Leitfaden Basis DE (R4)

Extensions für Coverage

Folgende Extensions sind notwendig um Informationen der elektronische Gesundheitskarte (eGK) innerhalb einer Coverage-Ressource abzubilden:

Name: Extension-GkvBesonderePersonengruppe (Simplifier Projekt Link)

Beschreibung:

Gibt die Zugehörigkeit des Versicherten zu einer besonderen Personengruppe an.

Canonical: http://fhir.de/StructureDefinition/gkv/besondere-personengruppe

Kontext:

Coverage

Extension			Extension	There are no (further) constraints on this element Element Id Extension Short description Optional Extensions Element Definition Optional Extension Element - found in all resources. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	Element Id Extension.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value http://fhir.de/StructureDefinition/gkv/besondere-personengruppe Mappings rim:N/A
value[x]		0..1	Binding	Element Id Extension.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Comments A stream of bytes, base64 encoded Binding https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_PERSONENGRUPPE (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCoding			Coding	Data Type Coding
system	Σ	1..1	uri	There are no (further) constraints on this element Element Id Extension.value[x].system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Extension.value[x].version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	code	There are no (further) constraints on this element Element Id Extension.value[x].code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id Extension.value[x].display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Extension.value[x].userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

Hinweis	offene Punkte
	Das vorliegende Profil enthält Verweise auf CodeSysteme / NamingSystems der Kassenärztliche Bundesvereinigung (KBV). Diese Ressourcen werden nicht als Teil der Deutschen Basisprofile veröffentlicht und sind separat zu Validierungszwecke o.Ä. in die entsprechenden Projekte einzubinden. Siehe fhir.kbv.de.

Hinweise: n/A

Beispiel:

<extension url="http://fhir.de/StructureDefinition/gkv/besondere-personengruppe" >
    <valueCoding>
        <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_PERSONENGRUPPE" />
        <value value="06" />
        <display value="BVG (Gesetz über die Versorgung der Opfer des Krieges)" />
    </valueCoding>
</extension>

Name: Extension-GkvDmpKennzeichen (Simplifier Projekt Link)

Beschreibung:

Gibt die Teilnahme des Versicherten an einem Disease Management Program an. Das DMP-Kennzeichen findet derzeit aufgrund bilateraler vertraglicher Verpflichtungen von einzelnen Kostenträgern und Leistungserbringern noch Verwendung. Das DMP-Kennzeichen wird in diesem Zusammenhang als Angabe zum Nachweis von Wahltarifen nach § 53 SGB V bzw. der Angaben zum Nachweis von zusätzlichen Vertragsverhältnissen verwendet.

Canonical: http://fhir.de/StructureDefinition/gkv/dmp-kennzeichen

Kontext:

Coverage

Extension			Extension	There are no (further) constraints on this element Element Id Extension Short description Optional Extensions Element Definition Optional Extension Element - found in all resources. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	Element Id Extension.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value http://fhir.de/StructureDefinition/gkv/dmp-kennzeichen Mappings rim:N/A
value[x]		0..1	Binding	Element Id Extension.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Comments A stream of bytes, base64 encoded Binding https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DMP (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCoding			Coding	Data Type Coding
system	Σ	1..1	uri	There are no (further) constraints on this element Element Id Extension.value[x].system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Extension.value[x].version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	code	There are no (further) constraints on this element Element Id Extension.value[x].code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id Extension.value[x].display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Extension.value[x].userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

Hinweis	offene Punkte
	Das vorliegende Profil enthält Verweise auf CodeSysteme / NamingSystems der Kassenärztliche Bundesvereinigung (KBV). Diese Ressourcen werden nicht als Teil der Deutschen Basisprofile veröffentlicht und sind separat zu Validierungszwecke o.Ä. in die entsprechenden Projekte einzubinden. Siehe fhir.kbv.de.

Hinweise: n/A

Beispiel:

<extension url="http://fhir.de/StructureDefinition/gkv/dmp-kennzeichen" >
    <valueCoding>
        <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DM" />
        <value value="09" />
        <display value="Rueckenschmerz" />
    </valueCoding>
</extension>

Name: Extension-GkvEinlesedatumKarte (Simplifier Projekt Link)

Beschreibung:

Extension zur Erfassung des Einlesedatums der eGK bzw. KVK

Canonical: http://fhir.de/StructureDefinition/gkv/einlesedatum-karte

Kontext:

Coverage

Extension		Extension	There are no (further) constraints on this element Element Id Extension Short description Optional Extensions Element Definition Optional Extension Element - found in all resources. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url	1..1	System.StringFixed Value	Element Id Extension.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value http://fhir.de/StructureDefinition/gkv/einlesedatum-karte Mappings rim:N/A
value[x]	0..1		There are no (further) constraints on this element Element Id Extension.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Comments A stream of bytes, base64 encoded Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueDateTime		dateTime	Data Type dateTime

Hinweise: n/A

Beispiel:

<extension url="http://fhir.de/StructureDefinition/gkv/einlesedatum-karte" >
    <valueDateTime value="2019-12-03" />
</extension>

Name: Extension-GkvGenerationEg (Simplifier Projekt Link)

Beschreibung:

Extension zur Erfassung der Generation der eGK

Canonical: http://fhir.de/StructureDefinition/gkv/generation-egk

Kontext:

Coverage

Extension		Extension	Element Id Extension Short description eGK Generation ( 1 \| 1+ \| 2 ) Definition Angabe der Generation der Versichertenkarte Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url	1..1	System.StringFixed Value	Element Id Extension.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value http://fhir.de/StructureDefinition/gkv/generation-egk Mappings rim:N/A
value[x]	0..1		Element Id Extension.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Comments A stream of bytes, base64 encoded Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` generation:Die Extension darf nur die Werte 1, 1+ oder 2 enthalten `matches('[0\|1+\|2]')` Mappings rim:n/a rim:N/A
valueString		string	Data Type string

Hinweise: n/A

Beispiel:

<extension url="http://fhir.de/StructureDefinition/gkv/generation-egk" >
    <valueString value="1+" />
</extension>

Name: Extension-GkvKostenerstattung (Simplifier Projekt Link)

Beschreibung:

Gibt an, ob der Kostenträger den Nachweis der Inanspruchnahme von Leisrungen der Abrechnungsart Kostnerstattung auf der eGK speichert. vorhanden = Nachweis wird genutzt; nicht vorhanden = Nachweis wird nicht genutzt

Canonical: http://fhir.de/StructureDefinition/gkv/kostenerstattung

Kontext:

Coverage

Extension		Extension	There are no (further) constraints on this element Element Id Extension Short description Optional Extensions Element Definition Optional Extension Element - found in all resources. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
extension	0..*	Extension	Element Id Extension.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
aerztlicheVersorgung	0..1	Extension	Element Id Extension.extension:aerztlicheVersorgung Short description Additional content defined by implementations Alternate names extensions, user content Definition Gibt die vom versicherten gewählte Kostenerstattung für die ärztliche Versorgung an: true = Kostenerstattung false = keine Kostenerstattung Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url	1..1	System.StringFixed Value	Element Id Extension.extension:aerztlicheVersorgung.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value aerztlicheVersorgung Mappings rim:N/A
value[x]	0..1		There are no (further) constraints on this element Element Id Extension.extension:aerztlicheVersorgung.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Comments A stream of bytes, base64 encoded Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueBoolean		boolean	Data Type boolean
zahnaerztlicheVersorgung	0..1	Extension	Element Id Extension.extension:zahnaerztlicheVersorgung Short description Additional content defined by implementations Alternate names extensions, user content Definition Gibt die vom versicherten gewählte Kostenerstattung für die zahnärztliche Versorgung an: true = Kostenerstattung false = keine Kostenerstattung Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url	1..1	System.StringFixed Value	Element Id Extension.extension:zahnaerztlicheVersorgung.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value zahnaerztlicheVersorgung Mappings rim:N/A
value[x]	0..1		There are no (further) constraints on this element Element Id Extension.extension:zahnaerztlicheVersorgung.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Comments A stream of bytes, base64 encoded Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueBoolean		boolean	Data Type boolean
stationaererBereich	0..1	Extension	Element Id Extension.extension:stationaererBereich Short description Additional content defined by implementations Alternate names extensions, user content Definition Gibt die vom versicherten gewählte Kostenerstattung für den stationären Bereich an: true = Kostenerstattung false = keine Kostenerstattung Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url	1..1	System.StringFixed Value	Element Id Extension.extension:stationaererBereich.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value stationaererBereich Mappings rim:N/A
value[x]	0..1		There are no (further) constraints on this element Element Id Extension.extension:stationaererBereich.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Comments A stream of bytes, base64 encoded Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueBoolean		boolean	Data Type boolean
veranlassteLeistungen	0..1	Extension	Element Id Extension.extension:veranlassteLeistungen Short description Additional content defined by implementations Alternate names extensions, user content Definition Gibt die vom versicherten gewählte Kostenerstattung für veranlasste Leistungen an: true = Kostenerstattung false = keine Kostenerstattung Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url	1..1	System.StringFixed Value	Element Id Extension.extension:veranlassteLeistungen.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value veranlassteLeistungen Mappings rim:N/A
value[x]	0..1		There are no (further) constraints on this element Element Id Extension.extension:veranlassteLeistungen.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Comments A stream of bytes, base64 encoded Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueBoolean		boolean	Data Type boolean
url	1..1	System.StringFixed Value	Element Id Extension.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value http://fhir.de/StructureDefinition/gkv/kostenerstattung Mappings rim:N/A
value[x]	0..0		There are no (further) constraints on this element Element Id Extension.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Comments A stream of bytes, base64 encoded Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A

Hinweise: n/A

Beispiel:

<extension url="http://fhir.de/StructureDefinition/gkv/kostenerstattung">
    <extension url="aerztlicheVersorgung">
        <valueBoolean value="true" />
    </extension>
    <extension url="zahnaerztlicheVersorgung">
        <valueBoolean value="false" />
    </extension>
</extension>

Name: Extension-GkvOnlinepruefungEgk (Simplifier Projekt Link)

Beschreibung:

Informationen zur Onlineprüfung und -aktualisierung Vgl.: Anwendung der eGK Technische Anlage zu Anlage 4a (BMV-Ä) Verarbeitung KVK/eGK im Rahmen der vertragsärztlichen Abrechnung im Basis-Rollout [KBV_ITA_VGEX_Mapping_KVK.pdf] - Kapitel 2.4.1

Canonical: http://fhir.de/StructureDefinition/gkv/onlinepruefung-egk

Kontext:

Coverage

Extension		Extension	There are no (further) constraints on this element Element Id Extension Short description Optional Extensions Element Definition Optional Extension Element - found in all resources. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
extension	0..*	Extension	Element Id Extension.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
timestamp	1..1	Extension	Element Id Extension.extension:timestamp Short description Datum und Uhrzeit der Onlineprüfung und -aktualisierung Alternate names extensions, user content Definition Datum und Uhrzeit der Onlineprüfung und -aktualisierung Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url	1..1	System.StringFixed Value	Element Id Extension.extension:timestamp.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value timestamp Mappings rim:N/A
value[x]	0..1		There are no (further) constraints on this element Element Id Extension.extension:timestamp.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Comments A stream of bytes, base64 encoded Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueDateTime		dateTime	Data Type dateTime
ergebnis	1..1	Extension	Element Id Extension.extension:ergebnis Short description Ergebnis der Onlineprüfung und -aktualisierung Alternate names extensions, user content Definition Ergebnis der Onlineprüfung und -aktualisierung (Code 1-6) Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url	1..1	System.StringFixed Value	Element Id Extension.extension:ergebnis.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value ergebnis Mappings rim:N/A
value[x]	0..1		There are no (further) constraints on this element Element Id Extension.extension:ergebnis.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Comments A stream of bytes, base64 encoded Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCode		code	Data Type code
errorCode	1..1	Extension	Element Id Extension.extension:errorCode Short description Error-Code Alternate names extensions, user content Definition ErrorCode Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url	1..1	System.StringFixed Value	Element Id Extension.extension:errorCode.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value errorCode Mappings rim:N/A
value[x]	0..1		There are no (further) constraints on this element Element Id Extension.extension:errorCode.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Comments A stream of bytes, base64 encoded Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCode		code	Data Type code
pruefzifferFachdienst	0..1	Extension	Element Id Extension.extension:pruefzifferFachdienst Short description Prüfziffer des Fachdienstes Alternate names extensions, user content Definition Prüfziffer des Fachdienstes Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url	1..1	System.StringFixed Value	Element Id Extension.extension:pruefzifferFachdienst.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value pruefzifferFachdienst Mappings rim:N/A
value[x]	0..1		There are no (further) constraints on this element Element Id Extension.extension:pruefzifferFachdienst.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Comments A stream of bytes, base64 encoded Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueString		string	Data Type string
url	1..1	System.StringFixed Value	Element Id Extension.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value http://fhir.de/StructureDefinition/gkv/onlinepruefung-egk Mappings rim:N/A
value[x]	0..0		There are no (further) constraints on this element Element Id Extension.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Comments A stream of bytes, base64 encoded Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A

Hinweise: n/A

Beispiel:

<extension url="http://fhir.de/StructureDefinition/gkv/onlinepruefung-egk">
    <extension url="timestamp">
        <valueDateTime value="2019-12-03" />
    </extension>
    <extension url="ergebnis">
        <valueCode value="1 " />
    </extension>
    <extension url="ErrorCode">
        <valueCode value="<ErrorCode>" />
    </extension>
</extension>

Name: Extension-GkvRuhenderLeistungsanspruch (Simplifier Projekt Link)

Beschreibung:

Gibt Art und Dauer des ruhenden Leistungsanspruchs des Versicherten bei dem unter Klasse Kostenträger angegebenen Kostenträger an

Canonical: http://fhir.de/StructureDefinition/gkv/ruhender-leistungsanspruch

Kontext:

Coverage

Extension			Extension	There are no (further) constraints on this element Element Id Extension Short description Optional Extensions Element Definition Optional Extension Element - found in all resources. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
extension		0..*	Extension	Element Id Extension.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
art		1..1	Extension	Element Id Extension.extension:art Short description Gibt die Art des ruhenden Leistungsanspruchs an. Alternate names extensions, user content Definition Gibt die Art des ruhenden Leistungsanspruchs an. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	Element Id Extension.extension:art.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value art Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Extension.extension:art.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Comments A stream of bytes, base64 encoded Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCoding			Coding	Data Type Coding
system	Σ	0..1	uri	There are no (further) constraints on this element Element Id Extension.extension:art.value[x].system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Extension.extension:art.value[x].version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	code	Element Id Extension.extension:art.value[x].code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ruhend-1:Es sind nur die Werte "1" (vollständig) und "2" (eingeschränkt) erlaubt. `matches('[12]')` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id Extension.extension:art.value[x].display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Extension.extension:art.value[x].userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
dauer		1..1	Extension	There are no (further) constraints on this element Element Id Extension.extension:dauer Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	Element Id Extension.extension:dauer.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value dauer Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Extension.extension:dauer.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Comments A stream of bytes, base64 encoded Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valuePeriod			Period	Data Type Period
start	Σ	1..1	dateTime	Element Id Extension.extension:dauer.value[x].start Short description Beginn des ruhenden Leistungsanspruchs Definition Gibt den Beginn des ruhenden Leistungsanspruchs des Versicherten bei dem unter Klasse Kostenträger angegebenen Kostenträger an. Comments If the low element is missing, the meaning is that the low boundary is not known. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:DR.1 rim:./low
end	Σ	0..1	dateTime	Element Id Extension.extension:dauer.value[x].end Short description Ende des ruhenden Leistungsanspruchs Definition Gibt das Ende des ruhenden Leistungsanspruchs des Versicherten bei dem unter Klasse Kostenträger angegebenen Kostenträger an. Comments The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:DR.2 rim:./high
url		1..1	System.StringFixed Value	Element Id Extension.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value http://fhir.de/StructureDefinition/gkv/ruhender-leistungsanspruch Mappings rim:N/A
value[x]		0..0		There are no (further) constraints on this element Element Id Extension.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Comments A stream of bytes, base64 encoded Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A

Hinweise: n/A

Beispiel:

<extension url="http://fhir.de/StructureDefinition/gkv/ruhender-leistungsanspruch">
    <extension url="art">
        <valueCoding>
            <code value="1" />
        </valueCoding>
    </extension>
    <extension url="dauer">
        <valuePeriod>
            <start value="2018-01-01" />
        </valuePeriod>
    </extension>
</extension>

Name: Extension-GkvVersichertenart (Simplifier Projekt Link)

Beschreibung:

Gibt die Versichertenart des Versicherten an.

Canonical: http://fhir.de/StructureDefinition/gkv/versichertenart

Kontext:

Coverage

Extension			Extension	There are no (further) constraints on this element Element Id Extension Short description Optional Extensions Element Definition Optional Extension Element - found in all resources. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	Element Id Extension.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value http://fhir.de/StructureDefinition/gkv/versichertenart Mappings rim:N/A
value[x]		0..1	Binding	Element Id Extension.value[x] Short description 1 = Mitglied \| 3 = Familienversicherter \| 5 = Rentner Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Comments A stream of bytes, base64 encoded Binding https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_VERSICHERTENSTATUS (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCoding			Coding	Data Type Coding
system	Σ	1..1	uri	There are no (further) constraints on this element Element Id Extension.value[x].system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Extension.value[x].version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	code	There are no (further) constraints on this element Element Id Extension.value[x].code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id Extension.value[x].display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Extension.value[x].userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

Hinweis	offene Punkte
	Das vorliegende Profil enthält Verweise auf CodeSysteme / NamingSystems der Kassenärztliche Bundesvereinigung (KBV). Diese Ressourcen werden nicht als Teil der Deutschen Basisprofile veröffentlicht und sind separat zu Validierungszwecke o.Ä. in die entsprechenden Projekte einzubinden. Siehe fhir.kbv.de.

Hinweise: n/A

Beispiel:

<extension url="http://fhir.de/StructureDefinition/gkv/versichertenart">
    <valueCoding>
        <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_VERSICHERTENSTATUS" />
        <value value="3" />
        <display value="Familienangehoerige" />
    </valueCoding>
</extension>

Name: Extension-GkvVersionVsdm (Simplifier Projekt Link)

Beschreibung:

Extension zur Erfassung der Version des CDM-Datensatzes auf der eGK

Canonical: http://fhir.de/StructureDefinition/gkv/version-vsdm

Kontext:

Coverage

Extension		Extension	Element Id Extension Short description eGK Version (z.B. 5.2.0) Definition Extension zur Erfassung der Version des VSDM-Datensatzes auf der eGK Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url	1..1	System.StringFixed Value	Element Id Extension.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value http://fhir.de/StructureDefinition/gkv/version-vsdm Mappings rim:N/A
value[x]	0..1		Element Id Extension.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Comments A stream of bytes, base64 encoded Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` gkv-1:Die Versionsnummer muss dem Schema [0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3} entsprechen (z.B. "5.2.1")! `matches('[0-9]{1,3}\\.[0-9]{1,3}\\.[0-9]{1,3}')` Mappings rim:n/a rim:N/A
valueString		string	Data Type string

Hinweise: n/A

Beispiel:

    <extension url="http://fhir.de/StructureDefinition/gkv/version-vsdm">
        <valueString value="5.2.1" />
    </extension>

Name: Extension-GkvWop (Simplifier Projekt Link)

Beschreibung:

Das Kennzeichen WOP ist gemäß § 2 Abs. 2 der Vereinbarung zur Festsetzung des Durchschnittsbetrages gemäß Artikel 2 § 2 Abs. 2 des Gesetzes zur Einführung des Wohnortprinzips bei Honorarvereinbarungen für Ärzte und Zahnärzte und zur Krankenversichertenkarte gemäß § 291 Abs. 2 Fünftes Sozialgesetzbuch (SGB V) erforderlich.

Canonical: http://fhir.de/StructureDefinition/gkv/wop

Kontext:

Coverage

Extension			Extension	There are no (further) constraints on this element Element Id Extension Short description Optional Extensions Element Definition Optional Extension Element - found in all resources. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	Element Id Extension.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value http://fhir.de/StructureDefinition/gkv/wop Mappings rim:N/A
value[x]		0..1	Binding	Element Id Extension.value[x] Short description Kennzeichen Wohnortprinzip Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Comments A stream of bytes, base64 encoded Binding https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ITA_WOP (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCoding			Coding	Data Type Coding
system	Σ	1..1	uri	There are no (further) constraints on this element Element Id Extension.value[x].system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Extension.value[x].version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	code	There are no (further) constraints on this element Element Id Extension.value[x].code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id Extension.value[x].display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Extension.value[x].userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

Hinweis	offene Punkte
	Das vorliegende Profil enthält Verweise auf CodeSysteme / NamingSystems der Kassenärztliche Bundesvereinigung (KBV). Diese Ressourcen werden nicht als Teil der Deutschen Basisprofile veröffentlicht und sind separat zu Validierungszwecke o.Ä. in die entsprechenden Projekte einzubinden. Siehe fhir.kbv.de.

Hinweise: n/A

Beispiel:

<extension url="http://fhir.de/StructureDefinition/gkv/wop">
    <valueCoding>
        <system value="https://fhir.kbv.de/CodeSystem/CS_AW_Krankenversicherung_WOP" />
        <code value="38" />
        <display value="Nordrhein" />
    </valueCoding>
</extension>

Name: Extension-GkvZuzahlungsstatus (Simplifier Projekt Link)

Beschreibung:

Gibt an, ob für den Versicherten eine Befreiung von der Zuzahlungspflicht nach § 62 Abs. 3 SGB V vorliegt.

Canonical: http://fhir.de/StructureDefinition/gkv/zuzahlungsstatus

Kontext:

Coverage

Extension		Extension	There are no (further) constraints on this element Element Id Extension Short description Optional Extensions Element Definition Optional Extension Element - found in all resources. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
extension	0..*	Extension	Element Id Extension.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
status	1..1	Extension	Element Id Extension.extension:status Short description Status der Befreiung Alternate names extensions, user content Definition true = von Zuzahlungspflicht befreit false = von Zuzahlungspflicht nicht befreit Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url	1..1	System.StringFixed Value	Element Id Extension.extension:status.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value status Mappings rim:N/A
value[x]	0..1		Element Id Extension.extension:status.value[x] Short description Status der Befreiung Definition true = von Zuzahlungspflicht befreit false = von Zuzahlungspflicht nicht befreit Comments A stream of bytes, base64 encoded Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueBoolean		boolean	Data Type boolean
gueltigBis	0..*	Extension	Element Id Extension.extension:gueltigBis Short description Ende der Gültigkeit Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url	1..1	System.StringFixed Value	Element Id Extension.extension:gueltigBis.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value gueltigBis Mappings rim:N/A
value[x]	0..1		Element Id Extension.extension:gueltigBis.value[x] Short description Ende der Gültigkeit Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Comments A stream of bytes, base64 encoded Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueDate		date	Data Type date
url	1..1	System.StringFixed Value	Element Id Extension.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value http://fhir.de/StructureDefinition/gkv/zuzahlungsstatus Mappings rim:N/A
value[x]	0..0		There are no (further) constraints on this element Element Id Extension.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Comments A stream of bytes, base64 encoded Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A

Hinweise: n/A

Beispiel:

 <extension url="http://fhir.de/StructureDefinition/gkv/zuzahlungsstatus">
    <extension url="status">
        <valueBoolean value="true" />
    </extension>
    <extension url="gueltigBis">
        <valueDate value="2020-12-31" />
    </extension>
</extension>