Name	Flags	Card.	Type	Description & Constraints
ChargeItem	C	0..*	ChargeItem	Item containing charge code(s) associated with the provision of healthcare provider products LBNR: In performer:angestellteLeistungserbringerin ist keine LBNR angegeben, diese ist aber eine Pflichtangabe bei dem verwendeten SGS code.
id		0..1	id	Logical id of this artifact
implicitRules		0..0
language		0..0
text		0..0
contained		0..0
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Payor	S	1..1	IdentifierIknr	Kostenträger URL: https://e-lb.de/fhir/StructureDefinition/KK_ELB_Payor
identifier	S	1..1	Identifier	Business Identifier for item
system	S	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	S	1..1	string	The value that is unique
definitionUri		0..0
definitionCanonical		0..0
status	S	1..1	code	planned | billable | not-billable | aborted | billed | entered-in-error | unknown
partOf		0..0
code	S	1..1	CodeableConcept	A code that identifies the charge, like a billing code
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: https://e-lb.de/fhir/sid/KK_ELB_ChargeItemCode
code	S	1..1	code	Symbol in syntax defined by the system
subject	S	1..1	Reference(Patient | Group)	Individual service was done for/to
identifier	S	1..1	IdentifierKvid10	An identifier intended for computation
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
context		0..0
occurrence[x]	S	1..1		When the charged service was applied
occurrenceDateTime			dateTime
occurrencePeriod			Period
Slices for performer	S	1..2	BackboneElement	Who performed charged service Slice: Unordered, Closed by value:actor.type
performer:leistungserbringerOrganisation	S	1..1	BackboneElement	Who performed charged service
function	S	1..1	CodeableConcept	What type of performance was done
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: https://e-lb.de/fhir/CodeSystem/KK_ELB_SGS
code	S	1..1	code	Symbol in syntax defined by the system
actor	S	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)	Individual who was performing
type	S	1..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Organization
identifier	S	1..1	IdentifierIknr	An identifier intended for computation
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
performer:angestellteLeistungserbringerin		0..1	BackboneElement	Who performed charged service
actor	S	1..1	Reference(Practitioner)	Individual who was performing
type	S	1..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Practitioner
identifier		0..1	KK_ELB_Identifier_LBNR	An identifier intended for computation
display	S	1..1	string	Text alternative for the resource
performingOrganization		0..0
requestingOrganization		0..0
costCenter		0..0
quantity		0..0
bodysite		0..0
factorOverride		0..0
priceOverride		0..0
overrideReason		0..0
enterer		0..0
enteredDate		0..0
service		0..0
product[x]		0..0
account		0..0
note		0..0
supportingInformation		0..0
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
LBNR	error	ChargeItem	In performer:angestellteLeistungserbringerin ist keine LBNR angegeben, diese ist aber eine Pflichtangabe bei dem verwendeten SGS code. : performer.where(actor.type='Organization').function.coding.where(code='C' or code='R').exists() implies (performer.all(actor.where(type='Practitioner').exists().not()) or performer.actor.where(type='Practitioner').identifier.where(system='http://fhir.de/sid/bfarm/lbnr').exists())

Name	Flags	Card.	Type	Description & Constraints
ChargeItem	C	0..*	ChargeItem	Item containing charge code(s) associated with the provision of healthcare provider products LBNR: In performer:angestellteLeistungserbringerin ist keine LBNR angegeben, diese ist aber eine Pflichtangabe bei dem verwendeten SGS code.
id	Σ	0..1	id	Logical id of this artifact
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Payor	S	1..1	IdentifierIknr	Kostenträger URL: https://e-lb.de/fhir/StructureDefinition/KK_ELB_Payor
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Business Identifier for item
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	planned | billable | not-billable | aborted | billed | entered-in-error | unknown Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem.
code	SΣ	1..1	CodeableConcept	A code that identifies the charge, like a billing code Binding: ChargeItemCode (example): Example set of codes that can be used for billing purposes.
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://e-lb.de/fhir/sid/KK_ELB_ChargeItemCode
code	SΣ	1..1	code	Symbol in syntax defined by the system
subject	SΣ	1..1	Reference(Patient | Group)	Individual service was done for/to
identifier	S	1..1	IdentifierKvid10	An identifier intended for computation
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value	SΣC	1..1	string	The value that is unique Example General: 123456
occurrence[x]	SΣ	1..1		When the charged service was applied
occurrenceDateTime			dateTime
occurrencePeriod			Period
Slices for performer	S	1..2	BackboneElement	Who performed charged service Slice: Unordered, Closed by value:actor.type
performer:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor		1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)	Individual who was performing
performer:leistungserbringerOrganisation	S	1..1	BackboneElement	Who performed charged service
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	S	1..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.
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://e-lb.de/fhir/CodeSystem/KK_ELB_SGS
code	SΣ	1..1	code	Symbol in syntax defined by the system
actor	S	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)	Individual who was performing
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Organization
identifier	S	1..1	IdentifierIknr	An identifier intended for computation
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.de/sid/arge-ik/iknr
value	SΣC	1..1	string	The value that is unique Example General: 123456
performer:angestellteLeistungserbringerin		0..1	BackboneElement	Who performed charged service
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	S	1..1	Reference(Practitioner)	Individual who was performing
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Practitioner
identifier		0..1	KK_ELB_Identifier_LBNR	An identifier intended for computation
display	SΣ	1..1	string	Text alternative for the resource
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ChargeItem.identifier.use	required	IdentifierUse
ChargeItem.status	required	ChargeItemStatus
ChargeItem.code	example	ChargeItemCode
ChargeItem.subject.identifier.use	required	IdentifierUse
ChargeItem.performer:leistungserbringerOrganisation.function	example	ProcedurePerformerRoleCodes
ChargeItem.performer:leistungserbringerOrganisation.actor.type	extensible	Fixed Value: Organization
ChargeItem.performer:leistungserbringerOrganisation.actor.identifier.use	required	IdentifierUse
ChargeItem.performer:angestellteLeistungserbringerin.actor.type	extensible	Fixed Value: Practitioner

Constraints

Id	Grade	Path(s)	Details	Requirements
LBNR	error	ChargeItem	In performer:angestellteLeistungserbringerin ist keine LBNR angegeben, diese ist aber eine Pflichtangabe bei dem verwendeten SGS code. : performer.where(actor.type='Organization').function.coding.where(code='C' or code='R').exists() implies (performer.all(actor.where(type='Practitioner').exists().not()) or performer.actor.where(type='Practitioner').identifier.where(system='http://fhir.de/sid/bfarm/lbnr').exists())
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()
ik-1	warning	ChargeItem.performer:leistungserbringerOrganisation.actor.identifier.value	Eine IK muss 8- (ohne Prüfziffer) oder 9-stellig (mit Prüfziffer) sein : matches('[0-9]{8,9}')
kvid-1	warning	ChargeItem.subject.identifier.value	Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen : matches('^[A-Z][0-9]{9}$')

Name	Flags	Card.	Type	Description & Constraints
ChargeItem	C	0..*	ChargeItem	Item containing charge code(s) associated with the provision of healthcare provider products LBNR: In performer:angestellteLeistungserbringerin ist keine LBNR angegeben, diese ist aber eine Pflichtangabe bei dem verwendeten SGS code.
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Payor	S	1..1	IdentifierIknr	Kostenträger URL: https://e-lb.de/fhir/StructureDefinition/KK_ELB_Payor
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Business Identifier for item
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	planned | billable | not-billable | aborted | billed | entered-in-error | unknown Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem.
code	SΣ	1..1	CodeableConcept	A code that identifies the charge, like a billing code Binding: ChargeItemCode (example): Example set of codes that can be used for billing purposes.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
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	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://e-lb.de/fhir/sid/KK_ELB_ChargeItemCode
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..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
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient | Group)	Individual service was done for/to
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	S	1..1	IdentifierKvid10	An identifier intended for computation
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣN	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeDeBasis (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: GKV
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value	SΣC	1..1	string	The value that is unique Example General: 123456
period	ΣCN	0..1	Period	Time period when id is/was valid for use
assigner	ΣCN	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
occurrence[x]	SΣ	1..1		When the charged service was applied
occurrenceDateTime			dateTime
occurrencePeriod			Period
Slices for performer	S	1..2	BackboneElement	Who performed charged service Slice: Unordered, Closed by value:actor.type
performer:All Slices				Content/Rules for all slices
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(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)	Individual who was performing
performer:leistungserbringerOrganisation	S	1..1	BackboneElement	Who performed charged service
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	S	1..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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
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	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://e-lb.de/fhir/CodeSystem/KK_ELB_SGS
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..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
text	Σ	0..1	string	Plain text representation of the concept
actor	S	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)	Individual who was performing
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Organization
identifier	S	1..1	IdentifierIknr	An identifier intended for computation
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣN	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeDeBasis (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: XX
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.de/sid/arge-ik/iknr
value	SΣC	1..1	string	The value that is unique Example General: 123456
period	ΣCN	0..1	Period	Time period when id is/was valid for use
assigner	ΣCN	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
performer:angestellteLeistungserbringerin		0..1	BackboneElement	Who performed charged service
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	S	1..1	Reference(Practitioner)	Individual who was performing
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Practitioner
identifier		0..1	KK_ELB_Identifier_LBNR	An identifier intended for computation
display	SΣ	1..1	string	Text alternative for the resource
reason		0..*	CodeableConcept	Why was the charged service rendered? Binding: ICD-10Codes (example): Example binding for reason.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ChargeItem.identifier.use	required	IdentifierUse
ChargeItem.identifier.type	extensible	Identifier Type Codes
ChargeItem.status	required	ChargeItemStatus
ChargeItem.code	example	ChargeItemCode
ChargeItem.subject.type	extensible	ResourceType
ChargeItem.subject.identifier.use	required	IdentifierUse
ChargeItem.subject.identifier.type	extensible	Pattern: GKV
ChargeItem.performer.function	example	ProcedurePerformerRoleCodes
ChargeItem.performer:leistungserbringerOrganisation.function	example	ProcedurePerformerRoleCodes
ChargeItem.performer:leistungserbringerOrganisation.actor.type	extensible	Fixed Value: Organization
ChargeItem.performer:leistungserbringerOrganisation.actor.identifier.use	required	IdentifierUse
ChargeItem.performer:leistungserbringerOrganisation.actor.identifier.type	extensible	Pattern: XX
ChargeItem.performer:angestellteLeistungserbringerin.function	example	ProcedurePerformerRoleCodes
ChargeItem.performer:angestellteLeistungserbringerin.actor.type	extensible	Fixed Value: Practitioner
ChargeItem.reason	example	ICD-10Codes

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
ik-1	warning	ChargeItem.performer:leistungserbringerOrganisation.actor.identifier.value	Eine IK muss 8- (ohne Prüfziffer) oder 9-stellig (mit Prüfziffer) sein : matches('[0-9]{8,9}')
kvid-1	warning	ChargeItem.subject.identifier.value	Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen : matches('^[A-Z][0-9]{9}$')
per-1	error	ChargeItem.subject.identifier.period, ChargeItem.performer:leistungserbringerOrganisation.actor.identifier.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
ref-1	error	ChargeItem.subject.identifier.assigner, ChargeItem.performer:leistungserbringerOrganisation.actor.identifier.assigner	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Summary

Mandatory: 18 elements (2 nested mandatory elements)
Must-Support: 28 elements
Fixed Value: 5 elements
Prohibited: 23 elements

Structures

This structure refers to these other structures:

• Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)
• Identifier-Profil für die Abbildung eines Institutionskennzeichens (IKNR) (http://fhir.de/StructureDefinition/identifier-iknr)
• KK_ELB_Identifier_LBNR (https://e-lb.de/fhir/StructureDefinition/KK_ELB_Identifier_LBNR)

Extensions

This structure refers to these extensions:

• https://e-lb.de/fhir/StructureDefinition/KK_ELB_Payor

Slices

This structure defines the following Slices:

• The element ChargeItem.performer is sliced based on the value of value:actor.type (Closed)

Name	Flags	Card.	Type	Description & Constraints
ChargeItem	C	0..*	ChargeItem	Item containing charge code(s) associated with the provision of healthcare provider products LBNR: In performer:angestellteLeistungserbringerin ist keine LBNR angegeben, diese ist aber eine Pflichtangabe bei dem verwendeten SGS code.
id		0..1	id	Logical id of this artifact
implicitRules		0..0
language		0..0
text		0..0
contained		0..0
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Payor	S	1..1	IdentifierIknr	Kostenträger URL: https://e-lb.de/fhir/StructureDefinition/KK_ELB_Payor
identifier	S	1..1	Identifier	Business Identifier for item
system	S	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	S	1..1	string	The value that is unique
definitionUri		0..0
definitionCanonical		0..0
status	S	1..1	code	planned | billable | not-billable | aborted | billed | entered-in-error | unknown
partOf		0..0
code	S	1..1	CodeableConcept	A code that identifies the charge, like a billing code
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: https://e-lb.de/fhir/sid/KK_ELB_ChargeItemCode
code	S	1..1	code	Symbol in syntax defined by the system
subject	S	1..1	Reference(Patient | Group)	Individual service was done for/to
identifier	S	1..1	IdentifierKvid10	An identifier intended for computation
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
context		0..0
occurrence[x]	S	1..1		When the charged service was applied
occurrenceDateTime			dateTime
occurrencePeriod			Period
Slices for performer	S	1..2	BackboneElement	Who performed charged service Slice: Unordered, Closed by value:actor.type
performer:leistungserbringerOrganisation	S	1..1	BackboneElement	Who performed charged service
function	S	1..1	CodeableConcept	What type of performance was done
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: https://e-lb.de/fhir/CodeSystem/KK_ELB_SGS
code	S	1..1	code	Symbol in syntax defined by the system
actor	S	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)	Individual who was performing
type	S	1..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Organization
identifier	S	1..1	IdentifierIknr	An identifier intended for computation
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
performer:angestellteLeistungserbringerin		0..1	BackboneElement	Who performed charged service
actor	S	1..1	Reference(Practitioner)	Individual who was performing
type	S	1..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Practitioner
identifier		0..1	KK_ELB_Identifier_LBNR	An identifier intended for computation
display	S	1..1	string	Text alternative for the resource
performingOrganization		0..0
requestingOrganization		0..0
costCenter		0..0
quantity		0..0
bodysite		0..0
factorOverride		0..0
priceOverride		0..0
overrideReason		0..0
enterer		0..0
enteredDate		0..0
service		0..0
product[x]		0..0
account		0..0
note		0..0
supportingInformation		0..0
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
LBNR	error	ChargeItem	In performer:angestellteLeistungserbringerin ist keine LBNR angegeben, diese ist aber eine Pflichtangabe bei dem verwendeten SGS code. : performer.where(actor.type='Organization').function.coding.where(code='C' or code='R').exists() implies (performer.all(actor.where(type='Practitioner').exists().not()) or performer.actor.where(type='Practitioner').identifier.where(system='http://fhir.de/sid/bfarm/lbnr').exists())

Name	Flags	Card.	Type	Description & Constraints
ChargeItem	C	0..*	ChargeItem	Item containing charge code(s) associated with the provision of healthcare provider products LBNR: In performer:angestellteLeistungserbringerin ist keine LBNR angegeben, diese ist aber eine Pflichtangabe bei dem verwendeten SGS code.
id	Σ	0..1	id	Logical id of this artifact
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Payor	S	1..1	IdentifierIknr	Kostenträger URL: https://e-lb.de/fhir/StructureDefinition/KK_ELB_Payor
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Business Identifier for item
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	planned | billable | not-billable | aborted | billed | entered-in-error | unknown Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem.
code	SΣ	1..1	CodeableConcept	A code that identifies the charge, like a billing code Binding: ChargeItemCode (example): Example set of codes that can be used for billing purposes.
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://e-lb.de/fhir/sid/KK_ELB_ChargeItemCode
code	SΣ	1..1	code	Symbol in syntax defined by the system
subject	SΣ	1..1	Reference(Patient | Group)	Individual service was done for/to
identifier	S	1..1	IdentifierKvid10	An identifier intended for computation
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value	SΣC	1..1	string	The value that is unique Example General: 123456
occurrence[x]	SΣ	1..1		When the charged service was applied
occurrenceDateTime			dateTime
occurrencePeriod			Period
Slices for performer	S	1..2	BackboneElement	Who performed charged service Slice: Unordered, Closed by value:actor.type
performer:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor		1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)	Individual who was performing
performer:leistungserbringerOrganisation	S	1..1	BackboneElement	Who performed charged service
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	S	1..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.
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://e-lb.de/fhir/CodeSystem/KK_ELB_SGS
code	SΣ	1..1	code	Symbol in syntax defined by the system
actor	S	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)	Individual who was performing
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Organization
identifier	S	1..1	IdentifierIknr	An identifier intended for computation
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.de/sid/arge-ik/iknr
value	SΣC	1..1	string	The value that is unique Example General: 123456
performer:angestellteLeistungserbringerin		0..1	BackboneElement	Who performed charged service
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	S	1..1	Reference(Practitioner)	Individual who was performing
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Practitioner
identifier		0..1	KK_ELB_Identifier_LBNR	An identifier intended for computation
display	SΣ	1..1	string	Text alternative for the resource
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ChargeItem.identifier.use	required	IdentifierUse
ChargeItem.status	required	ChargeItemStatus
ChargeItem.code	example	ChargeItemCode
ChargeItem.subject.identifier.use	required	IdentifierUse
ChargeItem.performer:leistungserbringerOrganisation.function	example	ProcedurePerformerRoleCodes
ChargeItem.performer:leistungserbringerOrganisation.actor.type	extensible	Fixed Value: Organization
ChargeItem.performer:leistungserbringerOrganisation.actor.identifier.use	required	IdentifierUse
ChargeItem.performer:angestellteLeistungserbringerin.actor.type	extensible	Fixed Value: Practitioner

Constraints

Id	Grade	Path(s)	Details	Requirements
LBNR	error	ChargeItem	In performer:angestellteLeistungserbringerin ist keine LBNR angegeben, diese ist aber eine Pflichtangabe bei dem verwendeten SGS code. : performer.where(actor.type='Organization').function.coding.where(code='C' or code='R').exists() implies (performer.all(actor.where(type='Practitioner').exists().not()) or performer.actor.where(type='Practitioner').identifier.where(system='http://fhir.de/sid/bfarm/lbnr').exists())
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()
ik-1	warning	ChargeItem.performer:leistungserbringerOrganisation.actor.identifier.value	Eine IK muss 8- (ohne Prüfziffer) oder 9-stellig (mit Prüfziffer) sein : matches('[0-9]{8,9}')
kvid-1	warning	ChargeItem.subject.identifier.value	Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen : matches('^[A-Z][0-9]{9}$')

Name	Flags	Card.	Type	Description & Constraints
ChargeItem	C	0..*	ChargeItem	Item containing charge code(s) associated with the provision of healthcare provider products LBNR: In performer:angestellteLeistungserbringerin ist keine LBNR angegeben, diese ist aber eine Pflichtangabe bei dem verwendeten SGS code.
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Payor	S	1..1	IdentifierIknr	Kostenträger URL: https://e-lb.de/fhir/StructureDefinition/KK_ELB_Payor
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Business Identifier for item
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	planned | billable | not-billable | aborted | billed | entered-in-error | unknown Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem.
code	SΣ	1..1	CodeableConcept	A code that identifies the charge, like a billing code Binding: ChargeItemCode (example): Example set of codes that can be used for billing purposes.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
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	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://e-lb.de/fhir/sid/KK_ELB_ChargeItemCode
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..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
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient | Group)	Individual service was done for/to
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	S	1..1	IdentifierKvid10	An identifier intended for computation
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣN	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeDeBasis (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: GKV
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value	SΣC	1..1	string	The value that is unique Example General: 123456
period	ΣCN	0..1	Period	Time period when id is/was valid for use
assigner	ΣCN	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
occurrence[x]	SΣ	1..1		When the charged service was applied
occurrenceDateTime			dateTime
occurrencePeriod			Period
Slices for performer	S	1..2	BackboneElement	Who performed charged service Slice: Unordered, Closed by value:actor.type
performer:All Slices				Content/Rules for all slices
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(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)	Individual who was performing
performer:leistungserbringerOrganisation	S	1..1	BackboneElement	Who performed charged service
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	S	1..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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
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	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://e-lb.de/fhir/CodeSystem/KK_ELB_SGS
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..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
text	Σ	0..1	string	Plain text representation of the concept
actor	S	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)	Individual who was performing
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Organization
identifier	S	1..1	IdentifierIknr	An identifier intended for computation
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣN	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeDeBasis (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: XX
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.de/sid/arge-ik/iknr
value	SΣC	1..1	string	The value that is unique Example General: 123456
period	ΣCN	0..1	Period	Time period when id is/was valid for use
assigner	ΣCN	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
performer:angestellteLeistungserbringerin		0..1	BackboneElement	Who performed charged service
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	S	1..1	Reference(Practitioner)	Individual who was performing
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Practitioner
identifier		0..1	KK_ELB_Identifier_LBNR	An identifier intended for computation
display	SΣ	1..1	string	Text alternative for the resource
reason		0..*	CodeableConcept	Why was the charged service rendered? Binding: ICD-10Codes (example): Example binding for reason.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ChargeItem.identifier.use	required	IdentifierUse
ChargeItem.identifier.type	extensible	Identifier Type Codes
ChargeItem.status	required	ChargeItemStatus
ChargeItem.code	example	ChargeItemCode
ChargeItem.subject.type	extensible	ResourceType
ChargeItem.subject.identifier.use	required	IdentifierUse
ChargeItem.subject.identifier.type	extensible	Pattern: GKV
ChargeItem.performer.function	example	ProcedurePerformerRoleCodes
ChargeItem.performer:leistungserbringerOrganisation.function	example	ProcedurePerformerRoleCodes
ChargeItem.performer:leistungserbringerOrganisation.actor.type	extensible	Fixed Value: Organization
ChargeItem.performer:leistungserbringerOrganisation.actor.identifier.use	required	IdentifierUse
ChargeItem.performer:leistungserbringerOrganisation.actor.identifier.type	extensible	Pattern: XX
ChargeItem.performer:angestellteLeistungserbringerin.function	example	ProcedurePerformerRoleCodes
ChargeItem.performer:angestellteLeistungserbringerin.actor.type	extensible	Fixed Value: Practitioner
ChargeItem.reason	example	ICD-10Codes

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
ik-1	warning	ChargeItem.performer:leistungserbringerOrganisation.actor.identifier.value	Eine IK muss 8- (ohne Prüfziffer) oder 9-stellig (mit Prüfziffer) sein : matches('[0-9]{8,9}')
kvid-1	warning	ChargeItem.subject.identifier.value	Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen : matches('^[A-Z][0-9]{9}$')
per-1	error	ChargeItem.subject.identifier.period, ChargeItem.performer:leistungserbringerOrganisation.actor.identifier.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
ref-1	error	ChargeItem.subject.identifier.assigner, ChargeItem.performer:leistungserbringerOrganisation.actor.identifier.assigner	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))