{
  "resourceType": "StructureDefinition",
  "url": "https://fhir.kbv.de/StructureDefinition/74_PR_AW_Abrechnung_privat",
  "name": "74_PR_AW_Abrechnung_privat",
  "status": "active",
  "date": "2019-03-19",
  "publisher": "Kassenärztliche Bundesvereinigung (KBV)",
  "description": "Profil für die privatärztliche Abrechnung",
  "copyright": "Copyright © [2018], Kassenärztliche Bundesvereinigung (KBV). All rights reserved.",
  "fhirVersion": "3.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/w5",
      "name": "W5 Mapping"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Claim",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Claim",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Claim",
        "path": "Claim",
        "short": "Privatärztliche Abrechnung",
        "definition": "Privatärztliche Abrechnung. An diese Ressource kann eine Anlage angefügt werden. Siehe 74_PR_AW_Anlage."
      },
      {
        "id": "Claim.id",
        "path": "Claim.id",
        "min": 1
      },
      {
        "id": "Claim.meta",
        "path": "Claim.meta",
        "min": 1
      },
      {
        "id": "Claim.meta.versionId",
        "path": "Claim.meta.versionId",
        "min": 1
      },
      {
        "id": "Claim.meta.lastUpdated",
        "path": "Claim.meta.lastUpdated",
        "min": 1
      },
      {
        "id": "Claim.meta.profile",
        "path": "Claim.meta.profile",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Claim.text",
        "path": "Claim.text",
        "min": 1
      },
      {
        "id": "Claim.text.status",
        "path": "Claim.text.status",
        "short": "extensions",
        "fixedCode": "extensions"
      },
      {
        "id": "Claim.extension",
        "path": "Claim.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Claim.extension:zahlbetraege",
        "path": "Claim.extension",
        "sliceName": "zahlbetraege",
        "short": "Zahlungszusatzinformationen",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.kbv.de/StructureDefinition/74_EX_AW_Privatabrechnung_Zusatzinformationen"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Claim.extension:zahlbetraege.extension:direktzahlungsbetrag",
        "path": "Claim.extension.extension",
        "sliceName": "direktzahlungsbetrag",
        "definition": "Zahlungen die bereits in der Praxis getätigt worden sind können als Direktzahlungsbeträge angegeben werden.",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "KBV",
            "map": "Privatabrechnung: Direktzahlungsbetrag"
          }
        ]
      },
      {
        "id": "Claim.extension:zahlbetraege.extension:nachlass",
        "path": "Claim.extension.extension",
        "sliceName": "nachlass",
        "definition": "Angabe eines Nachlasses, der auf die Rechnungssumme gewaehrt wurde.",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "KBV",
            "map": "Privatabrechnung: Nachlass in Cent"
          }
        ]
      },
      {
        "id": "Claim.extension:zahlbetraege.extension:minderungssatz",
        "path": "Claim.extension.extension",
        "sliceName": "minderungssatz",
        "short": "Minderungssatz",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "KBV",
            "map": "Privatabrechnung: Minderungssatz"
          }
        ]
      },
      {
        "id": "Claim.extension:mahnung",
        "path": "Claim.extension",
        "sliceName": "mahnung",
        "short": "beschreibung der Position",
        "definition": "beschreibung der Position",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.kbv.de/StructureDefinition/74_EX_AW_Abrechnung_Mahnung"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "KBV",
            "map": "Privatabrechnung: DT_Mahnung"
          }
        ]
      },
      {
        "id": "Claim.extension:mahnung.extension:mahndatum",
        "path": "Claim.extension.extension",
        "sliceName": "mahndatum",
        "mustSupport": true
      },
      {
        "id": "Claim.extension:mahnung.extension:mahnstufe",
        "path": "Claim.extension.extension",
        "sliceName": "mahnstufe",
        "mustSupport": true
      },
      {
        "id": "Claim.extension:mahnung.extension:mahnstufe.valueCodeableConcept:valueCodeableConcept",
        "path": "Claim.extension.extension.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "mapping": [
          {
            "identity": "KBV",
            "map": "Mahnstufe"
          }
        ]
      },
      {
        "id": "Claim.extension:mahnung.extension:mahngebuehr",
        "path": "Claim.extension.extension",
        "sliceName": "mahngebuehr",
        "mustSupport": true
      },
      {
        "id": "Claim.extension:mahnung.extension:mahngebuehr.valueMoney:valueMoney",
        "path": "Claim.extension.extension.valueMoney",
        "sliceName": "valueMoney",
        "mapping": [
          {
            "identity": "KBV",
            "map": "Mahngebuehr"
          }
        ]
      },
      {
        "id": "Claim.extension:mahnung.extension:zahldatum",
        "path": "Claim.extension.extension",
        "sliceName": "zahldatum",
        "mustSupport": true
      },
      {
        "id": "Claim.extension:mahnung.extension:zahlbetrag",
        "path": "Claim.extension.extension",
        "sliceName": "zahlbetrag",
        "mustSupport": true
      },
      {
        "id": "Claim.extension:mahnung.extension:zahlbetrag.valueMoney:valueMoney",
        "path": "Claim.extension.extension.valueMoney",
        "sliceName": "valueMoney",
        "mapping": [
          {
            "identity": "KBV",
            "map": "Zahlbetrag"
          }
        ]
      },
      {
        "id": "Claim.extension:rechnungsempfaenger_Selbstzahler",
        "path": "Claim.extension",
        "sliceName": "rechnungsempfaenger_Selbstzahler",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.kbv.de/StructureDefinition/74_EX_AW_Privatabrechnung_Rechnungsempfaenger"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "KBV",
            "map": "Privatabrechnung: Rechnungsempfänger"
          }
        ]
      },
      {
        "id": "Claim.extension:rechnungsempfaenger_Selbstzahler.value[x]:valueReference",
        "path": "Claim.extension.value[x]",
        "sliceName": "valueReference",
        "min": 1,
        "mustSupport": true,
        "mapping": [
          {
            "identity": "KBV",
            "map": "Rechnungsempfaenger"
          }
        ]
      },
      {
        "id": "Claim.extension:rechnungsempfaenger_Selbstzahler.value[x]:valueReference.reference",
        "path": "Claim.extension.value[x].reference",
        "mustSupport": true
      },
      {
        "id": "Claim.identifier",
        "path": "Claim.identifier",
        "short": "Rechnungsnummer",
        "definition": "Dieses Attribut beinhaltet die Rechnungsnummer einer Abrechnung zur einer Begegnung",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "KBV",
            "map": "Privatabrechnung: Rechnungsnummer"
          }
        ]
      },
      {
        "id": "Claim.identifier.use",
        "path": "Claim.identifier.use",
        "max": "0"
      },
      {
        "id": "Claim.identifier.type",
        "path": "Claim.identifier.type",
        "min": 1
      },
      {
        "id": "Claim.identifier.type.coding",
        "path": "Claim.identifier.type.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Claim.identifier.type.coding.system",
        "path": "Claim.identifier.type.coding.system",
        "min": 1,
        "fixedUri": "https://fhir.kbv.de/CodeSystem/74_CS_AW_Abrechnung_Identifiertyp"
      },
      {
        "id": "Claim.identifier.type.coding.version",
        "path": "Claim.identifier.type.coding.version",
        "max": "0"
      },
      {
        "id": "Claim.identifier.type.coding.code",
        "path": "Claim.identifier.type.coding.code",
        "short": "Rechnungsnummer",
        "definition": "Festgelegter Wert zur Typifizierung des Identifiers: Rechnungsnummer",
        "min": 1,
        "fixedCode": "Rechnungsnummer",
        "mapping": [
          {
            "identity": "KBV",
            "map": "Rechnungsnummer"
          }
        ]
      },
      {
        "id": "Claim.identifier.type.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Claim.identifier.type.coding.display",
        "max": "0"
      },
      {
        "id": "Claim.identifier.type.coding.userSelected",
        "path": "Claim.identifier.type.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Claim.identifier.type.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Claim.identifier.type.text",
        "max": "0"
      },
      {
        "id": "Claim.identifier.system",
        "path": "Claim.identifier.system",
        "max": "0"
      },
      {
        "id": "Claim.identifier.value",
        "path": "Claim.identifier.value",
        "short": "Rechnungsnummer",
        "definition": "Angabe der Rechnungsnummer",
        "min": 1,
        "mustSupport": true,
        "mapping": [
          {
            "identity": "KBV",
            "map": "Rechnungsnummer"
          }
        ]
      },
      {
        "id": "Claim.identifier.period",
        "path": "Claim.identifier.period",
        "max": "0"
      },
      {
        "id": "Claim.identifier.assigner",
        "path": "Claim.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Claim.status",
        "path": "Claim.status",
        "short": "active | draft",
        "definition": "Zur Auswahl des Status stehen folgende Möglichkeiten bereit:\r\nnicht abgerechnet = draft\r\nabgerechnet = active",
        "min": 1,
        "constraint": [
          {
            "key": "status",
            "severity": "error",
            "human": "Der Status darf draft oder abgerechnet sein.",
            "expression": "claim.status= \"draft\" xor claim.status=\"active\""
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "KBV",
            "map": "ist abgerechnet"
          }
        ]
      },
      {
        "id": "Claim.type",
        "path": "Claim.type",
        "max": "0"
      },
      {
        "id": "Claim.subType",
        "path": "Claim.subType",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "coding.system"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "max": "2",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "KBV",
            "map": "Privatabrechnung: ENUM_Privatrechnungsart"
          }
        ]
      },
      {
        "id": "Claim.subType:abrechnungstyp",
        "path": "Claim.subType",
        "sliceName": "abrechnungstyp",
        "short": "Abrechnungstypen Privat",
        "definition": "Angabe eines Types einer privaten Abrechnung Privat, Privat_Postbeamte, Privat_KVB, Privat_Beihilfeergänzung",
        "min": 1,
        "max": "1",
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ClaimSubType"
            }
          ],
          "strength": "required",
          "description": "Abrechnung Privat",
          "valueSetUri": "https://fhir.kbv.de/ValueSet/74_VS_AW_Abrechnung_Art_Privat"
        }
      },
      {
        "id": "Claim.subType:abrechnungstyp.coding",
        "path": "Claim.subType.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Claim.subType:abrechnungstyp.coding.system",
        "path": "Claim.subType.coding.system",
        "min": 1,
        "fixedUri": "https://fhir.kbv.de/ValueSet/74_CS_AW_Abrechnung_Art"
      },
      {
        "id": "Claim.subType:abrechnungstyp.coding.version",
        "path": "Claim.subType.coding.version",
        "max": "0"
      },
      {
        "id": "Claim.subType:abrechnungstyp.coding.code",
        "path": "Claim.subType.coding.code",
        "min": 1
      },
      {
        "id": "Claim.subType:abrechnungstyp.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Claim.subType.coding.display",
        "max": "0"
      },
      {
        "id": "Claim.subType:abrechnungstyp.coding.userSelected",
        "path": "Claim.subType.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Claim.subType:abrechnungstyp.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Claim.subType.text",
        "max": "0"
      },
      {
        "id": "Claim.subType:privattarif",
        "path": "Claim.subType",
        "sliceName": "privattarif",
        "short": "Zusätzliche private Tarife",
        "definition": "Übertragung von zusätzlichen Tarifen mit Code und Beschreibung, die nicht im ValueSet vorgegeben sind.",
        "max": "1",
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ClaimSubType"
            }
          ],
          "strength": "example",
          "valueSetUri": "http://hl7.org/fhir/ValueSet/claim-subtype"
        }
      },
      {
        "id": "Claim.subType:privattarif.coding",
        "path": "Claim.subType.coding",
        "min": 1,
        "max": "1",
        "constraint": [
          {
            "key": "systemOrDisplay",
            "severity": "error",
            "human": "Es muss entweder ein System oder Display angegeben werden",
            "expression": "system.exists() or display.exists()"
          }
        ]
      },
      {
        "id": "Claim.subType:privattarif.coding.version",
        "path": "Claim.subType.coding.version",
        "max": "0"
      },
      {
        "id": "Claim.subType:privattarif.coding.code",
        "path": "Claim.subType.coding.code",
        "min": 1
      },
      {
        "id": "Claim.subType:privattarif.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Claim.subType.coding.display",
        "min": 1
      },
      {
        "id": "Claim.subType:privattarif.coding.userSelected",
        "path": "Claim.subType.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Claim.use",
        "path": "Claim.use",
        "max": "0"
      },
      {
        "id": "Claim.patient",
        "path": "Claim.patient",
        "label": "TR01",
        "short": "Patientenbezug",
        "requirements": "Diese Referenz wurde aus technischen Gründen erzeugt, um dieser patientenbezogenen Ressource zu genügen. Aus informationstechnischer Sicht ist Diese jedoch nicht notwendig, da der Zusammenhang bereits über das Attribut related hergestellt worden ist.",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.kbv.de/StructureDefinition/74_PR_AW_Patient"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Claim.patient.reference",
        "path": "Claim.patient.reference",
        "min": 1
      },
      {
        "id": "Claim.patient.identifier",
        "path": "Claim.patient.identifier",
        "max": "0"
      },
      {
        "id": "Claim.patient.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Claim.patient.display",
        "max": "0"
      },
      {
        "id": "Claim.billablePeriod",
        "path": "Claim.billablePeriod",
        "max": "0"
      },
      {
        "id": "Claim.created",
        "path": "Claim.created",
        "short": "Rechnungsdatum",
        "definition": "Rechnungsdatum",
        "min": 1,
        "mustSupport": true,
        "mapping": [
          {
            "identity": "KBV",
            "map": "Privatabrechnung: Rechnungsdatum"
          }
        ]
      },
      {
        "id": "Claim.enterer",
        "path": "Claim.enterer",
        "max": "0"
      },
      {
        "id": "Claim.insurer",
        "path": "Claim.insurer",
        "short": "Abrechnungsdienst",
        "definition": "Angabe eines Abrechnungsdienst inkl Kundennummer und IK-Nummer",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.kbv.de/StructureDefinition/74_PR_AW_Organisation"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Claim.insurer.extension",
        "path": "Claim.insurer.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Claim.insurer.extension:kundennummer_des_Abrechnungsdienstes",
        "path": "Claim.insurer.extension",
        "sliceName": "kundennummer_des_Abrechnungsdienstes",
        "short": "Kundennummer beim Abrechnungsdienst",
        "definition": "Kundennummer beim Abrechnungsdienst",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.kbv.de/StructureDefinition/74_EX_AW_Organisation_Kundennummer_Abrechungsdienst"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "KBV",
            "map": "Privatabrechnung: Kundennummer_des_Abrechnungsdienstes"
          }
        ]
      },
      {
        "id": "Claim.insurer.extension:kundennummer_des_Abrechnungsdienstes.valueString:valueString",
        "path": "Claim.insurer.extension.valueString",
        "sliceName": "valueString",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "KBV",
            "map": "Kundennummer des Abrechnungsdienstes"
          }
        ]
      },
      {
        "id": "Claim.insurer.identifier",
        "path": "Claim.insurer.identifier",
        "short": "IKNR des Abrechnungsdienstes",
        "definition": "IKNR des Abrechnungsdienstes",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "KBV",
            "map": "Privatabrechnung: IKNR der Annahmestelle"
          }
        ]
      },
      {
        "id": "Claim.insurer.identifier.use",
        "path": "Claim.insurer.identifier.use",
        "max": "0"
      },
      {
        "id": "Claim.insurer.identifier.type",
        "path": "Claim.insurer.identifier.type",
        "max": "0"
      },
      {
        "id": "Claim.insurer.identifier.type.coding",
        "path": "Claim.insurer.identifier.type.coding",
        "max": "0"
      },
      {
        "id": "Claim.insurer.identifier.type.coding.version",
        "path": "Claim.insurer.identifier.type.coding.version",
        "max": "0"
      },
      {
        "id": "Claim.insurer.identifier.type.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Claim.insurer.identifier.type.coding.display",
        "max": "0"
      },
      {
        "id": "Claim.insurer.identifier.type.coding.userSelected",
        "path": "Claim.insurer.identifier.type.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Claim.insurer.identifier.type.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Claim.insurer.identifier.type.text",
        "max": "0"
      },
      {
        "id": "Claim.insurer.identifier.system",
        "path": "Claim.insurer.identifier.system",
        "short": "Namensraum der IKNR",
        "definition": "Namensraum der IKNR",
        "min": 1,
        "fixedUri": "http://fhir.de/NamingSystem/arge-ik/iknr"
      },
      {
        "id": "Claim.insurer.identifier.value",
        "path": "Claim.insurer.identifier.value",
        "short": "IKNummer",
        "definition": "IKNummer",
        "min": 1
      },
      {
        "id": "Claim.insurer.identifier.period",
        "path": "Claim.insurer.identifier.period",
        "max": "0"
      },
      {
        "id": "Claim.insurer.identifier.assigner",
        "path": "Claim.insurer.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Claim.insurer.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Claim.insurer.display",
        "max": "0"
      },
      {
        "id": "Claim.provider",
        "path": "Claim.provider",
        "max": "0"
      },
      {
        "id": "Claim.organization",
        "path": "Claim.organization",
        "max": "0"
      },
      {
        "id": "Claim.priority",
        "path": "Claim.priority",
        "max": "0"
      },
      {
        "id": "Claim.fundsReserve",
        "path": "Claim.fundsReserve",
        "max": "0"
      },
      {
        "id": "Claim.related",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "RelatedClaim"
          }
        ],
        "path": "Claim.related",
        "short": "Bezug zur vorlaeufigen Abrechnung",
        "definition": "Die Referenz zu der vorlaeufigen Abrechnung in der alle GOPs dokumentiert sind.",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Claim.related.claim",
        "path": "Claim.related.claim",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.kbv.de/StructureDefinition/74_PR_AW_Abrechnung_Vorlaeufig"
          }
        ]
      },
      {
        "id": "Claim.related.claim.reference",
        "path": "Claim.related.claim.reference",
        "min": 1
      },
      {
        "id": "Claim.related.claim.identifier",
        "path": "Claim.related.claim.identifier",
        "max": "0"
      },
      {
        "id": "Claim.related.claim.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Claim.related.claim.display",
        "max": "0"
      },
      {
        "id": "Claim.related.relationship",
        "path": "Claim.related.relationship",
        "max": "0"
      },
      {
        "id": "Claim.related.relationship.coding",
        "path": "Claim.related.relationship.coding",
        "max": "0"
      },
      {
        "id": "Claim.related.relationship.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Claim.related.relationship.text",
        "short": "Abrechnung ist Basis",
        "definition": "Die referenzierte Abrechnung bildet die Basis dieser Abrechnung",
        "fixedString": "base"
      },
      {
        "id": "Claim.related.reference",
        "path": "Claim.related.reference",
        "max": "0"
      },
      {
        "id": "Claim.prescription",
        "path": "Claim.prescription",
        "max": "0"
      },
      {
        "id": "Claim.originalPrescription",
        "path": "Claim.originalPrescription",
        "max": "0"
      },
      {
        "id": "Claim.payee",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Payee"
          }
        ],
        "path": "Claim.payee",
        "short": "Zahlungsempfänger",
        "definition": "Daten zum Zahlungsempfänger",
        "mustSupport": true
      },
      {
        "id": "Claim.payee.extension",
        "path": "Claim.payee.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Claim.payee.extension:kontoverbindung",
        "path": "Claim.payee.extension",
        "sliceName": "kontoverbindung",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.kbv.de/StructureDefinition/74_EX_AW_Privatabrechnung_Kontoverbindung"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "KBV",
            "map": "Kontoverbindung"
          }
        ]
      },
      {
        "id": "Claim.payee.type",
        "path": "Claim.payee.type",
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "PayeeType"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean": true
            }
          ],
          "strength": "required"
        }
      },
      {
        "id": "Claim.payee.type.coding",
        "path": "Claim.payee.type.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Claim.payee.type.coding.system",
        "path": "Claim.payee.type.coding.system",
        "min": 1,
        "fixedUri": "http://hl7.org/fhir/payeetype"
      },
      {
        "id": "Claim.payee.type.coding.version",
        "path": "Claim.payee.type.coding.version",
        "max": "0"
      },
      {
        "id": "Claim.payee.type.coding.code",
        "path": "Claim.payee.type.coding.code",
        "min": 1,
        "fixedCode": "provider"
      },
      {
        "id": "Claim.payee.type.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Claim.payee.type.coding.display",
        "max": "0"
      },
      {
        "id": "Claim.payee.type.coding.userSelected",
        "path": "Claim.payee.type.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Claim.payee.type.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Claim.payee.type.text",
        "max": "0"
      },
      {
        "id": "Claim.payee.resourceType",
        "path": "Claim.payee.resourceType",
        "max": "0"
      },
      {
        "id": "Claim.payee.party",
        "path": "Claim.payee.party",
        "max": "0",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.kbv.de/StructureDefinition/74_PR_AW_Behandelnder"
          }
        ]
      },
      {
        "id": "Claim.payee.party.identifier",
        "path": "Claim.payee.party.identifier",
        "max": "0"
      },
      {
        "id": "Claim.payee.party.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Claim.payee.party.display",
        "max": "0"
      },
      {
        "id": "Claim.referral",
        "path": "Claim.referral",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.kbv.de/StructureDefinition/74_PR_AW_Weiterbehandlung_durch"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Claim.referral.reference",
        "path": "Claim.referral.reference",
        "min": 1,
        "mustSupport": true,
        "mapping": [
          {
            "identity": "KBV",
            "map": "Weiterbehandlung durch"
          }
        ]
      },
      {
        "id": "Claim.referral.identifier",
        "path": "Claim.referral.identifier",
        "max": "0"
      },
      {
        "id": "Claim.referral.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Claim.referral.display",
        "max": "0"
      },
      {
        "id": "Claim.facility",
        "path": "Claim.facility",
        "max": "0"
      },
      {
        "id": "Claim.careTeam",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "CareTeam"
          }
        ],
        "path": "Claim.careTeam",
        "max": "0"
      },
      {
        "id": "Claim.information",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "SpecialCondition"
          }
        ],
        "path": "Claim.information",
        "max": "0"
      },
      {
        "id": "Claim.diagnosis",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Diagnosis"
          }
        ],
        "path": "Claim.diagnosis",
        "max": "0"
      },
      {
        "id": "Claim.procedure",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Procedure"
          }
        ],
        "path": "Claim.procedure",
        "max": "0"
      },
      {
        "id": "Claim.insurance",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Insurance"
          }
        ],
        "path": "Claim.insurance",
        "short": "Krankenversicherung",
        "definition": "Referenz zur Krankenversicherung",
        "max": "1",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "KBV",
            "map": "Privatabrechnung: Referenz zum Krankenversicherungsverhältnis"
          }
        ]
      },
      {
        "id": "Claim.insurance.coverage",
        "path": "Claim.insurance.coverage",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.kbv.de/StructureDefinition/74_PR_AW_Krankenversicherungsverhaeltnis"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Claim.insurance.coverage.reference",
        "path": "Claim.insurance.coverage.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Claim.insurance.coverage.identifier",
        "path": "Claim.insurance.coverage.identifier",
        "max": "0"
      },
      {
        "id": "Claim.insurance.coverage.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Claim.insurance.coverage.display",
        "max": "0"
      },
      {
        "id": "Claim.insurance.businessArrangement",
        "path": "Claim.insurance.businessArrangement",
        "max": "0"
      },
      {
        "id": "Claim.insurance.preAuthRef",
        "path": "Claim.insurance.preAuthRef",
        "max": "0"
      },
      {
        "id": "Claim.insurance.claimResponse",
        "path": "Claim.insurance.claimResponse",
        "max": "0"
      },
      {
        "id": "Claim.accident",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Accident"
          }
        ],
        "path": "Claim.accident",
        "max": "0"
      },
      {
        "id": "Claim.accident.type.coding",
        "path": "Claim.accident.type.coding",
        "code": [
          {
            "code": "1",
            "display": "Unfall/Unfallfolge"
          },
          {
            "code": "0",
            "display": "Kein Unfall"
          }
        ]
      },
      {
        "id": "Claim.accident.location[x]",
        "path": "Claim.accident.location[x]",
        "max": "0"
      },
      {
        "id": "Claim.employmentImpacted",
        "path": "Claim.employmentImpacted",
        "max": "0"
      },
      {
        "id": "Claim.hospitalization",
        "path": "Claim.hospitalization",
        "max": "0"
      },
      {
        "id": "Claim.item",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Item"
          }
        ],
        "path": "Claim.item",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "category.coding.code"
            }
          ],
          "description": "Entschaedigung\r\nAuslagen\r\nsonstiges Honorar",
          "rules": "closed"
        },
        "definition": "GOP\r\nMaterialien/Sache\r\nEntschaedigung\r\nAuslagen\r\nsonstiges Honorar"
      },
      {
        "id": "Claim.item:entschaedigung",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Item"
          }
        ],
        "path": "Claim.item",
        "sliceName": "entschaedigung",
        "short": "Entschädigung",
        "definition": "In diesem Element können Entschaedigungen eingetragen werden, wie z.B. Reisekosten oder Wegegelder.",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "KBV",
            "map": "Privatabrechnung: DT_Entschädigung"
          }
        ]
      },
      {
        "id": "Claim.item:entschaedigung.careTeamLinkId",
        "path": "Claim.item.careTeamLinkId",
        "max": "0"
      },
      {
        "id": "Claim.item:entschaedigung.diagnosisLinkId",
        "path": "Claim.item.diagnosisLinkId",
        "max": "0"
      },
      {
        "id": "Claim.item:entschaedigung.procedureLinkId",
        "path": "Claim.item.procedureLinkId",
        "max": "0"
      },
      {
        "id": "Claim.item:entschaedigung.informationLinkId",
        "path": "Claim.item.informationLinkId",
        "max": "0"
      },
      {
        "id": "Claim.item:entschaedigung.revenue",
        "path": "Claim.item.revenue",
        "max": "0"
      },
      {
        "id": "Claim.item:entschaedigung.category",
        "path": "Claim.item.category",
        "min": 1
      },
      {
        "id": "Claim.item:entschaedigung.category.coding",
        "path": "Claim.item.category.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Claim.item:entschaedigung.category.coding.system",
        "path": "Claim.item.category.coding.system",
        "min": 1,
        "fixedUri": "https://fhir.kbv.de/CodeSystem/74_CS_AW_Abrechnung_Item_Kategorie"
      },
      {
        "id": "Claim.item:entschaedigung.category.coding.version",
        "path": "Claim.item.category.coding.version",
        "max": "0"
      },
      {
        "id": "Claim.item:entschaedigung.category.coding.code",
        "path": "Claim.item.category.coding.code",
        "min": 1,
        "fixedCode": "Entschaedigung"
      },
      {
        "id": "Claim.item:entschaedigung.category.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Claim.item.category.coding.display",
        "max": "0"
      },
      {
        "id": "Claim.item:entschaedigung.category.coding.userSelected",
        "path": "Claim.item.category.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Claim.item:entschaedigung.category.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Claim.item.category.text",
        "max": "0"
      },
      {
        "id": "Claim.item:entschaedigung.service",
        "path": "Claim.item.service",
        "max": "0"
      },
      {
        "id": "Claim.item:entschaedigung.modifier",
        "path": "Claim.item.modifier",
        "definition": "Wegegeld\r\nReisekkosten",
        "min": 1,
        "max": "1",
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "Modifiers"
            }
          ],
          "strength": "required",
          "description": "Entschaedigungsart",
          "valueSetUri": "https://fhir.kbv.de/ValueSet/74_VS_AW_Entschaedigungsart"
        },
        "mapping": [
          {
            "identity": "KBV",
            "map": "DT_Entschaedigung: Wegegeld/Reisegeld"
          }
        ]
      },
      {
        "id": "Claim.item:entschaedigung.modifier.coding",
        "path": "Claim.item.modifier.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Claim.item:entschaedigung.modifier.coding.system",
        "path": "Claim.item.modifier.coding.system",
        "fixedUri": "https://fhir.kbv.de/CodeSystem/74_CS_AW_Entschaedigungsart"
      },
      {
        "id": "Claim.item:entschaedigung.modifier.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Claim.item.modifier.text",
        "max": "0"
      },
      {
        "id": "Claim.item:entschaedigung.programCode",
        "path": "Claim.item.programCode",
        "max": "0"
      },
      {
        "id": "Claim.item:entschaedigung.serviced[x]",
        "path": "Claim.item.serviced[x]",
        "max": "0"
      },
      {
        "id": "Claim.item:entschaedigung.location[x]",
        "path": "Claim.item.location[x]",
        "max": "0"
      },
      {
        "id": "Claim.item:entschaedigung.quantity",
        "path": "Claim.item.quantity",
        "min": 1,
        "mustSupport": true,
        "mapping": [
          {
            "identity": "KBV",
            "map": "DT_Entschaedigung: Anzahl"
          }
        ]
      },
      {
        "id": "Claim.item:entschaedigung.quantity.value",
        "path": "Claim.item.quantity.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Claim.item:entschaedigung.quantity.unit",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Claim.item.quantity.unit",
        "min": 1,
        "fixedString": "1"
      },
      {
        "id": "Claim.item:entschaedigung.quantity.system",
        "path": "Claim.item.quantity.system",
        "min": 1,
        "fixedUri": "http://unitsofmeasure.org"
      },
      {
        "id": "Claim.item:entschaedigung.quantity.code",
        "path": "Claim.item.quantity.code",
        "min": 1,
        "fixedCode": "1"
      },
      {
        "id": "Claim.item:entschaedigung.unitPrice",
        "path": "Claim.item.unitPrice",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "KBV",
            "map": "DT_Entschaedigung: in Cent"
          }
        ]
      },
      {
        "id": "Claim.item:entschaedigung.unitPrice.value",
        "path": "Claim.item.unitPrice.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Claim.item:entschaedigung.unitPrice.comparator",
        "path": "Claim.item.unitPrice.comparator",
        "max": "0"
      },
      {
        "id": "Claim.item:entschaedigung.unitPrice.unit",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Claim.item.unitPrice.unit",
        "min": 1,
        "fixedString": "Euro"
      },
      {
        "id": "Claim.item:entschaedigung.unitPrice.system",
        "path": "Claim.item.unitPrice.system",
        "min": 1,
        "fixedUri": "urn:iso:std:iso:4217"
      },
      {
        "id": "Claim.item:entschaedigung.unitPrice.code",
        "path": "Claim.item.unitPrice.code",
        "min": 1,
        "fixedCode": "EUR"
      },
      {
        "id": "Claim.item:entschaedigung.net",
        "path": "Claim.item.net",
        "max": "0"
      },
      {
        "id": "Claim.item:entschaedigung.udi",
        "path": "Claim.item.udi",
        "max": "0"
      },
      {
        "id": "Claim.item:entschaedigung.bodySite",
        "path": "Claim.item.bodySite",
        "max": "0"
      },
      {
        "id": "Claim.item:entschaedigung.subSite",
        "path": "Claim.item.subSite",
        "max": "0"
      },
      {
        "id": "Claim.item:entschaedigung.encounter",
        "path": "Claim.item.encounter",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.kbv.de/StructureDefinition/74_PR_AW_Begegnung"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Claim.item:entschaedigung.encounter.reference",
        "path": "Claim.item.encounter.reference",
        "min": 1,
        "mustSupport": true,
        "mapping": [
          {
            "identity": "KBV",
            "map": "Referenz zur Begegnung"
          }
        ]
      },
      {
        "id": "Claim.item:entschaedigung.encounter.identifier",
        "path": "Claim.item.encounter.identifier",
        "max": "0"
      },
      {
        "id": "Claim.item:entschaedigung.encounter.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Claim.item.encounter.display",
        "max": "0"
      },
      {
        "id": "Claim.item:entschaedigung.detail",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Detail"
          }
        ],
        "path": "Claim.item.detail",
        "max": "0"
      },
      {
        "id": "Claim.item:auslagen",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Item"
          }
        ],
        "path": "Claim.item",
        "sliceName": "auslagen",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "KBV",
            "map": "Privatabrechnung: DT_Auslagen"
          }
        ]
      },
      {
        "id": "Claim.item:auslagen.careTeamLinkId",
        "path": "Claim.item.careTeamLinkId",
        "max": "0"
      },
      {
        "id": "Claim.item:auslagen.diagnosisLinkId",
        "path": "Claim.item.diagnosisLinkId",
        "max": "0"
      },
      {
        "id": "Claim.item:auslagen.procedureLinkId",
        "path": "Claim.item.procedureLinkId",
        "max": "0"
      },
      {
        "id": "Claim.item:auslagen.informationLinkId",
        "path": "Claim.item.informationLinkId",
        "max": "0"
      },
      {
        "id": "Claim.item:auslagen.revenue",
        "path": "Claim.item.revenue",
        "max": "0"
      },
      {
        "id": "Claim.item:auslagen.category",
        "path": "Claim.item.category",
        "min": 1
      },
      {
        "id": "Claim.item:auslagen.category.coding",
        "path": "Claim.item.category.coding",
        "min": 1,
        "max": "1"
      },
      {
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          }
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          {
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  }
}