Implementierungsleitfaden E-Rechnung

ERG Rechnung

Metadaten

Canonical	Status	Version	Basis
https://gematik.de/fhir/erg/StructureDefinition/erg-rechnung	active	1.0.0-CC	http://hl7.org/fhir/StructureDefinition/Invoice

Inhalt

ERGRechnung (Invoice)	I		Invoice	There are no (further) constraints on this element Element id Invoice Short description Invoice containing ChargeItems from an Account Definition Invoice containing collected ChargeItems from an Account with calculated individual and total price for Billing purpose. Data type Invoice Constraints dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6: A resource should have narrative for robust management text.`div`.exists() dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim: Entity. Role, or Act v2: FT1 rim: Act[moodCode=EVN]
id	Σ	0..1	string	There are no (further) constraints on this element Element id Invoice.id Short description Logical id of this artifact Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data type string
meta	Σ	0..1	Meta	There are no (further) constraints on this element Element id Invoice.meta Short description Metadata about the resource Definition The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id Invoice.implicitRules Short description A set of rules under which this content was created Definition A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Comments Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
language		0..1	codeBinding	There are no (further) constraints on this element Element id Invoice.language Short description Language of the resource content Definition The base language in which the resource is written. Comments Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
text		0..1	Narrative	There are no (further) constraints on this element Element id Invoice.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Comments Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A rim: Act.text?
contained		0..*	Resource	There are no (further) constraints on this element Element id Invoice.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. Comments This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. Data type Resource Mappings rim: Entity. Role, or Act rim: N/A
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Invoice.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 resource. 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 Sliced: 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 rim: N/A
pdf-repraesentation-rechnung	S I	0..1	Extension(Reference(Binary))	Element id Invoice.extension:pdf-repraesentation-rechnung Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. 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(Reference(Binary)) Extension URL https://gematik.de/fhir/erg/StructureDefinition/erg-pdf-repraesentation-rechnung 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
period	S I	0..1	Extension(date Period)	Element id Invoice.extension:period Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. 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(date Period) Extension URL http://hl7.org/fhir/5.0/StructureDefinition/extension-Invoice.period 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
AbrechnungsrelevanteDiagnose	S I	0..*	Extension(Reference(Condition))	Element id Invoice.extension:AbrechnungsrelevanteDiagnose Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. 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(Reference(Condition)) Extension URL https://gematik.de/fhir/erg/StructureDefinition/erg-abrechnungsrelevante-diagnose 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
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id Invoice.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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 Sliced: 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 rim: N/A
identifier	S Σ	1..*	Identifier	Element id Invoice.identifier Short description Business Identifier for item Definition Identifier of this Invoice, often used for reference in correspondence about this invoice or for tracking of payments. Requirements Allows Identification of this Invoice instance. Data type Identifier Sliced: Unordered, Open, by type(Pattern) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier w5: FiveWs.identifier v2: FT1.2 rim: .identifier
rechnungsnummer	Σ	1..1	Identifier	Element id Invoice.identifier:rechnungsnummer Short description Vom System des Leistungserbringers vergebene Rechnungsnummer Definition Identifier of this Invoice, often used for reference in correspondence about this invoice or for tracking of payments. Requirements Allows Identification of this Invoice instance. Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier w5: FiveWs.identifier v2: FT1.2 rim: .identifier
id		0..1	string	There are no (further) constraints on this element Element id Invoice.identifier:rechnungsnummer.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	I	0..*	Extension	There are no (further) constraints on this element Element id Invoice.identifier:rechnungsnummer.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 Sliced: 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 rim: N/A
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id Invoice.identifier:rechnungsnummer.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: Role.code or implied by context
type	S Σ	1..1	CodeableConceptBindingPattern	Element id Invoice.identifier:rechnungsnummer.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. Data type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "coding": [ { "system": "http://fhir.de/CodeSystem/identifier-type-de-basis", "code": "invoice" } ] } Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: CX.5 rim: Role.code or implied by context
system	S Σ	1..1	uri	Element id Invoice.identifier:rechnungsnummer.system Short description Namensraum der Rechnungsnummern des Leistungeerbringers Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Comments Identifier.system is always case sensitive. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General http://www.acme.com/identifiers/patient Mappings rim: n/a v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
value	S Σ	1..1	string	Element id Invoice.identifier:rechnungsnummer.value Short description Rechnungsnummer Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim: n/a v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element id Invoice.identifier:rechnungsnummer.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element id Invoice.identifier:rechnungsnummer.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
status	S Σ ?!	1..1	codeBindingPattern	Element id Invoice.status Short description draft \| issued \| balanced \| cancelled \| entered-in-error Definition The current state of the Invoice. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Binding Codes identifying the lifecycle stage of an Invoice. InvoiceStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern issued Mappings rim: n/a w5: FiveWs.status v2: Varies by domain rim: .status
cancelledReason		0..1	string	There are no (further) constraints on this element Element id Invoice.cancelledReason Short description Reason for cancellation of this Invoice Definition In case of Invoice cancellation a reason must be given (entered in error, superseded by corrected invoice etc.). Comments Derived Profiles may choose to add invariants requiring this field to be populated if either priceOverride or factorOverride have been filled. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
type	S Σ	1..1	CodeableConceptPattern	Element id Invoice.type Short description Type of Invoice Alternate names type Definition Type of Invoice depending on domain, realm an usage (e.g. internal/external, dental, preliminary). Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "coding": [ { "system": "https://gematik.de/fhir/erg/CodeSystem/erg-rechnung-type-cs", "code": "erechnung" } ] } Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Event.code w5: FiveWs.what[x] v2: FT1.7 rim: .code
subject	S Σ I	1..1	Reference(Patient \| Group)	Element id Invoice.subject Short description Behandelte Person Alternate names patient Definition The individual or set of individuals receiving the goods and services billed in this invoice. Requirements Links the event to the Patient context. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(Patient \| Group) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Event.subject w5: FiveWs.subject[x] v2: PAT in proximity to FT1 segment rim: .participation[typeCode=SBJ].role w5: FiveWs.subject
id		0..1	string	There are no (further) constraints on this element Element id Invoice.subject.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	I	0..*	Extension	There are no (further) constraints on this element Element id Invoice.subject.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 Sliced: 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 rim: N/A
reference	S Σ I	1..1	string	There are no (further) constraints on this element Element id Invoice.subject.reference Short description Literal reference, Relative, internal or absolute URL Definition A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Comments Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
type	Σ	0..1	uriBinding	There are no (further) constraints on this element Element id Invoice.subject.type Short description Type the reference refers to (e.g. "Patient") Definition The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). Comments This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. Data type uri Binding Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
identifier	Σ	0..1	Identifier	There are no (further) constraints on this element Element id Invoice.subject.identifier Short description Logical reference, when literal reference is not known Definition An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. Comments When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation\|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier rim: .identifier
display	S Σ	1..1	string	Element id Invoice.subject.display Short description Name der behandelten Person Definition Plain text narrative that identifies the resource in addition to the resource reference. Comments Der Name der behandelten Person muss angegeben werden und kann vom Namen des Rechnungsempfängers abweichen, z.B. wenn Eltern Rechnungen für ihre Kinder erhalten. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
recipient	S Σ I	1..1	Reference(Patient)	Element id Invoice.recipient Short description Rechnungsempfänger Definition The individual or Organization responsible for balancing of this invoice. Comments Das System des Leistungserbringers referenziert hier üblicherweise auf die lokale Instanz des Patienten um die Rechnung einer Patientenakte zuzuordnen. Der Fachdienst substitutiert den Link mit der Referenz auf das Postfach des Patienten bei der Extraktion der Invoice aus dem Bundle. Die Angabe der Versichertennummer dient der Plausibilisierung. Die KV-Nummer in der Instanz des Bundles muss daher mit der KV-Nummer übereinstimmen, die im Fachdienst für das Postfach des Rechnungsempfängers hinterlegt ist. Data type Reference(Patient) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Event.context v2: PV1 in proximity to FT1 segment rim: .inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]
id		0..1	string	There are no (further) constraints on this element Element id Invoice.recipient.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	I	0..*	Extension	There are no (further) constraints on this element Element id Invoice.recipient.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 Sliced: 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 rim: N/A
reference	Σ I	0..1	string	There are no (further) constraints on this element Element id Invoice.recipient.reference Short description Literal reference, Relative, internal or absolute URL Definition A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Comments Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
type	Σ	0..1	uriBinding	There are no (further) constraints on this element Element id Invoice.recipient.type Short description Type the reference refers to (e.g. "Patient") Definition The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). Comments This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. Data type uri Binding Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
identifier	S Σ	1..1	IdentifierKvid10	Element id Invoice.recipient.identifier Short description An identifier intended for computation Definition An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Comments When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation\|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). Data type IdentifierKvid10 Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier rim: .identifier
display	S Σ	1..1	string	There are no (further) constraints on this element Element id Invoice.recipient.display Short description Text alternative for the resource Definition Plain text narrative that identifies the resource in addition to the resource reference. Comments This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
date	S Σ	1..1	dateTime	There are no (further) constraints on this element Element id Invoice.date Short description Invoice date / posting date Definition Date/time(s) of when this Invoice was posted. Comments The list of types may be constrained as appropriate for the type of charge item. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a w5: FiveWs.done[x] v2: Varies by domain rim: .effectiveTime
participant	S	0..*	BackboneElement	Element id Invoice.participant Short description Participant in creation of this Invoice Definition Indicates who or what performed or participated in the charged service. Data type BackboneElement Sliced: Unordered, Open, by role(Pattern) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: EVN.5 or by domain rim: .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
(All Slices)				There are no (further) constraints on this element
id		0..1	string	There are no (further) constraints on this element Element id Invoice.participant.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	I	0..*	Extension	There are no (further) constraints on this element Element id Invoice.participant.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 Sliced: 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 rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id Invoice.participant.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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 rim: N/A
role	S	0..1	CodeableConceptBinding	Element id Invoice.participant.role Short description Type of involvement in creation of this Invoice Definition Describes the type of involvement (e.g. transcriptionist, creator etc.). If the invoice has been created automatically, the Participant may be a billing engine or another kind of device. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding ERGParticipantRoleVS (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: Varies by domain rim: .participation.functionCode
actor	I	1..1	Reference(Practitioner \| Organization \| Patient \| PractitionerRole \| Device \| RelatedPerson)	There are no (further) constraints on this element Element id Invoice.participant.actor Short description Individual who was involved Definition The device, practitioner, etc. who performed or participated in the service. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(Practitioner \| Organization \| Patient \| PractitionerRole \| Device \| RelatedPerson) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5: FiveWs.actor v2: EVN.5 or by domain rim: .player
leistungserbringer	S	0..*	BackboneElement	There are no (further) constraints on this element Element id Invoice.participant:leistungserbringer Short description Participant in creation of this Invoice Definition Indicates who or what performed or participated in the charged service. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: EVN.5 or by domain rim: .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
id		0..1	string	There are no (further) constraints on this element Element id Invoice.participant:leistungserbringer.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	I	0..*	Extension	There are no (further) constraints on this element Element id Invoice.participant:leistungserbringer.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 Sliced: 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 rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id Invoice.participant:leistungserbringer.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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 rim: N/A
role		1..1	CodeableConceptPattern	Element id Invoice.participant:leistungserbringer.role Short description Type of involvement in creation of this Invoice Definition Describes the type of involvement (e.g. transcriptionist, creator etc.). If the invoice has been created automatically, the Participant may be a billing engine or another kind of device. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "coding": [ { "system": "https://gematik.de/fhir/erg/CodeSystem/erg-participant-role-CS", "code": "leistungserbringer" } ] } Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: Varies by domain rim: .participation.functionCode
actor	I	1..1	Reference(Practitioner \| Organization)	Element id Invoice.participant:leistungserbringer.actor Short description Individual who was involved Definition The device, practitioner, etc. who performed or participated in the service. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(Practitioner \| Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5: FiveWs.actor v2: EVN.5 or by domain rim: .player
id		0..1	string	There are no (further) constraints on this element Element id Invoice.participant:leistungserbringer.actor.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	I	0..*	Extension	There are no (further) constraints on this element Element id Invoice.participant:leistungserbringer.actor.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 Sliced: 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 rim: N/A
reference	Σ I	0..1	string	There are no (further) constraints on this element Element id Invoice.participant:leistungserbringer.actor.reference Short description Literal reference, Relative, internal or absolute URL Definition A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Comments Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
type	Σ	0..1	uriBinding	There are no (further) constraints on this element Element id Invoice.participant:leistungserbringer.actor.type Short description Type the reference refers to (e.g. "Patient") Definition The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). Comments This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. Data type uri Binding Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
identifier	S Σ	0..1	IdentifierIknr, IdentifierTelematikId	Element id Invoice.participant:leistungserbringer.actor.identifier Short description Logical reference, when literal reference is not known Definition An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. Comments When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation\|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). Data type IdentifierIknr, IdentifierTelematikId Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier rim: .identifier
display	Σ	0..1	string	There are no (further) constraints on this element Element id Invoice.participant:leistungserbringer.actor.display Short description Text alternative for the resource Definition Plain text narrative that identifies the resource in addition to the resource reference. Comments This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
forderungsinhaber	S	0..*	BackboneElement	There are no (further) constraints on this element Element id Invoice.participant:forderungsinhaber Short description Participant in creation of this Invoice Definition Indicates who or what performed or participated in the charged service. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: EVN.5 or by domain rim: .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
id		0..1	string	There are no (further) constraints on this element Element id Invoice.participant:forderungsinhaber.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	I	0..*	Extension	There are no (further) constraints on this element Element id Invoice.participant:forderungsinhaber.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 Sliced: 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 rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id Invoice.participant:forderungsinhaber.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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 rim: N/A
role		1..1	CodeableConceptPattern	Element id Invoice.participant:forderungsinhaber.role Short description Type of involvement in creation of this Invoice Definition Describes the type of involvement (e.g. transcriptionist, creator etc.). If the invoice has been created automatically, the Participant may be a billing engine or another kind of device. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "coding": [ { "system": "https://gematik.de/fhir/erg/CodeSystem/erg-participant-role-CS", "code": "forderungsinhaber" } ] } Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: Varies by domain rim: .participation.functionCode
actor	I	1..1	Reference(Practitioner \| Organization)	Element id Invoice.participant:forderungsinhaber.actor Short description Individual who was involved Definition The device, practitioner, etc. who performed or participated in the service. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(Practitioner \| Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5: FiveWs.actor v2: EVN.5 or by domain rim: .player
id		0..1	string	There are no (further) constraints on this element Element id Invoice.participant:forderungsinhaber.actor.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	I	0..*	Extension	There are no (further) constraints on this element Element id Invoice.participant:forderungsinhaber.actor.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 Sliced: 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 rim: N/A
reference	Σ I	0..1	string	There are no (further) constraints on this element Element id Invoice.participant:forderungsinhaber.actor.reference Short description Literal reference, Relative, internal or absolute URL Definition A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Comments Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
type	Σ	0..1	uriBinding	There are no (further) constraints on this element Element id Invoice.participant:forderungsinhaber.actor.type Short description Type the reference refers to (e.g. "Patient") Definition The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). Comments This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. Data type uri Binding Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
identifier	S Σ	0..1	IdentifierIknr, IdentifierTelematikId	Element id Invoice.participant:forderungsinhaber.actor.identifier Short description Logical reference, when literal reference is not known Definition An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. Comments When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation\|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). Data type IdentifierIknr, IdentifierTelematikId Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier rim: .identifier
display	Σ	0..1	string	There are no (further) constraints on this element Element id Invoice.participant:forderungsinhaber.actor.display Short description Text alternative for the resource Definition Plain text narrative that identifies the resource in addition to the resource reference. Comments This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
issuer	S I	1..1	Reference(Organization)	Element id Invoice.issuer Short description Leistungserbringer Definition The organizationissuing the Invoice. Comments Der Leistungserbringer kann vom einreichenden Benutzer der Rechnung (z.B. Abrechnungsdiesntleister) abweichen Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2: N/A rim: .scoper
id		0..1	string	There are no (further) constraints on this element Element id Invoice.issuer.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	I	0..*	Extension	There are no (further) constraints on this element Element id Invoice.issuer.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 Sliced: 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 rim: N/A
reference	Σ I	0..1	string	There are no (further) constraints on this element Element id Invoice.issuer.reference Short description Literal reference, Relative, internal or absolute URL Definition A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Comments Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
type	Σ	0..1	uriBinding	There are no (further) constraints on this element Element id Invoice.issuer.type Short description Type the reference refers to (e.g. "Patient") Definition The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). Comments This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. Data type uri Binding Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
identifier	S Σ	1..1	IdentifierTelematikId	Element id Invoice.issuer.identifier Short description Telematik-ID des Leistungserbrigners Definition An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Comments When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation\|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). Data type IdentifierTelematikId Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier rim: .identifier
display	S Σ	1..1	string	Element id Invoice.issuer.display Short description Name des Leistungserbringers Definition Plain text narrative that identifies the resource in addition to the resource reference. Comments This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
account	I	0..1	Reference(Account)	There are no (further) constraints on this element Element id Invoice.account Short description Account that is being balanced Definition Account which is supposed to be balanced with this Invoice. Comments Systems posting the ChargeItems might not always be able to determine, which accounts the Items need to be places into. It is up to the potprocessing Financial System to apply internal rules to decide based on the Encounter/EpisodeOfCare/Patient/Coverage context and the type of ChargeItem, which Account is appropriate. Data type Reference(Account) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
lineItem	S	0..*	BackboneElement	Element id Invoice.lineItem Short description Rechnungspositionen Definition Each line item represents one charge for goods and services rendered. Details such as date, code and amount are found in the referenced ChargeItem resource. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: EVN.5 or by domain rim: .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
id		0..1	string	There are no (further) constraints on this element Element id Invoice.lineItem.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	I	0..*	Extension	There are no (further) constraints on this element Element id Invoice.lineItem.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 Sliced: 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 rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id Invoice.lineItem.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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 rim: N/A
sequence		0..1	positiveInt	There are no (further) constraints on this element Element id Invoice.lineItem.sequence Short description Sequence number of line item Definition Sequence in which the items appear on the invoice. Comments 32 bit number; for values larger than this, use decimal Data type positiveInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
chargeItem[x]	S	1..1		There are no (further) constraints on this element Element id Invoice.lineItem.chargeItem[x] Short description Reference to ChargeItem containing details of this line item or an inline billing code Definition The ChargeItem contains information such as the billing code, date, amount etc. If no further details are required for the lineItem, inline billing codes can be added using the CodeableConcept data type instead of the Reference. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: EVN.5 or by domain rim: .player
chargeItemReference			Reference(ChargeItem)	Data type Reference(ChargeItem)
priceComponent		0..*	BackboneElement	There are no (further) constraints on this element Element id Invoice.lineItem.priceComponent Short description Components of total line item price Definition The price for a ChargeItem may be calculated as a base price with surcharges/deductions that apply in certain conditions. A ChargeItemDefinition resource that defines the prices, factors and conditions that apply to a billing code is currently under development. The priceComponent element can be used to offer transparency to the recipient of the Invoice as to how the prices have been calculated. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: EVN.5 or by domain rim: .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
id		0..1	string	There are no (further) constraints on this element Element id Invoice.lineItem.priceComponent.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	I	0..*	Extension	There are no (further) constraints on this element Element id Invoice.lineItem.priceComponent.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 Sliced: 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 rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id Invoice.lineItem.priceComponent.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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 rim: N/A
type		1..1	codeBinding	There are no (further) constraints on this element Element id Invoice.lineItem.priceComponent.type Short description base \| surcharge \| deduction \| discount \| tax \| informational Definition This code identifies the type of the component. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Binding Codes indicating the kind of the price component. InvoicePriceComponentType (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Event.code v2: FT1.7 rim: .code
code		0..1	CodeableConcept	There are no (further) constraints on this element Element id Invoice.lineItem.priceComponent.code Short description Code identifying the specific component Definition A code that identifies the component. Codes may be used to differentiate between kinds of taxes, surcharges, discounts etc. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Event.code v2: FT1.7 rim: .code
factor		0..1	decimal	There are no (further) constraints on this element Element id Invoice.lineItem.priceComponent.factor Short description Factor used for calculating this component Definition The factor that has been applied on the base price for calculating this component. Comments There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden. Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: FT1.22
amount		0..1	Money	There are no (further) constraints on this element Element id Invoice.lineItem.priceComponent.amount Short description Monetary amount associated with this component Definition The amount calculated for this component. Comments There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden. Data type Money Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: MO v2: FT1.22
totalPriceComponent	S	0..*	see (priceComponent)	Element id Invoice.totalPriceComponent Short description Components of Invoice total Definition The total amount for the Invoice may be calculated as the sum of the line items with surcharges/deductions that apply in certain conditions. The priceComponent element can be used to offer transparency to the recipient of the Invoice of how the total price was calculated. Sliced: Unordered, Open, by code(Pattern) Mappings v2: EVN.5 or by domain rim: .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
tax	S	0..1	BackboneElement	Element id Invoice.totalPriceComponent:tax Short description Steuersatz und -Betrag Definition The total amount for the Invoice may be calculated as the sum of the line items with surcharges/deductions that apply in certain conditions. The priceComponent element can be used to offer transparency to the recipient of the Invoice of how the total price was calculated. Data type BackboneElement Mappings v2: EVN.5 or by domain rim: .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
id		0..1	string	There are no (further) constraints on this element Element id Invoice.totalPriceComponent:tax.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	I	0..*	Extension	There are no (further) constraints on this element Element id Invoice.totalPriceComponent:tax.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 Sliced: 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 rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id Invoice.totalPriceComponent:tax.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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 rim: N/A
type		1..1	codeBindingPattern	Element id Invoice.totalPriceComponent:tax.type Short description base \| surcharge \| deduction \| discount \| tax \| informational Definition This code identifies the type of the component. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Binding Codes indicating the kind of the price component. InvoicePriceComponentType (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern tax Mappings rim: n/a workflow: Event.code v2: FT1.7 rim: .code
code		0..1	CodeableConcept	There are no (further) constraints on this element Element id Invoice.totalPriceComponent:tax.code Short description Code identifying the specific component Definition A code that identifies the component. Codes may be used to differentiate between kinds of taxes, surcharges, discounts etc. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Event.code v2: FT1.7 rim: .code
factor	S	1..1	decimal	There are no (further) constraints on this element Element id Invoice.totalPriceComponent:tax.factor Short description Factor used for calculating this component Definition The factor that has been applied on the base price for calculating this component. Comments There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden. Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: FT1.22
amount	S	1..1	Money	There are no (further) constraints on this element Element id Invoice.totalPriceComponent:tax.amount Short description Monetary amount associated with this component Definition The amount calculated for this component. Comments There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden. Data type Money Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: MO v2: FT1.22
totalNet	S Σ	0..1	Money	Element id Invoice.totalNet Short description Nettobetrag der Rechnungssumme Definition Invoice total , taxes excluded. Comments There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden. Data type Money Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: MO v2: FT1.22
totalGross	S Σ	0..1	Money	Element id Invoice.totalGross Short description Bruttobetrag der Rechnungssumme Definition Invoice total, tax included. Comments There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden. Data type Money Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: MO v2: FT1.22
paymentTerms		0..1	markdown	There are no (further) constraints on this element Element id Invoice.paymentTerms Short description Payment details Definition Payment details such as banking details, period of payment, deductibles, methods of payment. Comments Derived Profiles may chose to add invariants requiring this field to be populated if either priceOverride or factorOverride have been filled. Data type markdown Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id Invoice.paymentTerms.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	I	1..*	Extension	There are no (further) constraints on this element Element id Invoice.paymentTerms.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 Sliced: 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 rim: N/A
zahlungsziel	S I	1..1	Extension(date)	Element id Invoice.paymentTerms.extension:zahlungsziel Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. 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(date) Extension URL https://gematik.de/fhir/erg/StructureDefinition/erg-zahlungsziel 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
value		0..1	System.String	There are no (further) constraints on this element Element id Invoice.paymentTerms.value Short description Primitive value for markdown Definition Primitive value for markdown Data type System.String Maximum string length 1048576
note		0..*	Annotation	There are no (further) constraints on this element Element id Invoice.note Short description Comments made about the invoice Definition Comments made about the invoice by the issuer, subject, or other participants. Comments For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). Data type Annotation Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: Act workflow: Event.note v2: NTE rim: .inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]

Feldname	Kurzbeschreibung	Hinweise
Invoice.extension:pdf-repraesentation-rechnung
Invoice.extension:period
Invoice.extension:AbrechnungsrelevanteDiagnose
Invoice.identifier
Invoice.identifier:rechnungsnummer.type
Invoice.identifier:rechnungsnummer.system	Namensraum der Rechnungsnummern des Leistungeerbringers
Invoice.identifier:rechnungsnummer.value	Rechnungsnummer
Invoice.status
Invoice.type
Invoice.subject	Behandelte Person
Invoice.subject.reference
Invoice.subject.display	Name der behandelten Person	Der Name der behandelten Person muss angegeben werden und kann vom Namen des Rechnungsempfängers abweichen, z.B. wenn Eltern Rechnungen für ihre Kinder erhalten.
Invoice.recipient	Rechnungsempfänger	Das System des Leistungserbringers referenziert hier üblicherweise auf die lokale Instanz des Patienten um die Rechnung einer Patientenakte zuzuordnen. Der Fachdienst substitutiert den Link mit der Referenz auf das Postfach des Patienten bei der Extraktion der Invoice aus dem Bundle. Die Angabe der Versichertennummer dient der Plausibilisierung. Die KV-Nummer in der Instanz des Bundles muss daher mit der KV-Nummer übereinstimmen, die im Fachdienst für das Postfach des Rechnungsempfängers hinterlegt ist.
Invoice.recipient.identifier
Invoice.recipient.display
Invoice.date
Invoice.participant
Invoice.participant.role
Invoice.participant:leistungserbringer
Invoice.participant:leistungserbringer.actor.identifier
Invoice.participant:forderungsinhaber
Invoice.participant:forderungsinhaber.actor.identifier
Invoice.issuer	Leistungserbringer	Der Leistungserbringer kann vom einreichenden Benutzer der Rechnung (z.B. Abrechnungsdiesntleister) abweichen
Invoice.issuer.identifier	Telematik-ID des Leistungserbrigners
Invoice.issuer.display	Name des Leistungserbringers
Invoice.lineItem	Rechnungspositionen
Invoice.lineItem.chargeItem[x]
Invoice.totalPriceComponent
Invoice.totalPriceComponent:tax	Steuersatz und -Betrag
Invoice.totalPriceComponent:tax.factor
Invoice.totalPriceComponent:tax.amount
Invoice.totalNet	Nettobetrag der Rechnungssumme
Invoice.totalGross	Bruttobetrag der Rechnungssumme
Invoice.paymentTerms.extension:zahlungsziel

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="erg-rechnung" />
    <url value="https://gematik.de/fhir/erg/StructureDefinition/erg-rechnung" />
    <version value="1.0.0-CC" />
    <name value="ERGRechnung" />
    <title value="ERG Rechnung" />
    <status value="active" />
    <experimental value="false" />
    <date value="2024-06-20" />
    <publisher value="gematik GmbH" />
    <contact>
        <telecom>
            <system value="url" />
            <value value="http://gematik.de/" />
        </telecom>
    </contact>
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="Invoice" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Invoice" />
    <derivation value="constraint" />
    <differential>
        <element id="Invoice.extension:pdf-repraesentation-rechnung">
            <path value="Invoice.extension" />
            <sliceName value="pdf-repraesentation-rechnung" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://gematik.de/fhir/erg/StructureDefinition/erg-pdf-repraesentation-rechnung" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Invoice.extension:period">
            <path value="Invoice.extension" />
            <sliceName value="period" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://hl7.org/fhir/5.0/StructureDefinition/extension-Invoice.period" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Invoice.extension:AbrechnungsrelevanteDiagnose">
            <path value="Invoice.extension" />
            <sliceName value="AbrechnungsrelevanteDiagnose" />
            <min value="0" />
            <max value="*" />
            <type>
                <code value="Extension" />
                <profile value="https://gematik.de/fhir/erg/StructureDefinition/erg-abrechnungsrelevante-diagnose" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Invoice.identifier">
            <path value="Invoice.identifier" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="type" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Invoice.identifier:rechnungsnummer">
            <path value="Invoice.identifier" />
            <sliceName value="rechnungsnummer" />
            <short value="Vom System des Leistungserbringers vergebene Rechnungsnummer" />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Invoice.identifier:rechnungsnummer.type">
            <path value="Invoice.identifier.type" />
            <min value="1" />
            <patternCodeableConcept>
                <coding>
                    <system value="http://fhir.de/CodeSystem/identifier-type-de-basis" />
                    <code value="invoice" />
                </coding>
            </patternCodeableConcept>
            <mustSupport value="true" />
        </element>
        <element id="Invoice.identifier:rechnungsnummer.system">
            <path value="Invoice.identifier.system" />
            <short value="Namensraum der Rechnungsnummern des Leistungeerbringers" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Invoice.identifier:rechnungsnummer.value">
            <path value="Invoice.identifier.value" />
            <short value="Rechnungsnummer" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Invoice.status">
            <path value="Invoice.status" />
            <patternCode value="issued" />
            <mustSupport value="true" />
        </element>
        <element id="Invoice.type">
            <path value="Invoice.type" />
            <min value="1" />
            <patternCodeableConcept>
                <coding>
                    <system value="https://gematik.de/fhir/erg/CodeSystem/erg-rechnung-type-cs" />
                    <code value="erechnung" />
                </coding>
            </patternCodeableConcept>
            <mustSupport value="true" />
        </element>
        <element id="Invoice.subject">
            <path value="Invoice.subject" />
            <short value="Behandelte Person" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Invoice.subject.reference">
            <path value="Invoice.subject.reference" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Invoice.subject.display">
            <path value="Invoice.subject.display" />
            <short value="Name der behandelten Person" />
            <comment value="Der Name der behandelten Person muss angegeben werden und kann vom Namen des Rechnungsempf&#228;ngers abweichen, z.B. wenn Eltern Rechnungen f&#252;r ihre Kinder erhalten." />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Invoice.recipient">
            <path value="Invoice.recipient" />
            <short value="Rechnungsempf&#228;nger" />
            <comment value="Das System des Leistungserbringers referenziert hier &#252;blicherweise \n  auf die lokale Instanz des Patienten um die Rechnung einer Patientenakte zuzuordnen. \n  Der Fachdienst substitutiert den Link mit der Referenz auf das Postfach des Patienten \n  bei der Extraktion der Invoice aus dem Bundle. Die Angabe der Versichertennummer dient \n  der Plausibilisierung. Die KV-Nummer in der Instanz des Bundles muss daher mit der \n  KV-Nummer &#252;bereinstimmen, die im Fachdienst f&#252;r das Postfach des Rechnungsempf&#228;ngers hinterlegt ist." />
            <min value="1" />
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Invoice.recipient.identifier">
            <path value="Invoice.recipient.identifier" />
            <min value="1" />
            <type>
                <code value="Identifier" />
                <profile value="http://fhir.de/StructureDefinition/identifier-kvid-10" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Invoice.recipient.display">
            <path value="Invoice.recipient.display" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Invoice.date">
            <path value="Invoice.date" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Invoice.participant">
            <path value="Invoice.participant" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="role" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <mustSupport value="true" />
        </element>
        <element id="Invoice.participant.role">
            <path value="Invoice.participant.role" />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="https://gematik.de/fhir/erg/ValueSet/erg-participant-role-VS" />
            </binding>
        </element>
        <element id="Invoice.participant:leistungserbringer">
            <path value="Invoice.participant" />
            <sliceName value="leistungserbringer" />
            <min value="0" />
            <max value="*" />
            <mustSupport value="true" />
        </element>
        <element id="Invoice.participant:leistungserbringer.role">
            <path value="Invoice.participant.role" />
            <min value="1" />
            <patternCodeableConcept>
                <coding>
                    <system value="https://gematik.de/fhir/erg/CodeSystem/erg-participant-role-CS" />
                    <code value="leistungserbringer" />
                </coding>
            </patternCodeableConcept>
        </element>
        <element id="Invoice.participant:leistungserbringer.actor">
            <path value="Invoice.participant.actor" />
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
            </type>
        </element>
        <element id="Invoice.participant:leistungserbringer.actor.identifier">
            <path value="Invoice.participant.actor.identifier" />
            <type>
                <code value="Identifier" />
                <profile value="http://fhir.de/StructureDefinition/identifier-iknr" />
                <profile value="http://fhir.de/StructureDefinition/identifier-telematik-id" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Invoice.participant:forderungsinhaber">
            <path value="Invoice.participant" />
            <sliceName value="forderungsinhaber" />
            <min value="0" />
            <max value="*" />
            <mustSupport value="true" />
        </element>
        <element id="Invoice.participant:forderungsinhaber.role">
            <path value="Invoice.participant.role" />
            <min value="1" />
            <patternCodeableConcept>
                <coding>
                    <system value="https://gematik.de/fhir/erg/CodeSystem/erg-participant-role-CS" />
                    <code value="forderungsinhaber" />
                </coding>
            </patternCodeableConcept>
        </element>
        <element id="Invoice.participant:forderungsinhaber.actor">
            <path value="Invoice.participant.actor" />
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
            </type>
        </element>
        <element id="Invoice.participant:forderungsinhaber.actor.identifier">
            <path value="Invoice.participant.actor.identifier" />
            <type>
                <code value="Identifier" />
                <profile value="http://fhir.de/StructureDefinition/identifier-iknr" />
                <profile value="http://fhir.de/StructureDefinition/identifier-telematik-id" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Invoice.issuer">
            <path value="Invoice.issuer" />
            <short value="Leistungserbringer" />
            <comment value="Der Leistungserbringer kann vom einreichenden Benutzer \n      der Rechnung (z.B. Abrechnungsdiesntleister) abweichen" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Invoice.issuer.identifier">
            <path value="Invoice.issuer.identifier" />
            <short value="Telematik-ID des Leistungserbrigners" />
            <min value="1" />
            <type>
                <code value="Identifier" />
                <profile value="http://fhir.de/StructureDefinition/identifier-telematik-id" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Invoice.issuer.display">
            <path value="Invoice.issuer.display" />
            <short value="Name des Leistungserbringers" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Invoice.lineItem">
            <path value="Invoice.lineItem" />
            <short value="Rechnungspositionen" />
            <mustSupport value="true" />
        </element>
        <element id="Invoice.lineItem.chargeItem[x]">
            <path value="Invoice.lineItem.chargeItem[x]" />
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/ChargeItem" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Invoice.totalPriceComponent">
            <path value="Invoice.totalPriceComponent" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="code" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <mustSupport value="true" />
        </element>
        <element id="Invoice.totalPriceComponent:tax">
            <path value="Invoice.totalPriceComponent" />
            <sliceName value="tax" />
            <short value="Steuersatz und -Betrag" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="BackboneElement" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Invoice.totalPriceComponent:tax.type">
            <path value="Invoice.totalPriceComponent.type" />
            <patternCode value="tax" />
        </element>
        <element id="Invoice.totalPriceComponent:tax.factor">
            <path value="Invoice.totalPriceComponent.factor" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Invoice.totalPriceComponent:tax.amount">
            <path value="Invoice.totalPriceComponent.amount" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Invoice.totalNet">
            <path value="Invoice.totalNet" />
            <short value="Nettobetrag der Rechnungssumme" />
            <mustSupport value="true" />
        </element>
        <element id="Invoice.totalGross">
            <path value="Invoice.totalGross" />
            <short value="Bruttobetrag der Rechnungssumme" />
            <mustSupport value="true" />
        </element>
        <element id="Invoice.paymentTerms.extension">
            <path value="Invoice.paymentTerms.extension" />
            <min value="1" />
        </element>
        <element id="Invoice.paymentTerms.extension:zahlungsziel">
            <path value="Invoice.paymentTerms.extension" />
            <sliceName value="zahlungsziel" />
            <min value="1" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://gematik.de/fhir/erg/StructureDefinition/erg-zahlungsziel" />
            </type>
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "id": "erg-rechnung",
    "url": "https://gematik.de/fhir/erg/StructureDefinition/erg-rechnung",
    "version": "1.0.0-CC",
    "name": "ERGRechnung",
    "title": "ERG Rechnung",
    "status": "active",
    "experimental": false,
    "date": "2024-06-20",
    "publisher": "gematik GmbH",
    "contact":  [
        {
            "telecom":  [
                {
                    "system": "url",
                    "value": "http://gematik.de/"
                }
            ]
        }
    ],
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "Invoice",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Invoice",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Invoice.extension:pdf-repraesentation-rechnung",
                "path": "Invoice.extension",
                "sliceName": "pdf-repraesentation-rechnung",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://gematik.de/fhir/erg/StructureDefinition/erg-pdf-repraesentation-rechnung"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Invoice.extension:period",
                "path": "Invoice.extension",
                "sliceName": "period",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://hl7.org/fhir/5.0/StructureDefinition/extension-Invoice.period"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Invoice.extension:AbrechnungsrelevanteDiagnose",
                "path": "Invoice.extension",
                "sliceName": "AbrechnungsrelevanteDiagnose",
                "min": 0,
                "max": "*",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://gematik.de/fhir/erg/StructureDefinition/erg-abrechnungsrelevante-diagnose"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Invoice.identifier",
                "path": "Invoice.identifier",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "type"
                        }
                    ],
                    "rules": "open"
                },
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Invoice.identifier:rechnungsnummer",
                "path": "Invoice.identifier",
                "sliceName": "rechnungsnummer",
                "short": "Vom System des Leistungserbringers vergebene Rechnungsnummer",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Invoice.identifier:rechnungsnummer.type",
                "path": "Invoice.identifier.type",
                "min": 1,
                "patternCodeableConcept": {
                    "coding":  [
                        {
                            "code": "invoice",
                            "system": "http://fhir.de/CodeSystem/identifier-type-de-basis"
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Invoice.identifier:rechnungsnummer.system",
                "path": "Invoice.identifier.system",
                "short": "Namensraum der Rechnungsnummern des Leistungeerbringers",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Invoice.identifier:rechnungsnummer.value",
                "path": "Invoice.identifier.value",
                "short": "Rechnungsnummer",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Invoice.status",
                "path": "Invoice.status",
                "patternCode": "issued",
                "mustSupport": true
            },
            {
                "id": "Invoice.type",
                "path": "Invoice.type",
                "min": 1,
                "patternCodeableConcept": {
                    "coding":  [
                        {
                            "code": "erechnung",
                            "system": "https://gematik.de/fhir/erg/CodeSystem/erg-rechnung-type-cs"
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Invoice.subject",
                "path": "Invoice.subject",
                "short": "Behandelte Person",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Invoice.subject.reference",
                "path": "Invoice.subject.reference",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Invoice.subject.display",
                "path": "Invoice.subject.display",
                "short": "Name der behandelten Person",
                "comment": "Der Name der behandelten Person muss angegeben werden und kann vom Namen des Rechnungsempfängers abweichen, z.B. wenn Eltern Rechnungen für ihre Kinder erhalten.",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Invoice.recipient",
                "path": "Invoice.recipient",
                "short": "Rechnungsempfänger",
                "comment": "Das System des Leistungserbringers referenziert hier üblicherweise \n  auf die lokale Instanz des Patienten um die Rechnung einer Patientenakte zuzuordnen. \n  Der Fachdienst substitutiert den Link mit der Referenz auf das Postfach des Patienten \n  bei der Extraktion der Invoice aus dem Bundle. Die Angabe der Versichertennummer dient \n  der Plausibilisierung. Die KV-Nummer in der Instanz des Bundles muss daher mit der \n  KV-Nummer übereinstimmen, die im Fachdienst für das Postfach des Rechnungsempfängers hinterlegt ist. ",
                "min": 1,
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Patient"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Invoice.recipient.identifier",
                "path": "Invoice.recipient.identifier",
                "min": 1,
                "type":  [
                    {
                        "code": "Identifier",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/identifier-kvid-10"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Invoice.recipient.display",
                "path": "Invoice.recipient.display",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Invoice.date",
                "path": "Invoice.date",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Invoice.participant",
                "path": "Invoice.participant",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "role"
                        }
                    ],
                    "rules": "open"
                },
                "mustSupport": true
            },
            {
                "id": "Invoice.participant.role",
                "path": "Invoice.participant.role",
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "https://gematik.de/fhir/erg/ValueSet/erg-participant-role-VS"
                }
            },
            {
                "id": "Invoice.participant:leistungserbringer",
                "path": "Invoice.participant",
                "sliceName": "leistungserbringer",
                "min": 0,
                "max": "*",
                "mustSupport": true
            },
            {
                "id": "Invoice.participant:leistungserbringer.role",
                "path": "Invoice.participant.role",
                "min": 1,
                "patternCodeableConcept": {
                    "coding":  [
                        {
                            "code": "leistungserbringer",
                            "system": "https://gematik.de/fhir/erg/CodeSystem/erg-participant-role-CS"
                        }
                    ]
                }
            },
            {
                "id": "Invoice.participant:leistungserbringer.actor",
                "path": "Invoice.participant.actor",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Practitioner",
                            "http://hl7.org/fhir/StructureDefinition/Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Invoice.participant:leistungserbringer.actor.identifier",
                "path": "Invoice.participant.actor.identifier",
                "type":  [
                    {
                        "code": "Identifier",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/identifier-iknr",
                            "http://fhir.de/StructureDefinition/identifier-telematik-id"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Invoice.participant:forderungsinhaber",
                "path": "Invoice.participant",
                "sliceName": "forderungsinhaber",
                "min": 0,
                "max": "*",
                "mustSupport": true
            },
            {
                "id": "Invoice.participant:forderungsinhaber.role",
                "path": "Invoice.participant.role",
                "min": 1,
                "patternCodeableConcept": {
                    "coding":  [
                        {
                            "code": "forderungsinhaber",
                            "system": "https://gematik.de/fhir/erg/CodeSystem/erg-participant-role-CS"
                        }
                    ]
                }
            },
            {
                "id": "Invoice.participant:forderungsinhaber.actor",
                "path": "Invoice.participant.actor",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Practitioner",
                            "http://hl7.org/fhir/StructureDefinition/Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Invoice.participant:forderungsinhaber.actor.identifier",
                "path": "Invoice.participant.actor.identifier",
                "type":  [
                    {
                        "code": "Identifier",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/identifier-iknr",
                            "http://fhir.de/StructureDefinition/identifier-telematik-id"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Invoice.issuer",
                "path": "Invoice.issuer",
                "short": "Leistungserbringer",
                "comment": "Der Leistungserbringer kann vom einreichenden Benutzer \n      der Rechnung (z.B. Abrechnungsdiesntleister) abweichen",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Invoice.issuer.identifier",
                "path": "Invoice.issuer.identifier",
                "short": "Telematik-ID des Leistungserbrigners",
                "min": 1,
                "type":  [
                    {
                        "code": "Identifier",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/identifier-telematik-id"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Invoice.issuer.display",
                "path": "Invoice.issuer.display",
                "short": "Name des Leistungserbringers",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Invoice.lineItem",
                "path": "Invoice.lineItem",
                "short": "Rechnungspositionen",
                "mustSupport": true
            },
            {
                "id": "Invoice.lineItem.chargeItem[x]",
                "path": "Invoice.lineItem.chargeItem[x]",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/ChargeItem"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Invoice.totalPriceComponent",
                "path": "Invoice.totalPriceComponent",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "code"
                        }
                    ],
                    "rules": "open"
                },
                "mustSupport": true
            },
            {
                "id": "Invoice.totalPriceComponent:tax",
                "path": "Invoice.totalPriceComponent",
                "sliceName": "tax",
                "short": "Steuersatz und -Betrag",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "BackboneElement"
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Invoice.totalPriceComponent:tax.type",
                "path": "Invoice.totalPriceComponent.type",
                "patternCode": "tax"
            },
            {
                "id": "Invoice.totalPriceComponent:tax.factor",
                "path": "Invoice.totalPriceComponent.factor",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Invoice.totalPriceComponent:tax.amount",
                "path": "Invoice.totalPriceComponent.amount",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Invoice.totalNet",
                "path": "Invoice.totalNet",
                "short": "Nettobetrag der Rechnungssumme",
                "mustSupport": true
            },
            {
                "id": "Invoice.totalGross",
                "path": "Invoice.totalGross",
                "short": "Bruttobetrag der Rechnungssumme",
                "mustSupport": true
            },
            {
                "id": "Invoice.paymentTerms.extension",
                "path": "Invoice.paymentTerms.extension",
                "min": 1
            },
            {
                "id": "Invoice.paymentTerms.extension:zahlungsziel",
                "path": "Invoice.paymentTerms.extension",
                "sliceName": "zahlungsziel",
                "min": 1,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://gematik.de/fhir/erg/StructureDefinition/erg-zahlungsziel"
                        ]
                    }
                ],
                "mustSupport": true
            }
        ]
    }
}

ERG Rechnung