{
  "resourceType": "StructureDefinition",
  "id": "ISiKAbrechnungsfall",
  "url": "https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKAbrechnungsfall",
  "version": "3.1.1",
  "name": "ISiKAbrechnungsfall",
  "status": "active",
  "experimental": false,
  "date": "2025-12-01",
  "publisher": "gematik GmbH",
  "description": "Dieses Profil beschreibt die Gruppierung von medizinischen Leistungen in ISiK-Szenarien",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Account",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Account",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Account.extension",
        "path": "Account.extension",
        "mustSupport": true
      },
      {
        "id": "Account.extension:AbrechnungsDiagnoseProzedur",
        "path": "Account.extension",
        "sliceName": "AbrechnungsDiagnoseProzedur",
        "comment": "In dieser Extension SOLL das 'Use' Element nur einfach verwendet werden, um eine eindeutige Zuweisung (1 zu N) gegenüber dem Element 'Referenz' zu gewährleisten.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.de/StructureDefinition/ExtensionAbrechnungsDiagnoseProzedur"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Account.identifier",
        "path": "Account.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Account.identifier:Abrechnungsnummer",
        "path": "Account.identifier",
        "sliceName": "Abrechnungsnummer",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/identifier-abrechnungsnummer"
            ]
          }
        ],
        "patternIdentifier": {
          "type": {
            "coding": [
              {
                "code": "AN",
                "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
              }
            ]
          }
        },
        "mustSupport": true
      },
      {
        "id": "Account.identifier:Abrechnungsnummer.type",
        "path": "Account.identifier.type",
        "mustSupport": true
      },
      {
        "id": "Account.identifier:Abrechnungsnummer.system",
        "path": "Account.identifier.system",
        "mustSupport": true
      },
      {
        "id": "Account.identifier:Abrechnungsnummer.value",
        "path": "Account.identifier.value",
        "mustSupport": true
      },
      {
        "id": "Account.status",
        "path": "Account.status",
        "mustSupport": true
      },
      {
        "id": "Account.type",
        "path": "Account.type",
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://gematik.de/fhir/isik/v3/Basismodul/ValueSet/ISiKAccountType"
        }
      },
      {
        "id": "Account.subject",
        "path": "Account.subject",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Account.coverage",
        "path": "Account.coverage",
        "mustSupport": true
      },
      {
        "id": "Account.coverage.extension",
        "path": "Account.coverage.extension",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Account.coverage.extension:Abrechnungsart",
        "path": "Account.coverage.extension",
        "sliceName": "Abrechnungsart",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.de/StructureDefinition/ExtensionAbrechnungsart"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Account.coverage.coverage",
        "path": "Account.coverage.coverage",
        "mustSupport": true
      }
    ]
  }
}