FHIR IG Statistics: StructureDefinition/KBV_PR_AW_Abrechnung_privat
Resources that use this resource
Resources that this resource uses
Narrative
No narrative content found in resource
Source
{
"resourceType": "StructureDefinition",
"url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Abrechnung_privat",
"version": "1.2.0",
"name": "KBV_PR_AW_Abrechnung_privat",
"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_privat|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:zahlbetraege",
"path": "Claim.extension",
"sliceName": "zahlbetraege",
"short": "Zahlungszusatzinformationen",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_AW_Privatabrechnung_Zusatzinformationen"
]
}
],
"mustSupport": true
},
{
"id": "Claim.extension:zahlbetraege.extension",
"path": "Claim.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "open"
}
},
{
"id": "Claim.extension:zahlbetraege.extension:direktzahlungsbetrag",
"path": "Claim.extension.extension",
"sliceName": "direktzahlungsbetrag",
"mustSupport": true
},
{
"id": "Claim.extension:zahlbetraege.extension:nachlass",
"path": "Claim.extension.extension",
"sliceName": "nachlass",
"mustSupport": true
},
{
"id": "Claim.extension:zahlbetraege.extension:minderungssatz",
"path": "Claim.extension.extension",
"sliceName": "minderungssatz",
"mustSupport": true
},
{
"id": "Claim.extension:mahnung",
"path": "Claim.extension",
"sliceName": "mahnung",
"definition": "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:rechnungsempfaenger_Selbstzahler",
"path": "Claim.extension",
"sliceName": "rechnungsempfaenger_Selbstzahler",
"min": 1,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_AW_Privatabrechnung_Rechnungsempfaenger"
]
}
],
"mustSupport": true
},
{
"id": "Claim.extension:rechnungsempfaenger_Selbstzahler.value[x]",
"path": "Claim.extension.value[x]",
"mustSupport": true
},
{
"id": "Claim.identifier",
"path": "Claim.identifier",
"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
},
{
"id": "Claim.identifier.type.coding",
"path": "Claim.identifier.type.coding",
"min": 1,
"max": "1"
},
{
"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.code",
"path": "Claim.identifier.type.coding.code",
"short": "Rechnungsnummer",
"definition": "Festgelegter Wert zur Typifizierung des Identifiers: Rechnungsnummer",
"min": 1,
"fixedCode": "Rechnungsnummer"
},
{
"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
},
{
"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",
"path": "Claim.type",
"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",
"min": 1,
"fixedCode": "professional"
},
{
"id": "Claim.type.coding.display",
"path": "Claim.type.coding.display",
"max": "0"
},
{
"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",
"short": "Abrechnungstypen Privat",
"definition": "Angabe eines Types einer privaten Abrechnung Privat, Privat_Postbeamte, Privat_KVB, Privat_Beihilfeergänzung",
"min": 1,
"mustSupport": true,
"binding": {
"strength": "required",
"description": "Abrechnung Privat",
"valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_AW_Abrechnung_Art_Privat"
}
},
{
"id": "Claim.subType.coding",
"path": "Claim.subType.coding",
"min": 1,
"max": "1"
},
{
"id": "Claim.subType.coding.system",
"path": "Claim.subType.coding.system",
"min": 1
},
{
"id": "Claim.subType.coding.version",
"path": "Claim.subType.coding.version",
"max": "0"
},
{
"id": "Claim.subType.coding.code",
"path": "Claim.subType.coding.code",
"min": 1
},
{
"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",
"short": "claim",
"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": "Rechnungsdatum",
"mustSupport": true
},
{
"id": "Claim.enterer",
"path": "Claim.enterer",
"max": "0"
},
{
"id": "Claim.insurer",
"path": "Claim.insurer",
"short": "Abrechnungsdienst",
"definition": "Angabe eines Abrechnungsdienst inkl Kundennummer und IK-Nummer",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Organisation|1.2.0"
]
}
],
"mustSupport": true
},
{
"id": "Claim.insurer.extension",
"path": "Claim.insurer.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "open"
}
},
{
"id": "Claim.insurer.extension:kundennummer_Abrechnungsdienst",
"path": "Claim.insurer.extension",
"sliceName": "kundennummer_Abrechnungsdienst",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_AW_Abrechnung_Kundennummer_Abrechungsdienst"
]
}
]
},
{
"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": "IKNR des Abrechnungsdienstes",
"definition": "IKNR des Abrechnungsdienstes",
"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"
},
{
"id": "Claim.insurer.identifier.value",
"path": "Claim.insurer.identifier.value",
"min": 1
},
{
"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": "Behandelnderbezug",
"definition": "BehandelnderFunktion Ressource.",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_BehandelnderFunktion|1.2.0"
]
}
]
},
{
"id": "Claim.provider.reference",
"path": "Claim.provider.reference",
"min": 1
},
{
"id": "Claim.provider.type",
"path": "Claim.provider.type",
"max": "0"
},
{
"id": "Claim.provider.identifier",
"path": "Claim.provider.identifier",
"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.code",
"path": "Claim.priority.coding.code",
"short": "normal",
"min": 1,
"fixedCode": "normal"
},
{
"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"
]
}
]
},
{
"id": "Claim.related.claim.reference",
"path": "Claim.related.claim.reference",
"min": 1
},
{
"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",
"mustSupport": true
},
{
"id": "Claim.payee.extension",
"path": "Claim.payee.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "open"
}
},
{
"id": "Claim.payee.extension:kontoverbindung",
"path": "Claim.payee.extension",
"sliceName": "kontoverbindung",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_AW_Privatabrechnung_Kontoverbindung"
]
}
],
"mustSupport": true
},
{
"id": "Claim.payee.extension:kontoverbindung.extension",
"path": "Claim.payee.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "open"
}
},
{
"id": "Claim.payee.extension:kontoverbindung.extension:blz",
"path": "Claim.payee.extension.extension",
"sliceName": "blz",
"mustSupport": true
},
{
"id": "Claim.payee.extension:kontoverbindung.extension:kontonummer",
"path": "Claim.payee.extension.extension",
"sliceName": "kontonummer",
"mustSupport": true
},
{
"id": "Claim.payee.extension:kontoverbindung.extension:iban",
"path": "Claim.payee.extension.extension",
"sliceName": "iban",
"mustSupport": true
},
{
"id": "Claim.payee.extension:kontoverbindung.extension:bic",
"path": "Claim.payee.extension.extension",
"sliceName": "bic",
"mustSupport": true
},
{
"id": "Claim.payee.type",
"path": "Claim.payee.type",
"binding": {
"strength": "required"
}
},
{
"id": "Claim.payee.type.coding",
"path": "Claim.payee.type.coding",
"min": 1,
"max": "1"
},
{
"id": "Claim.payee.type.coding.system",
"path": "Claim.payee.type.coding.system",
"min": 1,
"fixedUri": "http://terminology.hl7.org/CodeSystem/payeetype"
},
{
"id": "Claim.payee.type.coding.version",
"path": "Claim.payee.type.coding.version",
"max": "0"
},
{
"id": "Claim.payee.type.coding.code",
"path": "Claim.payee.type.coding.code",
"min": 1,
"fixedCode": "provider"
},
{
"id": "Claim.payee.type.coding.display",
"path": "Claim.payee.type.coding.display",
"max": "0"
},
{
"id": "Claim.payee.type.coding.userSelected",
"path": "Claim.payee.type.coding.userSelected",
"max": "0"
},
{
"id": "Claim.payee.type.text",
"path": "Claim.payee.type.text",
"max": "0"
},
{
"id": "Claim.payee.party",
"path": "Claim.payee.party",
"max": "0"
},
{
"id": "Claim.referral",
"path": "Claim.referral",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Weiterbehandlung_durch|1.2.0"
]
}
],
"mustSupport": true
},
{
"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",
"short": "Zusätzliche private Tarife",
"definition": "Übertragung von zusätzlichen Tarifen mit Code und Beschreibung.",
"max": "1",
"mustSupport": true
},
{
"id": "Claim.supportingInfo.category.coding",
"path": "Claim.supportingInfo.category.coding",
"max": "0"
},
{
"id": "Claim.supportingInfo.category.text",
"path": "Claim.supportingInfo.category.text",
"min": 1,
"fixedString": "Privattarif_Sonstige"
},
{
"id": "Claim.supportingInfo.code",
"path": "Claim.supportingInfo.code",
"short": "Zusätzliche private Tarife",
"definition": "Übertragung von zusätzlichen Tarifen mit Code und Beschreibung.",
"min": 1
},
{
"id": "Claim.supportingInfo.code.coding",
"path": "Claim.supportingInfo.code.coding",
"min": 1,
"max": "1"
},
{
"id": "Claim.supportingInfo.code.coding.version",
"path": "Claim.supportingInfo.code.coding.version",
"max": "0"
},
{
"id": "Claim.supportingInfo.code.coding.code",
"path": "Claim.supportingInfo.code.coding.code",
"min": 1
},
{
"id": "Claim.supportingInfo.code.coding.display",
"path": "Claim.supportingInfo.code.coding.display",
"min": 1
},
{
"id": "Claim.supportingInfo.code.coding.userSelected",
"path": "Claim.supportingInfo.code.coding.userSelected",
"max": "0"
},
{
"id": "Claim.supportingInfo.code.text",
"path": "Claim.supportingInfo.code.text",
"max": "0"
},
{
"id": "Claim.supportingInfo.timing[x]",
"path": "Claim.supportingInfo.timing[x]",
"max": "0"
},
{
"id": "Claim.supportingInfo.value[x]",
"path": "Claim.supportingInfo.value[x]",
"max": "0"
},
{
"id": "Claim.supportingInfo.reason",
"path": "Claim.supportingInfo.reason",
"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",
"mustSupport": true
},
{
"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"
]
}
]
},
{
"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",
"fixedString": "Selbstzahler",
"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": "productOrService.coding.code"
}
],
"description": "Entschädigung\r\nAuslagen\r\nsonstiges Honorar",
"rules": "closed"
}
},
{
"id": "Claim.item:entschaedigung",
"path": "Claim.item",
"sliceName": "entschaedigung",
"short": "Entschädigung",
"definition": "In diesem Element können Entschaedigungen eingetragen werden, wie z.B. Reisekosten oder Wegegelder.",
"mustSupport": true
},
{
"id": "Claim.item:entschaedigung.careTeamSequence",
"path": "Claim.item.careTeamSequence",
"max": "0"
},
{
"id": "Claim.item:entschaedigung.diagnosisSequence",
"path": "Claim.item.diagnosisSequence",
"max": "0"
},
{
"id": "Claim.item:entschaedigung.procedureSequence",
"path": "Claim.item.procedureSequence",
"max": "0"
},
{
"id": "Claim.item:entschaedigung.informationSequence",
"path": "Claim.item.informationSequence",
"max": "0"
},
{
"id": "Claim.item:entschaedigung.revenue",
"path": "Claim.item.revenue",
"max": "0"
},
{
"id": "Claim.item:entschaedigung.category",
"path": "Claim.item.category",
"max": "0"
},
{
"id": "Claim.item:entschaedigung.productOrService.coding",
"path": "Claim.item.productOrService.coding",
"min": 1,
"max": "1"
},
{
"id": "Claim.item:entschaedigung.productOrService.coding.system",
"path": "Claim.item.productOrService.coding.system",
"min": 1,
"fixedUri": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Item_Kategorie"
},
{
"id": "Claim.item:entschaedigung.productOrService.coding.version",
"path": "Claim.item.productOrService.coding.version",
"max": "0"
},
{
"id": "Claim.item:entschaedigung.productOrService.coding.code",
"path": "Claim.item.productOrService.coding.code",
"min": 1,
"fixedCode": "Entschaedigung"
},
{
"id": "Claim.item:entschaedigung.productOrService.coding.display",
"path": "Claim.item.productOrService.coding.display",
"max": "0"
},
{
"id": "Claim.item:entschaedigung.productOrService.coding.userSelected",
"path": "Claim.item.productOrService.coding.userSelected",
"max": "0"
},
{
"id": "Claim.item:entschaedigung.productOrService.text",
"path": "Claim.item.productOrService.text",
"max": "0"
},
{
"id": "Claim.item:entschaedigung.modifier",
"path": "Claim.item.modifier",
"min": 1,
"max": "1",
"binding": {
"strength": "required",
"valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_AW_Entschaedigungsart"
}
},
{
"id": "Claim.item:entschaedigung.modifier.coding",
"path": "Claim.item.modifier.coding",
"min": 1,
"max": "1"
},
{
"id": "Claim.item:entschaedigung.modifier.coding.system",
"path": "Claim.item.modifier.coding.system",
"min": 1,
"fixedUri": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Entschaedigungsart"
},
{
"id": "Claim.item:entschaedigung.modifier.coding.code",
"path": "Claim.item.modifier.coding.code",
"min": 1
},
{
"id": "Claim.item:entschaedigung.modifier.coding.userSelected",
"path": "Claim.item.modifier.coding.userSelected",
"max": "0"
},
{
"id": "Claim.item:entschaedigung.modifier.text",
"path": "Claim.item.modifier.text",
"max": "0"
},
{
"id": "Claim.item:entschaedigung.programCode",
"path": "Claim.item.programCode",
"max": "0"
},
{
"id": "Claim.item:entschaedigung.serviced[x]",
"path": "Claim.item.serviced[x]",
"max": "0"
},
{
"id": "Claim.item:entschaedigung.location[x]",
"path": "Claim.item.location[x]",
"max": "0"
},
{
"id": "Claim.item:entschaedigung.quantity",
"path": "Claim.item.quantity",
"min": 1,
"mustSupport": true
},
{
"id": "Claim.item:entschaedigung.quantity.value",
"path": "Claim.item.quantity.value",
"min": 1,
"mustSupport": true
},
{
"id": "Claim.item:entschaedigung.quantity.unit",
"path": "Claim.item.quantity.unit",
"min": 1,
"fixedString": "1"
},
{
"id": "Claim.item:entschaedigung.quantity.system",
"path": "Claim.item.quantity.system",
"min": 1,
"fixedUri": "http://unitsofmeasure.org"
},
{
"id": "Claim.item:entschaedigung.quantity.code",
"path": "Claim.item.quantity.code",
"min": 1
},
{
"id": "Claim.item:entschaedigung.unitPrice",
"path": "Claim.item.unitPrice",
"mustSupport": true
},
{
"id": "Claim.item:entschaedigung.unitPrice.value",
"path": "Claim.item.unitPrice.value",
"min": 1
},
{
"id": "Claim.item:entschaedigung.unitPrice.currency",
"path": "Claim.item.unitPrice.currency",
"min": 1,
"fixedCode": "EUR"
},
{
"id": "Claim.item:entschaedigung.net",
"path": "Claim.item.net",
"max": "0"
},
{
"id": "Claim.item:entschaedigung.udi",
"path": "Claim.item.udi",
"max": "0"
},
{
"id": "Claim.item:entschaedigung.bodySite",
"path": "Claim.item.bodySite",
"max": "0"
},
{
"id": "Claim.item:entschaedigung.subSite",
"path": "Claim.item.subSite",
"max": "0"
},
{
"id": "Claim.item:entschaedigung.encounter",
"path": "Claim.item.encounter",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Begegnung|1.2.0"
]
}
],
"mustSupport": true
},
{
"id": "Claim.item:entschaedigung.encounter.reference",
"path": "Claim.item.encounter.reference",
"min": 1,
"mustSupport": true
},
{
"id": "Claim.item:entschaedigung.encounter.type",
"path": "Claim.item.encounter.type",
"max": "0"
},
{
"id": "Claim.item:entschaedigung.encounter.identifier",
"path": "Claim.item.encounter.identifier",
"max": "0"
},
{
"id": "Claim.item:entschaedigung.encounter.display",
"path": "Claim.item.encounter.display",
"max": "0"
},
{
"id": "Claim.item:entschaedigung.detail",
"path": "Claim.item.detail",
"max": "0"
},
{
"id": "Claim.item:auslagen",
"path": "Claim.item",
"sliceName": "auslagen",
"short": "Auslagen",
"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"
},
{
"id": "Claim.item:auslagen.informationSequence",
"path": "Claim.item.informationSequence",
"max": "0"
},
{
"id": "Claim.item:auslagen.revenue",
"path": "Claim.item.revenue",
"max": "0"
},
{
"id": "Claim.item:auslagen.category",
"path": "Claim.item.category",
"max": "0"
},
{
"id": "Claim.item:auslagen.productOrService",
"path": "Claim.item.productOrService",
"mustSupport": true
},
{
"id": "Claim.item:auslagen.productOrService.coding",
"path": "Claim.item.productOrService.coding",
"min": 1,
"max": "1"
},
{
"id": "Claim.item:auslagen.productOrService.coding.system",
"path": "Claim.item.productOrService.coding.system",
"min": 1,
"fixedUri": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Item_Kategorie"
},
{
"id": "Claim.item:auslagen.productOrService.coding.version",
"path": "Claim.item.productOrService.coding.version",
"max": "0"
},
{
"id": "Claim.item:auslagen.productOrService.coding.code",
"path": "Claim.item.productOrService.coding.code",
"min": 1,
"fixedCode": "Auslagen"
},
{
"id": "Claim.item:auslagen.productOrService.coding.display",
"path": "Claim.item.productOrService.coding.display",
"max": "0"
},
{
"id": "Claim.item:auslagen.productOrService.coding.userSelected",
"path": "Claim.item.productOrService.coding.userSelected",
"max": "0"
},
{
"id": "Claim.item:auslagen.productOrService.text",
"path": "Claim.item.productOrService.text",
"max": "0"
},
{
"id": "Claim.item:auslagen.modifier",
"path": "Claim.item.modifier",
"short": "Auslagenart",
"definition": "Medikamente, Arzneimittel\r\nMaterial, Verbandsmittel, Radiopharmaka\r\nPorto, Versandkosten",
"min": 1,
"max": "1",
"mustSupport": true,
"binding": {
"strength": "required",
"description": "Auslagenart",
"valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_AW_Abrechnung_Auslagenart"
}
},
{
"id": "Claim.item:auslagen.modifier.coding",
"path": "Claim.item.modifier.coding",
"min": 1,
"max": "1"
},
{
"id": "Claim.item:auslagen.modifier.coding.system",
"path": "Claim.item.modifier.coding.system",
"min": 1
},
{
"id": "Claim.item:auslagen.modifier.coding.version",
"path": "Claim.item.modifier.coding.version",
"max": "0"
},
{
"id": "Claim.item:auslagen.modifier.coding.code",
"path": "Claim.item.modifier.coding.code",
"min": 1
},
{
"id": "Claim.item:auslagen.modifier.coding.display",
"path": "Claim.item.modifier.coding.display",
"max": "0"
},
{
"id": "Claim.item:auslagen.modifier.coding.userSelected",
"path": "Claim.item.modifier.coding.userSelected",
"max": "0"
},
{
"id": "Claim.item:auslagen.modifier.text",
"path": "Claim.item.modifier.text",
"max": "0"
},
{
"id": "Claim.item:auslagen.programCode",
"path": "Claim.item.programCode",
"max": "0"
},
{
"id": "Claim.item:auslagen.serviced[x]",
"path": "Claim.item.serviced[x]",
"max": "0"
},
{
"id": "Claim.item:auslagen.location[x]",
"path": "Claim.item.location[x]",
"max": "0"
},
{
"id": "Claim.item:auslagen.quantity",
"path": "Claim.item.quantity",
"min": 1,
"mustSupport": true
},
{
"id": "Claim.item:auslagen.quantity.value",
"path": "Claim.item.quantity.value",
"min": 1
},
{
"id": "Claim.item:auslagen.quantity.unit",
"path": "Claim.item.quantity.unit",
"min": 1,
"fixedString": "1"
},
{
"id": "Claim.item:auslagen.quantity.system",
"path": "Claim.item.quantity.system",
"min": 1,
"fixedUri": "http://unitsofmeasure.org"
},
{
"id": "Claim.item:auslagen.quantity.code",
"path": "Claim.item.quantity.code",
"min": 1,
"fixedCode": "1"
},
{
"id": "Claim.item:auslagen.unitPrice",
"path": "Claim.item.unitPrice",
"mustSupport": true
},
{
"id": "Claim.item:auslagen.unitPrice.value",
"path": "Claim.item.unitPrice.value",
"min": 1
},
{
"id": "Claim.item:auslagen.unitPrice.currency",
"path": "Claim.item.unitPrice.currency",
"min": 1,
"fixedCode": "EUR"
},
{
"id": "Claim.item:auslagen.net",
"path": "Claim.item.net",
"max": "0"
},
{
"id": "Claim.item:auslagen.udi",
"path": "Claim.item.udi",
"max": "0"
},
{
"id": "Claim.item:auslagen.bodySite",
"path": "Claim.item.bodySite",
"max": "0"
},
{
"id": "Claim.item:auslagen.subSite",
"path": "Claim.item.subSite",
"max": "0"
},
{
"id": "Claim.item:auslagen.encounter",
"path": "Claim.item.encounter",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Begegnung|1.2.0"
]
}
],
"mustSupport": true
},
{
"id": "Claim.item:auslagen.encounter.reference",
"path": "Claim.item.encounter.reference",
"min": 1
},
{
"id": "Claim.item:auslagen.encounter.type",
"path": "Claim.item.encounter.type",
"max": "0"
},
{
"id": "Claim.item:auslagen.encounter.identifier",
"path": "Claim.item.encounter.identifier",
"max": "0"
},
{
"id": "Claim.item:auslagen.encounter.display",
"path": "Claim.item.encounter.display",
"max": "0"
},
{
"id": "Claim.item:auslagen.detail",
"path": "Claim.item.detail",
"max": "0"
},
{
"id": "Claim.item:sonstiges_Honorar",
"path": "Claim.item",
"sliceName": "sonstiges_Honorar",
"short": "Sonstiges Honorar",
"mustSupport": true
},
{
"id": "Claim.item:sonstiges_Honorar.careTeamSequence",
"path": "Claim.item.careTeamSequence",
"max": "0"
},
{
"id": "Claim.item:sonstiges_Honorar.diagnosisSequence",
"path": "Claim.item.diagnosisSequence",
"max": "0"
},
{
"id": "Claim.item:sonstiges_Honorar.procedureSequence",
"path": "Claim.item.procedureSequence",
"max": "0"
},
{
"id": "Claim.item:sonstiges_Honorar.informationSequence",
"path": "Claim.item.informationSequence",
"max": "0"
},
{
"id": "Claim.item:sonstiges_Honorar.revenue",
"path": "Claim.item.revenue",
"max": "0"
},
{
"id": "Claim.item:sonstiges_Honorar.category",
"path": "Claim.item.category",
"max": "0"
},
{
"id": "Claim.item:sonstiges_Honorar.productOrService.coding",
"path": "Claim.item.productOrService.coding",
"min": 1,
"max": "1"
},
{
"id": "Claim.item:sonstiges_Honorar.productOrService.coding.system",
"path": "Claim.item.productOrService.coding.system",
"min": 1,
"fixedUri": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Item_Kategorie"
},
{
"id": "Claim.item:sonstiges_Honorar.productOrService.coding.version",
"path": "Claim.item.productOrService.coding.version",
"max": "0"
},
{
"id": "Claim.item:sonstiges_Honorar.productOrService.coding.code",
"path": "Claim.item.productOrService.coding.code",
"min": 1,
"fixedCode": "Besondere_Kosten"
},
{
"id": "Claim.item:sonstiges_Honorar.productOrService.coding.display",
"path": "Claim.item.productOrService.coding.display",
"max": "0"
},
{
"id": "Claim.item:sonstiges_Honorar.productOrService.coding.userSelected",
"path": "Claim.item.productOrService.coding.userSelected",
"max": "0"
},
{
"id": "Claim.item:sonstiges_Honorar.productOrService.text",
"path": "Claim.item.productOrService.text",
"short": "Beschreibung der Kosten",
"definition": "Beschreibung der sonstigen Kosten",
"min": 1
},
{
"id": "Claim.item:sonstiges_Honorar.modifier",
"path": "Claim.item.modifier",
"max": "0"
},
{
"id": "Claim.item:sonstiges_Honorar.programCode",
"path": "Claim.item.programCode",
"max": "0"
},
{
"id": "Claim.item:sonstiges_Honorar.serviced[x]",
"path": "Claim.item.serviced[x]",
"max": "0"
},
{
"id": "Claim.item:sonstiges_Honorar.location[x]",
"path": "Claim.item.location[x]",
"max": "0"
},
{
"id": "Claim.item:sonstiges_Honorar.quantity",
"path": "Claim.item.quantity",
"min": 1,
"mustSupport": true
},
{
"id": "Claim.item:sonstiges_Honorar.quantity.value",
"path": "Claim.item.quantity.value",
"min": 1
},
{
"id": "Claim.item:sonstiges_Honorar.quantity.unit",
"path": "Claim.item.quantity.unit",
"min": 1,
"fixedString": "1"
},
{
"id": "Claim.item:sonstiges_Honorar.quantity.system",
"path": "Claim.item.quantity.system",
"min": 1,
"fixedUri": "http://unitsofmeasure.org"
},
{
"id": "Claim.item:sonstiges_Honorar.quantity.code",
"path": "Claim.item.quantity.code",
"min": 1,
"fixedCode": "1"
},
{
"id": "Claim.item:sonstiges_Honorar.unitPrice",
"path": "Claim.item.unitPrice",
"mustSupport": true
},
{
"id": "Claim.item:sonstiges_Honorar.unitPrice.value",
"path": "Claim.item.unitPrice.value",
"min": 1
},
{
"id": "Claim.item:sonstiges_Honorar.unitPrice.currency",
"path": "Claim.item.unitPrice.currency",
"min": 1,
"fixedCode": "EUR"
},
{
"id": "Claim.item:sonstiges_Honorar.net",
"path": "Claim.item.net",
"max": "0"
},
{
"id": "Claim.item:sonstiges_Honorar.udi",
"path": "Claim.item.udi",
"max": "0"
},
{
"id": "Claim.item:sonstiges_Honorar.bodySite",
"path": "Claim.item.bodySite",
"max": "0"
},
{
"id": "Claim.item:sonstiges_Honorar.subSite",
"path": "Claim.item.subSite",
"max": "0"
},
{
"id": "Claim.item:sonstiges_Honorar.encounter",
"path": "Claim.item.encounter",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Begegnung|1.2.0"
]
}
],
"mustSupport": true
},
{
"id": "Claim.item:sonstiges_Honorar.encounter.reference",
"path": "Claim.item.encounter.reference",
"min": 1
},
{
"id": "Claim.item:sonstiges_Honorar.encounter.type",
"path": "Claim.item.encounter.type",
"max": "0"
},
{
"id": "Claim.item:sonstiges_Honorar.encounter.identifier",
"path": "Claim.item.encounter.identifier",
"max": "0"
},
{
"id": "Claim.item:sonstiges_Honorar.encounter.display",
"path": "Claim.item.encounter.display",
"max": "0"
},
{
"id": "Claim.item:sonstiges_Honorar.detail",
"path": "Claim.item.detail",
"max": "0"
},
{
"id": "Claim.total",
"path": "Claim.total",
"max": "0"
}
]
}
}
FHIR