Profil: Terminprofil (Schedule)

Fachlicher Kontext

Ein Terminprofil im Kontext des 116117 Terminservices dient als Vorlage zum Anlegen von neuen Terminslots und bündelt dadurch gewissermaßen Terminslots gleichen Typs. Außerdem soll es die Erstellung neuer Terminslots gleichen Typs vereinfachen. Wird ein Terminslot erstellt, muss das zugrundeliegende Terminprofil angegeben werden. Die in dem Terminprofil enthaltenen Informationen werden für den Terminslot übernommen. Die Daten können vor der Erstellung des Terminslots bei Bedarf angepasst werden.

Beispielhaft veranschaulicht, heißt das Folgendes: Das Terminprofil Terminprofil A hat eine Standard-Termindauer von 15 Minuten. Der Nutzer eines TVS erstellt einen neuen Terminslot und wählt Terminprofil A als Grundlage für den Terminslot aus. Das TVS übernimmt automatisch alle Informationen aus dem Terminprofil (also auch die Termindauer von 15 Minuten) und zeigt sie dem Nutzer des TVS an. Der Nutzer prüft die Daten, die aus dem Terminprofil übernommen wurden. Er ändert die Dauer des Terminslots auf 10 Minuten und speichert dann den Terminslot. Das Terminprofil Terminprofil A hat weiterhin die Standard-Termindauer von 15 Minuten. Der neu angelegte Terminslot hat hingegen eine Dauer von 10 Minuten. Alle anderen Daten des Terminprofils Terminprofil A wurden 1:1 in den Terminslot übernommen.

Ein Terminprofil beinhaltet folgende Informationen:

Name des Terminprofils
Termindauer
Terminprofiltyp
Diagnosefremdsprachen (vom Arzt gesprochene Fremdsprachen)
Angabe, ob das Terminprofil aktiv ist
Buchbare Leistungsmerkmale
Zugeordnete PractitionerRole, die die BSNR der Praxis / medizinischen Einrichtung und ggf. eine Referenz auf den Arzt enthält, der bzw. dem das Terminprofil zugeordnet ist
Terminprofilhinweis (Hinweis für den Patienten)

Es gibt drei Terminprofiltypen:

AUTOMATISCH: Diese Terminprofile werden automatisch für alle Ärzte in einer Praxis / medizinischen Einrichtung angelegt. Es gibt pro Arzt also min. ein automatisch erzeugtes Terminprofil. Diese Terminprofile enthalten immer einen Verweis auf den Arzt, dem das Terminprofil zugeordnet ist. Die Leistungsmerkmale an einem solchen Terminprofil können NICHT durch den Nutzer oder das TVS geändert werden. Wenn ein Arzt neue Leistungsmerkmale bekommt, werden diese automatisch dem Terminprofil zugeordnet. Es gibt jedoch bestimmte Konfigurationen im 116117 Terminservice, bei denen nicht alle Leistungsmerkmale in ein Terminprofil übernommen werden. (Ein Beispiel hierfür sind Terminprofile von Kinderärzte; für diese werden automatisch mehrere Terminprofile erzeugt. Es gibt bspw. ein separates Terminprofil für die U-Untersuchungen und eins für alle anderen Leistungsmerkmale, die dieser Arzt besitzt. Neue Leistungsmerkmale, die der Arzt bekommt, werden NICHT dem Terminprofil für U-Untersuchungen hinzugefügt, dem Terminprofil mit den anderen Leistungsmerkmalen aber schon.)
MANUELL: Diese Terminprofile werden vom Nutzer manuell über die Webarzt-Oberfläche des 116117 Terminservices angelegt. Terminprofile von diesem Typ können entweder einen Verweis auf einen Arzt, der in der Praxis / medizinischen Einrichtung tätig ist oder nur auf die Praxis / medizinische Einrichtung besitzen. Leistungsmerkmale können manuell durch den Nutzer oder das TVS hinzugefügt oder entfernt werden. Durch eine Aktualisierung der Stammdaten können diese Terminprofile Leistungsmerkmale verlieren, wenn der betreffende Arzt oder die Praxis dieses Leistungsmerkmal nicht mehr besitzt. Neue Leistungsmerkmale werden jedoch NICHT automatisch hinzugefügt.
EXTERN: Dieser Terminprofiltyp unterscheidet sich nur in einem Punkt vom Terminprofiltyp MANUELL: Das Anlegen eines solchen Terminprofils erfolgt durch den Nutzer im TVS und wird dann durch das TVS an die Systeme des 116117 Terminservices übermittelt.

Ein Terminprofil kann einzelne buchbare Leistungsmerkmale oder Diagnosefremdsprachen verlieren. Dies geschieht bspw., wenn einem Arzt ein Leistungsmerkmal entzogen wird oder er eine Sprache nicht mehr anbietet. Dies wird in den Stammdaten des Arztes erfasst und durch die Systeme des 116117 Terminservices registriert. Die Systeme des 116117 Terminservices entfernen das Leistungsmerkmal bzw. die Diagnosefremdpsrache dann von allen Terminprofilen, die diesem Arzt zugeordnet sind. Hat kein anderer Arzt aus derselben Praxis / medizinischen Einrichtung dieses Leistungsmerkmal, wird das Leistungsmerkmal auch aus den Terminprofilen entfernt, die der Praxis / medizinischen Einrichtung zugeordnet sind.

Es kann dadurch auch passieren, dass ein Terminprofil ALLE buchbaren Leistungsmerkmale verliert. Dies ist bspw. dann der Fall, wenn das Terminprofil einem Arzt zugeweisen ist und dieser Arzt die Praxis verlässt. Wenn dieses Terminprofil aber noch durch Terminslots referenziert wird, kann das Terminprofil im 116117 Terminservice nicht gelöscht werden. In diesem Fall werden alle angebotenenen Leistungsmerkmale vom Terminprofil entfernt und das Terminprofil wird auf inaktiv gesetzt. Die Leistungsmerkale werden auch von den Terminslots entfernt, die auf diesem Terminprofil basieren und in der Zukunft liegen.

Technisch gesehen passiert Folgendes:

Durch einen Stammdatenimport werden einem Arzt Leistungsmerkmale entzogen oder ein Arzt wird komplett gelöscht.
Die Systeme des 116117 Terminservice entfernen die Leistungsmerkmale aus den zugehörigen Terminprofilen.
1. Die Leistungsmerkmale werden ebenfalls aus den Terminslots entfernt, die auf diesen Terminprofilen basieren und in der Zukunft liegen.
Wenn ein Terminprofil nun keine Leistungsmerkmale mehr besitzt, wird es...
1. ... gelöscht, wenn keine Terminslots mehr (über Slot.schedule) auf dieses Terminprofil verweisen.
2. ... auf inaktiv gesetzt, wenn es noch Terminslots gibt, die (über Slot.schedule) auf dieses Terminprofil verweisen.

Dies ist das einzige Szenario, in dem der Wert des Feldes Schedule.active geändert wird. Eine Änderung ist darüber hinaus nur durch die Systeme des 116117 Terminservice möglich. Um im TVS zu prüfen, ob ein Terminprofil inaktiv ist, kann demnach das Feld Schedule.active ausgewertet werden. Eine zusätzliche Prüfung, ob dem Terminprofil noch Leistungsmerkmale zugeordnet sind, ist dann nicht erforderlich.

FHIR-Profil

Name	KBV_PR_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Schedule_Slot_Profile
Type	Schedule
Base Definition	`http://hl7.org/fhir/StructureDefinition/Schedule` (Version: R4)
Canonical URL	`https://fhir.kbv.de/StructureDefinition/KBV_PR_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Schedule_Slot_Profile`

Beschreibung
Ein Terminprofil dient als Vorlage zum Anlegen von Terminslots und kann - neben dem Namen des Terminprofils und der Standard-Termindauer - Hinweise für die Patienten und angebotene Diagnosefremdsprachen enthalten. Beim Anlegen eines neuen Terminslots auf Basis eines Terminprofils werden die im Profil enthaltenen Daten in den Terminslot übernommen. Dadurch bündelt ein Terminprofil beliebig viele Termine der gleichen Art.

Beschreibung

Ein Terminprofil dient als Vorlage zum Anlegen von Terminslots und kann - neben dem Namen des Terminprofils und der Standard-Termindauer - Hinweise für die Patienten und angebotene Diagnosefremdsprachen enthalten. Beim Anlegen eines neuen Terminslots auf Basis eines Terminprofils werden die im Profil enthaltenen Daten in den Terminslot übernommen. Dadurch bündelt ein Terminprofil beliebig viele Termine der gleichen Art.

KBV_PR_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Schedule_Slot_Profile (Schedule)	I		Schedule	Element id Schedule Short description Terminprofil Alternate names Availability Definition Das Terminprofil ist eine Vorlage für Terminslots und beinhaltet die Rahmendaten für eine definierte Menge an Terminslots. Diese Rahmendaten werden auf alle Terminslots angewendet, die dem Terminprofil zugeordnet sind. Data type Schedule Constraints dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.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-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-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` dom-6: A resource should have narrative for robust management text.`div`.exists() Mappings rim: Entity. Role, or Act rim: n/a ical: BEGIN:VFREEBUSY ??? END:VFREEBUSY (If your fhir server provides this information via calDAV, then you may want to include addressing information in a URL section, and with the search, a DTSTART and DTEND component can be included to indicate the range of time that has been covered in the collection of slots, where these overlap the resources period values. For all slots that reference this resource, include a FREEBUSY row for each slot)
id	S Σ	0..1	string	Element id Schedule.id Short description ID des Terminprofils Definition Die ID des Terminprofils ist eine UUID, die beim Anlegen des Terminprofils vom 116117 Terminservice festgelegt wird. Comments Soll ein neues Terminprofil erstellt werden, muss KEINE ID gesetzt sein. Die ID wird ausschließlich durch den 116117 Terminservice bestimmt. Das bedeutet, dass nach dem Anlegen eines Terminprofils immer eine ID vorhanden ist und auch immer mit zurückgegeben wird. Die ID des Terminprofilss ist erforderlich, um das Terminprofil löschen zu können. Data type string
meta	S Σ	1..1	Meta	There are no (further) constraints on this element Element id Schedule.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())`
id		0..1	string	There are no (further) constraints on this element Element id Schedule.meta.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 Schedule.meta.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
versionId	S Σ	0..1	id	Element id Schedule.meta.versionId Short description Version specific identifier Definition The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. Comments Die VersionId muss bei Update und Delete Aktionen mitgegeben werden und wird zur Validierung herangezogen. Data type id Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
lastUpdated	Σ	0..1	instant	There are no (further) constraints on this element Element id Schedule.meta.lastUpdated Short description When the resource version last changed Definition When the resource last changed - e.g. when the version changed. Comments This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction. Data type instant Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
source	Σ	0..1	uri	There are no (further) constraints on this element Element id Schedule.meta.source Short description Identifies where the resource comes from Definition A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. Comments In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
profile	Σ	1..*	canonical(StructureDefinition)	Element id Schedule.meta.profile Short description Profiles this resource claims to conform to Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. Comments It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. Data type canonical(StructureDefinition) Sliced: Unordered, Open, by $this(Value) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
kvdigitalProfil	Σ	1..1	canonical(StructureDefinition)Pattern	Element id Schedule.meta.profile:kvdigitalProfil Short description Profiles this resource claims to conform to Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. Comments It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. Data type canonical(StructureDefinition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern https://fhir.kbv.de/StructureDefinition/KBV_PR_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Schedule_Slot_Profile\|1.0.0
security	Σ	0..*	CodingBinding	There are no (further) constraints on this element Element id Schedule.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. Comments The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
tag	Σ	0..*	Coding	There are no (further) constraints on this element Element id Schedule.meta.tag Short description Tags applied to this resource Definition Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id Schedule.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())`
language		0..1	codeBinding	There are no (further) constraints on this element Element id Schedule.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())`
text		0..1	Narrative	Element id Schedule.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition In diesem Element können die in der Instanz enthaltenen Informationen in einer menschenlesbaren Form zusammengefasst werden. Dabei ist zu beachten, dass keine Informationen aufgenommen werden dürfen, die nicht in strukturierter Form an anderer Stelle in der Instanz enthalten sind. 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: Act.text?
id		0..1	string	There are no (further) constraints on this element Element id Schedule.text.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 Schedule.text.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
status		1..1	codeBindingFixed Value	Element id Schedule.text.status Short description generated \| extensions \| additional \| empty Definition The status of the narrative - whether it's entirely generated (from just the defined data or the extensions too), or whether a human authored it and it may contain additional data. Data type code Binding The status of a resource narrative. NarrativeStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value extensions Mappings rim: N/A
div	I	1..1	xhtml	There are no (further) constraints on this element Element id Schedule.text.div Short description Limited xhtml content Definition The actual narrative content, a stripped down version of XHTML. Comments The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects. Data type xhtml Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes `htmlChecks()` txt-2: The narrative SHALL have some non-whitespace content `htmlChecks()` Mappings rim: N/A
contained		0..*	Resource	There are no (further) constraints on this element Element id Schedule.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: N/A
extension	S I	2..*	Extension	Element id Schedule.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) 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
weitereParameter	S I	1..1	Extension(Complex)	Element id Schedule.extension:weitereParameter Short description Weitere Information für das Terminprofil Alternate names extensions, user content Definition Ergänzende Angaben zum Terminprofil enthalten den Terminprofiltyp und die standardmäßige Dauer der Terminslots, die auf diesem Terminprofil basieren. 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(Complex) Extension URL https://fhir.kbv.de/StructureDefinition/KBV_EX_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Schedule_Slot_Profile_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
terminprofilname	S I	1..1	Extension(string)	Element id Schedule.extension:terminprofilname Short description Name des Terminprofils Alternate names extensions, user content Definition Die Extension enthält den Namen des Terminprofils. 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(string) Extension URL http://hl7.org/fhir/5.0/StructureDefinition/extension-Schedule.name 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
diagnosefremdsprachen	S I	0..*	Extension(Coding)	Element id Schedule.extension:diagnosefremdsprachen Short description Liste von Diagnosefremdsprachen Alternate names extensions, user content Definition Liste der Codings für Fremdsprachen (abgesehen von deutsch), in der der Arzt mit dem Patienten kommunizieren und eine Diagnose stellen kann. 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(Coding) Extension URL https://fhir.kbv.de/StructureDefinition/KBV_EX_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Foreign_Languages_For_Diagnostic_Outcome 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 Schedule.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 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
identifier	Σ	0..*	Identifier	There are no (further) constraints on this element Element id Schedule.identifier Short description External Ids for this item Definition External Ids for this item. Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.identifier ical: UID
active	S Σ ?!	0..1	boolean	Element id Schedule.active Short description Angabe, ob das Terminprofil aktiv ist oder nicht Definition Ein Terminprofil ist solange aktiv (active=true), wie Leistungsmerkmale (Schedule.serviceType) damit verknüpft sind. Es kann jedoch passieren, dass dies nicht mehr gegeben ist. In diesem Fall wird active durch den 116117 Terminservice automatisch auf false gesetzt. Comments Ob ein Terminprofil aktiv ist oder nicht, wird durch den 116117 Terminservice automatisch festgelegt und ist nicht durch andere Systeme änderbar. D.h., beim Anlegen muss dieses Element nicht befüllt sein; beim Abrufen eines Terminprofils wird dieses aber immer zurückgegeben. Meaning when missing This resource is generally assumed to be active if no value is provided for the active element Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.status
serviceCategory	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element id Schedule.serviceCategory Short description High-level category Definition A broad categorization of the service that is to be performed during this appointment. Data type CodeableConcept Binding ServiceCategory (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.class
serviceType	S Σ	0..*	CodeableConceptBinding	Element id Schedule.serviceType Short description Buchbare Leistungsmerkmale Definition Die Leistungsmerkmale eines Terminprofils geben an, welche Leistungen an den zugehörigen Terminslots angeboten werden. Data type CodeableConcept Binding KBV_VS_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Service_Types (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.class ical: n/a
id		0..1	string	There are no (further) constraints on this element Element id Schedule.serviceType.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 Schedule.serviceType.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
coding	S Σ	1..1	Coding	Element id Schedule.serviceType.coding Short description Coding zu einem Leistungsmerkmal Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id Schedule.serviceType.coding.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 Schedule.serviceType.coding.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
system	S Σ	1..1	uri	There are no (further) constraints on this element Element id Schedule.serviceType.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	S Σ	0..1	string	There are no (further) constraints on this element Element id Schedule.serviceType.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	Element id Schedule.serviceType.coding.code Short description WBO-Kennziffer/Genehmigung/Zusatzqualifikation Definition Der Code der WBO-Kennziffer, Genehmigung oder Zusatzqualifikation gemäß der von der KBV veröffentlichten Schlüsseltabellen (bspw. "027") Requirements Need to refer to a particular code in the system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	S Σ	1..1	string	Element id Schedule.serviceType.coding.display Short description Name des Leistungsmerkmals Definition Menschenlesbare Bezeichnung des Leistungsmerkmals gemäß der von der KBV veröffentlichten Schlüsseltabellen (bspw. die Arztgruppe "Hausärzte", die WBO "TG Hämatologie" oder die Zusatzqualifikation "Allergologie") Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Schedule.serviceType.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element id Schedule.serviceType.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
specialty	Σ	0..*	CodeableConceptBinding	There are no (further) constraints on this element Element id Schedule.specialty Short description Type of specialty needed Definition The specialty of a practitioner that would be required to perform the service requested in this appointment. Data type CodeableConcept Binding Additional details about where the content was created (e.g. clinical specialty). PracticeSettingCodeValueSet (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.class
actor	S Σ	1..1	Reference(KBV_PR_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_PractitionerRole)	Element id Schedule.actor Short description Referenz zur PractitionerRole Definition Referenz zur PractitionerRole, die die BSNR der Praxis / medizinische Einrichtung enthält, zu der das Terminprofil gehört und ggf. auch auf den Arzt verweist, dem das Terminprofil zugeordnet ist Comments The capacity to support multiple referenced resource types should be used in cases where the specific resources themselves cannot be scheduled without the other, and thus only make sense to the system exposing them as a group. Common examples of this are where the combination of a practitioner and a room (Location) are always required by a system. Data type Reference(KBV_PR_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_PractitionerRole) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.subject[x] ical: ATTENDEE:MAILTO:john_public@host2.com This can be populated with a value from the referenced resource w5: FiveWs.subject
id		0..1	string	There are no (further) constraints on this element Element id Schedule.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 Schedule.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
reference	S Σ I	1..1	string	Element id Schedule.actor.reference Short description Referenz zur PractitionerRole Definition Hierbei handelte es sich um eine absolute URL, die wie folgt aufgebaut ist: https://fhir.kbv.de/PractitionerRole/[id] 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())` Examples Referenz mit ID abgeleitet aus BSNR https://fhir.kbv.de/PractitionerRole/123456789 Referenz mit ID abgeleitet aus BSNR und ANR https://fhir.kbv.de/PractitionerRole/123456789-1112223 Mappings rim: N/A
type	Σ	0..1	uriBinding	There are no (further) constraints on this element Element id Schedule.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
identifier	Σ	0..1	Identifier	There are no (further) constraints on this element Element id Schedule.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 Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .identifier
display	Σ	0..1	string	There are no (further) constraints on this element Element id Schedule.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
planningHorizon	Σ	0..1	Period	There are no (further) constraints on this element Element id Schedule.planningHorizon Short description Period of time covered by schedule Definition The period of time that the slots that reference this Schedule resource cover (even if none exist). These cover the amount of time that an organization's planning horizon; the interval for which they are currently accepting appointments. This does not define a "template" for planning outside these dates. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.planned ical: DTSTART:20131201T003000Z DTEND:2014030101T003000Z
comment	S	0..1	string	Element id Schedule.comment Short description Terminprofilhinweis Definition Hinweise für Patienten zum Termin (bspw. "Bitte Handtuch mitbringen") Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Maximum string length 600 Mappings ical: COMMENT:(comment) If there is no comment, then the line can be excluded from the iCalendar entry

Schedule
Definition	Das Terminprofil ist eine Vorlage für Terminslots und beinhaltet die Rahmendaten für eine definierte Menge an Terminslots. Diese Rahmendaten werden auf alle Terminslots angewendet, die dem Terminprofil zugeordnet sind.
Cardinality	0...*
Alias	Availability
Invariants	dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.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-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-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` dom-6: A resource should have narrative for robust management text.`div`.exists()
Mappings	rim: Entity. Role, or Act rim: n/a ical: BEGIN:VFREEBUSY ??? END:VFREEBUSY (If your fhir server provides this information via calDAV, then you may want to include addressing information in a URL section, and with the search, a DTSTART and DTEND component can be included to indicate the range of time that has been covered in the collection of slots, where these overlap the resources period values. For all slots that reference this resource, include a FREEBUSY row for each slot)
Schedule.id
Definition	Die ID des Terminprofils ist eine UUID, die beim Anlegen des Terminprofils vom 116117 Terminservice festgelegt wird.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Comments	Soll ein neues Terminprofil erstellt werden, muss KEINE ID gesetzt sein. Die ID wird ausschließlich durch den 116117 Terminservice bestimmt. Das bedeutet, dass nach dem Anlegen eines Terminprofils immer eine ID vorhanden ist und auch immer mit zurückgegeben wird. Die ID des Terminprofilss ist erforderlich, um das Terminprofil löschen zu können.
Schedule.meta
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.
Cardinality	1...1
Type	Meta
Must Support	True
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Schedule.meta.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
Schedule.meta.extension
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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
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.
Slicing	Unordered, Open, by url(Value)
Invariants	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
Schedule.meta.versionId
Definition	The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
Cardinality	0...1
Type	id
Must Support	True
Summary	True
Comments	Die VersionId muss bei Update und Delete Aktionen mitgegeben werden und wird zur Validierung herangezogen.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Schedule.meta.lastUpdated
Definition	When the resource last changed - e.g. when the version changed.
Cardinality	0...1
Type	instant
Summary	True
Comments	This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Schedule.meta.source
Definition	A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
Cardinality	0...1
Type	uri
Summary	True
Comments	In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Schedule.meta.profile
Definition	A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url).
Cardinality	1...*
Type	canonical(StructureDefinition)
Summary	True
Comments	It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Slicing	Unordered, Open, by $this(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Schedule.meta.profile:kvdigitalProfil
Definition	A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url).
Cardinality	1...1
Type	canonical(StructureDefinition)
Summary	True
Comments	It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Pattern	https://fhir.kbv.de/StructureDefinition/KBV_PR_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Schedule_Slot_Profile\|1.0.0
Schedule.meta.security
Definition	Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
Cardinality	0...*
Type	Coding
Binding	Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible)
Summary	True
Comments	The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Schedule.meta.tag
Definition	Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
Cardinality	0...*
Type	Coding
Binding	Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example)
Summary	True
Comments	The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Schedule.implicitRules
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.
Cardinality	0...1
Type	uri
Modifier	True
Summary	True
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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Schedule.language
Definition	The base language in which the resource is written.
Cardinality	0...1
Type	code
Binding	A human language. CommonLanguages (preferred)
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).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Schedule.text
Definition	In diesem Element können die in der Instanz enthaltenen Informationen in einer menschenlesbaren Form zusammengefasst werden. Dabei ist zu beachten, dass keine Informationen aufgenommen werden dürfen, die nicht in strukturierter Form an anderer Stelle in der Instanz enthalten sind.
Cardinality	0...1
Type	Narrative
Alias	narrative, html, xhtml, display
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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: Act.text?
Schedule.text.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
Schedule.text.extension
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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
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.
Slicing	Unordered, Open, by url(Value)
Invariants	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
Schedule.text.status
Definition	The status of the narrative - whether it's entirely generated (from just the defined data or the extensions too), or whether a human authored it and it may contain additional data.
Cardinality	1...1
Type	code
Binding	The status of a resource narrative. NarrativeStatus (required)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	extensions
Mappings	rim: N/A
Schedule.text.div
Definition	The actual narrative content, a stripped down version of XHTML.
Cardinality	1...1
Type	xhtml
Comments	The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes `htmlChecks()` txt-2: The narrative SHALL have some non-whitespace content `htmlChecks()`
Mappings	rim: N/A
Schedule.contained
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.
Cardinality	0...*
Type	Resource
Alias	inline resources, anonymous resources, contained resources
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.
Mappings	rim: N/A
Schedule.extension
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.
Cardinality	2...*
Type	Extension
Must Support	True
Alias	extensions, user content
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.
Slicing	Unordered, Open, by url(Value)
Invariants	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
Schedule.extension:weitereParameter
Definition	Ergänzende Angaben zum Terminprofil enthalten den Terminprofiltyp und die standardmäßige Dauer der Terminslots, die auf diesem Terminprofil basieren.
Cardinality	1...1
Type	Extension(Complex)
Must Support	True
Alias	extensions, user content
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.
Invariants	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
Schedule.extension:terminprofilname
Definition	Die Extension enthält den Namen des Terminprofils.
Cardinality	1...1
Type	Extension(string)
Must Support	True
Alias	extensions, user content
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.
Invariants	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
Schedule.extension:diagnosefremdsprachen
Definition	Liste der Codings für Fremdsprachen (abgesehen von deutsch), in der der Arzt mit dem Patienten kommunizieren und eine Diagnose stellen kann.
Cardinality	0...*
Type	Extension(Coding)
Must Support	True
Alias	extensions, user content
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.
Invariants	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
Schedule.modifierExtension
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).
Cardinality	0...*
Type	Extension
Modifier	True
Alias	extensions, user content
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.
Invariants	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
Schedule.identifier
Definition	External Ids for this item.
Cardinality	0...*
Type	Identifier
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	w5: FiveWs.identifier ical: UID
Schedule.active
Definition	Ein Terminprofil ist solange aktiv (active=true), wie Leistungsmerkmale (Schedule.serviceType) damit verknüpft sind. Es kann jedoch passieren, dass dies nicht mehr gegeben ist. In diesem Fall wird active durch den 116117 Terminservice automatisch auf false gesetzt.
Cardinality	0...1
Type	boolean
Must Support	True
Modifier	True
Summary	True
Comments	Ob ein Terminprofil aktiv ist oder nicht, wird durch den 116117 Terminservice automatisch festgelegt und ist nicht durch andere Systeme änderbar. D.h., beim Anlegen muss dieses Element nicht befüllt sein; beim Abrufen eines Terminprofils wird dieses aber immer zurückgegeben.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	w5: FiveWs.status
Schedule.serviceCategory
Definition	A broad categorization of the service that is to be performed during this appointment.
Cardinality	0...*
Type	CodeableConcept
Binding	ServiceCategory (example)
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	w5: FiveWs.class
Schedule.serviceType
Definition	Die Leistungsmerkmale eines Terminprofils geben an, welche Leistungen an den zugehörigen Terminslots angeboten werden.
Cardinality	0...*
Type	CodeableConcept
Binding	KBV_VS_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Service_Types (required)
Must Support	True
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	w5: FiveWs.class ical: n/a
Schedule.serviceType.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
Schedule.serviceType.extension
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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
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.
Slicing	Unordered, Open, by url(Value)
Invariants	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
Schedule.serviceType.coding
Definition	A reference to a code defined by a terminology system.
Cardinality	1...1
Type	Coding
Must Support	True
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
Schedule.serviceType.coding.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
Schedule.serviceType.coding.extension
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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
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.
Slicing	Unordered, Open, by url(Value)
Invariants	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
Schedule.serviceType.coding.system
Definition	The identification of the code system that defines the meaning of the symbol in the code.
Cardinality	1...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Comments	The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
Schedule.serviceType.coding.version
Definition	The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Comments	Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
Schedule.serviceType.coding.code
Definition	Der Code der WBO-Kennziffer, Genehmigung oder Zusatzqualifikation gemäß der von der KBV veröffentlichten Schlüsseltabellen (bspw. "027")
Cardinality	1...1
Type	code
Must Support	True
Summary	True
Requirements	Need to refer to a particular code in the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
Schedule.serviceType.coding.display
Definition	Menschenlesbare Bezeichnung des Leistungsmerkmals gemäß der von der KBV veröffentlichten Schlüsseltabellen (bspw. die Arztgruppe "Hausärzte", die WBO "TG Hämatologie" oder die Zusatzqualifikation "Allergologie")
Cardinality	1...1
Type	string
Must Support	True
Summary	True
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
Schedule.serviceType.coding.userSelected
Definition	Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Cardinality	0...1
Type	boolean
Summary	True
Requirements	This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments	Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
Schedule.serviceType.text
Definition	A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Cardinality	0...1
Type	string
Summary	True
Requirements	The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Comments	Very often the text is the same as a displayName of one of the codings.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
Schedule.specialty
Definition	The specialty of a practitioner that would be required to perform the service requested in this appointment.
Cardinality	0...*
Type	CodeableConcept
Binding	Additional details about where the content was created (e.g. clinical specialty). PracticeSettingCodeValueSet (preferred)
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	w5: FiveWs.class
Schedule.actor
Definition	Referenz zur PractitionerRole, die die BSNR der Praxis / medizinische Einrichtung enthält, zu der das Terminprofil gehört und ggf. auch auf den Arzt verweist, dem das Terminprofil zugeordnet ist
Cardinality	1...1
Type	Reference(KBV_PR_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_PractitionerRole)
Must Support	True
Summary	True
Comments	The capacity to support multiple referenced resource types should be used in cases where the specific resources themselves cannot be scheduled without the other, and thus only make sense to the system exposing them as a group. Common examples of this are where the combination of a practitioner and a room (Location) are always required by a system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	w5: FiveWs.subject[x] ical: ATTENDEE:MAILTO:john_public@host2.com This can be populated with a value from the referenced resource w5: FiveWs.subject
Schedule.actor.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
Schedule.actor.extension
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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
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.
Slicing	Unordered, Open, by url(Value)
Invariants	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
Schedule.actor.reference
Definition	Hierbei handelte es sich um eine absolute URL, die wie folgt aufgebaut ist: https://fhir.kbv.de/PractitionerRole/[id]
Cardinality	1...1
Type	string
Must Support	True
Summary	True
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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Examples	Referenz mit ID abgeleitet aus BSNR https://fhir.kbv.de/PractitionerRole/123456789 Referenz mit ID abgeleitet aus BSNR und ANR https://fhir.kbv.de/PractitionerRole/123456789-1112223
Mappings	rim: N/A
Schedule.actor.type
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).
Cardinality	0...1
Type	uri
Binding	Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible)
Summary	True
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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
Schedule.actor.identifier
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.
Cardinality	0...1
Type	Identifier
Summary	True
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).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .identifier
Schedule.actor.display
Definition	Plain text narrative that identifies the resource in addition to the resource reference.
Cardinality	0...1
Type	string
Summary	True
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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
Schedule.planningHorizon
Definition	The period of time that the slots that reference this Schedule resource cover (even if none exist). These cover the amount of time that an organization's planning horizon; the interval for which they are currently accepting appointments. This does not define a "template" for planning outside these dates.
Cardinality	0...1
Type	Period
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	w5: FiveWs.planned ical: DTSTART:20131201T003000Z DTEND:2014030101T003000Z
Schedule.comment
Definition	Hinweise für Patienten zum Termin (bspw. "Bitte Handtuch mitbringen")
Cardinality	0...1
Type	string
Must Support	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	ical: COMMENT:(comment) If there is no comment, then the line can be excluded from the iCalendar entry

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="KBV-PR-116117-TERMINSERVICE-TVS-TSYNCH-Schedule-Slot-Profile" />
    <text>
        <status value="generated" />
        --- We have skipped the narrative for better readability of the resource ---
    </text>
    <url value="https://fhir.kbv.de/StructureDefinition/KBV_PR_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Schedule_Slot_Profile" />
    <version value="1.0.0" />
    <name value="KBV_PR_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Schedule_Slot_Profile" />
    <title value="KBV_PR_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Schedule_Slot_Profile" />
    <status value="active" />
    <publisher value="kv.digital GmbH" />
    <contact>
        <name value="kv.digital GmbH" />
        <telecom>
            <system value="url" />
            <value value="https://www.kv.digital" />
        </telecom>
    </contact>
    <description value="Ein Terminprofil dient als Vorlage zum Anlegen von Terminslots und kann - neben dem Namen des Terminprofils und der Standard-Termindauer - Hinweise f&#252;r die Patienten und angebotene Diagnosefremdsprachen enthalten. Beim Anlegen eines neuen Terminslots auf Basis eines Terminprofils werden die im Profil enthaltenen Daten in den Terminslot &#252;bernommen. Dadurch  b&#252;ndelt ein Terminprofil beliebig viele Termine der gleichen Art." />
    <copyright value="Im folgenden Profil k&#246;nnen Codes aus den Code-Systemen SNOMED CT&#174;, LOINC, Ucum, ATC, ICD-10-GM, ICD-10-WHO, OPS, Alpha-ID/Alpha-ID-SE und ICF enthalten sein, die dem folgenden Urheberrecht unterliegen: This material includes SNOMED CT&#174; Clinical Terms&#174; (SNOMED CT&#174; CT&#174;) which is used by permission of SNOMED CT&#174; International. All rights reserved. SNOMED CT&#174; CT&#174;, was originally created by The College of American Pathologists. SNOMED CT&#174; and SNOMED CT&#174; CT are registered trademarks of SNOMED CT&#174; International. Implementers of these artefacts must have the appropriate SNOMED CT&#174; CT Affiliate license. This material contains content from LOINC (http://LOINC.org). LOINC is copyright &#169; 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://LOINC.org/license. LOINC&#174; is a registered United States trademark of Regenstrief Institute, Inc. This product includes all or a portion of the UCUM table, UCUM codes, and UCUM definitions or is derived from it, subject to a license from Regenstrief Institute, Inc. and The UCUM Organization. Your use of the UCUM table, UCUM codes, UCUM definitions also is subject to this license, a copy of which is available at http://unitsofmeasure.org. The current complete UCUM table, UCUM Specification are available for download at http://unitsofmeasure.org. The UCUM table and UCUM codes are copyright &#169; 1995-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. THE UCUM TABLE (IN ALL FORMATS), UCUM DEFINITIONS, AND SPECIFICATION ARE PROVIDED &#39;AS IS.&#39; ANY EXPRESS OR IMPLIED WARRANTIES ARE DISCLAIMED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. Dieses Material enth&#228;lt Inhalte aus ATC. Die Erstellung erfolgte unter Verwendung der Datentr&#228;ger der amtlichen Fassung der ATCKlassifikation mit DDD des Bundesinstituts f&#252;r Arzneimittel und Medizinprodukte (BfArM). Dieses Material enth&#228;lt Inhalte aus ICD-10-GM, ICD-10-WHO, OPS Alpha-ID ans Alpha-ID-SE. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Bundesinstituts f&#252;r Arzneimittel und Medizinprodukte (BfArM). Dieses Material enth&#228;lt Inhalte aus ICF. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Deutschen Instituts f&#252;r Medizinische Dokumentation und Information (DIMDI). ICF-Kodes, -Begriffe und -Texte &#169; Weltgesundheitsorganisation, &#252;bersetzt und herausgegeben durch das Deutsche Institut f&#252;r Medizinische Dokumentation und Information von der International classification of functioning, disability and health - ICF, herausgegeben durch die Weltgesundheitsorganisation." />
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="Schedule" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Schedule" />
    <derivation value="constraint" />
    <differential>
        <element id="Schedule">
            <path value="Schedule" />
            <short value="Terminprofil" />
            <definition value="Das Terminprofil ist eine Vorlage f&#252;r Terminslots und beinhaltet die Rahmendaten f&#252;r eine definierte Menge an Terminslots. Diese Rahmendaten werden auf alle Terminslots angewendet, die dem Terminprofil zugeordnet sind." />
        </element>
        <element id="Schedule.id">
            <path value="Schedule.id" />
            <short value="ID des Terminprofils" />
            <definition value="Die ID des Terminprofils ist eine UUID, die beim Anlegen des Terminprofils vom 116117 Terminservice festgelegt wird." />
            <comment value="Soll ein neues Terminprofil erstellt werden, muss KEINE ID gesetzt sein. Die ID wird ausschlie&#223;lich durch den 116117 Terminservice bestimmt. Das bedeutet, dass nach dem Anlegen eines Terminprofils immer eine ID vorhanden ist und auch immer mit zur&#252;ckgegeben wird. Die ID des Terminprofilss ist erforderlich, um das Terminprofil l&#246;schen zu k&#246;nnen." />
            <mustSupport value="true" />
        </element>
        <element id="Schedule.meta">
            <path value="Schedule.meta" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Schedule.meta.versionId">
            <path value="Schedule.meta.versionId" />
            <comment value="Die VersionId muss bei Update und Delete Aktionen mitgegeben werden und wird zur Validierung herangezogen." />
            <mustSupport value="true" />
        </element>
        <element id="Schedule.meta.profile">
            <path value="Schedule.meta.profile" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="1" />
        </element>
        <element id="Schedule.meta.profile:kvdigitalProfil">
            <path value="Schedule.meta.profile" />
            <sliceName value="kvdigitalProfil" />
            <min value="1" />
            <max value="1" />
            <patternCanonical value="https://fhir.kbv.de/StructureDefinition/KBV_PR_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Schedule_Slot_Profile|1.0.0" />
        </element>
        <element id="Schedule.text">
            <path value="Schedule.text" />
            <definition value="In diesem Element k&#246;nnen die in der Instanz enthaltenen Informationen in einer menschenlesbaren Form zusammengefasst werden. Dabei ist zu beachten, dass keine Informationen aufgenommen werden d&#252;rfen, die nicht in strukturierter Form an anderer Stelle in der Instanz enthalten sind." />
        </element>
        <element id="Schedule.text.status">
            <path value="Schedule.text.status" />
            <fixedCode value="extensions" />
        </element>
        <element id="Schedule.extension">
            <path value="Schedule.extension" />
            <min value="2" />
            <mustSupport value="true" />
        </element>
        <element id="Schedule.extension:weitereParameter">
            <path value="Schedule.extension" />
            <sliceName value="weitereParameter" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.kbv.de/StructureDefinition/KBV_EX_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Schedule_Slot_Profile_Extension" />
            </type>
            <isModifier value="false" />
        </element>
        <element id="Schedule.extension:terminprofilname">
            <path value="Schedule.extension" />
            <sliceName value="terminprofilname" />
            <type>
                <code value="Extension" />
                <profile value="http://hl7.org/fhir/5.0/StructureDefinition/extension-Schedule.name" />
            </type>
            <isModifier value="false" />
        </element>
        <element id="Schedule.extension:diagnosefremdsprachen">
            <path value="Schedule.extension" />
            <sliceName value="diagnosefremdsprachen" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.kbv.de/StructureDefinition/KBV_EX_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Foreign_Languages_For_Diagnostic_Outcome" />
            </type>
            <isModifier value="false" />
        </element>
        <element id="Schedule.active">
            <path value="Schedule.active" />
            <short value="Angabe, ob das Terminprofil aktiv ist oder nicht" />
            <definition value="Ein Terminprofil ist solange aktiv (active=true), wie Leistungsmerkmale (Schedule.serviceType) damit verkn&#252;pft sind. Es kann jedoch passieren, dass dies nicht mehr gegeben ist. In diesem Fall wird active durch den 116117 Terminservice automatisch auf false gesetzt." />
            <comment value="Ob ein Terminprofil aktiv ist oder nicht, wird durch den 116117 Terminservice automatisch festgelegt und ist nicht durch andere Systeme &#228;nderbar. D.h., beim Anlegen muss dieses Element nicht bef&#252;llt sein; beim Abrufen eines Terminprofils wird dieses aber immer zur&#252;ckgegeben." />
            <mustSupport value="true" />
        </element>
        <element id="Schedule.serviceType">
            <path value="Schedule.serviceType" />
            <short value="Buchbare Leistungsmerkmale" />
            <definition value="Die Leistungsmerkmale eines Terminprofils geben an, welche Leistungen an den zugeh&#246;rigen Terminslots angeboten werden." />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="https://fhir.kbv.de/ValueSet/KBV_VS_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Service_Types" />
            </binding>
        </element>
        <element id="Schedule.serviceType.coding">
            <path value="Schedule.serviceType.coding" />
            <short value="Coding zu einem Leistungsmerkmal" />
            <min value="1" />
            <max value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Schedule.serviceType.coding.system">
            <path value="Schedule.serviceType.coding.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Schedule.serviceType.coding.version">
            <path value="Schedule.serviceType.coding.version" />
            <mustSupport value="true" />
        </element>
        <element id="Schedule.serviceType.coding.code">
            <path value="Schedule.serviceType.coding.code" />
            <short value="WBO-Kennziffer/Genehmigung/Zusatzqualifikation" />
            <definition value="Der Code der WBO-Kennziffer, Genehmigung oder Zusatzqualifikation gem&#228;&#223; der von der KBV ver&#246;ffentlichten Schl&#252;sseltabellen (bspw. &quot;027&quot;)" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Schedule.serviceType.coding.display">
            <path value="Schedule.serviceType.coding.display" />
            <short value="Name des Leistungsmerkmals" />
            <definition value="Menschenlesbare Bezeichnung des Leistungsmerkmals gem&#228;&#223; der von der KBV ver&#246;ffentlichten Schl&#252;sseltabellen (bspw. die Arztgruppe &quot;Haus&#228;rzte&quot;, die WBO &quot;TG H&#228;matologie&quot; oder die Zusatzqualifikation &quot;Allergologie&quot;)" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Schedule.actor">
            <path value="Schedule.actor" />
            <short value="Referenz zur PractitionerRole" />
            <definition value="Referenz zur PractitionerRole, die die BSNR der Praxis / medizinische Einrichtung enth&#228;lt, zu der das Terminprofil geh&#246;rt und ggf. auch auf den Arzt verweist, dem das Terminprofil zugeordnet ist" />
            <max value="1" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_PractitionerRole" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Schedule.actor.reference">
            <path value="Schedule.actor.reference" />
            <short value="Referenz zur PractitionerRole" />
            <definition value="Hierbei handelte es sich um eine absolute URL, die wie folgt aufgebaut ist: https://fhir.kbv.de/PractitionerRole/[id]" />
            <min value="1" />
            <example>
                <label value="Referenz mit ID abgeleitet aus BSNR" />
                <valueString value="https://fhir.kbv.de/PractitionerRole/123456789" />
            </example>
            <example>
                <label value="Referenz mit ID abgeleitet aus BSNR und ANR" />
                <valueString value="https://fhir.kbv.de/PractitionerRole/123456789-1112223" />
            </example>
            <mustSupport value="true" />
        </element>
        <element id="Schedule.comment">
            <path value="Schedule.comment" />
            <short value="Terminprofilhinweis" />
            <definition value="Hinweise f&#252;r Patienten zum Termin (bspw. &quot;Bitte Handtuch mitbringen&quot;)" />
            <maxLength value="600" />
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "id": "KBV-PR-116117-TERMINSERVICE-TVS-TSYNCH-Schedule-Slot-Profile",
    "text": {
        "status": "generated",
        --- We have skipped the narrative for better readability of the resource ---
    },
    "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Schedule_Slot_Profile",
    "version": "1.0.0",
    "name": "KBV_PR_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Schedule_Slot_Profile",
    "title": "KBV_PR_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Schedule_Slot_Profile",
    "status": "active",
    "publisher": "kv.digital GmbH",
    "contact":  [
        {
            "name": "kv.digital GmbH",
            "telecom":  [
                {
                    "system": "url",
                    "value": "https://www.kv.digital"
                }
            ]
        }
    ],
    "description": "Ein Terminprofil dient als Vorlage zum Anlegen von Terminslots und kann - neben dem Namen des Terminprofils und der Standard-Termindauer - Hinweise für die Patienten und angebotene Diagnosefremdsprachen enthalten. Beim Anlegen eines neuen Terminslots auf Basis eines Terminprofils werden die im Profil enthaltenen Daten in den Terminslot übernommen. Dadurch  bündelt ein Terminprofil beliebig viele Termine der gleichen Art.",
    "copyright": "Im folgenden Profil können Codes aus den Code-Systemen SNOMED CT®, LOINC, Ucum, ATC, ICD-10-GM, ICD-10-WHO, OPS, Alpha-ID/Alpha-ID-SE und ICF enthalten sein, die dem folgenden Urheberrecht unterliegen: This material includes SNOMED CT® Clinical Terms® (SNOMED CT® CT®) which is used by permission of SNOMED CT® International. All rights reserved. SNOMED CT® CT®, was originally created by The College of American Pathologists. SNOMED CT® and SNOMED CT® CT are registered trademarks of SNOMED CT® International. Implementers of these artefacts must have the appropriate SNOMED CT® CT Affiliate license. This material contains content from LOINC (http://LOINC.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://LOINC.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. This product includes all or a portion of the UCUM table, UCUM codes, and UCUM definitions or is derived from it, subject to a license from Regenstrief Institute, Inc. and The UCUM Organization. Your use of the UCUM table, UCUM codes, UCUM definitions also is subject to this license, a copy of which is available at http://unitsofmeasure.org. The current complete UCUM table, UCUM Specification are available for download at http://unitsofmeasure.org. The UCUM table and UCUM codes are copyright © 1995-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. THE UCUM TABLE (IN ALL FORMATS), UCUM DEFINITIONS, AND SPECIFICATION ARE PROVIDED 'AS IS.' ANY EXPRESS OR IMPLIED WARRANTIES ARE DISCLAIMED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. Dieses Material enthält Inhalte aus ATC. Die Erstellung erfolgte unter Verwendung der Datenträger der amtlichen Fassung der ATCKlassifikation mit DDD des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICD-10-GM, ICD-10-WHO, OPS Alpha-ID ans Alpha-ID-SE. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICF. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Deutschen Instituts für Medizinische Dokumentation und Information (DIMDI). ICF-Kodes, -Begriffe und -Texte © Weltgesundheitsorganisation, übersetzt und herausgegeben durch das Deutsche Institut für Medizinische Dokumentation und Information von der International classification of functioning, disability and health - ICF, herausgegeben durch die Weltgesundheitsorganisation.",
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "Schedule",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Schedule",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Schedule",
                "path": "Schedule",
                "short": "Terminprofil",
                "definition": "Das Terminprofil ist eine Vorlage für Terminslots und beinhaltet die Rahmendaten für eine definierte Menge an Terminslots. Diese Rahmendaten werden auf alle Terminslots angewendet, die dem Terminprofil zugeordnet sind."
            },
            {
                "id": "Schedule.id",
                "path": "Schedule.id",
                "short": "ID des Terminprofils",
                "definition": "Die ID des Terminprofils ist eine UUID, die beim Anlegen des Terminprofils vom 116117 Terminservice festgelegt wird.",
                "comment": "Soll ein neues Terminprofil erstellt werden, muss KEINE ID gesetzt sein. Die ID wird ausschließlich durch den 116117 Terminservice bestimmt. Das bedeutet, dass nach dem Anlegen eines Terminprofils immer eine ID vorhanden ist und auch immer mit zurückgegeben wird. Die ID des Terminprofilss ist erforderlich, um das Terminprofil löschen zu können.",
                "mustSupport": true
            },
            {
                "id": "Schedule.meta",
                "path": "Schedule.meta",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Schedule.meta.versionId",
                "path": "Schedule.meta.versionId",
                "comment": "Die VersionId muss bei Update und Delete Aktionen mitgegeben werden und wird zur Validierung herangezogen.",
                "mustSupport": true
            },
            {
                "id": "Schedule.meta.profile",
                "path": "Schedule.meta.profile",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "min": 1
            },
            {
                "id": "Schedule.meta.profile:kvdigitalProfil",
                "path": "Schedule.meta.profile",
                "sliceName": "kvdigitalProfil",
                "min": 1,
                "max": "1",
                "patternCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Schedule_Slot_Profile|1.0.0"
            },
            {
                "id": "Schedule.text",
                "path": "Schedule.text",
                "definition": "In diesem Element können die in der Instanz enthaltenen Informationen in einer menschenlesbaren Form zusammengefasst werden. Dabei ist zu beachten, dass keine Informationen aufgenommen werden dürfen, die nicht in strukturierter Form an anderer Stelle in der Instanz enthalten sind."
            },
            {
                "id": "Schedule.text.status",
                "path": "Schedule.text.status",
                "fixedCode": "extensions"
            },
            {
                "id": "Schedule.extension",
                "path": "Schedule.extension",
                "min": 2,
                "mustSupport": true
            },
            {
                "id": "Schedule.extension:weitereParameter",
                "path": "Schedule.extension",
                "sliceName": "weitereParameter",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.kbv.de/StructureDefinition/KBV_EX_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Schedule_Slot_Profile_Extension"
                        ]
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Schedule.extension:terminprofilname",
                "path": "Schedule.extension",
                "sliceName": "terminprofilname",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://hl7.org/fhir/5.0/StructureDefinition/extension-Schedule.name"
                        ]
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Schedule.extension:diagnosefremdsprachen",
                "path": "Schedule.extension",
                "sliceName": "diagnosefremdsprachen",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.kbv.de/StructureDefinition/KBV_EX_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Foreign_Languages_For_Diagnostic_Outcome"
                        ]
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Schedule.active",
                "path": "Schedule.active",
                "short": "Angabe, ob das Terminprofil aktiv ist oder nicht",
                "definition": "Ein Terminprofil ist solange aktiv (active=true), wie Leistungsmerkmale (Schedule.serviceType) damit verknüpft sind. Es kann jedoch passieren, dass dies nicht mehr gegeben ist. In diesem Fall wird active durch den 116117 Terminservice automatisch auf false gesetzt.",
                "comment": "Ob ein Terminprofil aktiv ist oder nicht, wird durch den 116117 Terminservice automatisch festgelegt und ist nicht durch andere Systeme änderbar. D.h., beim Anlegen muss dieses Element nicht befüllt sein; beim Abrufen eines Terminprofils wird dieses aber immer zurückgegeben.",
                "mustSupport": true
            },
            {
                "id": "Schedule.serviceType",
                "path": "Schedule.serviceType",
                "short": "Buchbare Leistungsmerkmale",
                "definition": "Die Leistungsmerkmale eines Terminprofils geben an, welche Leistungen an den zugehörigen Terminslots angeboten werden.",
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Service_Types"
                }
            },
            {
                "id": "Schedule.serviceType.coding",
                "path": "Schedule.serviceType.coding",
                "short": "Coding zu einem Leistungsmerkmal",
                "min": 1,
                "max": "1",
                "mustSupport": true
            },
            {
                "id": "Schedule.serviceType.coding.system",
                "path": "Schedule.serviceType.coding.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Schedule.serviceType.coding.version",
                "path": "Schedule.serviceType.coding.version",
                "mustSupport": true
            },
            {
                "id": "Schedule.serviceType.coding.code",
                "path": "Schedule.serviceType.coding.code",
                "short": "WBO-Kennziffer/Genehmigung/Zusatzqualifikation",
                "definition": "Der Code der WBO-Kennziffer, Genehmigung oder Zusatzqualifikation gemäß der von der KBV veröffentlichten Schlüsseltabellen (bspw. \"027\")",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Schedule.serviceType.coding.display",
                "path": "Schedule.serviceType.coding.display",
                "short": "Name des Leistungsmerkmals",
                "definition": "Menschenlesbare Bezeichnung des Leistungsmerkmals gemäß der von der KBV veröffentlichten Schlüsseltabellen (bspw. die Arztgruppe \"Hausärzte\", die WBO \"TG Hämatologie\" oder die Zusatzqualifikation \"Allergologie\")",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Schedule.actor",
                "path": "Schedule.actor",
                "short": "Referenz zur PractitionerRole",
                "definition": "Referenz zur PractitionerRole, die die BSNR der Praxis / medizinische Einrichtung enthält, zu der das Terminprofil gehört und ggf. auch auf den Arzt verweist, dem das Terminprofil zugeordnet ist",
                "max": "1",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.kbv.de/StructureDefinition/KBV_PR_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_PractitionerRole"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Schedule.actor.reference",
                "path": "Schedule.actor.reference",
                "short": "Referenz zur PractitionerRole",
                "definition": "Hierbei handelte es sich um eine absolute URL, die wie folgt aufgebaut ist: https://fhir.kbv.de/PractitionerRole/[id]",
                "min": 1,
                "example":  [
                    {
                        "label": "Referenz mit ID abgeleitet aus BSNR",
                        "valueString": "https://fhir.kbv.de/PractitionerRole/123456789"
                    },
                    {
                        "label": "Referenz mit ID abgeleitet aus BSNR und ANR",
                        "valueString": "https://fhir.kbv.de/PractitionerRole/123456789-1112223"
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Schedule.comment",
                "path": "Schedule.comment",
                "short": "Terminprofilhinweis",
                "definition": "Hinweise für Patienten zum Termin (bspw. \"Bitte Handtuch mitbringen\")",
                "maxLength": 600,
                "mustSupport": true
            }
        ]
    }
}

KBV_PR_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Schedule_Slot_Profile

Anmerkungen

In der folgenden Tabelle finden sich Anmerkungen zu einzelnen Feldern.

Feld	Anmerkung
`Schedule.id`	Die ID des Terminprofils wird ausschließlich vom 116117 Terminservice vergeben und wird für das Aktualisieren und Löschen des Terminprofils benötigt.
`Schedule.extension:terminprofilname`	Hierbei handelt es sich um eine backport extension, da in der FHIR-Version R5 das Feld `Schedule.name` existiert, in R4 jedoch nicht. Erkennbar ist dies an der URL der Extension.
`Schedule.meta.versionId`	Anhand der Versionsnummer des Schedules kann überprüft werden, ob die aktuellste Version der Ressource bekannt ist; d.h., ob die Versionsnummer des im TVS gespeicherten Schedules mit der Versionsnummer des Schedules aus dem 116117 Terminservice übereinstimmt. Die Versionsnummer ist darüber hinaus auch für das Aktualisieren und Löschen eines Schedules relevant, da beides versionsabhängig ist.
`Schedule.active`	Beim Anlegen eines Terminprofiles darf dieses Feld vom TVS nicht gesetzt werden, da es ausschließlich durch den 116117 Terminservice gesetzt und verändert wird. Beim Anlegen wird durch die Systeme des 116117 Terminservices der Wert `true` vergeben. Das bedeutet, dass beim Abrufen eines Terminprofils dieses Feld immer gesetzt ist. Unter bestimmten Umständen wird der Wert vom 116117 Terminservice zu `false` geändert (siehe hierzu Abschnitt Fachlicher Kontext).
`Schedule.serviceType`	Das für den serviceType definierte ValueSet enthält sowohl gröbere als auch feinere Einteilungen (bspw. übergeordnete Fachgebiete und diesen zugeordnete, feiner gruppierte Fachgebiete). Auch wenn das Feld `serviceCategory` für die gröberen Leistungsmerkmale nutzbar wäre, wird in dieser Schnittstelle aus folgenden Gründen darauf verzichtet: Die Systeme des 116117 Terminservices unterscheiden aktuell nicht zwischen groben und feinen Einteilungen. Von der KBV wurde eine ConceptMap angekündigt, um die Unterscheidung einfacher zu gestalten. Diese ConceptMap soll die Zuordnung der feiner differenzierten zu den übergeordneten Leistungsmerkmalen abbilden. Nach Veröffentlichung wird diese ConceptMap in der vorliegenden Schnittstelle zum Einsatz kommen. Das Feld `Slot.serviceCategory` bildet in der vorliegenden Schnittstelle die Art des Termins ab. Eine nicht einheitliche Nutzung des Feldes im Slot und im Appointment sollte jedoch vermieden werden.
`Schedule.actor`	Dieses Feld lässt (bedingt durch die Vorgaben des Basis-Profils) keine Referenz auf eine `Organization` zu. Daher wird hier die `PractitionerRole` referenziert, die die BSNR der Praxis / medizinischen Einrichtung enthält und ggf. den Arzt referenziert, der bzw. dem dieses Terminprofil zugeordnet ist.

Folgende (mit einem Must-Support-Flag gekennzeichnete) Elemente werden von den Systemen des 116117 Terminservices gespeichert, verarbeitet und zurückgegeben:

id
meta.versionId
extension:weiterePrarameter
extension:terminprofilname
extension:diagnosefremdsprachen
active
serviceType
actor.reference
comment

Terminology Bindings

Folgende Terminologien sind abweichend vom Basisprofil definiert:

Feld	Bindungsgrad	ValueSet
Schedule.serviceType	required	https://fhir.kbv.de/ValueSet/KBV_VS_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Service_Types

Operationen & Interaktionen

Folgende Operationen und Interaktionen können auf dieser Ressource ausgeführt werden:

Beispiele

Alle Beispiele sind hier im vorliegenden Projekt zu finden.

Maximalbeispiel
Minimalbeispiel

<Schedule xmlns="http://hl7.org/fhir">
    <id value="9b98f95a-74a9-4b6b-ba30-fc951068727d" />
    <meta>
        <versionId value="2" />
        <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Schedule_Slot_Profile|1.0.0" />
    </meta>
    <text>
        <status value="extensions" />
        --- We have skipped the narrative for better readability of the resource ---
    </text>
    <extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Schedule.name">
        <valueString value="Sprechstunde auf Thai oder Schottisch-G&#228;lisch" />
    </extension>
    <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Foreign_Languages_For_Diagnostic_Outcome">
        <valueCoding>
            <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BAR_FREMDSPRACHE" />
            <code value="83" />
            <display value="Thai (Thailand)" />
        </valueCoding>
    </extension>
    <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Foreign_Languages_For_Diagnostic_Outcome">
        <valueCoding>
            <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BAR_FREMDSPRACHE" />
            <code value="107" />
            <display value="Schottisch-G&#228;lisch" />
        </valueCoding>
    </extension>
    <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Schedule_Slot_Profile_Extension">
        <extension url="termindauer">
            <valueDuration>
                <value value="60" />
                <unit value="minutes" />
                <system value="http://unitsofmeasure.org" />
                <code value="min" />
            </valueDuration>
        </extension>
        <extension url="terminprofiltyp">
            <valueCoding>
                <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Schedule_Slot_Profile_Type" />
                <version value="1.0.0" />
                <code value="AUTOMATISCH" />
                <display value="Vom 116117 Terminservice automatisch angelegtes Terminprofil basierend auf den Leistungsmerkmalen des jeweiligen Arztes" />
            </valueCoding>
        </extension>
    </extension>
    <active value="true" />
    <serviceType>
        <coding>
            <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BAS_FACHGEBIET_GROB" />
            <code value="09" />
            <display value="Kinderarzt / Kinder&#228;rztin" />
        </coding>
    </serviceType>
    <serviceType>
        <coding>
            <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BAR2_WBO" />
            <code value="341" />
            <display value="F&#196;/FA Kinder- und Jugendmedizin" />
        </coding>
    </serviceType>
    <actor>
        <reference value="https://fhir.kbv.de/PractitionerRole/123456789-1112223" />
    </actor>
    <comment value="Bitte n&#252;chtern kommen!" />
</Schedule>

<Schedule xmlns="http://hl7.org/fhir">
    <meta>
        <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Schedule_Slot_Profile|1.0.0" />
    </meta>
    <text>
        <status value="extensions" />
        --- We have skipped the narrative for better readability of the resource ---
    </text>
    <extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Schedule.name">
        <valueString value="Sprechstunde M. Mustermensch" />
    </extension>
    <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Schedule_Slot_Profile_Extension">
        <extension url="termindauer">
            <valueDuration>
                <value value="15" />
                <unit value="minutes" />
                <system value="http://unitsofmeasure.org" />
                <code value="min" />
            </valueDuration>
        </extension>
    </extension>
    <actor>
        <reference value="https://fhir.kbv.de/PractitionerRole/123456789" />
    </actor>
</Schedule>