{
  "resourceType": "StructureDefinition",
  "id": "GEM-ERPCHRG-PR-ChargeItem",
  "url": "https://gematik.de/fhir/erpchrg/StructureDefinition/GEM_ERPCHRG_PR_ChargeItem",
  "version": "1.1.0",
  "name": "GEM_ERPCHRG_PR_ChargeItem",
  "status": "active",
  "experimental": false,
  "date": "2025-04-10",
  "publisher": "gematik GmbH",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "ChargeItem",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ChargeItem",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "ChargeItem.meta",
        "path": "ChargeItem.meta",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "ChargeItem.meta.profile",
        "path": "ChargeItem.meta.profile",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "$this"
            }
          ],
          "rules": "closed",
          "description": "Slicing for meta profile",
          "ordered": false
        },
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "ChargeItem.meta.profile:erpchrgProfile",
        "path": "ChargeItem.meta.profile",
        "sliceName": "erpchrgProfile",
        "min": 1,
        "max": "1",
        "fixedCanonical": "https://gematik.de/fhir/erpchrg/StructureDefinition/GEM_ERPCHRG_PR_ChargeItem|1.1",
        "mustSupport": true
      },
      {
        "id": "ChargeItem.extension",
        "path": "ChargeItem.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "closed"
        }
      },
      {
        "id": "ChargeItem.extension:markingFlag",
        "path": "ChargeItem.extension",
        "sliceName": "markingFlag",
        "short": "Flag list whether submitted Abrechnungsinformationen for PKV, Taxes, Subsidy",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://gematik.de/fhir/erpchrg/StructureDefinition/GEM_ERPCHRG_EX_MarkingFlag"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "ChargeItem.identifier",
        "path": "ChargeItem.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "description": "The task ressource contains three identifier. The first one is the identifier for the ask representing one e-prescription. The other identifier are representing the patient as owner of the prescription. One is the \"Krankenversichertennummer\" which identify each patient by his health insurance company and the other is \"Institutionskennzeichen\".",
          "rules": "closed"
        },
        "min": 1
      },
      {
        "id": "ChargeItem.identifier:PrescriptionID",
        "path": "ChargeItem.identifier",
        "sliceName": "PrescriptionID",
        "short": "Prescription Identifier",
        "definition": "The prescription identifier is the main identifier for all the ePrecscription related ressources and the whole prescription workflow. This identifier is genereted by the \"E-Rezept Fachdienst\" and must not be changed manually.",
        "min": 1,
        "max": "1"
      },
      {
        "id": "ChargeItem.identifier:PrescriptionID.system",
        "path": "ChargeItem.identifier.system",
        "min": 1,
        "fixedUri": "https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId"
      },
      {
        "id": "ChargeItem.identifier:PrescriptionID.value",
        "path": "ChargeItem.identifier.value",
        "min": 1
      },
      {
        "id": "ChargeItem.identifier:AccessCode",
        "path": "ChargeItem.identifier",
        "sliceName": "AccessCode",
        "short": "AccessCode Identifier",
        "definition": "Generated by the \"E-Rezept Fachdienst\". This identifier grants access to others than the patient.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "ChargeItem.identifier:AccessCode.system",
        "path": "ChargeItem.identifier.system",
        "min": 1,
        "fixedUri": "https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_AccessCode"
      },
      {
        "id": "ChargeItem.identifier:AccessCode.value",
        "path": "ChargeItem.identifier.value",
        "min": 1
      },
      {
        "id": "ChargeItem.status",
        "path": "ChargeItem.status",
        "fixedCode": "billable"
      },
      {
        "id": "ChargeItem.code.coding.system",
        "path": "ChargeItem.code.coding.system",
        "fixedUri": "http://terminology.hl7.org/CodeSystem/data-absent-reason"
      },
      {
        "id": "ChargeItem.code.coding.code",
        "path": "ChargeItem.code.coding.code",
        "fixedCode": "not-applicable"
      },
      {
        "id": "ChargeItem.subject.identifier",
        "path": "ChargeItem.subject.identifier",
        "min": 1,
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://fhir.de/StructureDefinition/identifier-kvid-10"
            ]
          }
        ]
      },
      {
        "id": "ChargeItem.enterer",
        "path": "ChargeItem.enterer",
        "short": "Pharmacy that initially provided the Abgabedaten in ChargeItem"
      },
      {
        "id": "ChargeItem.enterer.identifier",
        "path": "ChargeItem.enterer.identifier",
        "min": 1,
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://fhir.de/StructureDefinition/identifier-telematik-id"
            ]
          }
        ]
      },
      {
        "id": "ChargeItem.supportingInformation",
        "path": "ChargeItem.supportingInformation",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "display"
            }
          ],
          "rules": "closed"
        },
        "definition": "holds references to the 3 relevant documents [prescription, receipt, dispensationInformation]",
        "max": "4",
        "mustSupport": true
      },
      {
        "id": "ChargeItem.supportingInformation:prescriptionItemBundle",
        "path": "ChargeItem.supportingInformation",
        "sliceName": "prescriptionItemBundle",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Bundle"
            ]
          }
        ]
      },
      {
        "id": "ChargeItem.supportingInformation:prescriptionItemBundle.display",
        "path": "ChargeItem.supportingInformation.display",
        "min": 1,
        "fixedString": "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Bundle"
      },
      {
        "id": "ChargeItem.supportingInformation:dispenseItemBinary",
        "path": "ChargeItem.supportingInformation",
        "sliceName": "dispenseItemBinary",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Binary"
            ]
          }
        ]
      },
      {
        "id": "ChargeItem.supportingInformation:dispenseItemBinary.display",
        "path": "ChargeItem.supportingInformation.display",
        "min": 1,
        "fixedString": "Binary"
      },
      {
        "id": "ChargeItem.supportingInformation:dispenseItemBundle",
        "path": "ChargeItem.supportingInformation",
        "sliceName": "dispenseItemBundle",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Bundle"
            ]
          }
        ]
      },
      {
        "id": "ChargeItem.supportingInformation:dispenseItemBundle.display",
        "path": "ChargeItem.supportingInformation.display",
        "min": 1,
        "fixedString": "http://fhir.abda.de/eRezeptAbgabedaten/StructureDefinition/DAV-PKV-PR-ERP-AbgabedatenBundle"
      },
      {
        "id": "ChargeItem.supportingInformation:receiptBundle",
        "path": "ChargeItem.supportingInformation",
        "sliceName": "receiptBundle",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Bundle"
            ]
          }
        ]
      },
      {
        "id": "ChargeItem.supportingInformation:receiptBundle.display",
        "path": "ChargeItem.supportingInformation.display",
        "min": 1,
        "fixedString": "https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_Bundle"
      }
    ]
  }
}