{
"description": null,
"_filename": "StructureDefinition-EEBCoverageEgkNoAddressLine.json",
"package_name": "de.gematik.elektronische",
"date": "2025-05-27",
"derivation": "constraint",
"publisher": "gematik GmbH",
"fhirVersion": "4.0.1",
"name": "EEBCoverageEgkNoAddressLine",
"abstract": false,
"type": "Coverage",
"experimental": "false",
"resourceType": "StructureDefinition",
"title": null,
"package_version": "versicherungsbescheinigung-1.1.0-rc",
"status": "active",
"id": "1f6952e6-5856-4383-934a-0c12ce72ffce",
"kind": "resource",
"url": "https://gematik.de/fhir/eeb/StructureDefinition/EEBCoverageEgkNoAddressLine",
"version": "1.1.0",
"differential": {
"element": [ {
"id": "Coverage",
"path": "Coverage",
"constraint": [ {
"key": "-eeb-angabeGeschuetzteVersichertendaten",
"human": "Falls der Versicherungstyp GKV ist, müssen die geschützten Versichertendaten angegeben werden.",
"source": "https://gematik.de/fhir/eeb/StructureDefinition/EEBCoverageEgkNoAddressLine",
"severity": "error",
"expression": "type.coding.code='GKV' implies extension('https://gematik.de/fhir/eeb/StructureDefinition/GeschuetzteVersichertendaten').exists()"
} ]
}, {
"id": "Coverage.meta",
"min": 1,
"path": "Coverage.meta"
}, {
"id": "Coverage.meta.profile",
"path": "Coverage.meta.profile",
"fixedCanonical": "https://gematik.de/fhir/eeb/StructureDefinition/EEBCoverageEgkNoAddressLine"
}, {
"id": "Coverage.extension",
"min": 3,
"path": "Coverage.extension"
}, {
"id": "Coverage.extension:versionEgk",
"max": "1",
"min": 1,
"path": "Coverage.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://fhir.de/StructureDefinition/gkv/version-vsdm" ]
} ],
"sliceName": "versionEgk"
}, {
"id": "Coverage.extension:versionEgk.value[x]",
"min": 1,
"path": "Coverage.extension.value[x]"
}, {
"id": "Coverage.extension:versichertenart",
"max": "0",
"min": 0,
"path": "Coverage.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://fhir.de/StructureDefinition/gkv/versichertenart" ]
} ],
"sliceName": "versichertenart"
}, {
"id": "Coverage.extension:kostenerstattung",
"max": "0",
"min": 0,
"path": "Coverage.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://fhir.de/StructureDefinition/gkv/kostenerstattung" ]
} ],
"sliceName": "kostenerstattung"
}, {
"id": "Coverage.extension:wop",
"max": "0",
"min": 0,
"path": "Coverage.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://fhir.de/StructureDefinition/gkv/wop" ]
} ],
"sliceName": "wop"
}, {
"id": "Coverage.extension:besonderePersonengruppe",
"max": "0",
"min": 0,
"path": "Coverage.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://fhir.de/StructureDefinition/gkv/besondere-personengruppe" ]
} ],
"sliceName": "besonderePersonengruppe"
}, {
"id": "Coverage.extension:dmpKennzeichen",
"max": "0",
"min": 0,
"path": "Coverage.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://fhir.de/StructureDefinition/gkv/dmp-kennzeichen" ]
} ],
"sliceName": "dmpKennzeichen"
}, {
"id": "Coverage.extension:ruhenderLeistungsanspruch",
"max": "0",
"min": 0,
"path": "Coverage.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://fhir.de/StructureDefinition/gkv/ruhender-leistungsanspruch" ]
} ],
"sliceName": "ruhenderLeistungsanspruch"
}, {
"id": "Coverage.extension:zuzahlungsstatus",
"max": "0",
"min": 0,
"path": "Coverage.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://fhir.de/StructureDefinition/gkv/zuzahlungsstatus" ]
} ],
"sliceName": "zuzahlungsstatus"
}, {
"id": "Coverage.extension:persoenlicheVersichertendaten",
"max": "1",
"min": 1,
"path": "Coverage.extension",
"type": [ {
"code": "Extension",
"profile": [ "https://gematik.de/fhir/eeb/StructureDefinition/PersoenlicheVersichertendaten" ]
} ],
"sliceName": "persoenlicheVersichertendaten"
}, {
"id": "Coverage.extension:allgemeineVersicherungsdaten",
"max": "1",
"min": 1,
"path": "Coverage.extension",
"type": [ {
"code": "Extension",
"profile": [ "https://gematik.de/fhir/eeb/StructureDefinition/AllgemeineVersicherungsdaten" ]
} ],
"sliceName": "allgemeineVersicherungsdaten"
}, {
"id": "Coverage.extension:geschuetzteVersichertendaten",
"max": "1",
"min": 0,
"path": "Coverage.extension",
"type": [ {
"code": "Extension",
"profile": [ "https://gematik.de/fhir/eeb/StructureDefinition/GeschuetzteVersichertendaten" ]
} ],
"sliceName": "geschuetzteVersichertendaten"
}, {
"id": "Coverage.extension:genderIdentity",
"max": "0",
"min": 0,
"path": "Coverage.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/patient-genderIdentity" ]
} ],
"sliceName": "genderIdentity"
}, {
"id": "Coverage.identifier",
"max": "0",
"path": "Coverage.identifier"
}, {
"id": "Coverage.status",
"path": "Coverage.status",
"fixedCode": "active"
}, {
"id": "Coverage.type",
"path": "Coverage.type",
"binding": {
"strength": "required",
"valueSet": "http://fhir.de/ValueSet/versicherungsart-de-basis"
}
}, {
"id": "Coverage.subscriber",
"max": "0",
"path": "Coverage.subscriber"
}, {
"id": "Coverage.beneficiary",
"path": "Coverage.beneficiary",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Patient" ]
} ]
}, {
"id": "Coverage.beneficiary.reference",
"min": 1,
"path": "Coverage.beneficiary.reference"
}, {
"id": "Coverage.beneficiary.type",
"max": "0",
"path": "Coverage.beneficiary.type"
}, {
"id": "Coverage.beneficiary.identifier",
"max": "0",
"path": "Coverage.beneficiary.identifier"
}, {
"id": "Coverage.beneficiary.display",
"max": "0",
"path": "Coverage.beneficiary.display"
}, {
"id": "Coverage.dependent",
"max": "0",
"path": "Coverage.dependent"
}, {
"id": "Coverage.relationship",
"max": "0",
"path": "Coverage.relationship"
}, {
"id": "Coverage.period",
"min": 1,
"path": "Coverage.period"
}, {
"id": "Coverage.period.start",
"min": 1,
"path": "Coverage.period.start"
}, {
"id": "Coverage.period.end",
"min": 1,
"path": "Coverage.period.end"
}, {
"id": "Coverage.payor",
"max": "1",
"path": "Coverage.payor"
}, {
"id": "Coverage.payor.extension:abrechnendeIK",
"max": "0",
"min": 0,
"path": "Coverage.payor.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://fhir.de/StructureDefinition/AbrechnendeIK" ]
} ],
"sliceName": "abrechnendeIK"
}, {
"id": "Coverage.payor.reference",
"max": "0",
"path": "Coverage.payor.reference"
}, {
"id": "Coverage.payor.type",
"max": "0",
"path": "Coverage.payor.type"
}, {
"id": "Coverage.payor.identifier",
"min": 1,
"path": "Coverage.payor.identifier",
"type": [ {
"code": "Identifier",
"profile": [ "http://fhir.de/StructureDefinition/identifier-iknr" ]
} ]
}, {
"id": "Coverage.payor.display",
"min": 1,
"path": "Coverage.payor.display"
}, {
"id": "Coverage.class",
"max": "0",
"path": "Coverage.class"
}, {
"id": "Coverage.costToBeneficiary",
"max": "0",
"path": "Coverage.costToBeneficiary"
}, {
"id": "Coverage.subrogation",
"max": "0",
"path": "Coverage.subrogation"
}, {
"id": "Coverage.contract",
"max": "0",
"path": "Coverage.contract"
} ]
},
"baseDefinition": "http://fhir.de/StructureDefinition/coverage-de-basis"
}