AMTS ISiK Implementierungsleitfaden
Version 6.0.0-rc - ballot

Resource Profile: ISiKAbrechnungsfallAmbulant

Official URL: https://gematik.de/fhir/isik/StructureDefinition/ISiKAbrechnungsfallAmbulant Version: 6.0.0-rc
Active as of 2026-04-02 Computable Name: ISiKAbrechnungsfallAmbulant

Dieses Profil spezifiziert die Anforderungen an die Abbildung von ambulanten Abrechnungsfällen im Krankenhauskontext. Es handelt sich dabei um eine Spezialisierung des ISiK Abrechnungsfall-Profils, das allgemeine Anforderungen an die Abbildung von Abrechnungsfällen definiert.

Ambulante-Abrechnungsfall-Angaben unterscheiden sich von stationären im Krankenhaus im Wesentlichen durch die Angabe von:

  • die Extenion AbrechnungsDiagnoseProzedurAmbulant wurde ergänzt, um die Angabe von abrechnungsrelevanten Diagnosen und Prozeduren zu ermöglichen, ohne dass diese in Haupt- und Nebendiagnosen aufgeteilt werden müssen. Eine Aufteilung ist im ambulanten Kontext nicht üblich, aber da es dennoch in der Praxis vorkommen kann, wurde die ursprüngliche Extension AbrechnungsDiagnoseProzedur nicht ausgeschlossen, sondern die neue Extension als Ergänzung hinzugefügt.
  • die Angabe einer Scheinnummer als Identifier. Amulante Fälle werden meist über die Existenz eines so genannten Scheins definiert. Die Scheinnummer ist eine Nummer, die innerhalb einer Einrichtung diesen Schein eindeutig identifiziert. Da es häufig auch noch eine klassische Fallnummer gibt, sind beide Identifier vorgesehen und kommen auch vor.
  • die Angabe eines servicePeriod als Gültigkeitszeitraum des ambulanten Abrechnungsfalls, da es sich hierbei um punktuelle Kontakte handelt und der Zeitraum der Gültigkeit nicht direkt aus den zugeordneten Encountern ableitbar ist.
  • die Angabe eines owner, um die Ambulanz als verantwortliche Organisation zu dokumentieren.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Account 0..* ISiKAbrechnungsfall Tracks balance, charges, for patient or cost center
... id SΣ 0..1 id serverseitige, interne ID des Datensatzes
... Slices for extension S 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:AbrechnungsDiagnoseProzedur S 0..* (Complex) Fallbezogene Abrechnungsrelevanz von Diagnosen und Prozeduren
URL: http://fhir.de/StructureDefinition/ExtensionAbrechnungsDiagnoseProzedur
Constraints: ext-1
..... Slices for extension 2..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:Use S 1..1 Extension Extension
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "Use"
...... extension:Referenz S 1..1 Extension Extension
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "Referenz"
..... url 1..1 uri "http://fhir.de/StructureDefinition/ExtensionAbrechnungsDiagnoseProzedur"
.... extension:AbrechnungsDiagnoseProzedurAmbulant S 0..* Reference(Condition | Procedure) Abrechnungsdiagnose /-prozedur
URL: https://gematik.de/fhir/isik/StructureDefinition/ISiKExtensionAbrechnungsDiagnoseProzedurAmbulant
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:Abrechnungsnummer SΣ 1..1 IdentifierAbrechnungsnummer Abrechnungsfallnummer

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type DeBasis ValueSet (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... text 0..1 string Plain text representation of the concept
...... coding Σ 0..* Coding Codierte Darstellung des Identifier-Typs

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Codier-Schema
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code SΣ 1..1 code Code
Fixed Value: AN
..... system SΣ 1..1 uri Namensraum des Identifiers
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
.... identifier:Scheinnummer SΣ 0..1 Identifier Nummer des Scheins

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... text 0..1 string Plain text representation of the concept
...... coding Σ 0..* Coding Codierte Darstellung des Identifier-Typs

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Codier-Schema
Fixed Value: https://gematik.de/fhir/isik/CodeSystem/ISiKIdentifierTypeErweiterungCS
....... code SΣ 1..1 code Code
Fixed Value: ASN
..... system SΣ 0..1 uri Namensraum des Identifiers
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
... status ?!SΣ 1..1 code Status
Binding: AccountStatus (required): Indicates whether the account is available to be used.
... subject SΣ 1..1 Reference(Patient) Patientenbezug
.... reference SΣC 1..1 string Patienten-Link
... servicePeriod SΣ 0..1 Period Gültigkeitszeitraum des Abrechnungsfalls
... coverage SΣ 0..* BackboneElement Versicherungs-/Zahlungsverhältnis
.... Slices for extension S 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:Abrechnungsart S 0..1 Coding Abrechnungsart
URL: http://fhir.de/StructureDefinition/ExtensionAbrechnungsart
Binding: Abrechnungsart ValueSet (extensible)
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... coverage SΣ 1..1 Reference(Coverage) The party(s), such as insurances, that may contribute to the payment of this account
..... reference SΣC 1..1 string Coverage-Link
.... priority SΣ 0..1 positiveInt Priorität
... owner SΣ 0..1 Reference(Organization) Managende (abrechnende)Organisation
.... reference SΣC 0..1 string Organisation-Link
.... identifier SΣ 0..1 Identifier Identifier der managenden Organisation (Ambulanz)
.... display SΣ 0..1 string Name der managenden Organisation (Ambulanz)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Account.identifier:Abrechnungsnummer.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Account.identifier:Abrechnungsnummer.​type Base extensible Identifier Type DeBasis ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Account.identifier:Scheinnummer.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Account.identifier:Scheinnummer.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Account.status Base required AccountStatus 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Account If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Account If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Account If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Account If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Account A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ISiKAbrechnungsfall

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Account 0..* ISiKAbrechnungsfall Tracks balance, charges, for patient or cost center
... Slices for extension Content/Rules for all slices
.... extension:AbrechnungsDiagnoseProzedur 0..* ExtensionAbrechnungsDiagnoseProzedur Fallbezogene Abrechnungsrelevanz von Diagnosen und Prozeduren
.... extension:AbrechnungsDiagnoseProzedurAmbulant S 0..* Reference(Condition | Procedure) Abrechnungsdiagnose /-prozedur
URL: https://gematik.de/fhir/isik/StructureDefinition/ISiKExtensionAbrechnungsDiagnoseProzedurAmbulant
... Slices for identifier Content/Rules for all slices
.... identifier:Scheinnummer S 0..1 Identifier Nummer des Scheins
Required Pattern: At least the following
..... type S 0..1 CodeableConcept Description of identifier
Fixed Value: (Complex)
...... coding 0..* Coding Codierte Darstellung des Identifier-Typs
Fixed Value: (Complex)
....... system S 1..1 uri Codier-Schema
Fixed Value: https://gematik.de/fhir/isik/CodeSystem/ISiKIdentifierTypeErweiterungCS
....... code S 1..1 code Code
Fixed Value: ASN
..... system S 0..1 uri Namensraum des Identifiers
..... value S 0..1 string The value that is unique
... servicePeriod S 0..1 Period Gültigkeitszeitraum des Abrechnungsfalls
.... reference S 0..1 string Organisation-Link
.... identifier S 0..1 Identifier Identifier der managenden Organisation (Ambulanz)
.... display S 0..1 string Name der managenden Organisation (Ambulanz)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Account 0..* ISiKAbrechnungsfall Tracks balance, charges, for patient or cost center
... id SΣ 0..1 id serverseitige, interne ID des Datensatzes
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Eindeutiger Name der serverseitigen Version des Datensatzes
.... lastUpdated Σ 0..1 instant Zeitpunkt der letzten Änderung
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... contained 0..* Resource Contained, inline Resources
... Slices for extension S 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:AbrechnungsDiagnoseProzedur S 0..* (Complex) Fallbezogene Abrechnungsrelevanz von Diagnosen und Prozeduren
URL: http://fhir.de/StructureDefinition/ExtensionAbrechnungsDiagnoseProzedur
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 2..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:Use S 1..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "Use"
....... value[x] 0..1 Coding Value of extension
Binding: AbrechnungsDiagnoseProzedur ValueSet (extensible)
...... extension:Referenz S 1..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "Referenz"
....... value[x] 0..1 Reference(Condition | Procedure) Value of extension
..... url 1..1 uri "http://fhir.de/StructureDefinition/ExtensionAbrechnungsDiagnoseProzedur"
.... extension:AbrechnungsDiagnoseProzedurAmbulant S 0..* Reference(Condition | Procedure) Abrechnungsdiagnose /-prozedur
URL: https://gematik.de/fhir/isik/StructureDefinition/ISiKExtensionAbrechnungsDiagnoseProzedurAmbulant
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* Identifier Eindeutiger Identifier
Slice: Unordered, Open by pattern:$this
.... identifier:Abrechnungsnummer SΣ 1..1 IdentifierAbrechnungsnummer Abrechnungsfallnummer

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type DeBasis ValueSet (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Codierte Darstellung des Identifier-Typs

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Codier-Schema
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Code
Fixed Value: AN
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... system SΣ 1..1 uri Namensraum des Identifiers
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:Scheinnummer SΣ 0..1 Identifier Nummer des Scheins

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Codierte Darstellung des Identifier-Typs

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Codier-Schema
Fixed Value: https://gematik.de/fhir/isik/CodeSystem/ISiKIdentifierTypeErweiterungCS
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Code
Fixed Value: ASN
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... system SΣ 0..1 uri Namensraum des Identifiers
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!SΣ 1..1 code Status
Binding: AccountStatus (required): Indicates whether the account is available to be used.
... type Σ 0..1 CodeableConcept E.g. patient, expense, depreciation
Binding: AccountTypes (example): The usage type of this account, permits categorization of accounts.
... name Σ 0..1 string Human-readable label
... subject SΣ 1..1 Reference(Patient) Patientenbezug
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Patienten-Link
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... servicePeriod SΣ 0..1 Period Gültigkeitszeitraum des Abrechnungsfalls
... coverage SΣ 0..* BackboneElement Versicherungs-/Zahlungsverhältnis
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension S 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:Abrechnungsart S 0..1 Coding Abrechnungsart
URL: http://fhir.de/StructureDefinition/ExtensionAbrechnungsart
Binding: Abrechnungsart ValueSet (extensible)
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... coverage SΣ 1..1 Reference(Coverage) The party(s), such as insurances, that may contribute to the payment of this account
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣC 1..1 string Coverage-Link
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
.... priority SΣ 0..1 positiveInt Priorität
... owner SΣ 0..1 Reference(Organization) Managende (abrechnende)Organisation
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Organisation-Link
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier SΣ 0..1 Identifier Identifier der managenden Organisation (Ambulanz)
.... display SΣ 0..1 string Name der managenden Organisation (Ambulanz)
... description Σ 0..1 string Explanation of purpose/use
... guarantor 0..* BackboneElement The parties ultimately responsible for balancing the Account
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... party 1..1 Reference(Patient | RelatedPerson | Organization) Responsible entity
.... onHold 0..1 boolean Credit or other hold applied
.... period 0..1 Period Guarantee account during
... partOf 0..1 Reference(Account) Reference to a parent Account

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Account.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Account.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Account.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Account.extension:AbrechnungsDiagnoseProzedur.​extension:Use.value[x] Base extensible AbrechnungsDiagnoseProzedur ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Account.identifier:Abrechnungsnummer.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Account.identifier:Abrechnungsnummer.​type Base extensible Identifier Type DeBasis ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Account.identifier:Scheinnummer.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Account.identifier:Scheinnummer.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Account.status Base required AccountStatus 📍4.0.1 FHIR Std.
Account.type Base example Account Types 📍4.0.1 FHIR Std.
Account.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
Account.coverage.coverage.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Account.owner.type Base extensible ResourceType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Account If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Account If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Account If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Account If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Account A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
ElementShort descriptionNotes
Account.extension:AbrechnungsDiagnoseProzedurAmbulant Abrechnungsdiagnose /-prozedur

Diese Extension ermöglicht es, Diagnosen und Prozeduren als abrechnungsrelevant im Abrechnungskontext zu kennzeichnen, unabhängig von der medizinischen Relevanz, die in Encounter.diagnosis erfolgt.
Account.identifier:Scheinnummer Nummer des Scheins

Die Scheinnummer ist eine Nummer, die in der ambulanten Versorgung in Deutschland verwendet wird. Da im Krankenhaus und in den zum Einsatz kommenden Primärsystemen auch ambulante Leistungen erbracht und dokumentieert werden, kann es also vorkommen, dass neben einer Fallnummer auch eine Scheinnummer vorliegt. Diese ist allerdings vom System selber vergeben und wie die Fall- bzw. Patientennummer nicht eindeutig über Systemgrenzen hinweg.

Hinweis:Im Kontext eines ambulanten BG Falls gibt es keine Scheinnummer.
Account.identifier:Scheinnummer.system Namensraum des Identifiers

Hier ist stets der eindeutige Name (URL) des Namensraums anzugeben, aus dem der Identifier stammt. Hinweise zur Festlegung der URLs für lokale Namensräume sind in den Deutschen Basisprofilen beschrieben.
Begründung Pflichtfeld: system stellt in Kombination mit value die Eindeutigkeit eines Identifiers sicher.
Account.identifier:Scheinnummer.type
Account.identifier:Scheinnummer.type.coding.code Code

Hier ist stets der Wert ASN anzugeben.
Account.identifier:Scheinnummer.type.coding.system Codier-Schema
Account.identifier:Scheinnummer.value

Enthält den eigentlichen Wert des Identifiers.
Begründung Pflichtfeld: Ist der Wert nicht bekannt, sollte der gesamte Slice weggelassen werden.
Account.owner Managende (abrechnende)Organisation

Begründung MS: Bei einer ambulanten Behandlung im Krankenhaus ist es wichtig, die Ambulanz als verantwortliche Organisation zu dokumentieren. Aus diesem Grund wurde hier ein MS ergänzt.

Hinweis: Bei ambulanten Fällen steht nicht automatisch das Krankenhaus als abrechnende Organisation gegenüber dem Kostenträger auf der Rechnung. Deshlab ist es im ambulanten Kontext besonders wichtig, hier die Organisation anzugeben.
Account.owner.display Name der managenden Organisation (Ambulanz)

Hier ist der Name der managenden Organisation anzugeben, beispielsweise die Ambulanz, die für die Behandlung verantwortlich ist.
Account.owner.identifier Identifier der managenden Organisation (Ambulanz)

Hier sind verschiedene im ambulanten Kontext vorkommende Identifier denkbar. Zur Orientierung wird im ISiK Kontext auf die Identifier einer KBV Base Organization verwiesen, da diese bereits die relevanten Identifier für die ambulante Versorgung enthält.
Account.owner.reference Organisation-Link
Account.servicePeriod Gültigkeitszeitraum des Abrechnungsfalls

Begründung MS: Im Kontext der Abbildung von ambulanten Behandlungen im Krankenhaus ist die Angabe eines Gültigkeitszeitraum notwendig, da es sich hierbei um punktuelle Kontakte handelt und der Zeitraum der Gültigkeit nicht direkt aus den zugeordneten Encountern ableitbar ist.

This structure is derived from ISiKAbrechnungsfall

Summary

Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 12 elements

Extensions

This structure refers to these extensions:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Account 0..* ISiKAbrechnungsfall Tracks balance, charges, for patient or cost center
... id SΣ 0..1 id serverseitige, interne ID des Datensatzes
... Slices for extension S 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:AbrechnungsDiagnoseProzedur S 0..* (Complex) Fallbezogene Abrechnungsrelevanz von Diagnosen und Prozeduren
URL: http://fhir.de/StructureDefinition/ExtensionAbrechnungsDiagnoseProzedur
Constraints: ext-1
..... Slices for extension 2..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:Use S 1..1 Extension Extension
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "Use"
...... extension:Referenz S 1..1 Extension Extension
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "Referenz"
..... url 1..1 uri "http://fhir.de/StructureDefinition/ExtensionAbrechnungsDiagnoseProzedur"
.... extension:AbrechnungsDiagnoseProzedurAmbulant S 0..* Reference(Condition | Procedure) Abrechnungsdiagnose /-prozedur
URL: https://gematik.de/fhir/isik/StructureDefinition/ISiKExtensionAbrechnungsDiagnoseProzedurAmbulant
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:Abrechnungsnummer SΣ 1..1 IdentifierAbrechnungsnummer Abrechnungsfallnummer

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type DeBasis ValueSet (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... text 0..1 string Plain text representation of the concept
...... coding Σ 0..* Coding Codierte Darstellung des Identifier-Typs

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Codier-Schema
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code SΣ 1..1 code Code
Fixed Value: AN
..... system SΣ 1..1 uri Namensraum des Identifiers
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
.... identifier:Scheinnummer SΣ 0..1 Identifier Nummer des Scheins

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... text 0..1 string Plain text representation of the concept
...... coding Σ 0..* Coding Codierte Darstellung des Identifier-Typs

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Codier-Schema
Fixed Value: https://gematik.de/fhir/isik/CodeSystem/ISiKIdentifierTypeErweiterungCS
....... code SΣ 1..1 code Code
Fixed Value: ASN
..... system SΣ 0..1 uri Namensraum des Identifiers
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
... status ?!SΣ 1..1 code Status
Binding: AccountStatus (required): Indicates whether the account is available to be used.
... subject SΣ 1..1 Reference(Patient) Patientenbezug
.... reference SΣC 1..1 string Patienten-Link
... servicePeriod SΣ 0..1 Period Gültigkeitszeitraum des Abrechnungsfalls
... coverage SΣ 0..* BackboneElement Versicherungs-/Zahlungsverhältnis
.... Slices for extension S 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:Abrechnungsart S 0..1 Coding Abrechnungsart
URL: http://fhir.de/StructureDefinition/ExtensionAbrechnungsart
Binding: Abrechnungsart ValueSet (extensible)
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... coverage SΣ 1..1 Reference(Coverage) The party(s), such as insurances, that may contribute to the payment of this account
..... reference SΣC 1..1 string Coverage-Link
.... priority SΣ 0..1 positiveInt Priorität
... owner SΣ 0..1 Reference(Organization) Managende (abrechnende)Organisation
.... reference SΣC 0..1 string Organisation-Link
.... identifier SΣ 0..1 Identifier Identifier der managenden Organisation (Ambulanz)
.... display SΣ 0..1 string Name der managenden Organisation (Ambulanz)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Account.identifier:Abrechnungsnummer.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Account.identifier:Abrechnungsnummer.​type Base extensible Identifier Type DeBasis ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Account.identifier:Scheinnummer.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Account.identifier:Scheinnummer.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Account.status Base required AccountStatus 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Account If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Account If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Account If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Account If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Account A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from ISiKAbrechnungsfall

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Account 0..* ISiKAbrechnungsfall Tracks balance, charges, for patient or cost center
... Slices for extension Content/Rules for all slices
.... extension:AbrechnungsDiagnoseProzedur 0..* ExtensionAbrechnungsDiagnoseProzedur Fallbezogene Abrechnungsrelevanz von Diagnosen und Prozeduren
.... extension:AbrechnungsDiagnoseProzedurAmbulant S 0..* Reference(Condition | Procedure) Abrechnungsdiagnose /-prozedur
URL: https://gematik.de/fhir/isik/StructureDefinition/ISiKExtensionAbrechnungsDiagnoseProzedurAmbulant
... Slices for identifier Content/Rules for all slices
.... identifier:Scheinnummer S 0..1 Identifier Nummer des Scheins
Required Pattern: At least the following
..... type S 0..1 CodeableConcept Description of identifier
Fixed Value: (Complex)
...... coding 0..* Coding Codierte Darstellung des Identifier-Typs
Fixed Value: (Complex)
....... system S 1..1 uri Codier-Schema
Fixed Value: https://gematik.de/fhir/isik/CodeSystem/ISiKIdentifierTypeErweiterungCS
....... code S 1..1 code Code
Fixed Value: ASN
..... system S 0..1 uri Namensraum des Identifiers
..... value S 0..1 string The value that is unique
... servicePeriod S 0..1 Period Gültigkeitszeitraum des Abrechnungsfalls
.... reference S 0..1 string Organisation-Link
.... identifier S 0..1 Identifier Identifier der managenden Organisation (Ambulanz)
.... display S 0..1 string Name der managenden Organisation (Ambulanz)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Account 0..* ISiKAbrechnungsfall Tracks balance, charges, for patient or cost center
... id SΣ 0..1 id serverseitige, interne ID des Datensatzes
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Eindeutiger Name der serverseitigen Version des Datensatzes
.... lastUpdated Σ 0..1 instant Zeitpunkt der letzten Änderung
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... contained 0..* Resource Contained, inline Resources
... Slices for extension S 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:AbrechnungsDiagnoseProzedur S 0..* (Complex) Fallbezogene Abrechnungsrelevanz von Diagnosen und Prozeduren
URL: http://fhir.de/StructureDefinition/ExtensionAbrechnungsDiagnoseProzedur
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 2..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:Use S 1..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "Use"
....... value[x] 0..1 Coding Value of extension
Binding: AbrechnungsDiagnoseProzedur ValueSet (extensible)
...... extension:Referenz S 1..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "Referenz"
....... value[x] 0..1 Reference(Condition | Procedure) Value of extension
..... url 1..1 uri "http://fhir.de/StructureDefinition/ExtensionAbrechnungsDiagnoseProzedur"
.... extension:AbrechnungsDiagnoseProzedurAmbulant S 0..* Reference(Condition | Procedure) Abrechnungsdiagnose /-prozedur
URL: https://gematik.de/fhir/isik/StructureDefinition/ISiKExtensionAbrechnungsDiagnoseProzedurAmbulant
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* Identifier Eindeutiger Identifier
Slice: Unordered, Open by pattern:$this
.... identifier:Abrechnungsnummer SΣ 1..1 IdentifierAbrechnungsnummer Abrechnungsfallnummer

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type DeBasis ValueSet (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Codierte Darstellung des Identifier-Typs

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Codier-Schema
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Code
Fixed Value: AN
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... system SΣ 1..1 uri Namensraum des Identifiers
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:Scheinnummer SΣ 0..1 Identifier Nummer des Scheins

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Codierte Darstellung des Identifier-Typs

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Codier-Schema
Fixed Value: https://gematik.de/fhir/isik/CodeSystem/ISiKIdentifierTypeErweiterungCS
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Code
Fixed Value: ASN
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... system SΣ 0..1 uri Namensraum des Identifiers
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!SΣ 1..1 code Status
Binding: AccountStatus (required): Indicates whether the account is available to be used.
... type Σ 0..1 CodeableConcept E.g. patient, expense, depreciation
Binding: AccountTypes (example): The usage type of this account, permits categorization of accounts.
... name Σ 0..1 string Human-readable label
... subject SΣ 1..1 Reference(Patient) Patientenbezug
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Patienten-Link
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... servicePeriod SΣ 0..1 Period Gültigkeitszeitraum des Abrechnungsfalls
... coverage SΣ 0..* BackboneElement Versicherungs-/Zahlungsverhältnis
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension S 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:Abrechnungsart S 0..1 Coding Abrechnungsart
URL: http://fhir.de/StructureDefinition/ExtensionAbrechnungsart
Binding: Abrechnungsart ValueSet (extensible)
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... coverage SΣ 1..1 Reference(Coverage) The party(s), such as insurances, that may contribute to the payment of this account
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣC 1..1 string Coverage-Link
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
.... priority SΣ 0..1 positiveInt Priorität
... owner SΣ 0..1 Reference(Organization) Managende (abrechnende)Organisation
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Organisation-Link
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier SΣ 0..1 Identifier Identifier der managenden Organisation (Ambulanz)
.... display SΣ 0..1 string Name der managenden Organisation (Ambulanz)
... description Σ 0..1 string Explanation of purpose/use
... guarantor 0..* BackboneElement The parties ultimately responsible for balancing the Account
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... party 1..1 Reference(Patient | RelatedPerson | Organization) Responsible entity
.... onHold 0..1 boolean Credit or other hold applied
.... period 0..1 Period Guarantee account during
... partOf 0..1 Reference(Account) Reference to a parent Account

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Account.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Account.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Account.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Account.extension:AbrechnungsDiagnoseProzedur.​extension:Use.value[x] Base extensible AbrechnungsDiagnoseProzedur ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Account.identifier:Abrechnungsnummer.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Account.identifier:Abrechnungsnummer.​type Base extensible Identifier Type DeBasis ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Account.identifier:Scheinnummer.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Account.identifier:Scheinnummer.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Account.status Base required AccountStatus 📍4.0.1 FHIR Std.
Account.type Base example Account Types 📍4.0.1 FHIR Std.
Account.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
Account.coverage.coverage.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Account.owner.type Base extensible ResourceType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Account If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Account If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Account If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Account If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Account A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ISiKAbrechnungsfall

Summary

Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 12 elements

Extensions

This structure refers to these extensions:

 

Other representations of profile: CSV, Excel, Schematron