KIM-Nachrichtenstruktur
Verwendung von KIM
Die Übertragung der Daten bzw. der Anfrage erfolgt via KIM. Dabei sind drei Nachrichtentypen zu unterscheiden:
- Anfrage des Leistungserbringers bei der Kasse nach Daten eines Versicherten (eEB Anfrage)
- Übermittlung der Daten eines Versicherten von der Kasse zum Leistungserbringer (eEB Bescheinigung) oder
- Rückgabe einer Fehlermeldung (eEB Fehler)
KIM Dienstkennungen
Dienstkennungen in KIM-Nachrichten kennzeichnen den transportierten Inhalt für das Empfangssystem. Diese erlauben damit eine Dunkelverarbeitung bei Nachrichtenempfang und ggfs. die vollautomatisierte Erstellung und den Versand einer Antwortnachricht.
| Anwendung | elektronische Ersatzbescheinigung (eEB) |
|---|---|
| Verantwortlich | gematik |
| Anwendungsbeschreibung | Verfahren zur Übertragung von Versichertenstammdaten (VSD) aus einem PKV Versicherungsunternehmen und Erstzbescheinigung nach §19 Abs. 2 BMV von einer Gesetzlichen Krankenkasse zu einem Leistungserbringer |
| Dienstkennung & Kurzbeschreibung | eEB;Anfrage;V1.0 Nachrichten-Typ: Anfragedaten zum Erhalt von Versichertendaten Verwendung: Vertragsärzte, Vertragszahnärzte, Krankenhäuser eEB;Bescheinigung;V1.0 Nachrichten-Typ: Versichertendaten in verschiedenen Ausprägungen Verwendung: Krankenkassen, Versicherungsunternehmen eEB;Fehler;V1.0 Nachrichten-Typ: Fehlermeldung bzgl. der Ermittlung der Daten des Versicherten Verwendung: Krankenkassen, Versicherungsunternehmen |
Übermittlungsbestätigung und Lesebestätigung
Eine Übermittlungsbestätigung (DSN) vom KIM-Mailserver des Nachrichtenempfängers signalisierte dem Sendesystem, dass eine Nachricht an den Empfänger ausgeliefert werden konnte. Die Anforderung einer solchen DSN unterstützt daher den automatisierten Prozess der elektronischen Ersatzbescheinigung.
Die Anforderung einer Lesebestätigung (MDN) durch das Sendesystem führt in Empfangssystemen je nach Konfiguration zu einem Pop-up, ob eine Lesebestätigung versendet werden soll. Dieses stört ggfs. den Workflow der automatisierten Bearbeitung empfangener KIM-Nachrichten. Daher ist das Anfordern einer Lesebestätigung durch das Sendesystem in diesem Verfahren durch die Primärsysteme und Krankenkassensysteme zu unterbinden.
KIM Anfrage einer Ersatzbescheinigung
Die FHIR-Datensätze in Anfrage- und Antwortnachrichten werden ausschließlich als Anhang in der KIM Nachricht übertragen. siehe unten
| KIM-Header | Inhalt | verpflichtend |
|---|---|---|
| X-KIM-Dienstkennung | eEB;Anfrage;V1.0 | ja |
| X-KIM-Sendersystem | <PVS-Bezeichnung>;<Releaseversion> | ja |
| X-KIM-Support | <Support-Email-Adresse PVS-Hersteller> | nein |
| Subject | <T/E>EEB0_ANF_<UUID> | ja T/E: Testsystem (RU) / Echtsystem (PU) UUID: bundle-identifier (AZ des LE) |
| Content-Type | application/octet-stream; name="<T/E>EEB0_ANF_<UUID>.p7s" |
ja T/E: Testsystem (RU) / Echtsystem (PU) UUID: bundle-identifier (AZ des LE) |
| Content-Transfer-Encoding | base64 | ja |
| Content-Disposition | attachment; filename="<T/E>EEB0_ANF_<UUID>.p7s" |
ja T/E: Testsystem (RU) / Echtsystem (PU) UUID: bundle-identifier (AZ des LE) |
| Content-Description | eEB_ANF | ja |
Der Anhang enthält die signierte Anfrage (SMC-B OSIG-signiert) als PKCS7-Datei.
KIM Anfrage Beispielnachricht
Date: Mon, 17 Apr 2023 16:35:58 +0200 (CEST) From: ehex-22@arv.kim.telematik-test Reply-To: ehex-22@arv.kim.telematik-test To: tk@dgn.kim.telematik-test Message-ID: <1122966724.1.1681742158295@[192.168.200.196]> Subject: TEEB0_ANF_90c9ae58-5a9d-4861-b77d-665d10b2789d MIME-Version: 1.0 Content-Type: multipart/mixed; boundary="----=_Part_0_2088448449.1681742158273" X-KIM-Dienstkennung: eEB;Anfrage;V1.0 X-KIM-Sendersystem: easyTI;2.2.1-SNAPSHOT ------=_Part_0_2088448449.1681742158273 Content-Type: text/plain; charset=utf-8 Content-Transfer-Encoding: 7bit eEB Anfrage TEEB0_ANF_90c9ae58-5a9d-4861-b77d-665d10b2789d ------=_Part_0_2088448449.1681742158273 Content-Type: application/octet-stream; name=TEEB0_ANF_90c9ae58-5a9d-4861-b77d-665d10b2789d.p7s Content-Transfer-Encoding: base64 Content-Disposition: attachment; filename=TEEB0_ANF_90c9ae58-5a9d-4861-b77d-665d10b2789d.p7s Content-Description: eEB MIIVQwYJKoZIhvcNAQcCoIIVNDCCFTACAQExDzANBglghkgBZQMEAgEFADCCDBsGCSqGSIb3DQEH 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KIM Bescheinigung
| Header | Inhalt | verpflichtend |
|---|---|---|
| X-KIM-Dienstkennung | eEB;Bescheinigung;V1.0 | ja |
| X-KIM-Ursprungssystem | <PVS-Bezeichnung>;<Releaseversion> | nein |
| X-KIM-Sendersystem | <Kasse-Bezeichnung>;<Releaseversion> | nein |
| X-KIM-Support | <Support-Email-Adresse Kasse> | nein |
| In-Reply-To | Message-ID der Anfrage | ja - wenn die Anfrage über eine KIM-Nachricht gestellt wurde - andernfalls nein |
| Subject | <T/E>EEB0_BES_<UUID> | ja T/E: Testsystem (RU) / Echtsystem (PU) UUID: bundle-identifier (AZ der Kasse) |
| Content-Type | application/octet-stream; name="<T/E>EEB0_BES_<UUID>.p7s" |
ja T/E: Testsystem (RU) / Echtsystem (PU) UUID: bundle-identifier (AZ der Kasse) |
| Content-Transfer-Encoding | base64 | ja |
| Content-Disposition | attachment; filename="<T/E>EEB0_BES_<UUID>.p7s" |
ja T/E: Testsystem (RU) / Echtsystem (PU) UUID: bundle-identifier (AZ der Kasse) |
| Content-Description | eEB_BES | ja |
Der Anhang enthält die signierte Bescheinigung (SMC-B signiert) als PKCS7-Datei
KIM Bescheinigung Beispielnachricht
Date: Mon, 17 Apr 2023 16:36:52 +0200 (CEST) From: tk@dgn.kim.telematik-test To: ehex-22@arv.kim.telematik-test Message-ID: <2091056040.122.1681742212013@reai20v01.dst.tk-inline.net> In-Reply-To: <1122966724.1.1681742158295@[192.168.200.196]> Subject: TEEB0_BES_796ca3a6-83de-4682-9345-3e9c79d25f78 MIME-Version: 1.0 Content-Type: multipart/mixed; boundary="----=_Part_16_1977848886.1681742225100" X-System: DT02 X-KIM-Ursprungssystem: easyTI;2.2.1-SNAPSHOT X-KIM-Sendersystem: Test-TK;1.0 X-KIM-Support: v-eeb@tk.de X-KIM-Dienstkennung: eEB;Bescheinigung;V1.0 X-TK-OBJECT-ID: 13901:00010000000000561735050000029000 X-TK-ARCHIVE-ID: SENT/EEB0/1.0/ehex-22@arv.kim.telematik-test/2023/04/17/1/<2091056040.122.1681742212013@reai20v01.dst.tk-inline.net> ------=_Part_16_1977848886.1681742225100 Content-Type: text/plain;charset=UTF-8 Content-Transfer-Encoding: quoted-printable <DT02 - reai20v01.dst.tk-inline.net/10.183.101.43> --------------------------------------------- Die Nachricht wurde entschlüsselt. 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KIM Fehlernachricht
| Header | Inhalt | verpflichtend |
|---|---|---|
| X-KIM-Dienstkennung | eEB;Fehler;V1.0 | ja |
| X-KIM-Ursprungssystem | <PVS-Bezeichnung>;<Releaseversion> | nein |
| X-KIM-Sendersystem | <Kasse-Bezeichnung>;<Releaseversion> | nein |
| X-KIM-Support | <Support-Email-Adresse Kasse> | nein |
| In-Reply-To | Message-ID der Anfrage | ja |
| Subject | <T/E>EEB0_FEH_<UUID> | ja T/E: Testsystem (RU) / Echtsystem (PU) UUID: bundle-identifier (AZ der Kasse) |
| Content-Type | application/xml; name="<T/E>EEB0_FEH_<UUID>.xml" |
ja T/E: Testsystem (RU) / Echtsystem (PU) UUID: bundle-identifier (AZ der Kasse) |
| Content-Transfer-Encoding | base64 | ja |
| Content-Disposition | attachment; filename="<T/E>EEB0_FEH_<UUID>.xml" |
ja T/E: Testsystem (RU) / Echtsystem (PU) UUID: bundle-identifier (AZ der Kasse) |
| Content-Description | eEB_FEH | ja |
Der Anhang enthält eine Fehlermeldung als FHIR-Ressource OperationOutcome
KIM Fehler Beispielnachricht
Date: Fri, 16 Dec 2022 14:34:51 +0100 (CET) From: tk@dgn.kim.telematik-test To: ehex-22@arv.kim.telematik-test Message-ID: <235818581.18.1671197691939@MX-PF1XKCBH.dst.tk-inline.net> Subject: TEEB0_FEH_8e1977b6-fadb-4cec-8019-d55131a6de03 MIME-Version: 1.0 Content-Type: multipart/mixed; boundary="----=_Part_21_1298487754.1671197811998" X-System: DT02 X-KIM-Ursprungssystem: easyTI;2.0.4-SNAPSHOT X-KIM-Sendersystem: Test-TK;1.0 X-KIM-Support: v-eeb@tk.de X-KIM-Dienstkennung: eEB;Fehler;V1.0 X-KIM-Fehlercode: 101 X-TK-OBJECT-ID: 13901:000100000000005285890500000001A3 X-TK-ARCHIVE-ID: SENT/EEB0/1.0/ehex-22@arv.kim.telematik-test/2022/12/16/1/<235818581.18.1671197691939@MX-PF1XKCBH.dst.tk-inline.net> ------=_Part_21_1298487754.1671197811998 Content-Type: text/plain;charset=UTF-8 Content-Transfer-Encoding: quoted-printable <DT02 - MX-PF1XKCBH/10.252.17.28> 101 - Die übermittelte eEB entspricht nicht den Vorgaben und/oder ist = nicht lesbar. - Es gab 1 Fehler beim Validieren der FHIR-Nachricht: 1) Fail= ed to parse input, it does not appear to be valid XML:Content ist nicht zul= ?ssig in Prolog. --------------------------------------------- Die Nachricht wurde entschlüsselt. 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