{
  "description": "Profil für die Nutzung der Coverage-Resource in Deutschland zur Darstellung eines Selbstzahlerverhältnisses.",
  "_filename": "StructureDefinition-coverage-de-sel.json",
  "package_name": "de.basisprofil.r4",
  "date": "2023-11-30",
  "derivation": "constraint",
  "publisher": "HL7 Deutschland e.V. (Technisches Komitee FHIR)",
  "fhirVersion": "4.0.1",
  "name": "CoverageDeSel",
  "mapping": [ {
    "uri": "http://hl7.org/fhir/workflow",
    "name": "Workflow Pattern",
    "identity": "workflow"
  }, {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  }, {
    "uri": "http://hl7.org/fhir/fivews",
    "name": "FiveWs Pattern Mapping",
    "identity": "w5"
  }, {
    "uri": "http://www.cda-adc.ca/en/services/cdanet/",
    "name": "Canadian Dental Association eclaims standard",
    "identity": "cdanetv4"
  }, {
    "uri": "http://hl7.org/v2",
    "name": "HL7 v2 Mapping",
    "identity": "v2"
  }, {
    "uri": "http://www.pharmacists.ca/",
    "name": "Canadian Pharmacy Associaiton eclaims standard",
    "identity": "cpha3pharm"
  } ],
  "abstract": false,
  "type": "Coverage",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "Coverage, deutsches Selbstzahlerprofil",
  "package_version": "1.5.0-alpha3",
  "status": "active",
  "id": "b82e8fb7-0d47-4bed-a017-7650c180b381",
  "kind": "resource",
  "url": "http://fhir.de/StructureDefinition/coverage-de-sel",
  "version": "1.5.0",
  "differential": {
    "element": [ {
      "id": "Coverage.identifier",
      "path": "Coverage.identifier",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      }
    }, {
      "id": "Coverage.identifier:pkv",
      "max": "1",
      "min": 0,
      "path": "Coverage.identifier",
      "type": [ {
        "code": "Identifier",
        "profile": [ "http://fhir.de/StructureDefinition/identifier-pkv" ]
      } ],
      "sliceName": "pkv",
      "patternIdentifier": {
        "type": {
          "coding": [ {
            "code": "PKV",
            "system": "http://fhir.de/CodeSystem/identifier-type-de-basis"
          } ]
        }
      }
    }, {
      "id": "Coverage.type.coding",
      "min": 1,
      "path": "Coverage.type.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      }
    }, {
      "id": "Coverage.type.coding:VersicherungsArtDeBasis",
      "max": "1",
      "min": 1,
      "path": "Coverage.type.coding",
      "sliceName": "VersicherungsArtDeBasis",
      "patternCoding": {
        "code": "SEL",
        "system": "http://fhir.de/CodeSystem/versicherungsart-de-basis"
      }
    }, {
      "id": "Coverage.subscriber",
      "path": "Coverage.subscriber",
      "short": "Unterzeichner der Kostenübernahme",
      "definition": "Person, die dies Kostenübernahme zusichert (entweder der Patient selbst oder eine andere Person, z.B. ein Elternteil)"
    }, {
      "id": "Coverage.payor",
      "path": "Coverage.payor",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "short": "Kostenübernehmer",
      "definition": "Person, die die Kosten übernimmt (beim Selbstzahlerverhältnis i.d.R. identisch mit subscriber) \r\nSonderfall: Die Kostenübernahme wird von einer Person (subscriber) erklärt, die Übernahme erfolgt jedoch durch eine Organisation"
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "http://hl7.de/technische-komitees/fhir/",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://fhir.de/StructureDefinition/coverage-de-basis"
}