Implementierungsleitfaden Digitale Patientenrechnung

Abrechnungsrelevanz von Diagnosen und Prozeduren

Diese Extension erlaubt es einer Invoice Diagnosen oder Prozeduren, incl. Qualifier wie bspw: "Primär-DRG" zuzuordnen. Dies ermöglicht unter anderem das Zuordnen von Haupt- und Nebendiagnosen zu einem Account zum Zweck der DRG Erstellung.

Metadaten

CanonicalURL	https://gematik.de/fhir/dipag/StructureDefinition/DiPagAbrechnungsDiagnoseProzedur
Kontext	Invoice
Status	active
Version	1.0.2
Herausgeber	gematik GmbH

Inhalt

DiPagAbrechnungsDiagnoseProzedur (Extension)	C		Extension	Element id Extension Short description Abrechnungsrelevanz von Diagnosen und Prozeduren Definition Optional Extension Element - found in all resources. Data type Extension Conditions The cardinality or value of this element may be affected by these constraints: ele-1 Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id Extension.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	C	2..*	Extension	There are no (further) constraints on this element Element id Extension.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Slicing Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
Use	C	1..1	Extension	There are no (further) constraints on this element Element id Extension.extension:Use Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id Extension.extension:Use.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	C	0..0	Extension	There are no (further) constraints on this element Element id Extension.extension:Use.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Slicing Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	Element id Extension.extension:Use.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value Use Mappings rim: N/A
value[x]		0..1	Binding	Element id Extension.extension:Use.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Binding DiPagAbrechnungsDiagnoseUseVS (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueCoding			Coding	Data type Coding
Referenz	C	1..*	Extension	There are no (further) constraints on this element Element id Extension.extension:Referenz Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id Extension.extension:Referenz.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	C	0..0	Extension	There are no (further) constraints on this element Element id Extension.extension:Referenz.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Slicing Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	Element id Extension.extension:Referenz.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value Referenz Mappings rim: N/A
value[x]		0..1		There are no (further) constraints on this element Element id Extension.extension:Referenz.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueReference			Reference(Condition \| Procedure)	Data type Reference(Condition \| Procedure)
url		1..1	uriFixed Value	Element id Extension.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value https://gematik.de/fhir/dipag/StructureDefinition/DiPagAbrechnungsDiagnoseProzedur Mappings rim: N/A
value[x]		0..0		There are no (further) constraints on this element Element id Extension.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A

<id value="DiPagAbrechnungsDiagnoseProzedur" />
<url value="https://gematik.de/fhir/dipag/StructureDefinition/DiPagAbrechnungsDiagnoseProzedur" />
<version value="1.0.2" />
<name value="DiPagAbrechnungsDiagnoseProzedur" />
<title value="Abrechnungsrelevanz von Diagnosen und Prozeduren" />
<status value="active" />
<experimental value="false" />
<date value="2025-10-06" />
<publisher value="gematik GmbH" />
<contact>
<telecom>
<system value="url" />
<value value="http://gematik.de/" />
</telecom>
</contact>
<description value="Diese Extension erlaubt es einer Invoice Diagnosen oder Prozeduren, incl. Qualifier wie bspw: "Primär-DRG" zuzuordnen. Dies ermöglicht unter anderem das Zuordnen von Haupt- und Nebendiagnosen zu einem Account zum Zweck der DRG Erstellung." />
<fhirVersion value="4.0.1" />
<kind value="complex-type" />
<abstract value="false" />
<context>
<type value="element" />
<expression value="Invoice" />
</context>
<type value="Extension" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
<derivation value="constraint" />
<differential>
<element id="Extension">
<path value="Extension" />
<short value="Abrechnungsrelevanz von Diagnosen und Prozeduren" />
</element>
<element id="Extension.extension">
<path value="Extension.extension" />
<min value="2" />
</element>
<element id="Extension.extension:Use">
<path value="Extension.extension" />
<sliceName value="Use" />
<min value="1" />
<max value="1" />
</element>
<element id="Extension.extension:Use.extension">
<path value="Extension.extension.extension" />
<max value="0" />
</element>
<element id="Extension.extension:Use.url">
<path value="Extension.extension.url" />
<fixedUri value="Use" />
</element>
<element id="Extension.extension:Use.value[x]">
<path value="Extension.extension.value[x]" />
<type>
<code value="Coding" />
</type>
<binding>
<strength value="required" />
<valueSet value="https://gematik.de/fhir/dipag/ValueSet/dipag-abrechnungs-diagnose-use-VS" />
</binding>
</element>
<element id="Extension.extension:Referenz">
<path value="Extension.extension" />
<sliceName value="Referenz" />
<min value="1" />
<max value="*" />
</element>
<element id="Extension.extension:Referenz.extension">
<path value="Extension.extension.extension" />
<max value="0" />
</element>
<element id="Extension.extension:Referenz.url">
<path value="Extension.extension.url" />
<fixedUri value="Referenz" />
</element>
<element id="Extension.extension:Referenz.value[x]">
<path value="Extension.extension.value[x]" />
<type>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure" />
</type>
</element>
<element id="Extension.url">
<path value="Extension.url" />
<fixedUri value="https://gematik.de/fhir/dipag/StructureDefinition/DiPagAbrechnungsDiagnoseProzedur" />
</element>
<element id="Extension.value[x]">
<path value="Extension.value[x]" />
<max value="0" />
</element>
</differential>

</StructureDefinition>

{

"resourceType": "StructureDefinition",
"id": "DiPagAbrechnungsDiagnoseProzedur",
"url": "https://gematik.de/fhir/dipag/StructureDefinition/DiPagAbrechnungsDiagnoseProzedur",
"version": "1.0.2",
"name": "DiPagAbrechnungsDiagnoseProzedur",
"title": "Abrechnungsrelevanz von Diagnosen und Prozeduren",
"status": "active",
"experimental": false,
"date": "2025-10-06",
"publisher": "gematik GmbH",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "http://gematik.de/"
}
]
}
],
"description": "Diese Extension erlaubt es einer Invoice Diagnosen oder Prozeduren, incl. Qualifier wie bspw: \"Primär-DRG\" zuzuordnen. Dies ermöglicht unter anderem das Zuordnen von Haupt- und Nebendiagnosen zu einem Account zum Zweck der DRG Erstellung.",
"fhirVersion": "4.0.1",
"kind": "complex-type",
"abstract": false,
"context": [
{
"type": "element",
"expression": "Invoice"
}
],
"type": "Extension",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Extension",
"path": "Extension",
"short": "Abrechnungsrelevanz von Diagnosen und Prozeduren"
},
{
"id": "Extension.extension",
"path": "Extension.extension",
"min": 2
},
{
"id": "Extension.extension:Use",
"path": "Extension.extension",
"sliceName": "Use",
"min": 1,
"max": "1"
},
{
"id": "Extension.extension:Use.extension",
"path": "Extension.extension.extension",
"max": "0"
},
{
"id": "Extension.extension:Use.url",
"path": "Extension.extension.url",
"fixedUri": "Use"
},
{
"id": "Extension.extension:Use.value[x]",
"path": "Extension.extension.value[x]",
"type": [
{
"code": "Coding"
}
],
"binding": {
"strength": "required",
"valueSet": "https://gematik.de/fhir/dipag/ValueSet/dipag-abrechnungs-diagnose-use-VS"
}
},
{
"id": "Extension.extension:Referenz",
"path": "Extension.extension",
"sliceName": "Referenz",
"min": 1,
"max": "*"
},
{
"id": "Extension.extension:Referenz.extension",
"path": "Extension.extension.extension",
"max": "0"
},
{
"id": "Extension.extension:Referenz.url",
"path": "Extension.extension.url",
"fixedUri": "Referenz"
},
{
"id": "Extension.extension:Referenz.value[x]",
"path": "Extension.extension.value[x]",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Condition",
"http://hl7.org/fhir/StructureDefinition/Procedure"
]
}
]
},
{
"id": "Extension.url",
"path": "Extension.url",
"fixedUri": "https://gematik.de/fhir/dipag/StructureDefinition/DiPagAbrechnungsDiagnoseProzedur"
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"max": "0"
}
]
}

}

Abrechnungsrelevanz von Diagnosen und Prozeduren