "path": "Claim.related.claim.display",
        "max": "0"
      },
      {
        "id": "Claim.related.relationship",
        "path": "Claim.related.relationship",
        "max": "0"
      },
      {
        "id": "Claim.related.reference",
        "path": "Claim.related.reference",
        "max": "0"
      },
      {
        "id": "Claim.prescription",
        "path": "Claim.prescription",
        "max": "0"
      },
      {
        "id": "Claim.originalPrescription",
        "path": "Claim.originalPrescription",
        "max": "0"
      },
      {
        "id": "Claim.payee",
        "path": "Claim.payee",
        "max": "0"
      },
      {
        "id": "Claim.referral",
        "path": "Claim.referral",
        "short": "Weiterbehandlung durch",
        "definition": "Soll der Patient eine weitere Behandlung durch einen anderen Behandelden erhalten, so kann dieser hier angegeben werden.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Weiterbehandlung_durch|1.2.0"
            ]
          }
        ]
      },
      {
        "id": "Claim.referral.reference",
        "path": "Claim.referral.reference",
        "min": 1
      },
      {
        "id": "Claim.referral.type",
        "path": "Claim.referral.type",
        "max": "0"
      },
      {
        "id": "Claim.referral.identifier",
        "path": "Claim.referral.identifier",
        "max": "0"
      },
      {
        "id": "Claim.referral.display",
        "path": "Claim.referral.display",
        "max": "0"
      },
      {
        "id": "Claim.facility",
        "path": "Claim.facility",
        "max": "0"
      },
      {
        "id": "Claim.careTeam",
        "path": "Claim.careTeam",
        "max": "0"
      },
      {
        "id": "Claim.supportingInfo",
        "path": "Claim.supportingInfo",
        "max": "0"
      },
      {
        "id": "Claim.diagnosis",
        "path": "Claim.diagnosis",
        "max": "0"
      },
      {
        "id": "Claim.procedure",
        "path": "Claim.procedure",
        "max": "0"
      },
      {
        "id": "Claim.insurance",
        "path": "Claim.insurance",
        "max": "1"
      },
      {
        "id": "Claim.insurance.identifier",
        "path": "Claim.insurance.identifier",
        "max": "0"
      },
      {
        "id": "Claim.insurance.coverage",
        "path": "Claim.insurance.coverage",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Krankenversicherungsverhaeltnis|1.2.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Claim.insurance.coverage.reference",
        "path": "Claim.insurance.coverage.reference",
        "mustSupport": true
      },
      {
        "id": "Claim.insurance.coverage.type",
        "path": "Claim.insurance.coverage.type",
        "max": "0"
      },
      {
        "id": "Claim.insurance.coverage.identifier",
        "path": "Claim.insurance.coverage.identifier",
        "max": "0"
      },
      {
        "id": "Claim.insurance.coverage.display",
        "path": "Claim.insurance.coverage.display",
        "short": "Krankenversicherung unbekannt",
        "definition": "Wenn die Krankenversicherung nicht referenziert werden kann, muss hier ein fixer Wert \"unbekannt\" gesetzt werden, da die insurance eine Pflichtelement ist.",
        "fixedString": "unbekannt",
        "mustSupport": true
      },
      {
        "id": "Claim.insurance.businessArrangement",
        "path": "Claim.insurance.businessArrangement",
        "max": "0"
      },
      {
        "id": "Claim.insurance.preAuthRef",
        "path": "Claim.insurance.preAuthRef",
        "max": "0"
      },
      {
        "id": "Claim.insurance.claimResponse",
        "path": "Claim.insurance.claimResponse",
        "max": "0"
      },
      {
        "id": "Claim.accident",
        "path": "Claim.accident",
        "max": "0"
      },
      {
        "id": "Claim.item",
        "path": "Claim.item",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "category.coding.code"
            }
          ],
          "description": "Auslagen\r\nsonstiges Honorar",
          "rules": "closed"
        },
        "definition": "Auslagen\r\nsonstiges Honorar",
        "mustSupport": true
      },
      {
        "id": "Claim.item:auslagen",
        "path": "Claim.item",
        "sliceName": "auslagen",
        "short": "Auslagen",
        "definition": "Auslagen z.B. Porto, Versandkosten. Auswahlmöglichkeiten siehe item:auslagen.service",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Claim.item:auslagen.careTeamSequence",
        "path": "Claim.item.careTeamSequence",
        "max": "0"
      },
      {
        "id": "Claim.item:auslagen.diagnosisSequence",
        "path": "Claim.item.diagnosisSequence",
        "max": "0"
      },
      {
        "id": "Claim.item:auslagen.procedureSequence",
        "path": "Claim.item.procedureSequence",
        "max": "0"
      },
      {
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