{ "description": "Dieses Profil beschreibt ein Versicherungsverhältnis eines Patienten innerhalb des nNGM-Projektes.", "_filename": "Profile-nNGM-Coverage-Versicherungsverhaeltnis.json", "package_name": "de.uk-koeln.nngm.form", "date": null, "derivation": "constraint", "publisher": null, "fhirVersion": "4.0.1", "name": "Profile_nNGM_Coverage_Versicherungsverhaeltnis", "abstract": false, "type": "Coverage", "experimental": null, "resourceType": "StructureDefinition", "title": "Profile - nNGM - Coverage - Versicherungsverhaeltnis", "package_version": "1.0.0", "status": "active", "id": "983b470d-dbc1-4134-a1c3-24559ede4298", "kind": "resource", "url": "http://uk-koeln.de/fhir/StructureDefinition/nNGM/Coverage", "version": "1.0.0", "differential": { "element": [ { "id": "Coverage.identifier", "min": 1, "path": "Coverage.identifier", "slicing": { "rules": "open", "discriminator": [ { "path": "$this", "type": "pattern" } ] } }, { "id": "Coverage.identifier:GKV-Identifier", "max": "1", "path": "Coverage.identifier", "type": [ { "code": "Identifier", "profile": [ "http://fhir.de/StructureDefinition/identifier-kvid-10" ] } ], "sliceName": "GKV-Identifier", "mustSupport": true, "patternIdentifier": { "type": { "coding": [ { "code": "GKV", "system": "http://fhir.de/CodeSystem/identifier-type-de-basis" } ] } } }, { "id": "Coverage.identifier:GKV-Identifier.type", "min": 1, "path": "Coverage.identifier.type", "mustSupport": true }, { "id": "Coverage.identifier:GKV-Identifier.type.coding", "max": "1", "min": 1, "path": "Coverage.identifier.type.coding", "mustSupport": false }, { "id": "Coverage.identifier:GKV-Identifier.value", "path": "Coverage.identifier.value", "mustSupport": true }, { "id": "Coverage.identifier:PKV-Identifier", "max": "1", "path": "Coverage.identifier", "type": [ { "code": "Identifier", "profile": [ "http://fhir.de/StructureDefinition/identifier-pkv" ] } ], "sliceName": "PKV-Identifier", "mustSupport": true, "patternIdentifier": { "type": { "coding": [ { "code": "PKV", "system": "http://fhir.de/CodeSystem/identifier-type-de-basis" } ] } } }, { "id": "Coverage.identifier:PKV-Identifier.type", "min": 1, "path": "Coverage.identifier.type", "mustSupport": true }, { "id": "Coverage.identifier:PKV-Identifier.value", "path": "Coverage.identifier.value", "mustSupport": true }, { "id": "Coverage.status", "path": "Coverage.status", "label": "Versicherungsstatus", "short": "Für die Übermittelung im Rahmen der Anforderung einer Diagnostik sind nur aktive Versicherungsverhältnisse zu übermitteln", "fixedCode": "active" }, { "id": "Coverage.type", "path": "Coverage.type", "label": "Versicherungsart", "short": "Ob es sich um eine GKV oder PKV Krankenversicherung handelt", "binding": { "strength": "required", "valueSet": "http://uk-koeln.de/fhir/ValueSet/nNGM/krankenkassentypen" }, "mustSupport": true }, { "id": "Coverage.beneficiary", "path": "Coverage.beneficiary", "label": "Patient", "short": "Eine Verknüpfung mit dem Patienten muss stets gegeben sein", "mustSupport": true }, { "id": "Coverage.payor", "max": "1", "path": "Coverage.payor" }, { "id": "Coverage.payor.display", "min": 1, "path": "Coverage.payor.display", "label": "Versicherer", "short": "Nur zugelassene Krankenkassen dürfen übermittelt werden. Die Liste kann auf Anfrage bei der nNGM Geschäfststelle erweitert werden", "binding": { "strength": "required", "valueSet": "http://uk-koeln.de/fhir/ValueSet/nNGM/krankenkasse" }, "mustSupport": true } ] }, "baseDefinition": "http://fhir.de/StructureDefinition/coverage-de-basis" }