German Dental FHIR Profiles (R4)
0.36.1 - trial-use DE

German Dental FHIR Profiles (R4) - Local Development build (v0.36.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: BEMA Leistungsposition (DE)

Official URL: https://fhir.cognovis.de/dental/StructureDefinition/bema-charge-item Version: 0.36.1
Active as of 2026-05-30 Computable Name: BemaChargeItemDE

Copyright/Legal: Copyright 2026+ cognovis GmbH. Licensed under CC-BY-4.0.

Profil für kassenzahnärztliche Leistungen nach BEMA (Bewertungsmaßstab Zahnärzte). Bildet SWS 2.0 Satzart 6 ab.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem C 0..* ChargeItemPraxisDe Item containing charge code(s) associated with the provision of healthcare provider products
Constraints: radiation-service-required
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:fdiToothNumber S 0..1 code FDI-Zahnnummer (SWS: Zahnnummer)
URL: https://fhir.cognovis.de/dental/StructureDefinition/fdi-tooth-number
Binding: Zahnidentifikation nach FDI/ISO 3950 (preferred)
.... extension:toothSurfaces S 0..* CodeableConcept Betroffene Zahnflächen (SWS: Flächen)
URL: https://fhir.cognovis.de/dental/StructureDefinition/tooth-surfaces
Binding: Zahnflächen (required)
.... extension:bemaBefundklasse S 0..1 code BEMA Befundklasse c/k/f/e/b (SWS: Befundklasse)
URL: https://fhir.cognovis.de/dental/StructureDefinition/bema-befundklasse
Binding: BEMA Befundklasse (required)
.... extension:taxCategory S 1..1 (Complex) USt-Kategorie (EN 16931 / UN-CEFACT-5305: für BEMA fix = E steuerfrei)
URL: https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-category
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-category"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Steuerkategorie DE (required)
Required Pattern: At least the following
.... extension:taxExemptionReason S 1..1 (Complex) USt-Befreiungsgrund (für BEMA fix = § 4 Nr. 14a UStG Heilbehandlung)
URL: https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-exemption-reason
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-exemption-reason"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Umsatzsteuerbefreiungsgrund (UStG) (required)
Required Pattern: At least the following
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code SΣ 1..1 CodeableConcept BEMA-Leistungskennzeichen (z.B. 01a, 13c)
Binding: BEMA Leistungscodes (extensible)
... subject SΣ 1..1 Reference(Patient) Patient (Pflichtfeld)
... context SΣ 0..1 Reference(Zahnärztlicher Behandlungskontakt (DE)) Klinischer Behandlungskontakt (DentalEncounterDE)
... occurrence[x] SΣ 0..1 dateTime Leistungsdatum (SWS: Erbringungsdatum)
... performer S 0..* BackboneElement Erbringender Behandler
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor 1..1 Reference(PractitionerRole) Individual who was performing
... quantity SΣ 0..1 Quantity BEMA-Punktzahl der erbrachten Leistung
... bodysite SΣ 0..* CodeableConcept Bezugszahn nach FDI-Zahnschema
Binding: Zahnidentifikation nach FDI/ISO 3950 (preferred)
... priceOverride S 0..1 Money Berechneter Eurobetrag (Punktzahl × KZV-Punktwert)
... service S 0..* Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery) Referenz auf RoentgenProcedurePraxisDe (Pflicht fuer strahlenrelevante Codes)
... account SΣ 1..1 Reference(Account Praxis Schein) Abrechnungs-Schein (AccountPraxisSchein, ADR-039)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ChargeItem.extension:taxCategory.​value[x] Base required Steuerkategorie DE 📦0.69.1 de.cognovis.fhir.praxis v0.69
ChargeItem.extension:taxExemptionReason.​value[x] Base required Umsatzsteuerbefreiungsgrund (UStG) 📦0.69.1 de.cognovis.fhir.praxis v0.69
ChargeItem.status Base required ChargeItemStatus 📍4.0.1 FHIR Std.
ChargeItem.code Base extensible BEMA Leistungscodes 📦0.36.1 This IG
ChargeItem.bodysite Base preferred Zahnidentifikation nach FDI/ISO 3950 📦0.36.1 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error ChargeItem If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ChargeItem 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 error ChargeItem 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 error ChargeItem If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ChargeItem A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
radiation-service-required error ChargeItem ChargeItem mit Strahlenschutz-relevantem Abrechnungscode muss ChargeItem.service auf eine RoentgenProcedurePraxisDe referenzieren code.coding.where(memberOf('https://fhir.cognovis.de/imaging/ValueSet/radiation-relevant-billing-codes')).empty() or service.where(resolve() is Procedure).exists()

This structure is derived from ChargeItemPraxisDe

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem 0..* ChargeItemPraxisDe Item containing charge code(s) associated with the provision of healthcare provider products
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:fdiToothNumber S 0..1 code FDI-Zahnnummer (SWS: Zahnnummer)
URL: https://fhir.cognovis.de/dental/StructureDefinition/fdi-tooth-number
Binding: Zahnidentifikation nach FDI/ISO 3950 (preferred)
.... extension:toothSurfaces S 0..* CodeableConcept Betroffene Zahnflächen (SWS: Flächen)
URL: https://fhir.cognovis.de/dental/StructureDefinition/tooth-surfaces
Binding: Zahnflächen (required)
.... extension:bemaBefundklasse S 0..1 code BEMA Befundklasse c/k/f/e/b (SWS: Befundklasse)
URL: https://fhir.cognovis.de/dental/StructureDefinition/bema-befundklasse
Binding: BEMA Befundklasse (required)
.... extension:taxCategory S 1..1 (Complex) USt-Kategorie (EN 16931 / UN-CEFACT-5305: für BEMA fix = E steuerfrei)
URL: https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-category
..... value[x] 0..1 CodeableConcept Value of extension
Required Pattern: At least the following
.... extension:taxExemptionReason S 1..1 (Complex) USt-Befreiungsgrund (für BEMA fix = § 4 Nr. 14a UStG Heilbehandlung)
URL: https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-exemption-reason
..... value[x] 0..1 CodeableConcept Value of extension
Required Pattern: At least the following
... code 1..1 CodeableConcept BEMA-Leistungskennzeichen (z.B. 01a, 13c)
Binding: BEMA Leistungscodes (extensible)
... context S 0..1 Reference(Zahnärztlicher Behandlungskontakt (DE)) Klinischer Behandlungskontakt (DentalEncounterDE)
... performer S 0..* BackboneElement Erbringender Behandler
.... actor 1..1 Reference(PractitionerRole) Individual who was performing
... quantity S 0..1 Quantity BEMA-Punktzahl der erbrachten Leistung
... bodysite S 0..* CodeableConcept Bezugszahn nach FDI-Zahnschema
Binding: Zahnidentifikation nach FDI/ISO 3950 (preferred)
... priceOverride S 0..1 Money Berechneter Eurobetrag (Punktzahl × KZV-Punktwert)
... account S 1..1 Reference(Account Praxis Schein) Abrechnungs-Schein (AccountPraxisSchein, ADR-039)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ChargeItem.code Base extensible BEMA Leistungscodes 📦0.36.1 This IG
ChargeItem.bodysite Base preferred Zahnidentifikation nach FDI/ISO 3950 📦0.36.1 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem C 0..* ChargeItemPraxisDe Item containing charge code(s) associated with the provision of healthcare provider products
Constraints: radiation-service-required
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:fdiToothNumber S 0..1 code FDI-Zahnnummer (SWS: Zahnnummer)
URL: https://fhir.cognovis.de/dental/StructureDefinition/fdi-tooth-number
Binding: Zahnidentifikation nach FDI/ISO 3950 (preferred)
.... extension:toothSurfaces S 0..* CodeableConcept Betroffene Zahnflächen (SWS: Flächen)
URL: https://fhir.cognovis.de/dental/StructureDefinition/tooth-surfaces
Binding: Zahnflächen (required)
.... extension:bemaBefundklasse S 0..1 code BEMA Befundklasse c/k/f/e/b (SWS: Befundklasse)
URL: https://fhir.cognovis.de/dental/StructureDefinition/bema-befundklasse
Binding: BEMA Befundklasse (required)
.... extension:taxCategory S 1..1 (Complex) USt-Kategorie (EN 16931 / UN-CEFACT-5305: für BEMA fix = E steuerfrei)
URL: https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-category
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-category"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Steuerkategorie DE (required)
Required Pattern: At least the following
.... extension:taxExemptionReason S 1..1 (Complex) USt-Befreiungsgrund (für BEMA fix = § 4 Nr. 14a UStG Heilbehandlung)
URL: https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-exemption-reason
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-exemption-reason"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Umsatzsteuerbefreiungsgrund (UStG) (required)
Required Pattern: At least the following
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for item
... definitionUri 0..* uri Defining information about the code of this charge item
... definitionCanonical 0..* canonical(ChargeItemDefinition) Resource defining the code of this ChargeItem
... status ?!SΣ 1..1 code Status des ChargeItems
Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem.
... partOf 0..* Reference(ChargeItem) Part of referenced ChargeItem
... code SΣ 1..1 CodeableConcept BEMA-Leistungskennzeichen (z.B. 01a, 13c)
Binding: BEMA Leistungscodes (extensible)
... subject SΣ 1..1 Reference(Patient) Patient (Pflichtfeld)
... context SΣ 0..1 Reference(Zahnärztlicher Behandlungskontakt (DE)) Klinischer Behandlungskontakt (DentalEncounterDE)
... occurrence[x] SΣ 0..1 dateTime Leistungsdatum (SWS: Erbringungsdatum)
... performer S 0..* BackboneElement Erbringender Behandler
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function 0..1 CodeableConcept What type of performance was done
Binding: ProcedurePerformerRoleCodes (example): Codes describing the types of functional roles performers can take on when performing events.
.... actor 1..1 Reference(PractitionerRole) Individual who was performing
... performingOrganization 0..1 Reference(Organization) Organization providing the charged service
... requestingOrganization 0..1 Reference(Organization) Organization requesting the charged service
... costCenter 0..1 Reference(Organization) Organization that has ownership of the (potential, future) revenue
... quantity SΣ 0..1 Quantity BEMA-Punktzahl der erbrachten Leistung
... bodysite SΣ 0..* CodeableConcept Bezugszahn nach FDI-Zahnschema
Binding: Zahnidentifikation nach FDI/ISO 3950 (preferred)
... factorOverride 0..1 decimal Factor overriding the associated rules
... priceOverride S 0..1 Money Berechneter Eurobetrag (Punktzahl × KZV-Punktwert)
... overrideReason 0..1 string Reason for overriding the list price/factor
... enterer Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) Individual who was entering
... enteredDate Σ 0..1 dateTime Date the charge item was entered
... reason 0..* CodeableConcept Why was the charged service rendered?
Binding: ICD-10Codes (example): Example binding for reason.
... service S 0..* Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery) Referenz auf RoentgenProcedurePraxisDe (Pflicht fuer strahlenrelevante Codes)
... product[x] 0..1 Product charged
Binding: FHIRDeviceTypes (example): Example binding for product type.
.... productReference Reference(Device | Medication | Substance)
.... productCodeableConcept CodeableConcept
... account SΣ 1..1 Reference(Account Praxis Schein) Abrechnungs-Schein (AccountPraxisSchein, ADR-039)
... note 0..* Annotation Comments made about the ChargeItem
... supportingInformation 0..* Reference(Resource) Further information supporting this charge

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ChargeItem.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ChargeItem.extension:taxCategory.​value[x] Base required Steuerkategorie DE 📦0.69.1 de.cognovis.fhir.praxis v0.69
ChargeItem.extension:taxExemptionReason.​value[x] Base required Umsatzsteuerbefreiungsgrund (UStG) 📦0.69.1 de.cognovis.fhir.praxis v0.69
ChargeItem.status Base required ChargeItemStatus 📍4.0.1 FHIR Std.
ChargeItem.code Base extensible BEMA Leistungscodes 📦0.36.1 This IG
ChargeItem.performer.​function Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
ChargeItem.bodysite Base preferred Zahnidentifikation nach FDI/ISO 3950 📦0.36.1 This IG
ChargeItem.reason Base example ICD-10 Codes 📍4.0.1 FHIR Std.
ChargeItem.product[x] Base example FHIR Device Types 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error ChargeItem If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ChargeItem 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 error ChargeItem 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 error ChargeItem If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ChargeItem A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
radiation-service-required error ChargeItem ChargeItem mit Strahlenschutz-relevantem Abrechnungscode muss ChargeItem.service auf eine RoentgenProcedurePraxisDe referenzieren code.coding.where(memberOf('https://fhir.cognovis.de/imaging/ValueSet/radiation-relevant-billing-codes')).empty() or service.where(resolve() is Procedure).exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem C 0..* ChargeItemPraxisDe Item containing charge code(s) associated with the provision of healthcare provider products
Constraints: radiation-service-required
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:fdiToothNumber S 0..1 code FDI-Zahnnummer (SWS: Zahnnummer)
URL: https://fhir.cognovis.de/dental/StructureDefinition/fdi-tooth-number
Binding: Zahnidentifikation nach FDI/ISO 3950 (preferred)
.... extension:toothSurfaces S 0..* CodeableConcept Betroffene Zahnflächen (SWS: Flächen)
URL: https://fhir.cognovis.de/dental/StructureDefinition/tooth-surfaces
Binding: Zahnflächen (required)
.... extension:bemaBefundklasse S 0..1 code BEMA Befundklasse c/k/f/e/b (SWS: Befundklasse)
URL: https://fhir.cognovis.de/dental/StructureDefinition/bema-befundklasse
Binding: BEMA Befundklasse (required)
.... extension:taxCategory S 1..1 (Complex) USt-Kategorie (EN 16931 / UN-CEFACT-5305: für BEMA fix = E steuerfrei)
URL: https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-category
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-category"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Steuerkategorie DE (required)
Required Pattern: At least the following
.... extension:taxExemptionReason S 1..1 (Complex) USt-Befreiungsgrund (für BEMA fix = § 4 Nr. 14a UStG Heilbehandlung)
URL: https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-exemption-reason
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-exemption-reason"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Umsatzsteuerbefreiungsgrund (UStG) (required)
Required Pattern: At least the following
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code SΣ 1..1 CodeableConcept BEMA-Leistungskennzeichen (z.B. 01a, 13c)
Binding: BEMA Leistungscodes (extensible)
... subject SΣ 1..1 Reference(Patient) Patient (Pflichtfeld)
... context SΣ 0..1 Reference(Zahnärztlicher Behandlungskontakt (DE)) Klinischer Behandlungskontakt (DentalEncounterDE)
... occurrence[x] SΣ 0..1 dateTime Leistungsdatum (SWS: Erbringungsdatum)
... performer S 0..* BackboneElement Erbringender Behandler
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor 1..1 Reference(PractitionerRole) Individual who was performing
... quantity SΣ 0..1 Quantity BEMA-Punktzahl der erbrachten Leistung
... bodysite SΣ 0..* CodeableConcept Bezugszahn nach FDI-Zahnschema
Binding: Zahnidentifikation nach FDI/ISO 3950 (preferred)
... priceOverride S 0..1 Money Berechneter Eurobetrag (Punktzahl × KZV-Punktwert)
... service S 0..* Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery) Referenz auf RoentgenProcedurePraxisDe (Pflicht fuer strahlenrelevante Codes)
... account SΣ 1..1 Reference(Account Praxis Schein) Abrechnungs-Schein (AccountPraxisSchein, ADR-039)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ChargeItem.extension:taxCategory.​value[x] Base required Steuerkategorie DE 📦0.69.1 de.cognovis.fhir.praxis v0.69
ChargeItem.extension:taxExemptionReason.​value[x] Base required Umsatzsteuerbefreiungsgrund (UStG) 📦0.69.1 de.cognovis.fhir.praxis v0.69
ChargeItem.status Base required ChargeItemStatus 📍4.0.1 FHIR Std.
ChargeItem.code Base extensible BEMA Leistungscodes 📦0.36.1 This IG
ChargeItem.bodysite Base preferred Zahnidentifikation nach FDI/ISO 3950 📦0.36.1 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error ChargeItem If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ChargeItem 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 error ChargeItem 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 error ChargeItem If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ChargeItem A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
radiation-service-required error ChargeItem ChargeItem mit Strahlenschutz-relevantem Abrechnungscode muss ChargeItem.service auf eine RoentgenProcedurePraxisDe referenzieren code.coding.where(memberOf('https://fhir.cognovis.de/imaging/ValueSet/radiation-relevant-billing-codes')).empty() or service.where(resolve() is Procedure).exists()

Differential View

This structure is derived from ChargeItemPraxisDe

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem 0..* ChargeItemPraxisDe Item containing charge code(s) associated with the provision of healthcare provider products
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:fdiToothNumber S 0..1 code FDI-Zahnnummer (SWS: Zahnnummer)
URL: https://fhir.cognovis.de/dental/StructureDefinition/fdi-tooth-number
Binding: Zahnidentifikation nach FDI/ISO 3950 (preferred)
.... extension:toothSurfaces S 0..* CodeableConcept Betroffene Zahnflächen (SWS: Flächen)
URL: https://fhir.cognovis.de/dental/StructureDefinition/tooth-surfaces
Binding: Zahnflächen (required)
.... extension:bemaBefundklasse S 0..1 code BEMA Befundklasse c/k/f/e/b (SWS: Befundklasse)
URL: https://fhir.cognovis.de/dental/StructureDefinition/bema-befundklasse
Binding: BEMA Befundklasse (required)
.... extension:taxCategory S 1..1 (Complex) USt-Kategorie (EN 16931 / UN-CEFACT-5305: für BEMA fix = E steuerfrei)
URL: https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-category
..... value[x] 0..1 CodeableConcept Value of extension
Required Pattern: At least the following
.... extension:taxExemptionReason S 1..1 (Complex) USt-Befreiungsgrund (für BEMA fix = § 4 Nr. 14a UStG Heilbehandlung)
URL: https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-exemption-reason
..... value[x] 0..1 CodeableConcept Value of extension
Required Pattern: At least the following
... code 1..1 CodeableConcept BEMA-Leistungskennzeichen (z.B. 01a, 13c)
Binding: BEMA Leistungscodes (extensible)
... context S 0..1 Reference(Zahnärztlicher Behandlungskontakt (DE)) Klinischer Behandlungskontakt (DentalEncounterDE)
... performer S 0..* BackboneElement Erbringender Behandler
.... actor 1..1 Reference(PractitionerRole) Individual who was performing
... quantity S 0..1 Quantity BEMA-Punktzahl der erbrachten Leistung
... bodysite S 0..* CodeableConcept Bezugszahn nach FDI-Zahnschema
Binding: Zahnidentifikation nach FDI/ISO 3950 (preferred)
... priceOverride S 0..1 Money Berechneter Eurobetrag (Punktzahl × KZV-Punktwert)
... account S 1..1 Reference(Account Praxis Schein) Abrechnungs-Schein (AccountPraxisSchein, ADR-039)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ChargeItem.code Base extensible BEMA Leistungscodes 📦0.36.1 This IG
ChargeItem.bodysite Base preferred Zahnidentifikation nach FDI/ISO 3950 📦0.36.1 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem C 0..* ChargeItemPraxisDe Item containing charge code(s) associated with the provision of healthcare provider products
Constraints: radiation-service-required
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:fdiToothNumber S 0..1 code FDI-Zahnnummer (SWS: Zahnnummer)
URL: https://fhir.cognovis.de/dental/StructureDefinition/fdi-tooth-number
Binding: Zahnidentifikation nach FDI/ISO 3950 (preferred)
.... extension:toothSurfaces S 0..* CodeableConcept Betroffene Zahnflächen (SWS: Flächen)
URL: https://fhir.cognovis.de/dental/StructureDefinition/tooth-surfaces
Binding: Zahnflächen (required)
.... extension:bemaBefundklasse S 0..1 code BEMA Befundklasse c/k/f/e/b (SWS: Befundklasse)
URL: https://fhir.cognovis.de/dental/StructureDefinition/bema-befundklasse
Binding: BEMA Befundklasse (required)
.... extension:taxCategory S 1..1 (Complex) USt-Kategorie (EN 16931 / UN-CEFACT-5305: für BEMA fix = E steuerfrei)
URL: https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-category
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-category"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Steuerkategorie DE (required)
Required Pattern: At least the following
.... extension:taxExemptionReason S 1..1 (Complex) USt-Befreiungsgrund (für BEMA fix = § 4 Nr. 14a UStG Heilbehandlung)
URL: https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-exemption-reason
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-exemption-reason"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Umsatzsteuerbefreiungsgrund (UStG) (required)
Required Pattern: At least the following
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for item
... definitionUri 0..* uri Defining information about the code of this charge item
... definitionCanonical 0..* canonical(ChargeItemDefinition) Resource defining the code of this ChargeItem
... status ?!SΣ 1..1 code Status des ChargeItems
Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem.
... partOf 0..* Reference(ChargeItem) Part of referenced ChargeItem
... code SΣ 1..1 CodeableConcept BEMA-Leistungskennzeichen (z.B. 01a, 13c)
Binding: BEMA Leistungscodes (extensible)
... subject SΣ 1..1 Reference(Patient) Patient (Pflichtfeld)
... context SΣ 0..1 Reference(Zahnärztlicher Behandlungskontakt (DE)) Klinischer Behandlungskontakt (DentalEncounterDE)
... occurrence[x] SΣ 0..1 dateTime Leistungsdatum (SWS: Erbringungsdatum)
... performer S 0..* BackboneElement Erbringender Behandler
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function 0..1 CodeableConcept What type of performance was done
Binding: ProcedurePerformerRoleCodes (example): Codes describing the types of functional roles performers can take on when performing events.
.... actor 1..1 Reference(PractitionerRole) Individual who was performing
... performingOrganization 0..1 Reference(Organization) Organization providing the charged service
... requestingOrganization 0..1 Reference(Organization) Organization requesting the charged service
... costCenter 0..1 Reference(Organization) Organization that has ownership of the (potential, future) revenue
... quantity SΣ 0..1 Quantity BEMA-Punktzahl der erbrachten Leistung
... bodysite SΣ 0..* CodeableConcept Bezugszahn nach FDI-Zahnschema
Binding: Zahnidentifikation nach FDI/ISO 3950 (preferred)
... factorOverride 0..1 decimal Factor overriding the associated rules
... priceOverride S 0..1 Money Berechneter Eurobetrag (Punktzahl × KZV-Punktwert)
... overrideReason 0..1 string Reason for overriding the list price/factor
... enterer Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) Individual who was entering
... enteredDate Σ 0..1 dateTime Date the charge item was entered
... reason 0..* CodeableConcept Why was the charged service rendered?
Binding: ICD-10Codes (example): Example binding for reason.
... service S 0..* Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery) Referenz auf RoentgenProcedurePraxisDe (Pflicht fuer strahlenrelevante Codes)
... product[x] 0..1 Product charged
Binding: FHIRDeviceTypes (example): Example binding for product type.
.... productReference Reference(Device | Medication | Substance)
.... productCodeableConcept CodeableConcept
... account SΣ 1..1 Reference(Account Praxis Schein) Abrechnungs-Schein (AccountPraxisSchein, ADR-039)
... note 0..* Annotation Comments made about the ChargeItem
... supportingInformation 0..* Reference(Resource) Further information supporting this charge

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ChargeItem.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ChargeItem.extension:taxCategory.​value[x] Base required Steuerkategorie DE 📦0.69.1 de.cognovis.fhir.praxis v0.69
ChargeItem.extension:taxExemptionReason.​value[x] Base required Umsatzsteuerbefreiungsgrund (UStG) 📦0.69.1 de.cognovis.fhir.praxis v0.69
ChargeItem.status Base required ChargeItemStatus 📍4.0.1 FHIR Std.
ChargeItem.code Base extensible BEMA Leistungscodes 📦0.36.1 This IG
ChargeItem.performer.​function Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
ChargeItem.bodysite Base preferred Zahnidentifikation nach FDI/ISO 3950 📦0.36.1 This IG
ChargeItem.reason Base example ICD-10 Codes 📍4.0.1 FHIR Std.
ChargeItem.product[x] Base example FHIR Device Types 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error ChargeItem If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ChargeItem 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 error ChargeItem 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 error ChargeItem If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ChargeItem A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
radiation-service-required error ChargeItem ChargeItem mit Strahlenschutz-relevantem Abrechnungscode muss ChargeItem.service auf eine RoentgenProcedurePraxisDe referenzieren code.coding.where(memberOf('https://fhir.cognovis.de/imaging/ValueSet/radiation-relevant-billing-codes')).empty() or service.where(resolve() is Procedure).exists()

 

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