Versicherungsverhältnis in der gesetzlichen Krankenversicherung (GKV)

Canonical URL: http://fhir.de/StructureDefinition/coverage-de-gkv/0.2

einlesedatum-karteI0..*Extension(dateTime)
generation-egkI0..1Extension(code)
version-egkI0..*Extension(code)
gkv-zusatzinfo-geschuetztI0..1Extension(Complex)
gkv-zusatzinfos-allgemeinI0..1Extension(Complex)
gkv-onlinepruefung-egkI0..*Extension(Complex)
useΣ ?!0..1codeBinding
typeΣ0..0CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Organization)
useΣ ?!0..0codeBinding
typeΣ0..0CodeableConceptBinding
systemΣ1..1uriFixed Value
valueΣ1..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Organization)
useΣ ?!0..0codeBinding
typeΣ0..0CodeableConceptBinding
systemΣ1..1uriFixed Value
valueΣ1..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Organization)
useΣ ?!0..0codeBinding
typeΣ0..0CodeableConceptBinding
systemΣ1..1uriFixed Value
valueΣ1..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Organization)
statusΣ ?!1..1codeBinding
systemΣ0..1uriFixed Value
versionΣ0..1string
codeΣ0..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
policyHolderΣ I0..0Reference(Patient | RelatedPerson | Organization)
referenceΣ I0..1string
identifierΣ0..1Identifier
displayΣ0..1string
subscriberIdΣ0..0string
referenceΣ I0..1string
identifierΣ0..1Identifier
displayΣ0..1string
relationship0..1CodeableConcept
startΣ I0..1dateTime
endΣ I0..1dateTime
referenceΣ I0..1string
identifierΣ1..1IdentifierFixed Value
displayΣ1..1string
referenceΣ I0..1string
identifierΣ1..1Identifier
displayΣ0..1string
referenceΣ I0..1string
identifierΣ1..1Identifier
displayΣ1..1string
dependentΣ0..0string
sequenceΣ0..0string
orderΣ0..0positiveInt
networkΣ0..0string
contractI0..*Reference(Contract)

Beispiele

XML-Format

<Coverage xmlns="http://hl7.org/fhir">
    <meta>
        <profile value="http://fhir.de/StructureDefinition/coverage-de-gkv/0.2" />
    </meta>
    <identifier>
        <system value="http://fhir.de/NamingSystem/gkv/kvnr-30" />
        <value value="G995030566998765432123456789098" />
    </identifier>
    <status value="active" />
    <type>
        <coding>
            <system value="http://fhir.de/CodeSystem/versicherungsart-de-basis" />
            <code value="GKV" />
        </coding>
    </type>
    <subscriber>
        <reference value="Patient/12345" />
        <identifier>
            <system value="http://fhir.de/NamingSystem/gkv/kvid-10" />
            <value value="G995030566" />
        </identifier>
        <display value="Mustermann, Max" />
    </subscriber>
    <beneficiary>
        <reference value="Patient/12345" />
        <identifier>
            <system value="http://fhir.de/NamingSystem/gkv/kvid-10" />
            <value value="G995030566" />
        </identifier>
        <display value="Mustermann, Max" />
    </beneficiary>
    <payor>
        <identifier>
            <system value="http://fhir.de/NamingSystem/arge-ik/iknr" />
            <value value="998765432" />
        </identifier>
        <display value="AOK Mittelbaden" />
    </payor>
</Coverage>

JSON-Format

{
    "resourceType": "Coverage",
    "meta": {
        "profile":  [
            "http://fhir.de/StructureDefinition/coverage-de-gkv/0.2"
        ]
    },
    "identifier":  [
        {
            "system": "http://fhir.de/NamingSystem/gkv/kvnr-30",
            "value": "G995030566998765432123456789098"
        }
    ],
    "status": "active",
    "type": {
        "coding":  [
            {
                "system": "http://fhir.de/CodeSystem/versicherungsart-de-basis",
                "code": "GKV"
            }
        ]
    },
    "subscriber": {
        "reference": "Patient/12345",
        "identifier": {
            "system": "http://fhir.de/NamingSystem/gkv/kvid-10",
            "value": "G995030566"
        },
        "display": "Mustermann, Max"
    },
    "beneficiary": {
        "reference": "Patient/12345",
        "identifier": {
            "system": "http://fhir.de/NamingSystem/gkv/kvid-10",
            "value": "G995030566"
        },
        "display": "Mustermann, Max"
    },
    "payor":  [
        {
            "identifier": {
                "system": "http://fhir.de/NamingSystem/arge-ik/iknr",
                "value": "998765432"
            },
            "display": "AOK Mittelbaden"
        }
    ]
}