{
  "resourceType": "StructureDefinition",
  "id": "KBV-PR-PTV-Payor",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_PTV_Payor",
  "version": "1.0.0",
  "name": "KBV_PR_PTV_Payor",
  "status": "draft",
  "date": "2025-10-24",
  "publisher": "Kassenärztliche Bundesvereinigung (KBV)",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.kbv.de"
        }
      ]
    }
  ],
  "description": "Dieses Profil bildet einen Kostenträger mit verpflichtender Angabe von Telematik-ID und Telefonnummer  ab.",
  "copyright": "Copyright © [2026], Kassenärztliche Bundesvereinigung (KBV). All rights reserved. Im folgenden Profil können Codes aus den Codesystemen Snomed, Loinc oder Ucum enthalten sein, die dem folgenden Urheberrecht unterliegen: This material includes SNOMED Clinical Terms® SNOMED CT® which is used by permission of SNOMED International. All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. SNOMED and SNOMED CT are registered trademarks of SNOMED International. Implementers of these artefacts must have the appropriate SNOMED CT Affiliate license. This material contains content from Loinc http://loinc.org. Loinc is copyright ©; 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes Loinc Committee and is available at no cost under the license at http://loinc.org/license. Loinc® is a registered United States trademark of Regenstrief Institute, Inc. This product includes all or a portion of the UCUM table, UCUM codes, and UCUM definitions or is derived from it, subject to a license from Regenstrief Institute, Inc. and The UCUM Organization. Your use of the UCUM table, UCUM codes, UCUM definitions also is subject to this license, a copy of which is available at ​http://unitsofmeasure.org. The current complete UCUM table, UCUM Specification are available for download at ​http://unitsofmeasure.org. The UCUM table and UCUM codes are copyright ©; 1995-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures UCUM Organization. All rights reserved. THE UCUM TABLE IN ALL FORMATS, UCUM DEFINITIONS, AND SPECIFICATION ARE PROVIDED \"AS IS\"; ANY EXPRESS OR IMPLIED WARRANTIES ARE DISCLAIMED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Organization",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Organization",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Organization",
        "path": "Organization",
        "definition": "Der Kostenträger.",
        "mustSupport": true
      },
      {
        "id": "Organization.extension",
        "path": "Organization.extension",
        "max": "0"
      },
      {
        "id": "Organization.modifierExtension",
        "path": "Organization.modifierExtension",
        "max": "0"
      },
      {
        "id": "Organization.identifier",
        "path": "Organization.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "type"
            }
          ],
          "rules": "closed"
        },
        "definition": "Hier wird der Identifikator für die Einrichtung angegeben.",
        "min": 2,
        "max": "3",
        "mustSupport": true
      },
      {
        "id": "Organization.identifier.extension",
        "path": "Organization.identifier.extension",
        "max": "0"
      },
      {
        "id": "Organization.identifier:Institutionskennzeichen",
        "path": "Organization.identifier",
        "sliceName": "Institutionskennzeichen",
        "definition": "Die ARGE·IK vergibt und pflegt so genannte Institutionskennzeichen (IK). Das sind neunstellige Ziffernfolgen, hinter denen sich ein Datensatz verbirgt, auf dessen Grundlage der Zahlungsverkehr mit den leistungserbringenden Personen abgewickelt wird. Das Institutionskennzeichen (IK) ist ein eindeutiges Merkmal zur Abrechnung mit den Trägern der Sozialversicherung.",
        "max": "1",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://fhir.de/StructureDefinition/identifier-iknr"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Organization.identifier:Institutionskennzeichen.extension",
        "path": "Organization.identifier.extension",
        "max": "0"
      },
      {
        "id": "Organization.identifier:Institutionskennzeichen.use",
        "path": "Organization.identifier.use",
        "max": "0"
      },
      {
        "id": "Organization.identifier:Institutionskennzeichen.type",
        "path": "Organization.identifier.type",
        "max": "0"
      },
      {
        "id": "Organization.identifier:Institutionskennzeichen.value",
        "path": "Organization.identifier.value",
        "mustSupport": true
      },
      {
        "id": "Organization.identifier:Institutionskennzeichen.period",
        "path": "Organization.identifier.period",
        "max": "0"
      },
      {
        "id": "Organization.identifier:Institutionskennzeichen.assigner",
        "path": "Organization.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Organization.identifier:VKNR",
        "path": "Organization.identifier",
        "sliceName": "VKNR",
        "definition": "Die Vertragskassennummer der Kassenärztlichen Vereinigungen (VKNR) identifiziert Krankenkassen für Abrechnungszwecke. Rechtliche Grundlage hierfür ist § 15 der 1. Änderung des Vertrages über den Datenaustausch auf Datenträgern (Anlage 6 des Bundesmantelvertrages Ärzte vom 1. Juli 2018). Die VKNR ist wie folgt aufgebaut: 1. und 2. Stelle: Nummer der KV-Abrechnungsstelle; 3. bis 5. Stelle: Seriennummer der Krankenkasse innerhalb der Kassenart.",
        "max": "1",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://fhir.de/StructureDefinition/identifier-vknr"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Organization.identifier:VKNR.extension",
        "path": "Organization.identifier.extension",
        "max": "0"
      },
      {
        "id": "Organization.identifier:VKNR.use",
        "path": "Organization.identifier.use",
        "max": "0"
      },
      {
        "id": "Organization.identifier:VKNR.type",
        "path": "Organization.identifier.type",
        "max": "0"
      },
      {
        "id": "Organization.identifier:VKNR.value",
        "path": "Organization.identifier.value",
        "mustSupport": true
      },
      {
        "id": "Organization.identifier:VKNR.period",
        "path": "Organization.identifier.period",
        "max": "0"
      },
      {
        "id": "Organization.identifier:VKNR.assigner",
        "path": "Organization.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Organization.identifier:Telematik-ID",
        "path": "Organization.identifier",
        "sliceName": "Telematik-ID",
        "definition": "Bei der Telematik-ID handelt es sich um eine eindeutige elektronische Identität von Leistungserbringenden und medizinischen Institutionen in der Telematik-Infrastruktur.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://fhir.de/StructureDefinition/identifier-telematik-id"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Organization.identifier:Telematik-ID.extension",
        "path": "Organization.identifier.extension",
        "max": "0"
      },
      {
        "id": "Organization.identifier:Telematik-ID.use",
        "path": "Organization.identifier.use",
        "max": "0"
      },
      {
        "id": "Organization.identifier:Telematik-ID.type",
        "path": "Organization.identifier.type",
        "max": "0"
      },
      {
        "id": "Organization.identifier:Telematik-ID.value",
        "path": "Organization.identifier.value",
        "mustSupport": true
      },
      {
        "id": "Organization.identifier:Telematik-ID.period",
        "path": "Organization.identifier.period",
        "max": "0"
      },
      {
        "id": "Organization.identifier:Telematik-ID.assigner",
        "path": "Organization.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Organization.active",
        "path": "Organization.active",
        "max": "0"
      },
      {
        "id": "Organization.type",
        "path": "Organization.type",
        "definition": "In diesem Element werden Angaben zum Typ der Einrichtung/Organisationseinheit gemacht. Diese werden als codierte Information und/oder als Freitext angegeben.",
        "max": "0"
      },
      {
        "id": "Organization.type.coding",
        "path": "Organization.type.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "definition": "Hier wird ein Code aus einem geeigneten Code-System angegeben."
      },
      {
        "id": "Organization.type.text",
        "path": "Organization.type.text",
        "definition": "Hier wird ein Freitext eingetragen."
      },
      {
        "id": "Organization.name",
        "path": "Organization.name",
        "definition": "Hier wird der Name der Einrichtung angegeben.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Organization.alias",
        "path": "Organization.alias",
        "max": "0"
      },
      {
        "id": "Organization.telecom",
        "path": "Organization.telecom",
        "definition": "Dieses Element beschreibt die vorhandenen Kontaktmöglichkeiten.",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Organization.telecom.extension",
        "path": "Organization.telecom.extension",
        "max": "0"
      },
      {
        "id": "Organization.telecom.system",
        "path": "Organization.telecom.system",
        "min": 1,
        "fixedCode": "phone",
        "mustSupport": true
      },
      {
        "id": "Organization.telecom.value",
        "path": "Organization.telecom.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Organization.telecom.use",
        "path": "Organization.telecom.use",
        "max": "0"
      },
      {
        "id": "Organization.telecom.rank",
        "path": "Organization.telecom.rank",
        "max": "0"
      },
      {
        "id": "Organization.telecom.period",
        "path": "Organization.telecom.period",
        "max": "0"
      },
      {
        "id": "Organization.address",
        "path": "Organization.address",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "type"
            }
          ],
          "rules": "closed"
        },
        "definition": "In dieses Feld wird die Anschrift eingetragen.",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Organization.address.extension",
        "path": "Organization.address.extension",
        "max": "0"
      },
      {
        "id": "Organization.address:Strassenanschrift",
        "path": "Organization.address",
        "sliceName": "Strassenanschrift",
        "definition": "In dieses Element wird die Anschrift eingetragen.",
        "mustSupport": true
      },
      {
        "id": "Organization.address:Postfach",
        "path": "Organization.address",
        "sliceName": "Postfach",
        "definition": "Hier werden Angaben zu einem Postfach gemacht.",
        "mustSupport": true
      },
      {
        "id": "Organization.partOf",
        "path": "Organization.partOf",
        "definition": "Hier wird die übergeordnete Einrichtung/Organisationseinheit referenziert, z.B. wenn es sich bei der hier betrachteten Einrichtung/Organisationseinheit um die Fachabteilung oder die Station eines Krankenhauses handelt.",
        "max": "0"
      },
      {
        "id": "Organization.contact",
        "path": "Organization.contact",
        "definition": "Dieses Element beschreibt die vorhandenen Kontaktmöglichkeiten für einen spezifischen Kontakt innerhalb der Organisation.",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Organization.contact.extension",
        "path": "Organization.contact.extension",
        "max": "0"
      },
      {
        "id": "Organization.contact.modifierExtension",
        "path": "Organization.contact.modifierExtension",
        "max": "0"
      },
      {
        "id": "Organization.contact.purpose",
        "path": "Organization.contact.purpose",
        "definition": "Hier wird ein Zweck angegeben, zu dem der spezielle Kontakt erreicht werden kann.",
        "max": "0"
      },
      {
        "id": "Organization.contact.purpose.extension",
        "path": "Organization.contact.purpose.extension",
        "max": "0"
      },
      {
        "id": "Organization.contact.name",
        "path": "Organization.contact.name",
        "definition": "Hier wird der Name der speziellen Kontaktperson angegeben.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Organization.contact.telecom",
        "path": "Organization.contact.telecom",
        "definition": "Dieses Element beschreibt die vorhandenen Kontaktmöglichkeiten für den speziellen Kontakt innerhalb der Organisation.",
        "min": 1,
        "max": "1",
        "fixedContactPoint": {
          "system": "phone"
        },
        "mustSupport": true
      },
      {
        "id": "Organization.contact.telecom.extension",
        "path": "Organization.contact.telecom.extension",
        "max": "0"
      },
      {
        "id": "Organization.contact.telecom.system",
        "path": "Organization.contact.telecom.system",
        "min": 1,
        "fixedCode": "phone",
        "mustSupport": true
      },
      {
        "id": "Organization.contact.telecom.value",
        "path": "Organization.contact.telecom.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Organization.contact.telecom.use",
        "path": "Organization.contact.telecom.use",
        "max": "0"
      },
      {
        "id": "Organization.contact.telecom.rank",
        "path": "Organization.contact.telecom.rank",
        "max": "0"
      },
      {
        "id": "Organization.contact.telecom.period",
        "path": "Organization.contact.telecom.period",
        "max": "0"
      },
      {
        "id": "Organization.contact.address",
        "path": "Organization.contact.address",
        "definition": "In diesem Element befindet sich die Besuchsanschrift oder Postanschrift der speziellen Kontaktperson.",
        "max": "0"
      },
      {
        "id": "Organization.contact.address.country",
        "path": "Organization.contact.address.country",
        "short": "Staat",
        "definition": "Angabe des Staates als Länderkennzeichen nach DEUEV Anlage 8.",
        "binding": {
          "strength": "extensible",
          "valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_Base_Deuev_Anlage_8"
        }
      },
      {
        "id": "Organization.endpoint",
        "path": "Organization.endpoint",
        "max": "0"
      }
    ]
  }
}