{ "description": null, "_filename": "KBV_EX_AW_Abrechnung_spezielle_Abrechnungsbegruendung.json", "package_name": "kbv.ita.aws", "date": null, "derivation": "constraint", "publisher": "Kassenärztliche Bundesvereinigung (KBV)", "fhirVersion": "4.0.1", "name": "KBV_EX_AW_Abrechnung_spezielle_Abrechnungsbegruendung", "mapping": [ { "uri": "http://hl7.org/v3", "name": "RIM Mapping", "identity": "rim" } ], "abstract": false, "copyright": "Copyright © [2020], Kassenärztliche Bundesvereinigung (KBV). All rights reserved.", "type": "Extension", "experimental": null, "resourceType": "StructureDefinition", "title": "KBV_EX_AW_Abrechnung_spezielle_Abrechnungsbegruendung", "package_version": "1.2.0", "status": "active", "id": "a1190f66-ab1c-4e00-9211-954dfe1055fb", "kind": "complex-type", "url": "https://fhir.kbv.de/StructureDefinition/KBV_EX_AW_Abrechnung_spezielle_Abrechnungsbegruendung", "context": [ { "type": "element", "expression": "Claim.item" } ], "version": "1.2.0", "differential": { "element": [ { "id": "Extension.extension", "path": "Extension.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "Extension.extension:art_der_Untersuchung", "max": "1", "path": "Extension.extension", "short": "Art der Untersuchung", "sliceName": "art_der_Untersuchung", "definition": "Art der Untersuchung z.B. Esterasereaktion" }, { "id": "Extension.extension:art_der_Untersuchung.url", "path": "Extension.extension.url", "fixedUri": "art_der_Untersuchung" }, { "id": "Extension.extension:art_der_Untersuchung.value[x]", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "string" } ], "slicing": { "rules": "closed", "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "Extension.extension:art_der_Untersuchung.value[x]:valueString", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "string" } ], "sliceName": "valueString" }, { "id": "Extension.extension:name_des_Arztes", "max": "1", "path": "Extension.extension", "short": "Name der Arztes", "sliceName": "name_des_Arztes", "definition": "KVDT FK 5016" }, { "id": "Extension.extension:name_des_Arztes.url", "path": "Extension.extension.url", "fixedUri": "name_des_Arztes" }, { "id": "Extension.extension:name_des_Arztes.value[x]", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "string" } ], "slicing": { "rules": "closed", "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "Extension.extension:name_des_Arztes.value[x]:valueString", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "string" } ], "sliceName": "valueString" }, { "id": "Extension.extension:poststationaer_erbrachte_Leistung", "max": "1", "path": "Extension.extension", "short": "Post-Stationär erbrachte Leistung", "sliceName": "poststationaer_erbrachte_Leistung", "definition": "Post-Stationär erbrachte Leistung\r\n0 = poststationaer erbrachte Leistung\r\n1 = Nicht poststationaer erbrachte Leistung" }, { "id": "Extension.extension:poststationaer_erbrachte_Leistung.url", "path": "Extension.extension.url", "fixedUri": "poststationaer_erbrachte_Leistung" }, { "id": "Extension.extension:poststationaer_erbrachte_Leistung.value[x]", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "boolean" } ], "slicing": { "rules": "closed", "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "Extension.extension:poststationaer_erbrachte_Leistung.value[x]:valueBoolean", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "boolean" } ], "sliceName": "valueBoolean" }, { "id": "Extension.extension:freie_Begruendung", "max": "1", "path": "Extension.extension", "short": "Freie Begründung", "sliceName": "freie_Begruendung", "definition": "Freie Begründung" }, { "id": "Extension.extension:freie_Begruendung.url", "path": "Extension.extension.url", "fixedUri": "freie_Begruendung" }, { "id": "Extension.extension:freie_Begruendung.value[x]", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "string" } ], "slicing": { "rules": "closed", "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "Extension.extension:freie_Begruendung.value[x]:valueString", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "string" } ], "sliceName": "valueString" }, { "id": "Extension.extension:prozent_der_Leistung", "max": "1", "path": "Extension.extension", "short": "Prozent der Leistung", "sliceName": "prozent_der_Leistung", "definition": "Prozent der Leistung" }, { "id": "Extension.extension:prozent_der_Leistung.url", "path": "Extension.extension.url", "fixedUri": "prozent_der_Leistung" }, { "id": "Extension.extension:prozent_der_Leistung.value[x]", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "Quantity" } ], "slicing": { "rules": "closed", "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "Extension.extension:prozent_der_Leistung.value[x]:valueQuantity", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "Quantity" } ], "sliceName": "valueQuantity" }, { "id": "Extension.extension:prozent_der_Leistung.value[x]:valueQuantity.value", "min": 1, "path": "Extension.extension.value[x].value" }, { "id": "Extension.extension:prozent_der_Leistung.value[x]:valueQuantity.unit", "min": 1, "path": "Extension.extension.value[x].unit", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "fixedString": "Prozent" }, { "id": "Extension.extension:prozent_der_Leistung.value[x]:valueQuantity.system", "min": 1, "path": "Extension.extension.value[x].system", "fixedUri": "http://unitsofmeasure.org" }, { "id": "Extension.extension:prozent_der_Leistung.value[x]:valueQuantity.code", "min": 1, "path": "Extension.extension.value[x].code", "fixedCode": "%" }, { "id": "Extension.extension:gop_fuer_bezugsperson", "max": "1", "path": "Extension.extension", "short": "Gebuehrenordnungsposition fuer Bezugsperson", "sliceName": "gop_fuer_bezugsperson", "definition": "0 = Gebuehrenordnungsposition fuer Bezugsperson\r\n1 = Keine Gebuehrenordnungsposition fuer Bezugsperson" }, { "id": "Extension.extension:gop_fuer_bezugsperson.url", "path": "Extension.extension.url", "fixedUri": "gop_fuer_bezugsperson" }, { "id": "Extension.extension:gop_fuer_bezugsperson.value[x]", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "boolean" } ], "slicing": { "rules": "closed", "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "Extension.extension:gop_fuer_bezugsperson.value[x]:valueBoolean", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "boolean" } ], "sliceName": "valueBoolean" }, { "id": "Extension.extension:wiederholungsuntersuchung", "max": "1", "path": "Extension.extension", "short": "Wiederholungsuntersuchung", "sliceName": "wiederholungsuntersuchung", "definition": "0 = Keine Wiederholungsuntersuchung\r\n1 = Wiederholungsuntersuchung" }, { "id": "Extension.extension:wiederholungsuntersuchung.url", "path": "Extension.extension.url", "fixedUri": "wiederholungsuntersuchung" }, { "id": "Extension.extension:wiederholungsuntersuchung.value[x]", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "boolean" } ], "slicing": { "rules": "closed", "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "Extension.extension:wiederholungsuntersuchung.value[x]:valueBoolean", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "boolean" } ], "sliceName": "valueBoolean" }, { "id": "Extension.extension:jahr_der_letzten_Krebsfrueherkennung", "max": "1", "path": "Extension.extension", "short": "Jahr der letzten Krebsfrueherkennung", "sliceName": "jahr_der_letzten_Krebsfrueherkennung", "definition": "Jahr der letzten Krebsfrueherkennung" }, { "id": "Extension.extension:jahr_der_letzten_Krebsfrueherkennung.url", "path": "Extension.extension.url", "fixedUri": "jahr_der_letzten_Krebsfrueherkennung" }, { "id": "Extension.extension:jahr_der_letzten_Krebsfrueherkennung.value[x]", "min": 1, "path": "Extension.extension.value[x]", "slicing": { "rules": "closed", "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "Extension.extension:jahr_der_letzten_Krebsfrueherkennung.value[x]:valueDate", "path": "Extension.extension.valueDate", "type": [ { "code": "date" } ], "sliceName": "valueDate" }, { "id": "Extension.extension:betreffendes_Organ", "path": "Extension.extension", "short": "Organbezug", "sliceName": "betreffendes_Organ", "definition": "Betreffendes Organ" }, { "id": "Extension.extension:betreffendes_Organ.url", "path": "Extension.extension.url", "fixedUri": "betreffendes_Organ" }, { "id": "Extension.extension:betreffendes_Organ.value[x]", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "string" } ], "slicing": { "rules": "closed", "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "Extension.extension:betreffendes_Organ.value[x]:valueString", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "string" } ], "sliceName": "valueString" }, { "id": "Extension.extension:gop_Zusatz", "max": "1", "path": "Extension.extension", "short": "Zusatz zur GOP", "sliceName": "gop_Zusatz", "definition": "Zusatz zur GOP" }, { "id": "Extension.extension:gop_Zusatz.url", "path": "Extension.extension.url", "fixedUri": "gop_Zusatz" }, { "id": "Extension.extension:gop_Zusatz.value[x]", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "string" } ], "slicing": { "rules": "closed", "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "Extension.extension:gop_Zusatz.value[x]:valueString", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "string" } ], "sliceName": "valueString" }, { "id": "Extension.extension:patientennummer_EDV_des_FEK-Bogens", "max": "1", "path": "Extension.extension", "short": "EDV Patientennummer des FEK-Bogens", "sliceName": "patientennummer_EDV_des_FEK-Bogens", "definition": "EDV Patientennummer des FEK-Bogens" }, { "id": "Extension.extension:patientennummer_EDV_des_FEK-Bogens.url", "path": "Extension.extension.url", "fixedUri": "patientennummer_EDV_des_FEK-Bogens" }, { "id": "Extension.extension:patientennummer_EDV_des_FEK-Bogens.value[x]", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "string" } ], "slicing": { "rules": "closed", "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "Extension.extension:patientennummer_EDV_des_FEK-Bogens.value[x]:valueString", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "string" } ], "sliceName": "valueString" }, { "id": "Extension.extension:asv-Teamnr", "max": "1", "path": "Extension.extension", "short": "ASV-Teamnummer", "sliceName": "asv-Teamnr", "definition": "Die ASV-Teamnr, die zur Abrechnung dieser Position genutzt werden soll." }, { "id": "Extension.extension:asv-Teamnr.url", "path": "Extension.extension.url", "fixedUri": "asv-Teamnr" }, { "id": "Extension.extension:asv-Teamnr.value[x]", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "Identifier" } ], "slicing": { "rules": "closed", "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "Extension.extension:asv-Teamnr.value[x]:valueIdentifier", "path": "Extension.extension.value[x]", "type": [ { "code": "Identifier" } ], "sliceName": "valueIdentifier" }, { "id": "Extension.extension:asv-Teamnr.value[x]:valueIdentifier.use", "max": "0", "path": "Extension.extension.value[x].use" }, { "id": "Extension.extension:asv-Teamnr.value[x]:valueIdentifier.type", "max": "0", "path": "Extension.extension.value[x].type" }, { "id": "Extension.extension:asv-Teamnr.value[x]:valueIdentifier.system", "min": 1, "path": "Extension.extension.value[x].system", "fixedUri": "http://fhir.de/NamingSystem/asv/teamnummer" }, { "id": "Extension.extension:asv-Teamnr.value[x]:valueIdentifier.value", "min": 1, "path": "Extension.extension.value[x].value" }, { "id": "Extension.extension:asv-Teamnr.value[x]:valueIdentifier.period", "max": "0", "path": "Extension.extension.value[x].period" }, { "id": "Extension.extension:asv-Teamnr.value[x]:valueIdentifier.assigner", "max": "0", "path": "Extension.extension.value[x].assigner" }, { "id": "Extension.extension:kontrast_Arzneimittel", "max": "1", "path": "Extension.extension", "short": "Kontrastmittel", "sliceName": "kontrast_Arzneimittel", "definition": "Kontrastmittel" }, { "id": "Extension.extension:kontrast_Arzneimittel.url", "path": "Extension.extension.url", "fixedUri": "kontrast_Arzneimittel" }, { "id": "Extension.extension:kontrast_Arzneimittel.value[x]", "min": 1, "path": "Extension.extension.value[x]", "slicing": { "rules": "closed", "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "Extension.extension:kontrast_Arzneimittel.value[x]:valueQuantity", "path": "Extension.extension.value[x]", "type": [ { "code": "Quantity" } ], "sliceName": "valueQuantity" }, { "id": "Extension.extension:kontrast_Arzneimittel.value[x]:valueQuantity.value", "min": 1, "path": "Extension.extension.value[x].value" }, { "id": "Extension.extension:kontrast_Arzneimittel.value[x]:valueQuantity.comparator", "max": "0", "path": "Extension.extension.value[x].comparator" }, { "id": "Extension.extension:kontrast_Arzneimittel.value[x]:valueQuantity.unit", "min": 1, "path": "Extension.extension.value[x].unit", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Extension.extension:kontrast_Arzneimittel.value[x]:valueQuantity.system", "min": 1, "path": "Extension.extension.value[x].system", "fixedUri": "http://unitsofmeasure.org" }, { "id": "Extension.extension:kontrast_Arzneimittel.value[x]:valueQuantity.code", "min": 1, "path": "Extension.extension.value[x].code" }, { "id": "Extension.extension:tsvg_Vermittlungsart", "max": "1", "path": "Extension.extension", "short": "TSVG Vermittlungs-/Kontaktart", "sliceName": "tsvg_Vermittlungsart", "definition": "TSVG Vermittlungs-/Kontaktart:\r\n1 = TSS-Terminfall\r\n2 = TSS-Akutfall\r\n3 = HA-Vermittlungsfall\r\n4 = Offene Sprechstunde nach Anw. der Begrenzungsregelung\r\n5 = Neupatient" }, { "id": "Extension.extension:tsvg_Vermittlungsart.url", "path": "Extension.extension.url", "fixedUri": "tsvg_Vermittlungsart" }, { "id": "Extension.extension:tsvg_Vermittlungsart.value[x]", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "CodeableConcept" } ], "slicing": { "rules": "closed", "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "Extension.extension:tsvg_Vermittlungsart.value[x]:valueCodeableConcept", "path": "Extension.extension.valueCodeableConcept", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "required", "valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_AW_TSVG_Vermittlungsart" }, "sliceName": "valueCodeableConcept" }, { "id": "Extension.extension:tsvg_Vermittlungsart.value[x]:valueCodeableConcept.coding", "max": "1", "min": 1, "path": "Extension.extension.valueCodeableConcept.coding" }, { "id": "Extension.extension:tsvg_Vermittlungsart.value[x]:valueCodeableConcept.coding.system", "min": 1, "path": "Extension.extension.valueCodeableConcept.coding.system" }, { "id": "Extension.extension:tsvg_Vermittlungsart.value[x]:valueCodeableConcept.coding.code", "min": 1, "path": "Extension.extension.valueCodeableConcept.coding.code" }, { "id": "Extension.extension:tsvg_Vermittlungsart.value[x]:valueCodeableConcept.coding.userSelected", "max": "0", "path": "Extension.extension.valueCodeableConcept.coding.userSelected" }, { "id": "Extension.extension:tsvg_Vermittlungsart.value[x]:valueCodeableConcept.text", "max": "0", "path": "Extension.extension.valueCodeableConcept.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Extension.extension:tsvg_Kontaktaufnahme", "max": "1", "path": "Extension.extension", "short": "TSVG Datum Kontaktaufnahme", "sliceName": "tsvg_Kontaktaufnahme", "definition": "Datum der Kontaktaufnahme bei TSS in Abhängigkeit von der Angabe im Feld TSVG-Vermittlungs-/Kontakt-Art." }, { "id": "Extension.extension:tsvg_Kontaktaufnahme.url", "path": "Extension.extension.url", "fixedUri": "tsvg_Kontaktaufnahme" }, { "id": "Extension.extension:tsvg_Kontaktaufnahme.value[x]", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "date" } ], "slicing": { "rules": "closed", "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "Extension.extension:tsvg_Kontaktaufnahme.value[x]:valueDate", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "date" } ], "sliceName": "valueDate" }, { "id": "Extension.extension:tsvg_Vermittler_FA", "max": "1", "path": "Extension.extension", "short": "TSVG (N)BSNR vermittelnder FA", "sliceName": "tsvg_Vermittler_FA", "definition": "(N)BSNR des vermittelnden Facharzt in TSVG" }, { "id": "Extension.extension:tsvg_Vermittler_FA.url", "path": "Extension.extension.url", "fixedUri": "tsvg_Vermittler_FA" }, { "id": "Extension.extension:tsvg_Vermittler_FA.value[x]", "min": 1, "path": "Extension.extension.value[x]", "slicing": { "rules": "closed", "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "Extension.extension:tsvg_Vermittler_FA.value[x]:valueReference", "path": "Extension.extension.valueReference", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Betriebsstaette|1.2.0" ] } ], "sliceName": "valueReference" }, { "id": "Extension.extension:tsvg_Vermittler_FA.value[x]:valueReference.type", "max": "0", "path": "Extension.extension.valueReference.type" }, { "id": "Extension.extension:tsvg_Vermittler_FA.value[x]:valueReference.identifier.system", "min": 1, "path": "Extension.extension.valueReference.identifier.system", "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier", "fixedUri": "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_BSNR" }, { "id": "Extension.extension:tsvg_Vermittler_FA.value[x]:valueReference.identifier.value", "min": 1, "path": "Extension.extension.valueReference.identifier.value" }, { "id": "Extension.extension:tsvg_Vermittler_FA.value[x]:valueReference.display", "max": "0", "path": "Extension.extension.valueReference.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Extension.url", "path": "Extension.url", "fixedUri": "https://fhir.kbv.de/StructureDefinition/KBV_EX_AW_Abrechnung_spezielle_Abrechnungsbegruendung" }, { "id": "Extension.value[x]", "max": "0", "path": "Extension.value[x]" } ] }, "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension" }