{
  "description": null,
  "_filename": "examples/Questionnaire-QuestionnaireInvoice.json",
  "package_name": "de.gematik.erg",
  "date": null,
  "publisher": null,
  "name": null,
  "item": [ {
    "item": [ {
      "text": "Behandlungsart",
      "type": "choice",
      "linkId": "behandlungsart",
      "required": true,
      "answerOption": [ {
        "valueString": "ambulante Behandlung"
      }, {
        "valueString": "stationäre Behandlung"
      }, {
        "valueString": "vorstationäre Behandlung"
      }, {
        "valueString": "stationäre Mitbehandlung"
      }, {
        "valueString": "nachstationäre Behandlung"
      }, {
        "valueString": "Konsil"
      } ]
    }, {
      "item": [ {
        "text": "Startdatum",
        "type": "date",
        "linkId": "BT-73"
      }, {
        "text": "Enddatum",
        "type": "date",
        "linkId": "BT-74"
      } ],
      "text": "Behandlungszeitraum",
      "type": "group",
      "linkId": "behandlungszeitraum"
    }, {
      "item": [ {
        "text": "ICD-10-Diagnose",
        "type": "choice",
        "linkId": "diagnose-code",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "autocomplete",
              "system": "http://hl7.org/fhir/questionnaire-item-control"
            } ]
          }
        } ],
        "answerValueSet": "#TESTICD10GM"
      }, {
        "text": "Freitext-Diagnose",
        "type": "string",
        "linkId": "diagnose-text"
      } ],
      "text": "Diagnose",
      "type": "group",
      "linkId": "diagnose"
    } ],
    "text": "Behandlungsdaten",
    "type": "group",
    "linkId": "behandlungsdaten",
    "required": true
  }, {
    "item": [ {
      "text": "Telematik-ID",
      "type": "string",
      "linkId": "BT-29"
    } ],
    "text": "Rechnungsersteller",
    "type": "group",
    "linkId": "rechnungsersteller",
    "required": true
  }, {
    "item": [ {
      "text": "Suche Behandler nach Name",
      "type": "string",
      "linkId": "suche-behandler"
    } ],
    "text": "Behandler-Kontext herstellen",
    "type": "group",
    "linkId": "behandler-kontext"
  }, {
    "item": [ {
      "text": "IK-Nummer",
      "type": "string",
      "linkId": "behandler-iknummer"
    }, {
      "text": "Anrede",
      "type": "choice",
      "linkId": "behandler-anrede",
      "answerOption": [ {
        "valueString": "Herr"
      }, {
        "valueString": "Frau"
      } ]
    }, {
      "text": "Titel",
      "type": "string",
      "linkId": "behandler-titel",
      "extension": [ {
        "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
        "valueExpression": {
          "name": "behandler-titel",
          "language": "text/fhirpath",
          "expression": "%behandler.name[0].prefix"
        }
      } ]
    }, {
      "text": "Name",
      "type": "string",
      "linkId": "BT-41",
      "required": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
        "valueExpression": {
          "name": "behandler-name",
          "language": "text/fhirpath",
          "expression": "%behandler.name[0].select(given+' '+family)"
        }
      } ]
    }, {
      "text": "Straße und Hausnummer",
      "type": "string",
      "linkId": "BT-35",
      "required": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
        "valueExpression": {
          "name": "behandler-line",
          "language": "text/fhirpath",
          "expression": "%behandler.address[0].line[0]"
        }
      } ]
    }, {
      "text": "PLZ",
      "type": "string",
      "linkId": "BT-38",
      "required": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
        "valueExpression": {
          "name": "behandler-line",
          "language": "text/fhirpath",
          "expression": "%behandler.address[0].postalCode"
        }
      } ]
    }, {
      "text": "Ort",
      "type": "string",
      "linkId": "BT-37",
      "required": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
        "valueExpression": {
          "name": "behandler-line",
          "language": "text/fhirpath",
          "expression": "%behandler.address[0].city"
        }
      } ]
    } ],
    "text": "Behandler",
    "type": "group",
    "linkId": "behandler",
    "required": true
  }, {
    "item": [ {
      "text": "Versicherten-Nummer",
      "type": "string",
      "linkId": "BT-71",
      "extension": [ {
        "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
        "valueExpression": {
          "language": "text/fhirpath",
          "expression": "%patient.identifier.where(system='http://fhir.de/sid/gkv/kvid-10').value"
        }
      } ]
    }, {
      "text": "Name",
      "type": "string",
      "linkId": "BT-70",
      "required": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
        "valueExpression": {
          "language": "text/fhirpath",
          "expression": "(%patient.name.where(use = 'official').select(given[0]+' '+family) | %patient.name[0].select(given[0]+' '+family)).first()"
        }
      } ]
    }, {
      "text": "Geburtsdatum",
      "type": "date",
      "linkId": "behandelteperson-geburtsdatum",
      "required": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
        "valueExpression": {
          "language": "text/fhirpath",
          "expression": "%patient.birthDate"
        }
      } ]
    } ],
    "text": "Behandelte Person",
    "type": "group",
    "linkId": "behandelteperson",
    "required": true
  }, {
    "item": [ {
      "text": "Rechnungsdatum",
      "type": "date",
      "linkId": "BT-2",
      "required": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
        "valueExpression": {
          "language": "text/fhirpath",
          "expression": "today()"
        }
      } ]
    }, {
      "text": "Rechnungsnummer",
      "type": "string",
      "linkId": "BT-1",
      "required": true
    }, {
      "text": "Gesamtsumme",
      "type": "decimal",
      "linkId": "BT-106",
      "required": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
        "valueCoding": {
          "code": "EUR",
          "system": "urn:iso:std:iso:4217"
        }
      } ]
    }, {
      "item": [ {
        "text": "Datum",
        "type": "date",
        "linkId": "rechnungsposition-datum",
        "required": true
      }, {
        "text": "Gebührenordnung",
        "type": "choice",
        "linkId": "gebuehrenordnung",
        "required": true,
        "answerOption": [ {
          "valueString": "GOÄ"
        }, {
          "valueString": "GOZ"
        } ]
      }, {
        "text": "Ziffer",
        "type": "string",
        "linkId": "BT-155",
        "required": true
      }, {
        "text": "Leistungsbezeichnung",
        "type": "string",
        "linkId": "BT-153",
        "required": true
      }, {
        "text": "Begründung",
        "type": "string",
        "linkId": "rechnungsposition-begruendung",
        "required": true
      }, {
        "text": "Mindestdauer",
        "type": "string",
        "linkId": "rechnungsposition-mindestdauer",
        "required": true
      }, {
        "text": "Zahnregion",
        "type": "string",
        "linkId": "rechnungsposition-zahnregion"
      }, {
        "item": [ {
          "text": "Entfernung",
          "type": "decimal",
          "linkId": "BT-130",
          "required": true,
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
            "valueCoding": {
              "code": "km",
              "system": "http://unitsofmeasure.org"
            }
          } ]
        }, {
          "text": "Gebührenordnung",
          "type": "choice",
          "linkId": "gebuehrenordnung",
          "required": true,
          "answerOption": [ {
            "valueString": "Tag"
          }, {
            "valueString": "Nacht"
          } ]
        }, {
          "text": "Anzahl",
          "type": "decimal",
          "linkId": "BT-129",
          "required": true
        } ],
        "text": "Wegegeld",
        "type": "group",
        "linkId": "wegegeld",
        "required": true
      }, {
        "text": "Gesamtpreis",
        "type": "decimal",
        "linkId": "BT-131",
        "required": true,
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
          "valueCoding": {
            "code": "EUR",
            "system": "urn:iso:std:iso:4217"
          }
        } ]
      } ],
      "text": "Rechnungspositionen",
      "type": "group",
      "linkId": "rechnungsposition",
      "repeats": true,
      "required": true
    }, {
      "text": "Begründung für Überschreitung der Regelsätze",
      "type": "string",
      "linkId": "BT-144",
      "required": true
    }, {
      "text": "Zahlungsziel",
      "type": "date",
      "linkId": "BT-9",
      "required": true
    }, {
      "item": [ {
        "text": "Kontoinhaber",
        "type": "string",
        "linkId": "BT-85",
        "required": true
      }, {
        "text": "IBAN",
        "type": "string",
        "linkId": "BT-84",
        "required": true
      }, {
        "text": "BIC",
        "type": "string",
        "linkId": "BT-86"
      }, {
        "text": "Name der Bank",
        "type": "string",
        "linkId": "zahlungsdaten-bank"
      }, {
        "text": "Verwendungszweck",
        "type": "string",
        "linkId": "BT-83",
        "required": true
      } ],
      "text": "Zahlungsdaten",
      "type": "group",
      "linkId": "zahlungsdaten",
      "required": true
    } ],
    "text": "Rechnungsdaten",
    "type": "group",
    "linkId": "rechnungsdaten",
    "required": true
  } ],
  "type": null,
  "experimental": null,
  "resourceType": "Questionnaire",
  "title": "eRechnung",
  "package_version": "1.0.0-CC",
  "extension": [ {
    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext",
    "extension": [ {
      "url": "name",
      "valueCoding": {
        "code": "patient",
        "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext"
      }
    }, {
      "url": "type",
      "valueCode": "Patient"
    }, {
      "url": "description",
      "valueString": "BehandeltePerson"
    } ]
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/variable",
    "valueExpression": {
      "name": "behandlersuchstring",
      "language": "text/fhirpath",
      "expression": "%resource.repeat(item).where(linkId='suche-behandler').answer.value"
    }
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/variable",
    "valueExpression": {
      "name": "behandlersuche",
      "language": "application/x-fhir-query",
      "expression": "Practitioner?name={{%behandlersuchstring}}"
    }
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/variable",
    "valueExpression": {
      "name": "behandler",
      "language": "text/fhirpath",
      "expression": "%behandlersuche.entry[0].resource"
    }
  } ],
  "contained": [ {
    "description": "NUR ZUR VALIDIERUNG VON BEISPIELDATENSÄTZEN!!! NICHT ZUR VALIDIERUNG VON ICD-10-DIAGNOSEN GEEIGENT!!!! Die Validierung von ICD 10 Diagnosen muss durch einen geeigneten Terminologie-Server erfolgen. Eine Expansion von ICD-10(-GM) ist aufgrund der Menge an Codes und der Postkoordination nicht ausreichend, um ICD-10-Codes zu validieren! Enthält sowohl einzelne als auch postkoordinierte Codes, um das Vorhandensein einer Post-Koordinationsgrammatik zu simulieren!",
    "compose": {
      "include": [ {
        "system": "http://fhir.de/CodeSystem/dimdi/icd-10-gm"
      } ]
    },
    "meta": {
      "profile": [ "http://hl7.org/fhir/StructureDefinition/shareablevalueset" ]
    },
    "name": "TESTICD10GM",
    "experimental": true,
    "resourceType": "ValueSet",
    "expansion": {
      "total": 2,
      "contains": [ {
        "code": "F71",
        "system": "http://fhir.de/CodeSystem/dimdi/icd-10-gm",
        "display": "Mittalgradige Intelligenzminderung",
        "version": "2019"
      }, {
        "code": "F16.1",
        "system": "http://fhir.de/CodeSystem/dimdi/icd-10-gm",
        "display": "Psychische Verhaltensstörung durch Halluzinogene (Akute Intoxikation)",
        "version": "2019"
      }, {
        "code": "U69.32",
        "system": "http://fhir.de/CodeSystem/dimdi/icd-10-gm",
        "display": "Intravenöser Konsum sonstiger psychotroper Substanzen",
        "version": "2019"
      }, {
        "code": "F16.1 U69.32!",
        "system": "http://fhir.de/CodeSystem/dimdi/icd-10-gm",
        "display": "Psychische Verhaltensstörung durch Halluzinogene (Akute Intoxikation) bei intravenösem Konsum",
        "version": "2019"
      }, {
        "code": "E10.30† H36.0*",
        "system": "http://fhir.de/CodeSystem/dimdi/icd-10-gm",
        "display": "Diabetische Retinopathie",
        "version": "2019"
      }, {
        "code": "E10.30",
        "system": "http://fhir.de/CodeSystem/dimdi/icd-10-gm",
        "display": "Diabetes mellitus, Typ 1 : Mit Augenkomplikationen : Nicht als entgleist bezeichnet",
        "version": "2019"
      }, {
        "code": "H36.0",
        "system": "http://fhir.de/CodeSystem/dimdi/icd-10-gm",
        "display": "Affektionen der Netzhaut bei anderenorts klassifizierten Krankheiten",
        "version": "2019"
      } ],
      "timestamp": "2019-07-06",
      "identifier": "440c50b5-7272-4184-9ddd-95a75d8207f8"
    },
    "title": "Testdatensatz zur Simulation einer ICD-10-Validierung für Beispieldatensätze",
    "status": "draft",
    "id": "TESTICD10GM",
    "url": "http://fhir.de/ValueSet/dimdi/icd-10-gm"
  } ],
  "status": "draft",
  "id": "7f8838f4-975a-40a6-80dd-34a00b8c019a",
  "kind": null,
  "url": "http://gefyra.de/fhir/sdc/Questionnaire/Invoice",
  "version": null
}