FHIR IG Statistics: StructureDefinition/KBV_PR_AW_Leistungsgenehmigung_Psychotherapie

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{
  "resourceType": "StructureDefinition",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Leistungsgenehmigung_Psychotherapie",
  "version": "1.2.0",
  "name": "KBV_PR_AW_Leistungsgenehmigung_Psychotherapie",
  "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": "cdanetv4",
      "uri": "http://www.cda-adc.ca/en/services/cdanet/",
      "name": "Canadian Dental Association eclaims standard"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "CoverageEligibilityResponse",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/CoverageEligibilityResponse",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "CoverageEligibilityResponse.id",
        "path": "CoverageEligibilityResponse.id",
        "min": 1
      },
      {
        "id": "CoverageEligibilityResponse.meta",
        "path": "CoverageEligibilityResponse.meta",
        "min": 1
      },
      {
        "id": "CoverageEligibilityResponse.meta.versionId",
        "path": "CoverageEligibilityResponse.meta.versionId",
        "min": 1
      },
      {
        "id": "CoverageEligibilityResponse.meta.lastUpdated",
        "path": "CoverageEligibilityResponse.meta.lastUpdated",
        "min": 1
      },
      {
        "id": "CoverageEligibilityResponse.meta.profile",
        "path": "CoverageEligibilityResponse.meta.profile",
        "min": 1,
        "max": "1",
        "fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Leistungsgenehmigung_Psychotherapie|1.2.0"
      },
      {
        "id": "CoverageEligibilityResponse.text",
        "path": "CoverageEligibilityResponse.text",
        "min": 1
      },
      {
        "id": "CoverageEligibilityResponse.identifier",
        "path": "CoverageEligibilityResponse.identifier",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.purpose",
        "path": "CoverageEligibilityResponse.purpose",
        "short": "auth-requirements",
        "max": "1",
        "fixedCode": "auth-requirements"
      },
      {
        "id": "CoverageEligibilityResponse.patient",
        "path": "CoverageEligibilityResponse.patient",
        "short": "Patientenbezug",
        "definition": "Patient Resource.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Patient|1.2.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "CoverageEligibilityResponse.patient.reference",
        "path": "CoverageEligibilityResponse.patient.reference",
        "min": 1
      },
      {
        "id": "CoverageEligibilityResponse.patient.type",
        "path": "CoverageEligibilityResponse.patient.type",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.patient.identifier",
        "path": "CoverageEligibilityResponse.patient.identifier",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.patient.display",
        "path": "CoverageEligibilityResponse.patient.display",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.serviced[x]",
        "path": "CoverageEligibilityResponse.serviced[x]",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.created",
        "path": "CoverageEligibilityResponse.created",
        "short": "Bewilligungsdatum",
        "definition": "Angabe des Datums der Bewilligung",
        "mustSupport": true
      },
      {
        "id": "CoverageEligibilityResponse.requestor",
        "path": "CoverageEligibilityResponse.requestor",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.request",
        "path": "CoverageEligibilityResponse.request",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Leistungsanfrage_Psychotherapie|1.2.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "CoverageEligibilityResponse.request.reference",
        "path": "CoverageEligibilityResponse.request.reference",
        "min": 1
      },
      {
        "id": "CoverageEligibilityResponse.request.type",
        "path": "CoverageEligibilityResponse.request.type",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.request.identifier",
        "path": "CoverageEligibilityResponse.request.identifier",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.request.display",
        "path": "CoverageEligibilityResponse.request.display",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.outcome",
        "path": "CoverageEligibilityResponse.outcome",
        "definition": "Der Status ist complete.",
        "fixedCode": "complete"
      },
      {
        "id": "CoverageEligibilityResponse.disposition",
        "path": "CoverageEligibilityResponse.disposition",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurer",
        "path": "CoverageEligibilityResponse.insurer",
        "short": "Versicherer",
        "definition": "Gibt den Kostentraeger des Versicherten an. Die Angabe der IK-Nummer als logische Referenz sowie des Namend als Display ist zwingend erforderlich. Die Referenz auf eine Resource vom Typ Organization, die weitere Details zur Versicherung enthalten kann (z.B. Adresse, Kontaktdaten) ist optional.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Organisation|1.2.0"
            ]
          }
        ]
      },
      {
        "id": "CoverageEligibilityResponse.insurer.reference",
        "path": "CoverageEligibilityResponse.insurer.reference",
        "mustSupport": false
      },
      {
        "id": "CoverageEligibilityResponse.insurer.type",
        "path": "CoverageEligibilityResponse.insurer.type",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurer.identifier",
        "path": "CoverageEligibilityResponse.insurer.identifier",
        "short": "IK-Nummer des Versicherers",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "CoverageEligibilityResponse.insurer.identifier.use",
        "path": "CoverageEligibilityResponse.insurer.identifier.use",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurer.identifier.type",
        "path": "CoverageEligibilityResponse.insurer.identifier.type",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurer.identifier.system",
        "path": "CoverageEligibilityResponse.insurer.identifier.system",
        "min": 1,
        "fixedUri": "http://fhir.de/NamingSystem/arge-ik/iknr"
      },
      {
        "id": "CoverageEligibilityResponse.insurer.identifier.value",
        "path": "CoverageEligibilityResponse.insurer.identifier.value",
        "min": 1
      },
      {
        "id": "CoverageEligibilityResponse.insurer.identifier.period",
        "path": "CoverageEligibilityResponse.insurer.identifier.period",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurer.identifier.assigner",
        "path": "CoverageEligibilityResponse.insurer.identifier.assigner",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurer.display",
        "path": "CoverageEligibilityResponse.insurer.display",
        "short": "Name des Versicherers",
        "definition": "Die Angabe des Namens des Versicherers dient der geeigenten Darstellung fuer den Benutzer. Technisch ist ausschliesslich die IK-Nummer relevant",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "CoverageEligibilityResponse.insurance",
        "path": "CoverageEligibilityResponse.insurance",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "CoverageEligibilityResponse.insurance.coverage",
        "path": "CoverageEligibilityResponse.insurance.coverage",
        "short": "Krankenversicherung",
        "definition": "Referenz zur Krankenversicherung",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Krankenversicherungsverhaeltnis|1.2.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "CoverageEligibilityResponse.insurance.coverage.reference",
        "path": "CoverageEligibilityResponse.insurance.coverage.reference",
        "min": 1
      },
      {
        "id": "CoverageEligibilityResponse.insurance.coverage.type",
        "path": "CoverageEligibilityResponse.insurance.coverage.type",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.coverage.identifier",
        "path": "CoverageEligibilityResponse.insurance.coverage.identifier",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.coverage.display",
        "path": "CoverageEligibilityResponse.insurance.coverage.display",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.inforce",
        "path": "CoverageEligibilityResponse.insurance.inforce",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.benefitPeriod",
        "path": "CoverageEligibilityResponse.insurance.benefitPeriod",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item",
        "path": "CoverageEligibilityResponse.insurance.item",
        "definition": "Dieses Element kann zweimal vorkommen. In einem Element wären dann alle Leistungen vor dem 1.4.2017 und in dem anderen Element wären alle Leistungen ab dem 1.4.2017 dokumentiert.",
        "min": 1,
        "max": "2",
        "mustSupport": true
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.category",
        "path": "CoverageEligibilityResponse.insurance.item.category",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.category.coding",
        "path": "CoverageEligibilityResponse.insurance.item.category.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.category.coding.system",
        "path": "CoverageEligibilityResponse.insurance.item.category.coding.system",
        "min": 1,
        "fixedUri": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Eligibility_Kategorie"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.category.coding.version",
        "path": "CoverageEligibilityResponse.insurance.item.category.coding.version",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.category.coding.code",
        "path": "CoverageEligibilityResponse.insurance.item.category.coding.code",
        "min": 1,
        "fixedCode": "Psychotherapie_Leistungsinformation"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.category.coding.display",
        "path": "CoverageEligibilityResponse.insurance.item.category.coding.display",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.category.coding.userSelected",
        "path": "CoverageEligibilityResponse.insurance.item.category.coding.userSelected",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.category.text",
        "path": "CoverageEligibilityResponse.insurance.item.category.text",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.productOrService",
        "path": "CoverageEligibilityResponse.insurance.item.productOrService",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.modifier",
        "path": "CoverageEligibilityResponse.insurance.item.modifier",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.provider",
        "path": "CoverageEligibilityResponse.insurance.item.provider",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.excluded",
        "path": "CoverageEligibilityResponse.insurance.item.excluded",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.name",
        "path": "CoverageEligibilityResponse.insurance.item.name",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.description",
        "path": "CoverageEligibilityResponse.insurance.item.description",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.network",
        "path": "CoverageEligibilityResponse.insurance.item.network",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.unit",
        "path": "CoverageEligibilityResponse.insurance.item.unit",
        "short": "Personeller Kontext der Therapie",
        "definition": "Anzugeben ist der Personenbezug der Leistung:\r\nLeistungen fuer Versicherten\r\nLeistungen fuer Bezugsperson",
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_AW_Psychotherapie_Personenbezug"
        }
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.unit.coding",
        "path": "CoverageEligibilityResponse.insurance.item.unit.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.unit.coding.system",
        "path": "CoverageEligibilityResponse.insurance.item.unit.coding.system",
        "min": 1
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.unit.coding.code",
        "path": "CoverageEligibilityResponse.insurance.item.unit.coding.code",
        "min": 1
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.unit.coding.userSelected",
        "path": "CoverageEligibilityResponse.insurance.item.unit.coding.userSelected",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.unit.text",
        "path": "CoverageEligibilityResponse.insurance.item.unit.text",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.term",
        "path": "CoverageEligibilityResponse.insurance.item.term",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.benefit",
        "path": "CoverageEligibilityResponse.insurance.item.benefit",
        "short": "Anzahl der bewilligten Leistungen",
        "definition": "In diesem Element wird die Gesamtanzahl der bewilligten Thearpieeinheiten für die entsprechende Personengruppe dokumentiert.",
        "max": "1"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.benefit.type.coding",
        "path": "CoverageEligibilityResponse.insurance.item.benefit.type.coding",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.benefit.type.text",
        "path": "CoverageEligibilityResponse.insurance.item.benefit.type.text",
        "min": 1,
        "fixedString": "Anzahl_bewilligter_Leistungen"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.benefit.allowed[x]",
        "path": "CoverageEligibilityResponse.insurance.item.benefit.allowed[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "closed"
        }
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.benefit.allowed[x]:allowedUnsignedInt",
        "path": "CoverageEligibilityResponse.insurance.item.benefit.allowed[x]",
        "sliceName": "allowedUnsignedInt",
        "type": [
          {
            "code": "unsignedInt"
          }
        ]
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.benefit.used[x]",
        "path": "CoverageEligibilityResponse.insurance.item.benefit.used[x]",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.authorizationRequired",
        "path": "CoverageEligibilityResponse.insurance.item.authorizationRequired",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.authorizationSupporting",
        "path": "CoverageEligibilityResponse.insurance.item.authorizationSupporting",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "text"
            }
          ],
          "rules": "closed"
        },
        "min": 1,
        "max": "1"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017",
        "path": "CoverageEligibilityResponse.insurance.item.authorizationSupporting",
        "sliceName": "leistungsinformationen_vor_1_4_2017",
        "short": "Leistungsinformationen vor dem 1.4.2017",
        "definition": "In diesem Element sollen alle Leistungen, die vor dem 1.4.2017 dokumentiert sind, eingetragen werden.",
        "max": "1"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.extension",
        "path": "CoverageEligibilityResponse.insurance.item.authorizationSupporting.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.extension:sonstige_GOP",
        "path": "CoverageEligibilityResponse.insurance.item.authorizationSupporting.extension",
        "sliceName": "sonstige_GOP",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_EX_AW_Abrechnung_Sonstige_GOP"
            ]
          }
        ]
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding",
        "path": "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "max": "1"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:bmae",
        "path": "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding",
        "sliceName": "bmae",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:bmae.system",
        "path": "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.system",
        "min": 1,
        "fixedUri": "https://fhir.kbv.de/NamingSystem/KBV_NS_AW_BMAE"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:bmae.version",
        "path": "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.version",
        "max": "0"
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      {
        "id": "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:bmae.code",
        "path": "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.code",
        "min": 1
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:bmae.display",
        "path": "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.display",
        "max": "0"
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      {
        "id": "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:bmae.userSelected",
        "path": "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.userSelected",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:e-go",
        "path": "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding",
        "sliceName": "e-go",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:e-go.system",
        "path": "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.system",
        "min": 1,
        "fixedUri": "https://fhir.kbv.de/NamingSystem/KBV_NS_AW_E-GO"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:e-go.version",
        "path": "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.version",
        "max": "0"
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      {
        "id": "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:e-go.code",
        "path": "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.code",
        "min": 1
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:e-go.display",
        "path": "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.display",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:e-go.userSelected",
        "path": "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.userSelected",
        "max": "0"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:ebm",
        "path": "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding",
        "sliceName": "ebm",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:ebm.system",
        "path": "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.system",
        "min": 1,
        "fixedUri": "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_EBM"
      },
      {
        "id": "CoverageEligibilityResponse.insurance.item.authorizationSupporting:leistungsinformationen_vor_1_4_2017.coding:ebm.version",
        "path": "CoverageEligibilityResponse.insurance.item.authorizationSupporting.coding.version",
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