{
  "description": "Versicherungsverhältnis für die ECP-Dateneinleitung",
  "_filename": "StructureDefinition-EcpVersicherungsverhaeltnis.json",
  "package_name": "de.thieme-compliance.anamnese",
  "date": "2023-05-02",
  "derivation": "constraint",
  "publisher": "Thieme Compliance GmbH",
  "fhirVersion": "4.0.1",
  "name": "EcpVersicherungsverhaeltnis",
  "abstract": false,
  "copyright": "Copyright 2020-2023 Thieme Compliance GmbH",
  "type": "Coverage",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "ECP Versicherungsverhältnis",
  "package_version": "0.0.1-dev",
  "status": "draft",
  "id": "0b92133b-8395-43b5-9ccf-0e9132ac300b",
  "kind": "resource",
  "url": "https://thieme-compliance.de/fhir/StructureDefinition/EcpVersicherungsverhaeltnis",
  "version": "1.0.0",
  "differential": {
    "element": [ {
      "id": "Coverage.extension:gkvVersichertenart",
      "max": "1",
      "min": 0,
      "path": "Coverage.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.de/StructureDefinition/gkv/versichertenart" ]
      } ],
      "sliceName": "gkvVersichertenart",
      "mustSupport": true
    }, {
      "id": "Coverage.extension:gkvVersichertenart.extension",
      "max": "0",
      "path": "Coverage.extension.extension"
    }, {
      "id": "Coverage.extension:gkvVersichertenart.value[x]",
      "path": "Coverage.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "Coverage.extension:gkvVersichertenart.value[x].system",
      "path": "Coverage.extension.value[x].system",
      "mustSupport": true
    }, {
      "id": "Coverage.extension:gkvVersichertenart.value[x].code",
      "path": "Coverage.extension.value[x].code",
      "mustSupport": true
    }, {
      "id": "Coverage.identifier",
      "path": "Coverage.identifier",
      "short": "Primärer Identifier der Versicherung",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "definition": "Ein gesetzliches Versicherungsverhältnis sollte stets durch die eindeutige 30-stellige Versichertennummer identifiziert werden. Ist diese nicht bekannt, so wird die 10-stellige VersichertenID statt dessen verwendet.",
      "mustSupport": true
    }, {
      "id": "Coverage.identifier:KrankenversichertenID",
      "max": "1",
      "min": 0,
      "path": "Coverage.identifier",
      "type": [ {
        "code": "Identifier",
        "profile": [ "http://fhir.de/StructureDefinition/identifier-kvid-10" ]
      } ],
      "sliceName": "KrankenversichertenID",
      "mustSupport": true,
      "patternIdentifier": {
        "type": {
          "coding": [ {
            "code": "GKV",
            "system": "http://fhir.de/CodeSystem/identifier-type-de-basis"
          } ]
        }
      }
    }, {
      "id": "Coverage.identifier:KrankenversichertenID.type",
      "min": 1,
      "path": "Coverage.identifier.type",
      "mustSupport": true
    }, {
      "id": "Coverage.identifier:KrankenversichertenID.system",
      "path": "Coverage.identifier.system",
      "mustSupport": true
    }, {
      "id": "Coverage.identifier:KrankenversichertenID.value",
      "path": "Coverage.identifier.value",
      "mustSupport": true
    }, {
      "id": "Coverage.identifier:IdentifierPkv",
      "max": "1",
      "min": 0,
      "path": "Coverage.identifier",
      "type": [ {
        "code": "Identifier",
        "profile": [ "http://fhir.de/StructureDefinition/identifier-pkv" ]
      } ],
      "sliceName": "IdentifierPkv",
      "mustSupport": true,
      "patternIdentifier": {
        "type": {
          "coding": [ {
            "code": "PKV",
            "system": "http://fhir.de/CodeSystem/identifier-type-de-basis"
          } ]
        }
      }
    }, {
      "id": "Coverage.identifier:IdentifierPkv.type",
      "min": 1,
      "path": "Coverage.identifier.type",
      "mustSupport": true
    }, {
      "id": "Coverage.identifier:IdentifierPkv.system",
      "path": "Coverage.identifier.system",
      "mustSupport": true
    }, {
      "id": "Coverage.identifier:IdentifierPkv.value",
      "path": "Coverage.identifier.value",
      "mustSupport": true
    }, {
      "id": "Coverage.status",
      "path": "Coverage.status",
      "mustSupport": true
    }, {
      "id": "Coverage.type",
      "path": "Coverage.type",
      "mustSupport": true
    }, {
      "id": "Coverage.type.coding",
      "min": 1,
      "path": "Coverage.type.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Coverage.type.coding:VersicherungsArtDeBasis",
      "max": "1",
      "min": 1,
      "path": "Coverage.type.coding",
      "sliceName": "VersicherungsArtDeBasis",
      "mustSupport": true
    }, {
      "id": "Coverage.subscriber",
      "path": "Coverage.subscriber",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ]
      } ],
      "definition": "Hauptversicherte Person, wenn abweichend von beneficiary, z.B. bei Familienversicherung"
    }, {
      "id": "Coverage.subscriber.identifier",
      "min": 1,
      "path": "Coverage.subscriber.identifier",
      "type": [ {
        "code": "Identifier",
        "profile": [ "http://fhir.de/StructureDefinition/identifier-kvid-10" ]
      } ],
      "short": "VersichertenID (10-stellig) des Hauptversicherten",
      "patternIdentifier": {
        "system": "http://fhir.de/sid/gkv/kvid-10"
      }
    }, {
      "id": "Coverage.subscriber.display",
      "path": "Coverage.subscriber.display",
      "short": "Name des Hauptversicherten"
    }, {
      "id": "Coverage.beneficiary",
      "path": "Coverage.beneficiary",
      "comment": "Die Angabe der 10-stelligen Krankenversichertennummer ist verpflichtend. Durch die Referenz auf eine Patient-Resource können weitere Informationen zum Patienten hinterlegt werden.",
      "definition": "Benennt die versicherte Person.",
      "mustSupport": true
    }, {
      "id": "Coverage.beneficiary.reference",
      "min": 1,
      "path": "Coverage.beneficiary.reference",
      "mustSupport": true
    }, {
      "id": "Coverage.beneficiary.identifier",
      "path": "Coverage.beneficiary.identifier",
      "short": "Identifier der versicherten Person",
      "patternIdentifier": {
        "system": "http://fhir.de/sid/gkv/kvid-10"
      }
    }, {
      "id": "Coverage.beneficiary.display",
      "path": "Coverage.beneficiary.display",
      "short": "Name der Versicherten Person",
      "definition": "Die Angabe des Namens des Versicherten dient der geeigneten Darstellung für den Benutzer und hat keine technische Bedeutung."
    }, {
      "id": "Coverage.payor",
      "max": "1",
      "path": "Coverage.payor",
      "mustSupport": true
    }, {
      "id": "Coverage.payor.identifier",
      "path": "Coverage.payor.identifier",
      "type": [ {
        "code": "Identifier",
        "profile": [ "http://fhir.de/StructureDefinition/identifier-iknr" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Coverage.payor.identifier.type",
      "min": 1,
      "path": "Coverage.payor.identifier.type",
      "mustSupport": true
    }, {
      "id": "Coverage.payor.identifier.system",
      "path": "Coverage.payor.identifier.system",
      "mustSupport": true
    }, {
      "id": "Coverage.payor.identifier.value",
      "path": "Coverage.payor.identifier.value",
      "mustSupport": true
    }, {
      "id": "Coverage.payor.display",
      "min": 1,
      "path": "Coverage.payor.display",
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "name": "Thieme Compliance GmbH",
    "telecom": [ {
      "use": "work",
      "value": "http://thieme-compliance.de/",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://fhir.de/StructureDefinition/coverage-de-basis"
}