{
  "resourceType": "StructureDefinition",
  "id": "GKVProfil",
  "url": "https://tiplu.de/fhir/StructureDefinition/GKVProfil",
  "version": "2.0.4",
  "name": "GKVProfil",
  "title": "Coverage-Profil GKV",
  "status": "active",
  "date": "2026-08-26",
  "publisher": "Tiplu GmbH",
  "contact": [
    {
      "name": "Tiplu GmbH",
      "telecom": [
        {
          "system": "email",
          "value": "fhir@tiplu.de"
        }
      ]
    }
  ],
  "description": "Kostenübernahme im Rahmen eines gesetzlichen Versicherungsverhältnisses in Deutschland.",
  "copyright": "Tiplu GmbH",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Coverage",
  "baseDefinition": "http://fhir.de/StructureDefinition/coverage-de-gkv",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Coverage.meta",
        "path": "Coverage.meta",
        "mustSupport": true
      },
      {
        "id": "Coverage.meta.profile",
        "path": "Coverage.meta.profile",
        "mustSupport": true
      },
      {
        "id": "Coverage.meta.security",
        "path": "Coverage.meta.security",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Coverage.meta.security:versiegelt",
        "path": "Coverage.meta.security",
        "sliceName": "versiegelt",
        "short": "Hier wird der Code BTG 'break the glass'als Security Label verwendet.",
        "min": 0,
        "max": "*",
        "patternCoding": {
          "code": "BTG",
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
          "display": "break the glass"
        },
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/ValueSet/security-labels"
        }
      },
      {
        "id": "Coverage.extension:einlesedatumKarte",
        "path": "Coverage.extension",
        "sliceName": "einlesedatumKarte",
        "short": "Datum, an dem die Versichertenkarte eingelesen wurde.",
        "mustSupport": true
      },
      {
        "id": "Coverage.extension:versichertenart",
        "path": "Coverage.extension",
        "sliceName": "versichertenart",
        "short": "Die Versicherungsart entspricht dem Versicherungsstatus der KBV und gibt an, ob ein Versicherter über die Familie, als Rentner oder als Mitglied versichert ist.",
        "mustSupport": true
      },
      {
        "id": "Coverage.identifier:KrankenversichertenID",
        "path": "Coverage.identifier",
        "sliceName": "KrankenversichertenID",
        "mustSupport": true
      },
      {
        "id": "Coverage.status",
        "path": "Coverage.status",
        "mustSupport": true
      },
      {
        "id": "Coverage.type",
        "path": "Coverage.type",
        "mustSupport": true
      },
      {
        "id": "Coverage.subscriber",
        "path": "Coverage.subscriber",
        "mustSupport": true
      },
      {
        "id": "Coverage.subscriber.reference",
        "path": "Coverage.subscriber.reference",
        "mustSupport": true
      },
      {
        "id": "Coverage.subscriber.identifier",
        "path": "Coverage.subscriber.identifier",
        "mustSupport": true
      },
      {
        "id": "Coverage.payor.identifier",
        "path": "Coverage.payor.identifier",
        "mustSupport": true
      },
      {
        "id": "Coverage.payor.identifier.type",
        "path": "Coverage.payor.identifier.type",
        "mustSupport": true
      }
    ]
  }
}