{
  "resourceType": "StructureDefinition",
  "id": "Coverage",
  "meta": {
    "lastUpdated": "2025-05-02T11:22:22.548+00:00"
  },
  "url": "https://demis.rki.de/fhir/ars/StructureDefinition/Coverage",
  "version": "1.0.0",
  "name": "Coverage",
  "title": "Versicherungsstatus",
  "status": "draft",
  "experimental": false,
  "date": "2025-04-15",
  "publisher": "ARS@rki.de",
  "description": "Dieses Profil bildet den Versicherungsstatus des Patienten ab, zur Unterscheidung ob der Patient gesetzlich, privat oder nicht versichert ist. Diese Information ist ausschließlich bei Diagnostik zu Chlamydia trachomatis relevant. Sollten Angaben für einen anderen Erreger als für Chlamydia trachomatis gemacht werden, wird diese nach Übermittlung an das RKI aus der Rohdatenbank entfernt und stehen für die weitere Datenverarbeitung am RKI nicht zur Verfügung. Hintergrund für die Erhebung dieser Angaben ist die Integration des Chlamydien-Sentinels in die Übermittlung für ARS. Siehe auch Kapitel 'Integration von Sentinel-Systemen' im Implementierungsleitfaden.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Coverage",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Coverage",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Coverage.id",
        "path": "Coverage.id",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Coverage.meta",
        "path": "Coverage.meta",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Coverage.meta.id",
        "path": "Coverage.meta.id",
        "max": "0"
      },
      {
        "id": "Coverage.meta.extension",
        "path": "Coverage.meta.extension",
        "max": "0"
      },
      {
        "id": "Coverage.meta.versionId",
        "path": "Coverage.meta.versionId",
        "max": "0"
      },
      {
        "id": "Coverage.meta.lastUpdated",
        "path": "Coverage.meta.lastUpdated",
        "max": "0"
      },
      {
        "id": "Coverage.meta.source",
        "path": "Coverage.meta.source",
        "max": "0"
      },
      {
        "id": "Coverage.meta.profile",
        "path": "Coverage.meta.profile",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "closed"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Coverage.meta.profile:arsProfile",
        "path": "Coverage.meta.profile",
        "sliceName": "arsProfile",
        "min": 1,
        "max": "1",
        "patternCanonical": "https://demis.rki.de/fhir/ars/StructureDefinition/Coverage",
        "mustSupport": true
      },
      {
        "id": "Coverage.meta.security",
        "path": "Coverage.meta.security",
        "max": "0"
      },
      {
        "id": "Coverage.meta.tag",
        "path": "Coverage.meta.tag",
        "max": "0"
      },
      {
        "id": "Coverage.identifier",
        "path": "Coverage.identifier",
        "max": "0"
      },
      {
        "id": "Coverage.status",
        "path": "Coverage.status",
        "patternCode": "active"
      },
      {
        "id": "Coverage.type",
        "path": "Coverage.type",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Coverage.type.coding",
        "path": "Coverage.type.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Coverage.type.coding:VersicherungsartDeBasis",
        "path": "Coverage.type.coding",
        "sliceName": "VersicherungsartDeBasis",
        "min": 0,
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://fhir.de/ValueSet/versicherungsart-de-basis"
        }
      },
      {
        "id": "Coverage.type.coding:VersicherungsartDeBasis.system",
        "path": "Coverage.type.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Coverage.type.coding:VersicherungsartDeBasis.version",
        "path": "Coverage.type.coding.version",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Coverage.type.coding:VersicherungsartDeBasis.code",
        "path": "Coverage.type.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Coverage.type.coding:VersicherungsartErgaenzungen",
        "path": "Coverage.type.coding",
        "sliceName": "VersicherungsartErgaenzungen",
        "min": 0,
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://demis.rki.de/fhir/ars/ValueSet/versicherungsartErgaenzungen"
        }
      },
      {
        "id": "Coverage.type.coding:VersicherungsartErgaenzungen.system",
        "path": "Coverage.type.coding.system",
        "min": 1,
        "patternUri": "https://demis.rki.de/fhir/ars/CodeSystem/versicherungsartErgaenzungen",
        "mustSupport": true
      },
      {
        "id": "Coverage.type.coding:VersicherungsartErgaenzungen.version",
        "path": "Coverage.type.coding.version",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Coverage.type.coding:VersicherungsartErgaenzungen.code",
        "path": "Coverage.type.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Coverage.type.text",
        "path": "Coverage.type.text",
        "max": "0"
      },
      {
        "id": "Coverage.policyHolder",
        "path": "Coverage.policyHolder",
        "max": "0"
      },
      {
        "id": "Coverage.subscriber",
        "path": "Coverage.subscriber",
        "max": "0"
      },
      {
        "id": "Coverage.subscriberId",
        "path": "Coverage.subscriberId",
        "max": "0"
      },
      {
        "id": "Coverage.beneficiary",
        "path": "Coverage.beneficiary",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://demis.rki.de/fhir/ars/StructureDefinition/Patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Coverage.beneficiary.reference",
        "path": "Coverage.beneficiary.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Coverage.beneficiary.type",
        "path": "Coverage.beneficiary.type",
        "max": "0"
      },
      {
        "id": "Coverage.beneficiary.identifier",
        "path": "Coverage.beneficiary.identifier",
        "max": "0"
      },
      {
        "id": "Coverage.beneficiary.display",
        "path": "Coverage.beneficiary.display",
        "max": "0"
      },
      {
        "id": "Coverage.dependent",
        "path": "Coverage.dependent",
        "max": "0"
      },
      {
        "id": "Coverage.relationship",
        "path": "Coverage.relationship",
        "max": "0"
      },
      {
        "id": "Coverage.period",
        "path": "Coverage.period",
        "max": "0"
      },
      {
        "id": "Coverage.payor",
        "path": "Coverage.payor",
        "comment": "Information ist für den Anwendungszweck nicht relevant, muss laut FHIR-Basisstandard allerdings übermittelt werden.",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://demis.rki.de/fhir/ars/StructureDefinition/Patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Coverage.payor.reference",
        "path": "Coverage.payor.reference",
        "max": "0"
      },
      {
        "id": "Coverage.payor.type",
        "path": "Coverage.payor.type",
        "max": "0"
      },
      {
        "id": "Coverage.payor.identifier",
        "path": "Coverage.payor.identifier",
        "max": "0"
      },
      {
        "id": "Coverage.payor.display",
        "path": "Coverage.payor.display",
        "min": 1,
        "patternString": "unknown",
        "mustSupport": true
      },
      {
        "id": "Coverage.class",
        "path": "Coverage.class",
        "max": "0"
      },
      {
        "id": "Coverage.order",
        "path": "Coverage.order",
        "max": "0"
      },
      {
        "id": "Coverage.network",
        "path": "Coverage.network",
        "max": "0"
      },
      {
        "id": "Coverage.costToBeneficiary",
        "path": "Coverage.costToBeneficiary",
        "max": "0"
      },
      {
        "id": "Coverage.subrogation",
        "path": "Coverage.subrogation",
        "max": "0"
      },
      {
        "id": "Coverage.contract",
        "path": "Coverage.contract",
        "max": "0"
      }
    ]
  }
}