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: GOZ Zahntechnisches Werkstück Eigenlabor (DE)

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

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

Sub-Profil von GozChargeItemDE für in-house zahntechnische Werkstücke (Eigenlabor) mit ermäßigtem USt-Satz 7% nach § 12 Abs. 2 Nr. 6 UStG / Anlage 2 Nr. 52. Fremdlabor-Werkstücke werden NICHT durch dieses Profil abgedeckt (Regelsatz 19% → GozChargeItemDE direkt mit TaxCategory=S verwenden).

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..* GozChargeItemDE Item containing charge code(s) associated with the provision of healthcare provider products
Constraints: radiation-service-required, goz-tax-iff-e, goz-tax-verlangens-s
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* 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:steigerungsfaktor S 0..1 (Complex) Steigerungsfaktor-Begründung §5 GOZ (SWS: Begründung >2,3)
URL: https://fhir.cognovis.de/dental/StructureDefinition/privatgebuehr-steigerungsfaktor
.... extension:analogReference S 0..1 (Complex) Analogleistung §6 GOZ (SWS: Analogleistung)
URL: https://fhir.cognovis.de/dental/StructureDefinition/privatgebuehr-analog-reference
.... extension:verlangensleistung S 0..1 (Complex) Verlangensleistung-Markierung 1 Abs. 2 Satz 2 GOZ (boolean + optionaler Beleg). Wenn verlangensleistung.verlangensleistung=true: 1 Abs. 2 Satz 2 GOZ (boolean + optionaler Beleg). Wenn verlangensleistung.verlangensleistung=true:
URL: https://fhir.cognovis.de/dental/StructureDefinition/verlangensleistung
.... extension:taxCategory S 1..1 (Complex) USt-Kategorie (fix = AA / 7% ermäßigt nach § 12 Abs. 2 Nr. 6 UStG, Anlage 2 Nr. 52)
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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code SΣ 1..1 CodeableConcept GOZ-Leistungskennzeichen (z.B. 2080, 5050)
Binding: GOZ 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
... bodysite SΣ 0..* CodeableConcept Bezugszahn nach FDI-Zahnschema
Binding: Zahnidentifikation nach FDI/ISO 3950 (preferred)
... factorOverride S 0..1 decimal Steigerungsfaktor (SWS: Faktor 1,0–3,5; Regelfall 2,3)
... priceOverride S 0..1 Money Berechneter Eurobetrag (Einfachsatz × Steigerungsfaktor)
... 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.status Base required ChargeItemStatus 📍4.0.1 FHIR Std.
ChargeItem.code Base extensible GOZ 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()
goz-tax-iff-e error ChargeItem TaxExemptionReason MUSS vorhanden sein wenn-und-nur-wenn TaxCategory=E (steuerfrei). Bei jedem anderen TaxCategory-Wert (S/AA/AE/Z) DARF kein Befreiungsgrund gesetzt sein, da nur tatsächliche Steuerbefreiung einen Grund braucht. (extension.where(url='https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-category').valueCodeableConcept.coding.where(system='urn:un:unece:uncefact:codelist:standard:5305').code = 'E') = extension.where(url='https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-exemption-reason').exists()
goz-tax-verlangens-s error ChargeItem Wenn VerlangensleistungExt.verlangensleistung=true gesetzt, MUSS TaxCategory=S (Regelsatz 19%) sein. Verlangensleistungen sind keine Heilbehandlung i.S. § 4 Nr. 14a UStG und daher USt-pflichtig. extension.where(url='https://fhir.cognovis.de/dental/StructureDefinition/verlangensleistung').extension.where(url='verlangensleistung').valueBoolean = true implies extension.where(url='https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-category').valueCodeableConcept.coding.where(system='urn:un:unece:uncefact:codelist:standard:5305').code = 'S'
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 GozChargeItemDE

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem 0..* GozChargeItemDE Item containing charge code(s) associated with the provision of healthcare provider products
... Slices for extension Content/Rules for all slices
.... extension:taxCategory 1..1 TaxCategoryExt USt-Kategorie (fix = AA / 7% ermäßigt nach § 12 Abs. 2 Nr. 6 UStG, Anlage 2 Nr. 52)
..... value[x] 0..1 CodeableConcept Value of extension
Required Pattern: At least the following
.... extension:taxExemptionReason 0..0 Umsatzsteuerbefreiungsgrund

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem C 0..* GozChargeItemDE Item containing charge code(s) associated with the provision of healthcare provider products
Constraints: radiation-service-required, goz-tax-iff-e, goz-tax-verlangens-s
... 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 1..* 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:steigerungsfaktor S 0..1 (Complex) Steigerungsfaktor-Begründung §5 GOZ (SWS: Begründung >2,3)
URL: https://fhir.cognovis.de/dental/StructureDefinition/privatgebuehr-steigerungsfaktor
.... extension:analogReference S 0..1 (Complex) Analogleistung §6 GOZ (SWS: Analogleistung)
URL: https://fhir.cognovis.de/dental/StructureDefinition/privatgebuehr-analog-reference
.... extension:verlangensleistung S 0..1 (Complex) Verlangensleistung-Markierung 1 Abs. 2 Satz 2 GOZ (boolean + optionaler Beleg). Wenn verlangensleistung.verlangensleistung=true: 1 Abs. 2 Satz 2 GOZ (boolean + optionaler Beleg). Wenn verlangensleistung.verlangensleistung=true:
URL: https://fhir.cognovis.de/dental/StructureDefinition/verlangensleistung
.... extension:taxCategory S 1..1 (Complex) USt-Kategorie (fix = AA / 7% ermäßigt nach § 12 Abs. 2 Nr. 6 UStG, Anlage 2 Nr. 52)
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
... 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 GOZ-Leistungskennzeichen (z.B. 2080, 5050)
Binding: GOZ 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 Σ 0..1 Quantity Quantity of which the charge item has been serviced
... bodysite SΣ 0..* CodeableConcept Bezugszahn nach FDI-Zahnschema
Binding: Zahnidentifikation nach FDI/ISO 3950 (preferred)
... factorOverride S 0..1 decimal Steigerungsfaktor (SWS: Faktor 1,0–3,5; Regelfall 2,3)
... priceOverride S 0..1 Money Berechneter Eurobetrag (Einfachsatz × Steigerungsfaktor)
... 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.status Base required ChargeItemStatus 📍4.0.1 FHIR Std.
ChargeItem.code Base extensible GOZ 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()
goz-tax-iff-e error ChargeItem TaxExemptionReason MUSS vorhanden sein wenn-und-nur-wenn TaxCategory=E (steuerfrei). Bei jedem anderen TaxCategory-Wert (S/AA/AE/Z) DARF kein Befreiungsgrund gesetzt sein, da nur tatsächliche Steuerbefreiung einen Grund braucht. (extension.where(url='https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-category').valueCodeableConcept.coding.where(system='urn:un:unece:uncefact:codelist:standard:5305').code = 'E') = extension.where(url='https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-exemption-reason').exists()
goz-tax-verlangens-s error ChargeItem Wenn VerlangensleistungExt.verlangensleistung=true gesetzt, MUSS TaxCategory=S (Regelsatz 19%) sein. Verlangensleistungen sind keine Heilbehandlung i.S. § 4 Nr. 14a UStG und daher USt-pflichtig. extension.where(url='https://fhir.cognovis.de/dental/StructureDefinition/verlangensleistung').extension.where(url='verlangensleistung').valueBoolean = true implies extension.where(url='https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-category').valueCodeableConcept.coding.where(system='urn:un:unece:uncefact:codelist:standard:5305').code = 'S'
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 GozChargeItemDE

Summary

Prohibited: 1 element

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem C 0..* GozChargeItemDE Item containing charge code(s) associated with the provision of healthcare provider products
Constraints: radiation-service-required, goz-tax-iff-e, goz-tax-verlangens-s
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* 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:steigerungsfaktor S 0..1 (Complex) Steigerungsfaktor-Begründung §5 GOZ (SWS: Begründung >2,3)
URL: https://fhir.cognovis.de/dental/StructureDefinition/privatgebuehr-steigerungsfaktor
.... extension:analogReference S 0..1 (Complex) Analogleistung §6 GOZ (SWS: Analogleistung)
URL: https://fhir.cognovis.de/dental/StructureDefinition/privatgebuehr-analog-reference
.... extension:verlangensleistung S 0..1 (Complex) Verlangensleistung-Markierung 1 Abs. 2 Satz 2 GOZ (boolean + optionaler Beleg). Wenn verlangensleistung.verlangensleistung=true: 1 Abs. 2 Satz 2 GOZ (boolean + optionaler Beleg). Wenn verlangensleistung.verlangensleistung=true:
URL: https://fhir.cognovis.de/dental/StructureDefinition/verlangensleistung
.... extension:taxCategory S 1..1 (Complex) USt-Kategorie (fix = AA / 7% ermäßigt nach § 12 Abs. 2 Nr. 6 UStG, Anlage 2 Nr. 52)
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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code SΣ 1..1 CodeableConcept GOZ-Leistungskennzeichen (z.B. 2080, 5050)
Binding: GOZ 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
... bodysite SΣ 0..* CodeableConcept Bezugszahn nach FDI-Zahnschema
Binding: Zahnidentifikation nach FDI/ISO 3950 (preferred)
... factorOverride S 0..1 decimal Steigerungsfaktor (SWS: Faktor 1,0–3,5; Regelfall 2,3)
... priceOverride S 0..1 Money Berechneter Eurobetrag (Einfachsatz × Steigerungsfaktor)
... 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.status Base required ChargeItemStatus 📍4.0.1 FHIR Std.
ChargeItem.code Base extensible GOZ 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()
goz-tax-iff-e error ChargeItem TaxExemptionReason MUSS vorhanden sein wenn-und-nur-wenn TaxCategory=E (steuerfrei). Bei jedem anderen TaxCategory-Wert (S/AA/AE/Z) DARF kein Befreiungsgrund gesetzt sein, da nur tatsächliche Steuerbefreiung einen Grund braucht. (extension.where(url='https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-category').valueCodeableConcept.coding.where(system='urn:un:unece:uncefact:codelist:standard:5305').code = 'E') = extension.where(url='https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-exemption-reason').exists()
goz-tax-verlangens-s error ChargeItem Wenn VerlangensleistungExt.verlangensleistung=true gesetzt, MUSS TaxCategory=S (Regelsatz 19%) sein. Verlangensleistungen sind keine Heilbehandlung i.S. § 4 Nr. 14a UStG und daher USt-pflichtig. extension.where(url='https://fhir.cognovis.de/dental/StructureDefinition/verlangensleistung').extension.where(url='verlangensleistung').valueBoolean = true implies extension.where(url='https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-category').valueCodeableConcept.coding.where(system='urn:un:unece:uncefact:codelist:standard:5305').code = 'S'
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 GozChargeItemDE

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem 0..* GozChargeItemDE Item containing charge code(s) associated with the provision of healthcare provider products
... Slices for extension Content/Rules for all slices
.... extension:taxCategory 1..1 TaxCategoryExt USt-Kategorie (fix = AA / 7% ermäßigt nach § 12 Abs. 2 Nr. 6 UStG, Anlage 2 Nr. 52)
..... value[x] 0..1 CodeableConcept Value of extension
Required Pattern: At least the following
.... extension:taxExemptionReason 0..0 Umsatzsteuerbefreiungsgrund

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem C 0..* GozChargeItemDE Item containing charge code(s) associated with the provision of healthcare provider products
Constraints: radiation-service-required, goz-tax-iff-e, goz-tax-verlangens-s
... 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 1..* 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:steigerungsfaktor S 0..1 (Complex) Steigerungsfaktor-Begründung §5 GOZ (SWS: Begründung >2,3)
URL: https://fhir.cognovis.de/dental/StructureDefinition/privatgebuehr-steigerungsfaktor
.... extension:analogReference S 0..1 (Complex) Analogleistung §6 GOZ (SWS: Analogleistung)
URL: https://fhir.cognovis.de/dental/StructureDefinition/privatgebuehr-analog-reference
.... extension:verlangensleistung S 0..1 (Complex) Verlangensleistung-Markierung 1 Abs. 2 Satz 2 GOZ (boolean + optionaler Beleg). Wenn verlangensleistung.verlangensleistung=true: 1 Abs. 2 Satz 2 GOZ (boolean + optionaler Beleg). Wenn verlangensleistung.verlangensleistung=true:
URL: https://fhir.cognovis.de/dental/StructureDefinition/verlangensleistung
.... extension:taxCategory S 1..1 (Complex) USt-Kategorie (fix = AA / 7% ermäßigt nach § 12 Abs. 2 Nr. 6 UStG, Anlage 2 Nr. 52)
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
... 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 GOZ-Leistungskennzeichen (z.B. 2080, 5050)
Binding: GOZ 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 Σ 0..1 Quantity Quantity of which the charge item has been serviced
... bodysite SΣ 0..* CodeableConcept Bezugszahn nach FDI-Zahnschema
Binding: Zahnidentifikation nach FDI/ISO 3950 (preferred)
... factorOverride S 0..1 decimal Steigerungsfaktor (SWS: Faktor 1,0–3,5; Regelfall 2,3)
... priceOverride S 0..1 Money Berechneter Eurobetrag (Einfachsatz × Steigerungsfaktor)
... 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.status Base required ChargeItemStatus 📍4.0.1 FHIR Std.
ChargeItem.code Base extensible GOZ 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()
goz-tax-iff-e error ChargeItem TaxExemptionReason MUSS vorhanden sein wenn-und-nur-wenn TaxCategory=E (steuerfrei). Bei jedem anderen TaxCategory-Wert (S/AA/AE/Z) DARF kein Befreiungsgrund gesetzt sein, da nur tatsächliche Steuerbefreiung einen Grund braucht. (extension.where(url='https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-category').valueCodeableConcept.coding.where(system='urn:un:unece:uncefact:codelist:standard:5305').code = 'E') = extension.where(url='https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-exemption-reason').exists()
goz-tax-verlangens-s error ChargeItem Wenn VerlangensleistungExt.verlangensleistung=true gesetzt, MUSS TaxCategory=S (Regelsatz 19%) sein. Verlangensleistungen sind keine Heilbehandlung i.S. § 4 Nr. 14a UStG und daher USt-pflichtig. extension.where(url='https://fhir.cognovis.de/dental/StructureDefinition/verlangensleistung').extension.where(url='verlangensleistung').valueBoolean = true implies extension.where(url='https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-category').valueCodeableConcept.coding.where(system='urn:un:unece:uncefact:codelist:standard:5305').code = 'S'
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 GozChargeItemDE

Summary

Prohibited: 1 element

 

Other representations of profile: CSV, Excel, Schematron