{ "description": null, "_filename": "StructureDefinition-eeb-coverage-egk.json", "package_name": "de.gematik.elektronische-versicherungsbescheinigung", "date": "2023-03-17", "derivation": "constraint", "publisher": "gematik GmbH", "fhirVersion": "4.0.1", "name": "EEBCoverageEgk", "abstract": false, "type": "Coverage", "experimental": "false", "resourceType": "StructureDefinition", "title": null, "package_version": "1.0.0-rc3", "status": "active", "id": "7c465c71-b499-4e45-8d7b-3e77c8111dc6", "kind": "resource", "url": "https://gematik.de/fhir/eeb/StructureDefinition/EEBCoverageEgk", "version": "1.0.0-rc3", "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/EEBCoverageEgk", "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/EEBCoverageEgk" }, { "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.extension", "max": "0", "path": "Coverage.extension.extension" }, { "id": "Coverage.extension:versionEgk.value[x]", "min": 1, "path": "Coverage.extension.value[x]", "slicing": { "rules": "open", "ordered": false, "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "Coverage.extension:versionEgk.valueString", "max": "1", "min": 1, "path": "Coverage.extension.valueString" }, { "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" }