German Dental FHIR Profiles (R4) - Local Development build (v0.41.6) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Extension: Versionierter Festzuschuss-Betrag
| Official URL: https://fhir.cognovis.de/dental/StructureDefinition/festzuschuss-betrag | Version: 0.41.6 | |||
| Active as of 2026-07-29 | Computable Name: FestzuschussBetragExt | |||
Copyright/Legal: Copyright 2026+ cognovis GmbH. Licensed under CC-BY-4.0. |
||||
Applied subsidy amount for one Festzuschuss finding, benefit percentage, and effective period. Public examples use synthetic amounts; production values require a current, separately governed source dataset.
Context of Use
-
Element ID:
Claim.item
This extension may be used on the following element(s)
Usage info
Usages:
- Use this Extension: Zahnärztlicher Abrechnungsanspruch (DE)
- Examples for this Extension: Claim/ExampleDentalClaimMixed, Claim/ExampleFestzuschussAmount2025 and Claim/ExampleFestzuschussAmount2026
You can also check for usages in the FHIR IG Statistics
Formal Views of Extension Content
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Extension |
C | 0..* | Extension | Versionierter Festzuschuss-Betrag Constraints: fz-benefit-percentage, fz-amount-eur, fz-effective-period |
  extension |
5..* | Extension | Extension | |
  Slices for extension |
Content/Rules for all slices | |||
   extension:finding |
S | 1..1 | Extension | Extension |
  extension |
0..0 | Extension | ||
| url |
1..1 | uri | "finding" | |
  value[x] |
0..1 | Coding | Festzuschuss finding code | |
  system |
0..1 | uri | Identity of the terminology system Required Pattern: https://fhir.cognovis.de/dental/CodeSystem/festzuschuss-befund | |
| extension:benefitPercentage |
S | 1..1 | Extension | Extension |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "benefitPercentage" | |
  value[x] |
0..1 | positiveInt | Applied legal benefit percentage: 60, 70, 75, or at most 100 for hardship | |
| extension:amount |
S | 1..1 | Extension | Extension |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "amount" | |
| value[x] |
0..1 | Money | Applied subsidy amount in EUR | |
| extension:effectivePeriod |
S | 1..1 | Extension | Extension |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "effectivePeriod" | |
| value[x] |
0..1 | Period | Closed period for which the amount is applicable | |
 extension:source |
S | 1..1 | Extension | Extension |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "source" | |
| value[x] |
0..1 | uri | Exact source edition for the amount dataset | |
| url |
1..1 | uri | "https://fhir.cognovis.de/dental/StructureDefinition/festzuschuss-betrag" | |
| value[x] |
0..0 | Value of extension | ||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
C | 0..* | Extension | Versionierter Festzuschuss-Betrag Constraints: fz-benefit-percentage, fz-amount-eur, fz-effective-period |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
5..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:finding |
S | 1..1 | Extension | Extension |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "finding" | |
| value[x] |
0..1 | Coding | Festzuschuss finding code | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| system |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://fhir.cognovis.de/dental/CodeSystem/festzuschuss-befund |
| version |
Σ | 0..1 | string | Version of the system - if relevant |
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system |
| display |
Σ | 0..1 | string | Representation defined by the system |
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| extension:benefitPercentage |
S | 1..1 | Extension | Extension |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "benefitPercentage" | |
| value[x] |
0..1 | positiveInt | Applied legal benefit percentage: 60, 70, 75, or at most 100 for hardship | |
| extension:amount |
S | 1..1 | Extension | Extension |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "amount" | |
| value[x] |
0..1 | Money | Applied subsidy amount in EUR | |
| extension:effectivePeriod |
S | 1..1 | Extension | Extension |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "effectivePeriod" | |
| value[x] |
0..1 | Period | Closed period for which the amount is applicable | |
| extension:source |
S | 1..1 | Extension | Extension |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "source" | |
| value[x] |
0..1 | uri | Exact source edition for the amount dataset | |
| url |
1..1 | uri | "https://fhir.cognovis.de/dental/StructureDefinition/festzuschuss-betrag" | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: Applied subsidy amount for one Festzuschuss finding, benefit percentage, and effective period. Public examples use synthetic amounts; production values require a current, separately governed source dataset.
- finding: Coding: An Extension
- benefitPercentage: positiveInt: An Extension
- amount: Money: An Extension
- effectivePeriod: Period: An Extension
- source: uri: An Extension
Differential View
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
C | 0..* | Extension | Versionierter Festzuschuss-Betrag Constraints: fz-benefit-percentage, fz-amount-eur, fz-effective-period |
| extension |
5..* | Extension | Extension | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:finding |
S | 1..1 | Extension | Extension |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "finding" | |
| value[x] |
0..1 | Coding | Festzuschuss finding code | |
| system |
0..1 | uri | Identity of the terminology system Required Pattern: https://fhir.cognovis.de/dental/CodeSystem/festzuschuss-befund | |
| extension:benefitPercentage |
S | 1..1 | Extension | Extension |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "benefitPercentage" | |
| value[x] |
0..1 | positiveInt | Applied legal benefit percentage: 60, 70, 75, or at most 100 for hardship | |
| extension:amount |
S | 1..1 | Extension | Extension |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "amount" | |
| value[x] |
0..1 | Money | Applied subsidy amount in EUR | |
| extension:effectivePeriod |
S | 1..1 | Extension | Extension |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "effectivePeriod" | |
| value[x] |
0..1 | Period | Closed period for which the amount is applicable | |
| extension:source |
S | 1..1 | Extension | Extension |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "source" | |
| value[x] |
0..1 | uri | Exact source edition for the amount dataset | |
| url |
1..1 | uri | "https://fhir.cognovis.de/dental/StructureDefinition/festzuschuss-betrag" | |
| value[x] |
0..0 | Value of extension | ||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
C | 0..* | Extension | Versionierter Festzuschuss-Betrag Constraints: fz-benefit-percentage, fz-amount-eur, fz-effective-period |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
5..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:finding |
S | 1..1 | Extension | Extension |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "finding" | |
| value[x] |
0..1 | Coding | Festzuschuss finding code | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| system |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://fhir.cognovis.de/dental/CodeSystem/festzuschuss-befund |
| version |
Σ | 0..1 | string | Version of the system - if relevant |
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system |
| display |
Σ | 0..1 | string | Representation defined by the system |
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| extension:benefitPercentage |
S | 1..1 | Extension | Extension |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "benefitPercentage" | |
| value[x] |
0..1 | positiveInt | Applied legal benefit percentage: 60, 70, 75, or at most 100 for hardship | |
| extension:amount |
S | 1..1 | Extension | Extension |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "amount" | |
| value[x] |
0..1 | Money | Applied subsidy amount in EUR | |
| extension:effectivePeriod |
S | 1..1 | Extension | Extension |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "effectivePeriod" | |
| value[x] |
0..1 | Period | Closed period for which the amount is applicable | |
| extension:source |
S | 1..1 | Extension | Extension |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "source" | |
| value[x] |
0..1 | uri | Exact source edition for the amount dataset | |
| url |
1..1 | uri | "https://fhir.cognovis.de/dental/StructureDefinition/festzuschuss-betrag" | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: Applied subsidy amount for one Festzuschuss finding, benefit percentage, and effective period. Public examples use synthetic amounts; production values require a current, separately governed source dataset.
- finding: Coding: An Extension
- benefitPercentage: positiveInt: An Extension
- amount: Money: An Extension
- effectivePeriod: Period: An Extension
- source: uri: An Extension
Other representations of profile: CSV, Excel, Schematron
Constraints
| Id | Grade | Path(s) | Description | Expression |
| 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()
|
| fz-amount-eur | error | Extension | The subsidy amount uses EUR. |
extension.where(url='amount').valueMoney.currency = 'EUR'
|
| fz-benefit-percentage | error | Extension | The benefit percentage is one of the statutory standard, five-year, ten-year, or maximum hardship levels. |
extension.where(url='benefitPercentage').valuePositiveInt = 60 or extension.where(url='benefitPercentage').valuePositiveInt = 70 or extension.where(url='benefitPercentage').valuePositiveInt = 75 or extension.where(url='benefitPercentage').valuePositiveInt = 100
|
| fz-effective-period | error | Extension | The amount has a complete, ordered effective period. |
extension.where(url='effectivePeriod').valuePeriod.where(start.exists() and end.exists() and start < end).exists()
|