{ "description": "Generisches Profil zur Abbildung aller Abrechnungsarten in der ambualnten Versorgung", "_filename": "InvoiceDeArtAbrechnung.json", "package_name": "de.transfer-abrechnungsdaten.r4", "date": "2021-03-21T16:26:36.7912311+00:00", "derivation": "specialization", "meta": { "lastUpdated": "2021-03-21T16:28:47.005+00:00" }, "publisher": "vital.services GmbH", "fhirVersion": "4.0.1", "name": "InvoiceDeArtAbrechnung", "mapping": [ { "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping", "identity": "v2" }, { "uri": "http://hl7.org/v3", "name": "RIM Mapping", "identity": "rim" }, { "uri": "http://hl7.org/fhir/fivews", "name": "FiveWs Pattern Mapping", "identity": "w5" }, { "uri": "http://hl7.org/fhir/workflow", "name": "Workflow Pattern", "identity": "workflow" } ], "abstract": false, "type": "Invoice", "experimental": null, "resourceType": "StructureDefinition", "title": "Abrechnung", "package_version": "1.0.0", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-category", "valueString": "Financial.Billing" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "trial-use" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger": 0 }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category", "valueCode": "patient" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode": "fm" } ], "status": "draft", "language": "DE", "id": "af45f27c-a080-46ea-85fb-2562ad60f844", "kind": "resource", "url": "http://fhir.de/StructureDefinition/invoice-de-art-abrechnung", "version": "1.0.0", "differential": { "element": [ { "id": "Invoice", "path": "Invoice", "short": "Invoice containing ChargeItems from an Account", "mapping": [ { "map": "FT1", "identity": "v2" }, { "map": "Act[moodCode=EVN]", "identity": "rim" } ], "definition": "Invoice containing collected ChargeItems from an Account with calculated individual and total price for Billing purpose." }, { "id": "Invoice.identifier", "path": "Invoice.identifier", "type": [ { "code": "Identifier" } ], "short": "Business Identifier for item", "mapping": [ { "map": "FiveWs.identifier", "identity": "w5" }, { "map": "FT1.2", "identity": "v2" }, { "map": ".identifier", "identity": "rim" } ], "isSummary": true, "definition": "Identifier of this Invoice, often used for reference in correspondence about this invoice or for tracking of payments.", "requirements": "Allows Identification of this Invoice instance." }, { "id": "Invoice.identifier.value", "min": 1, "path": "Invoice.identifier.value", "mustSupport": true }, { "path": "Invoice.status", "min": 1, "definition": "The current state of the Invoice.", "isModifier": true, "short": "draft | issued | balanced | cancelled | entered-in-error", "mapping": [ { "map": "FiveWs.status", "identity": "w5" }, { "map": "Varies by domain", "identity": "v2" }, { "map": ".status", "identity": "rim" } ], "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://hl7.org/fhir/ValueSet/invoice-status|4.0.0", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "InvoiceStatus" } ], "description": "Codes identifying the lifecycle stage of an Invoice." }, "max": "1", "id": "Invoice.status", "isModifierReason": "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid", "isSummary": true }, { "id": "Invoice.cancelledReason", "max": "1", "path": "Invoice.cancelledReason", "type": [ { "code": "string" } ], "short": "Reason for cancellation of this Invoice", "comment": "Derived Profiles may choose to add invariants requiring this field to be populated if either priceOverride or factorOverride have been filled.", "isSummary": false, "definition": "In case of Invoice cancellation a reason must be given (entered in error, superseded by corrected invoice etc.)." }, { "path": "Invoice.type", "definition": "Type of Invoice depending on domain, realm an usage (e.g. internal/external, dental, preliminary).", "short": "Type of Invoice", "mapping": [ { "map": "Event.code", "identity": "workflow" }, { "map": "FiveWs.what[x]", "identity": "w5" }, { "map": "FT1.7", "identity": "v2" }, { "map": ".code", "identity": "rim" } ], "type": [ { "code": "CodeableConcept" } ], "alias": [ "type" ], "max": "1", "id": "Invoice.type", "isSummary": true }, { "path": "Invoice.subject", "requirements": "Links the event to the Patient context.", "definition": "The individual or set of individuals receiving the goods and services billed in this invoice.", "short": "Recipient(s) of goods and services", "mapping": [ { "map": "Event.subject", "identity": "workflow" }, { "map": "FiveWs.subject[x]", "identity": "w5" }, { "map": "PAT in proximity to FT1 segment", "identity": "v2" }, { "map": ".participation[typeCode=SBJ].role", "identity": "rim" }, { "map": "FiveWs.subject", "identity": "w5" } ], "type": [ { "code": "Reference", "aggregation": [ "referenced" ], "targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Patient" ] } ], "mustSupport": false, "alias": [ "Patient" ], "max": "1", "id": "Invoice.subject", "isSummary": true }, { "path": "Invoice.recipient", "definition": "The individual or Organization responsible for balancing of this invoice.", "short": "Recipient of this invoice", "mapping": [ { "map": "Event.context", "identity": "workflow" }, { "map": "PV1 in proximity to FT1 segment", "identity": "v2" }, { "map": ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]", "identity": "rim" } ], "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Patient", "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Organization", "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ] } ], "alias": [ "Rechnungsempfänger" ], "max": "1", "id": "Invoice.recipient", "isSummary": true }, { "path": "Invoice.date", "definition": "Date/time(s) of when this Invoice was posted.", "short": "Invoice date / posting date", "mapping": [ { "map": "FiveWs.done[x]", "identity": "w5" }, { "map": "Varies by domain", "identity": "v2" }, { "map": ".effectiveTime", "identity": "rim" } ], "type": [ { "code": "dateTime" } ], "max": "1", "id": "Invoice.date", "comment": "The list of types may be constrained as appropriate for the type of charge item.", "isSummary": true }, { "id": "Invoice.participant", "path": "Invoice.participant", "type": [ { "code": "BackboneElement" } ], "alias": [ "Behandler" ], "short": "Participant in creation of this Invoice", "mapping": [ { "map": "EVN.5 or by domain", "identity": "v2" }, { "map": ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]", "identity": "rim" } ], "isSummary": false, "definition": "Indicates who or what performed or participated in the charged service." }, { "id": "Invoice.participant.role", "max": "1", "path": "Invoice.participant.role", "type": [ { "code": "CodeableConcept" } ], "short": "Type of involvement in creation of this Invoice", "mapping": [ { "map": "Varies by domain", "identity": "v2" }, { "map": ".participation.functionCode", "identity": "rim" } ], "isSummary": false, "definition": "Describes the type of involvement (e.g. transcriptionist, creator etc.). If the invoice has been created automatically, the Participant may be a billing engine or another kind of device." }, { "id": "Invoice.participant.actor", "path": "Invoice.participant.actor", "type": [ { "code": "Reference" } ], "short": "Individual who was involved", "mapping": [ { "map": "FiveWs.actor", "identity": "w5" }, { "map": "EVN.5 or by domain", "identity": "v2" }, { "map": ".player", "identity": "rim" } ], "isSummary": false, "definition": "The device, practitioner, etc. who performed or participated in the service." }, { "path": "Invoice.issuer", "definition": "The organizationissuing the Invoice.", "short": "Issuing Organization of Invoice", "mapping": [ { "map": "N/A", "identity": "v2" }, { "map": ".scoper", "identity": "rim" } ], "type": [ { "code": "Reference", "aggregation": [ "referenced" ], "targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Organization" ] } ], "mustSupport": true, "max": "1", "id": "Invoice.issuer", "comment": "Practitioners and Devices can be associated with multiple organizations. It has to be made clear, on behalf of which Organization the services have been rendered.", "isSummary": false }, { "id": "Invoice.account", "max": "1", "path": "Invoice.account", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Account" ] } ], "short": "Account that is being balanced", "comment": "Systems posting the ChargeItems might not always be able to determine, which accounts the Items need to be places into. It is up to the potprocessing Financial System to apply internal rules to decide based on the Encounter/EpisodeOfCare/Patient/Coverage context and the type of ChargeItem, which Account is appropriate.", "isSummary": false, "definition": "Account which is supposed to be balanced with this Invoice." }, { "id": "Invoice.lineItem", "path": "Invoice.lineItem", "type": [ { "code": "BackboneElement" } ], "short": "Line items of this Invoice", "mapping": [ { "map": "EVN.5 or by domain", "identity": "v2" }, { "map": ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]", "identity": "rim" } ], "isSummary": false, "definition": "Each line item represents one charge for goods and services rendered. Details such as date, code and amount are found in the referenced ChargeItem resource." }, { "id": "Invoice.lineItem.sequence", "max": "1", "path": "Invoice.lineItem.sequence", "type": [ { "code": "positiveInt" } ], "short": "Sequence number of line item", "isSummary": false, "definition": "Sequence in which the items appear on the invoice." }, { "path": "Invoice.lineItem.chargeItem[x]", "min": 1, "definition": "The ChargeItem contains information such as the billing code, date, amount etc. If no further details are required for the lineItem, inline billing codes can be added using the CodeableConcept data type instead of the Reference.", "short": "Reference to ChargeItem containing details of this line item or an inline billing code", "mapping": [ { "map": "EVN.5 or by domain", "identity": "v2" }, { "map": ".player", "identity": "rim" } ], "type": [ { "code": "Reference", "aggregation": [ "referenced" ], "targetProfile": [ "http://fhir.de/StructureDefinition/chargeItem-de-art-abrechnung" ] } ], "max": "1", "id": "Invoice.lineItem.chargeItem[x]", "isSummary": false }, { "id": "Invoice.lineItem.priceComponent", "path": "Invoice.lineItem.priceComponent", "type": [ { "code": "BackboneElement" } ], "short": "Components of total line item price", "mapping": [ { "map": "EVN.5 or by domain", "identity": "v2" }, { "map": ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]", "identity": "rim" } ], "isSummary": false, "definition": "The price for a ChargeItem may be calculated as a base price with surcharges/deductions that apply in certain conditions. A ChargeItemDefinition resource that defines the prices, factors and conditions that apply to a billing code is currently under development. The priceComponent element can be used to offer transparency to the recipient of the Invoice as to how the prices have been calculated." }, { "path": "Invoice.lineItem.priceComponent.type", "min": 1, "definition": "This code identifies the type of the component.", "short": "base | surcharge | deduction | discount | tax | informational", "mapping": [ { "map": "Event.code", "identity": "workflow" }, { "map": "FT1.7", "identity": "v2" }, { "map": ".code", "identity": "rim" } ], "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://hl7.org/fhir/ValueSet/invoice-priceComponentType|4.0.0", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "InvoicePriceComponentType" } ], "description": "Codes indicating the kind of the price component." }, "max": "1", "id": "Invoice.lineItem.priceComponent.type", "isSummary": false }, { "id": "Invoice.lineItem.priceComponent.code", "max": "1", "path": "Invoice.lineItem.priceComponent.code", "type": [ { "code": "CodeableConcept" } ], "short": "Code identifying the specific component", "mapping": [ { "map": "Event.code", "identity": "workflow" }, { "map": "FT1.7", "identity": "v2" }, { "map": ".code", "identity": "rim" } ], "isSummary": false, "definition": "A code that identifies the component. Codes may be used to differentiate between kinds of taxes, surcharges, discounts etc." }, { "id": "Invoice.lineItem.priceComponent.code.coding", "max": "1", "path": "Invoice.lineItem.priceComponent.code.coding", "slicing": { "rules": "closed", "description": "BMAe\r\nE-GO\r\nEBM\r\nGOAe\r\nUV_GOAe\r\nSK\r\nIV", "discriminator": [ { "path": "system", "type": "value" } ] }, "mustSupport": true }, { "id": "Invoice.lineItem.priceComponent.code.coding:bmae", "max": "1", "path": "Invoice.lineItem.priceComponent.code.coding", "sliceName": "bmae" }, { "id": "Invoice.lineItem.priceComponent.code.coding:bmae.system", "min": 1, "path": "Invoice.lineItem.priceComponent.code.coding.system", "fixedUri": "https://fhir.kbv.de/NamingSystem/KBV_NS_AW_BMAE" }, { "id": "Invoice.lineItem.priceComponent.code.coding:bmae.version", "max": "0", "path": "Invoice.lineItem.priceComponent.code.coding.version" }, { "id": "Invoice.lineItem.priceComponent.code.coding:bmae.code", "min": 1, "path": "Invoice.lineItem.priceComponent.code.coding.code" }, { "id": "Invoice.lineItem.priceComponent.code.coding:bmae.display", "min": 1, "path": "Invoice.lineItem.priceComponent.code.coding.display" }, { "id": "Invoice.lineItem.priceComponent.code.coding:bmae.userSelected", "max": "0", "path": "Invoice.lineItem.priceComponent.code.coding.userSelected" }, { "id": "Invoice.lineItem.priceComponent.code.coding:e-go", "max": "1", "path": "Invoice.lineItem.priceComponent.code.coding", "sliceName": "e-go" }, { "id": "Invoice.lineItem.priceComponent.code.coding:e-go.system", "min": 1, "path": "Invoice.lineItem.priceComponent.code.coding.system", "fixedUri": "https://fhir.kbv.de/NamingSystem/KBV_NS_AW_E-GO" }, { "id": "Invoice.lineItem.priceComponent.code.coding:e-go.version", "max": "0", "path": "Invoice.lineItem.priceComponent.code.coding.version" }, { "id": "Invoice.lineItem.priceComponent.code.coding:e-go.code", "min": 1, "path": "Invoice.lineItem.priceComponent.code.coding.code" }, { "id": "Invoice.lineItem.priceComponent.code.coding:e-go.display", "min": 1, "path": "Invoice.lineItem.priceComponent.code.coding.display" }, { "id": "Invoice.lineItem.priceComponent.code.coding:e-go.userSelected", "max": "0", "path": "Invoice.lineItem.priceComponent.code.coding.userSelected" }, { "id": "Invoice.lineItem.priceComponent.code.coding:ebm", "max": "1", "path": "Invoice.lineItem.priceComponent.code.coding", "sliceName": "ebm" }, { "id": "Invoice.lineItem.priceComponent.code.coding:ebm.system", "min": 1, "path": "Invoice.lineItem.priceComponent.code.coding.system", "fixedUri": "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_EBM" }, { "id": "Invoice.lineItem.priceComponent.code.coding:ebm.version", "max": "0", "path": "Invoice.lineItem.priceComponent.code.coding.version" }, { "id": "Invoice.lineItem.priceComponent.code.coding:ebm.code", "min": 1, "path": "Invoice.lineItem.priceComponent.code.coding.code", "short": "Leistungsziffer" }, { "id": "Invoice.lineItem.priceComponent.code.coding:ebm.display", "min": 1, "path": "Invoice.lineItem.priceComponent.code.coding.display" }, { "id": "Invoice.lineItem.priceComponent.code.coding:ebm.userSelected", "max": "0", "path": "Invoice.lineItem.priceComponent.code.coding.userSelected" }, { "id": "Invoice.lineItem.priceComponent.code.coding:goae", "max": "1", "path": "Invoice.lineItem.priceComponent.code.coding", "sliceName": "goae" }, { "id": "Invoice.lineItem.priceComponent.code.coding:goae.system", "min": 1, "path": "Invoice.lineItem.priceComponent.code.coding.system", "fixedUri": "https://fhir.kbv.de/NamingSystem/KBV_NS_AW_GOAE" }, { "id": "Invoice.lineItem.priceComponent.code.coding:goae.version", "max": "0", "path": "Invoice.lineItem.priceComponent.code.coding.version" }, { "id": "Invoice.lineItem.priceComponent.code.coding:goae.code", "min": 1, "path": "Invoice.lineItem.priceComponent.code.coding.code", "short": "Leistungsziffer" }, { "id": "Invoice.lineItem.priceComponent.code.coding:goae.display", "min": 1, "path": "Invoice.lineItem.priceComponent.code.coding.display" }, { "id": "Invoice.lineItem.priceComponent.code.coding:goae.userSelected", "max": "0", "path": "Invoice.lineItem.priceComponent.code.coding.userSelected" }, { "id": "Invoice.lineItem.priceComponent.code.coding:uv-goae", "max": "1", "path": "Invoice.lineItem.priceComponent.code.coding", "sliceName": "uv-goae" }, { "id": "Invoice.lineItem.priceComponent.code.coding:uv-goae.system", "min": 1, "path": "Invoice.lineItem.priceComponent.code.coding.system", "fixedUri": "https://fhir.kbv.de/NamingSystem/KBV_NS_AW_UV_GOAE" }, { "id": "Invoice.lineItem.priceComponent.code.coding:uv-goae.version", "max": "0", "path": "Invoice.lineItem.priceComponent.code.coding.version" }, { "id": "Invoice.lineItem.priceComponent.code.coding:uv-goae.code", "min": 1, "path": "Invoice.lineItem.priceComponent.code.coding.code", "short": "Leistungsziffer" }, { "id": "Invoice.lineItem.priceComponent.code.coding:uv-goae.display", "min": 1, "path": "Invoice.lineItem.priceComponent.code.coding.display" }, { "id": "Invoice.lineItem.priceComponent.code.coding:uv-goae.userSelected", "max": "0", "path": "Invoice.lineItem.priceComponent.code.coding.userSelected" }, { "id": "Invoice.lineItem.priceComponent.code.coding:SK", "max": "1", "path": "Invoice.lineItem.priceComponent.code.coding", "sliceName": "SK" }, { "id": "Invoice.lineItem.priceComponent.code.coding:SK.system", "min": 1, "path": "Invoice.lineItem.priceComponent.code.coding.system", "fixedUri": "http://fhir.de/StructureDefinition/ART-Sachkostenverzeichnis" }, { "id": "Invoice.lineItem.priceComponent.code.coding:SK.code", "min": 1, "path": "Invoice.lineItem.priceComponent.code.coding.code" }, { "id": "Invoice.lineItem.priceComponent.code.coding:SK.display", "min": 1, "path": "Invoice.lineItem.priceComponent.code.coding.display" }, { "id": "Invoice.lineItem.priceComponent.code.coding:IV", "max": "1", "path": "Invoice.lineItem.priceComponent.code.coding", "sliceName": "IV" }, { "id": "Invoice.lineItem.priceComponent.code.coding:IV.system", "min": 1, "path": "Invoice.lineItem.priceComponent.code.coding.system", "fixedUri": "http://fhir.de/StructureDefinition/ART-Vertragsverzeichnis" }, { "id": "Invoice.lineItem.priceComponent.code.coding:IV.code", "min": 1, "path": "Invoice.lineItem.priceComponent.code.coding.code" }, { "id": "Invoice.lineItem.priceComponent.code.coding:IV.display", "min": 1, "path": "Invoice.lineItem.priceComponent.code.coding.display" }, { "path": "Invoice.lineItem.priceComponent.factor", "definition": "The factor that has been applied on the base price for calculating this component.", "short": "Factor used for calculating this component", "mapping": [ { "map": "FT1.22", "identity": "v2" } ], "type": [ { "code": "decimal" } ], "max": "1", "id": "Invoice.lineItem.priceComponent.factor", "comment": "There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden.", "isSummary": false }, { "path": "Invoice.lineItem.priceComponent.amount", "definition": "The amount calculated for this component.", "short": "Monetary amount associated with this component", "mapping": [ { "map": "FT1.22", "identity": "v2" } ], "type": [ { "code": "Money" } ], "max": "1", "id": "Invoice.lineItem.priceComponent.amount", "comment": "There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden.", "isSummary": false }, { "id": "Invoice.lineItem.priceComponent.amount.currency", "path": "Invoice.lineItem.priceComponent.amount.currency", "binding": { "strength": "required", "valueSet": "http://hl7.org/fhir/ValueSet/currencies" } }, { "path": "Invoice.totalNet", "definition": "Invoice total , taxes excluded.", "short": "Net total of this Invoice", "mapping": [ { "map": "FT1.22", "identity": "v2" } ], "type": [ { "code": "Money" } ], "max": "1", "id": "Invoice.totalNet", "comment": "There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden.", "isSummary": true }, { "id": "Invoice.totalNet.currency", "path": "Invoice.totalNet.currency", "binding": { "strength": "required", "valueSet": "http://hl7.org/fhir/ValueSet/currencies" } }, { "path": "Invoice.totalGross", "definition": "Invoice total, tax included.", "short": "Gross total of this Invoice", "mapping": [ { "map": "FT1.22", "identity": "v2" } ], "type": [ { "code": "Money" } ], "max": "1", "id": "Invoice.totalGross", "comment": "There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden.", "isSummary": true }, { "id": "Invoice.totalGross.currency", "path": "Invoice.totalGross.currency", "binding": { "strength": "required", "valueSet": "http://hl7.org/fhir/ValueSet/currencies" } }, { "id": "Invoice.paymentTerms", "max": "1", "path": "Invoice.paymentTerms", "type": [ { "code": "markdown" } ], "short": "Payment details", "comment": "Derived Profiles may chose to add invariants requiring this field to be populated if either priceOverride or factorOverride have been filled.", "isSummary": false, "definition": "Payment details such as banking details, period of payment, deductibles, methods of payment." }, { "id": "Invoice.note", "path": "Invoice.note", "type": [ { "code": "Annotation" } ], "short": "Comments made about the invoice", "mapping": [ { "map": "Event.note", "identity": "workflow" }, { "map": "NTE", "identity": "v2" }, { "map": ".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]", "identity": "rim" } ], "isSummary": false, "definition": "Comments made about the invoice by the issuer, subject, or other participants." } ] }, "contact": [ { "name": "Florian Meißner", "telecom": [ { "use": "work", "value": "https://vital-services.de", "system": "url" }, { "use": "work", "value": "info@vital-services.de", "system": "email" } ] } ], "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DomainResource" }