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<title>Implementierungsleitfaden ISiK-Basismodul Stufe 2</title> | ||
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Einführung | ||
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<h3 id="anmerkungen-zu-den-must-support-feldern">Anmerkungen zu den Must-Support Feldern</h3> | ||
<h3 id="account.extensionabrechnungsdiagnose"><code>Account.extension:Abrechnungsdiagnose</code></h3> | ||
<p><strong>Bedeutung:</strong> DRG- und hiervon abweichende Krankenhausdiagnosen sollten im Account zusammenfassend und abschließend angegeben werden. Relevante Prozeduren können ebenfalls aufgelistet werden.</p> | ||
<h3 id="account.identifier"><code>Account.identifier</code></h3> | ||
<p><strong>Bedeutung:</strong> Der Account muss die Aufnahmenummer des dazugehörigen Encounters enthalten.</p> | ||
<h3 id="account.status"><code>Account.status</code></h3> | ||
<p><strong>Bedeutung:</strong> Der Status MUSS insbesondere zur Differenzierung von abgeschlossenen und derzeitig noch aktiven Abrechnungsfällen angegeben werden. Alle in einem System möglichen Status-Werte müssen über FHIR korrekt repräsentiert werden können, mindestens jedoch die Status-Werte "active", "inactive". Deren korrekte Abbildung wird im Rahmen des Bestätigungsverfahrens überprüft.</p> | ||
<p><strong>Hinweise:</strong> Siehe Beschreibung in der <a href="https://hl7.org/fhir/R4/account-definitions.html#Account.status">FHIR Kernspezifikation</a></p> | ||
<h3 id="account.type"><code>Account.type</code></h3> | ||
<p><strong>Bedeutung:</strong> Alle Accounts MÜSSEN eindeutig kategorisiert werden können, sodass eine Filterung pro Typ möglich ist.</p> | ||
<p><strong>Hinweise:</strong> Verpflichtende Kodierung per <a href="https://hl7.org/fhir/R4/v3/ActEncounterCode/vs.html">HL7 v3 Value Set ActEncounterCode</a> als Äquivalent zu Encounter.class.</p> | ||
<h3 id="account.subject"><code>Account.subject</code></h3> | ||
<p><strong>Bedeutung:</strong> Ein Patientenbezug des Falls MUSS stets zum Zwecke der Nachvollziehbarkeit und Datenintegrität vorliegen.</p> | ||
<h3 id="account.coverage"><code>Account.coverage</code></h3> | ||
<p><strong>Bedeutung:</strong> Pro Abrechnungskontext (z.B. Selbstzahler, DRG, PEPP) sollte ein eigener Account angelegt werden. Für jeden Account sollte ersichtlich sein über welche Coverage der Account beglichen werden soll.</p> | ||
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