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Neither source alone demonstrates an integrated clinical network.", "tags": [], "territory": "Germany", "title": "Joint self-government within mixed insurance context", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.g-ba.de/english/structure/" }, { "kind": "source_reference", "source": "Germany: health system summary 2024", "url": "https://iris.who.int/bitstream/handle/10665/379914/9789289059954-eng.pdf?sequence=1" } ] }, { "analytical_mapping": { "mapping_basis": "Destatis hospital statistics by ownership and Länder", "mapping_group": "delivery_and_referrals", "mapping_id": "candidate-mapping:DEU:delivery-referrals:hospital-ownership-and-activity", "source_projection_ids": [ "country-improvement-source:DEU:destatis-hospital-ownership-2025" ], "support_state": "candidate_supported", "target_slot": "observed-hospital-ownership-beds-and-activity-2024", "target_view": "public-private", "typed_fields": { "bed_distribution": "The table reports beds and patient movement by ownership and Land.", "boundary": "The observation does not measure ambulatory providers, referral mechanisms or organisational control.", "observed_2024": "Destatis lists 528 public, 575 non-profit and 738 private hospitals nationally in 2024." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Federal Statistical Office (Destatis), Hospitals 2024 by ownership and Länder, 27 November 2025.", "country_ids": [ "DEU" ], "coverage_domains": [ "facility_data", "hospital_organization", "market_structure", "ownership", "patient_flows", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": null, "institution": null, "locator": { "description": "Destatis table Hospitals 2024 by ownership and Länder, national totals and ownership rows." }, "material_id": "material:7d87af85f54a92e2055b33ab", "notes": [], "origin": "candidate-analytical-mappings", "period": "Hospital reporting year 2024", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "8bf353877dba2bd4606d2b3652c124cca1ce97dd20eaa74d4b235fd73ca9cabc" }, "statement": "Destatis reports 2024 hospital facilities, beds and patient movement by public, non-profit and private ownership and by Land. It is an observed inpatient-service profile, not a referral-flow dataset.", "tags": [], "territory": "Germany and Länder", "title": "Observed hospital ownership, beds and activity", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.destatis.de/DE/Themen/Gesellschaft-Umwelt/Gesundheit/Krankenhauser/Tabellen/eckzahlen-krankenhaeuser.html" } ] }, { "analytical_mapping": { "mapping_basis": "WHO 2024 health-system summary and current BMG integrated-care description", "mapping_group": "time_and_reform", "mapping_id": "candidate-mapping:DEU:time-reform:reported-sectoral-separation", "source_projection_ids": [ "country-improvement-source:DEU:who-hss-2024", "country-improvement-source:DEU:bmg-treatment-forms-2026" ], "support_state": "candidate_supported", "target_slot": "reported-sectoral-separation-and-integration-response", "target_view": "reforms", "typed_fields": { "formal_response": "BMG describes integrated-care arrangements as a cross-sector mechanism.", "reported_context": "The WHO summary describes sectoral separation in planning, financing and governance.", "time_boundary": "The sources do not establish whether integration has removed the reported separation in all places." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "European Observatory and WHO, Germany: health system summary 2024; Federal Ministry of Health, Medical treatment and forms of care, retrieved 2026.", "country_ids": [ "DEU" ], "coverage_domains": [ "authoritative_review", "hospital_organization", "networks", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "WHO summary Overview; BMG Integrated care section." }, "material_id": "material:4e5d302cdb0786808cab2b84", "notes": [], "origin": "candidate-analytical-mappings", "period": "2024 reported context and 2026 formal mechanism description", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "a859cc83d11508435744f1ce4fb6f39396083c22e60bea3f872887eb2dd1863f" }, "statement": "The WHO summary reports separate sectoral organisation, while BMG describes integrated-care mechanisms. This pairing does not demonstrate realised integration or a causal reform effect.", "tags": [], "territory": "Germany", "title": "Reported sectoral separation and formal integration mechanisms", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://iris.who.int/bitstream/handle/10665/379914/9789289059954-eng.pdf?sequence=1" }, { "kind": "source_reference", "source": "Medical treatment and forms of care", "url": "https://www.bundesgesundheitsministerium.de/aerztliche-behandlung/seite" } ] }, { "analytical_mapping": { "mapping_basis": "BMG SHI and G-BA institutional descriptions", "mapping_group": "decision_rights_and_autonomy", "mapping_id": "candidate-mapping:DEU:decision-autonomy:gba-benefits-and-supervision", "source_projection_ids": [ "country-improvement-source:DEU:bmg-shi-2025", "country-improvement-source:DEU:gba-structure-2026" ], "support_state": "candidate_supported", "target_slot": "shi-benefit-decisions-with-statutory-supervision", "target_view": "decisions", "typed_fields": { "benefit_decision": "The G-BA decides SHI directives on benefits and quality within its statutory remit.", "scope_boundary": "The cited role does not allocate clinical decisions or hospital planning to the G-BA.", "supervision": "The G-BA describes statutory supervision by the BMG." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Federal Ministry of Health, Statutory health insurance (SHI), 2025; Federal Joint Committee, Structure, Members, Patient Involvement, retrieved 2026.", "country_ids": [ "DEU" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "governance" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "BMG SHI self-administration section; G-BA structure and statutory supervision description." }, "material_id": "material:be7b51815d07d06fcf08862b", "notes": [], "origin": "candidate-analytical-mappings", "period": "Current institutional descriptions retrieved 2026-08-21", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "0acab64f8c3f4f59f346af03528f7d28998c7f82e31bae5e7ee3f2f7befb8bc8" }, "statement": "The sources describe a G-BA directive role and Ministry statutory supervision. This is a formal decision-rights mapping, not a complete account of clinical, provider or Länder decisions.", "tags": [], "territory": "Germany, statutory health insurance self-government", "title": "SHI benefit directives within statutory supervision", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.g-ba.de/english/structure/" }, { "kind": "source_reference", "source": "Statutory health insurance (SHI)", "url": "https://www.bundesgesundheitsministerium.de/en/themen/krankenversicherung/online-ratgeber-krankenversicherung/krankenversicherung/statutory-health-insurance-shi" } ] }, { "analytical_mapping": { "mapping_basis": "BMG SHI and G-BA institutional descriptions, with KBV-KZBV ambulatory association context", "mapping_group": "actors_and_functions", "mapping_id": "candidate-mapping:DEU:actors-functions:self-government-and-contracting", "source_projection_ids": [ "country-improvement-source:DEU:bmg-shi-2025", "country-improvement-source:DEU:gba-structure-2026", "country-improvement-source:DEU:kbv-self-government-2025" ], "support_state": "candidate_supported", "target_slot": "shi-self-government-purchaser-provider-relationship", "target_view": "functions", "typed_fields": { "accountability_boundary": "The G-BA page identifies statutory Ministry supervision of the committee, not direct supervision of each fund or provider.", "purchasing_relation": "The BMG page describes sickness funds concluding contracts with service providers.", "self_government": "Statutory funds and provider associations undertake SHI self-administration within statute." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Federal Ministry of Health, Statutory health insurance (SHI), 2025; Federal Joint Committee, Structure, Members, Patient Involvement, retrieved 2026; KBV and KZBV, Selbstverwaltung weiterdenken, 2025.", "country_ids": [ "DEU" ], "coverage_domains": [ "actors", "decision_rights", "governance", "market_structure", "networks" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "BMG section The principle of self-administration; G-BA Structure, Members, Patient Involvement; KBV-KZBV position paper, page 6, Kassenärztliche Bundesvereinigung (KBV)." }, "material_id": "material:f38645124581afd9720e5030", "notes": [], "origin": "candidate-analytical-mappings", "period": "2025 to 2026 institutional descriptions", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "0acab64f8c3f4f59f346af03528f7d28998c7f82e31bae5e7ee3f2f7befb8bc8" }, "statement": "The cited BMG page supports a sickness-fund contracting relationship with service providers under statutory self-administration. It does not show every contract or an individual provider's operating terms.", "tags": [], "territory": "Germany, statutory health insurance and ambulatory self-government", "title": "SHI self-government and fund-provider contracting", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.bundesgesundheitsministerium.de/en/themen/krankenversicherung/online-ratgeber-krankenversicherung/krankenversicherung/statutory-health-insurance-shi" }, { "kind": "source_reference", "source": "The Federal Joint Committee: Structure, Members, Patient Involvement", "url": "https://www.g-ba.de/english/structure/" }, { "kind": "source_reference", "source": "Selbstverwaltung weiterdenken - für eine gemeinwohlorientierte Gesundheitsversorgung der Zukunft", "url": "https://www.kbv.de/documents/positionen/agenda/kbv-kzbv-70-jahre-selbstverwaltung.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "A representative assembly acts as the self-administration organ and a full-time executive board manages a physician association.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 79 paras. 1 to 3" }, "material_id": "material:efc3a3cfc4db6ee89df19102", "notes": [ "Map election, appointment, removal, and oversight from current instruments.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "A representative assembly acts as the self-administration organ and a full-time executive board manages a physician association.", "tags": [], "territory": null, "title": "A representative assembly acts as the self-administration organ and a full-time executive board manages a physician association.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "A section 108(3) hospital service contract is agreed jointly by the Land sickness-fund associations and substitute funds with the hospital responsible entity.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 109 para. 1" }, "material_id": "material:71ddc63e81b07dc2f633480c", "notes": [ "Acquire contract, hospital entity, site, services, and valid period.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "A section 108(3) hospital service contract is agreed jointly by the Land sickness-fund associations and substitute funds with the hospital responsible entity.", "tags": [], "territory": null, "title": "A section 108(3) hospital service contract is agreed jointly by the Land sickness-fund associations and substitute funds with the hospital responsible entity.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Contracted ambulatory care is regulated through written contracts between physician associations and sickness-fund associations within statute and G-BA directives.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 72 para. 2" }, "material_id": "material:f0ae6758710fbf5485c6a0a8", "notes": [ "Acquire the current national and selected-Land contracts.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "Contracted ambulatory care is regulated through written contracts between physician associations and sickness-fund associations within statute and G-BA directives.", "tags": [], "territory": null, "title": "Contracted ambulatory care is regulated through written contracts between physician associations and sickness-fund associations within statute and G-BA directives.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Contracted physicians form physician and dentist associations for each Land, subject to statutory possibilities for cross-Land consolidation.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 77 paras. 1 to 2" }, "material_id": "material:f92dc7047dd5ebf7be5202d2", "notes": [ "Acquire the current association register and territorial instruments.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "Contracted physicians form physician and dentist associations for each Land, subject to statutory possibilities for cross-Land consolidation.", "tags": [], "territory": null, "title": "Contracted physicians form physician and dentist associations for each Land, subject to statutory possibilities for cross-Land consolidation.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Each Land prepares hospital plans and investment programs, while Land law determines further detail.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`DEU-LAW-KHG`, s. 6 paras. 1 and 4" }, "material_id": "material:bc5f6d59d6ec742a3cb020be", "notes": [ "Select a Land and acquire its current law, plan, and investment program.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Consolidation downloaded 2026-08-10", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "c7c0631d2efe1dfca004405d7017c3284995af35c155a1d24576d5f61d298f75" }, "statement": "Each Land prepares hospital plans and investment programs, while Land law determines further detail.", "tags": [], "territory": null, "title": "Each Land prepares hospital plans and investment programs, while Land law determines further detail.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/khg/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/khg/KHG.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "For university hospitals and plan hospitals, the specified recognition or Land plan inclusion has the legal effect of concluding the service contract, which binds all domestic sickness funds.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 109 para. 1" }, "material_id": "material:772554bb1d406221f0ed0693", "notes": [ "Confirm selected-date plan status and any narrower bed or service agreement.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "For university hospitals and plan hospitals, the specified recognition or Land plan inclusion has the legal effect of concluding the service contract, which binds all domestic sickness funds.", "tags": [], "territory": null, "title": "For university hospitals and plan hospitals, the specified recognition or Land plan inclusion has the legal effect of concluding the service contract, which binds all domestic sickness funds.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Hospital plan inclusion and specified investment-program inclusion determine statutory funding eligibility, while inclusion or exclusion is made by administrative decision.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 8 para. 1" }, "material_id": "material:a1c7bc45c17d4123271bb5a9", "notes": [ "Eligibility is not proof of an actual grant or payment.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "c7c0631d2efe1dfca004405d7017c3284995af35c155a1d24576d5f61d298f75" }, "statement": "Hospital plan inclusion and specified investment-program inclusion determine statutory funding eligibility, while inclusion or exclusion is made by administrative decision.", "tags": [], "territory": null, "title": "Hospital plan inclusion and specified investment-program inclusion determine statutory funding eligibility, while inclusion or exclusion is made by administrative decision.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/khg/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/khg/KHG.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Land fund associations, physician associations, and hospital representatives must conclude Land-level agreements aimed at seamless ambulatory and inpatient treatment.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 115 paras. 1 to 2" }, "material_id": "material:4c7680c11febdec8e5b98b0c", "notes": [ "Acquire the selected Land's current agreement before asserting implementation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "Land fund associations, physician associations, and hospital representatives must conclude Land-level agreements aimed at seamless ambulatory and inpatient treatment.", "tags": [], "territory": null, "title": "Land fund associations, physician associations, and hospital representatives must conclude Land-level agreements aimed at seamless ambulatory and inpatient treatment.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Land physician associations form national physician and dentist associations, and both levels are public-law corporations.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 77 paras. 4 to 5" }, "material_id": "material:122f517cd0c154e5a31cb943", "notes": [ "Keep physician and dentist bodies distinct.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "Land physician associations form national physician and dentist associations, and both levels are public-law corporations.", "tags": [], "territory": null, "title": "Land physician associations form national physician and dentist associations, and both levels are public-law corporations.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Listed contracted and authorized clinicians are members of the physician association responsible for their practice seat, subject to the statutory conditions.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 77 para. 3" }, "material_id": "material:86b558244b6b4fe497b74ffe", "notes": [ "Do not infer every clinician or facility is a member.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "Listed contracted and authorized clinicians are members of the physician association responsible for their practice seat, subject to the statutory conditions.", "tags": [], "territory": null, "title": "Listed contracted and authorized clinicians are members of the physician association responsible for their practice seat, subject to the statutory conditions.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Physician associations and their national associations carry the statutory responsibility to secure contracted physician care within the scope defined by section 73.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 75 para. 1" }, "material_id": "material:66c75281b7d59ba835d404ff", "notes": [ "Review exceptions and transfers of the assurance responsibility.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "Physician associations and their national associations carry the statutory responsibility to secure contracted physician care within the scope defined by section 73.", "tags": [], "territory": null, "title": "Physician associations and their national associations carry the statutory responsibility to secure contracted physician care within the scope defined by section 73.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Sickness funds form the GKV-Spitzenverband, which is a public-law corporation.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 217a" }, "material_id": "material:747ad9768d997a37d2e842a0", "notes": [ "Membership does not erase each fund's legal identity.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "Sickness funds form the GKV-Spitzenverband, which is a public-law corporation.", "tags": [], "territory": null, "title": "Sickness funds form the GKV-Spitzenverband, which is a public-law corporation.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Sickness funds may arrange hospital treatment only through the statutory categories of admitted hospitals.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 108" }, "material_id": "material:12ca513eaa3905fa1340d69c", "notes": [ "Keep university recognition, Land plan inclusion, service contract, and Bundeswehr designation as separate admission bases.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "Sickness funds may arrange hospital treatment only through the statutory categories of admitted hospitals.", "tags": [], "territory": null, "title": "Sickness funds may arrange hospital treatment only through the statutory categories of admitted hospitals.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Social Code Book V provides the governing framework for legal relationships between sickness funds, their associations, listed provider groups, hospitals, and their associations.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 69 para. 1" }, "material_id": "material:879008bf905f044b454966a1", "notes": [ "Preserve the statutes and regulations incorporated by reference.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "Social Code Book V provides the governing framework for legal relationships between sickness funds, their associations, listed provider groups, hospitals, and their associations.", "tags": [], "territory": null, "title": "Social Code Book V provides the governing framework for legal relationships between sickness funds, their associations, listed provider groups, hospitals, and their associations.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Statutory sickness funds are legally capable public-law corporations with self-administration.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`DEU-LAW-SGB-V`, s. 4 para. 1" }, "material_id": "material:5894f4702c1d39e2b4188609", "notes": [ "Verify current commencement and legal translation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Consolidation downloaded 2026-08-10", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "Statutory sickness funds are legally capable public-law corporations with self-administration.", "tags": [], "territory": null, "title": "Statutory sickness funds are legally capable public-law corporations with self-administration.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Federal Ministry of Health supervises the G-BA under section 91a.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 91a para. 1" }, "material_id": "material:f35122f841b00cb8005eac07", "notes": [ "Supervision must not be rendered as routine operational control.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "The Federal Ministry of Health supervises the G-BA under section 91a.", "tags": [], "territory": null, "title": "The Federal Ministry of Health supervises the G-BA under section 91a.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Federal Ministry's 2026 explanatory page reports sickness funds and physician associations as self-governing public-law bodies, but describes the DKG as privately organized.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "DEU-BMG-SELF-GOVERNANCE`, `Einrichtungen der Selbstverwaltung" }, "material_id": "material:1b2567e9323bc1786c4d8750", "notes": [ "Cross-check legal form and membership against current entity instruments.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Page status 2026-01-08", "publication_date": null, 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score-improvement acquisition." ], "origin": "candidate-evidence", "period": "Downloaded 2026-08-10", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "c9ffbc8b5da6bfb5e2949b44991c5396b48a232fa5f99e99d148c0b73a5fcab2" }, "statement": "The acquired G-BA hospital-reference-database shell does not expose a reproducible extract, schema, record period, or coverage statement.", "tags": [], "territory": null, "title": "The acquired G-BA hospital-reference-database shell does not expose a reproducible extract, schema, record period, or coverage statement.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://qb-referenzdatenbank.g-ba.de/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The assurance responsibility includes appropriate and timely access and specified appointment-service functions.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 75 para. 1a" }, "material_id": "material:ea95c89b25b1d3e494c19fbe", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "The assurance responsibility includes appropriate and timely access and specified appointment-service functions.", "tags": [], "territory": null, "title": "The assurance responsibility includes appropriate and 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fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "The national physician, dentist, hospital, and sickness-fund organizations form the G-BA.", "tags": [], "territory": null, "title": "The national physician, dentist, hospital, and sickness-fund organizations form the G-BA.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "When several hospitals compete for inclusion, the competent Land authority applies statutory public-interest, quality, provider-diversity, and planning criteria through bounded discretion.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 8 para. 2" }, "material_id": "material:a89fd89126f7073ece0bfd72", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "c7c0631d2efe1dfca004405d7017c3284995af35c155a1d24576d5f61d298f75" }, "statement": "When several hospitals compete for inclusion, the competent Land authority applies statutory public-interest, quality, provider-diversity, and planning criteria through bounded discretion.", "tags": [], "territory": null, "title": "When several hospitals compete for inclusion, the competent Land authority applies statutory public-interest, quality, provider-diversity, and planning criteria through bounded discretion.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/khg/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/khg/KHG.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "With the stated exception, G-BA decisions bind its constituent organizations, their members and member funds, insured people, and providers.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 91 para. 6" }, "material_id": "material:8fe4f714559e3a1cd35b8690", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "With the stated exception, G-BA decisions bind its constituent organizations, their members and member funds, insured people, and providers.", "tags": [], "territory": null, "title": "With the stated exception, G-BA decisions bind its constituent organizations, their members and member funds, insured people, and providers.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "A representative assembly acts as the self-administration organ and a full-time executive board manages a physician association.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 79 paras. 1 to 3" }, "material_id": "material:80828739941597f5205128e6", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Map election, appointment, removal, and oversight from current instruments.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "A representative assembly acts as the self-administration organ and a full-time executive board manages a physician association.", "tags": [], "territory": null, "title": "A representative assembly acts as the self-administration organ and a full-time executive board manages a physician association.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "A section 108(3) hospital service contract is agreed jointly by the Land sickness-fund associations and substitute funds with the hospital responsible entity.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 109 para. 1" }, "material_id": "material:8934e68605d7c729ae6acbf4", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Acquire contract, hospital entity, site, services, and valid period.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "A section 108(3) hospital service contract is agreed jointly by the Land sickness-fund associations and substitute funds with the hospital responsible entity.", "tags": [], "territory": null, "title": "A section 108(3) hospital service contract is agreed jointly by the Land sickness-fund associations and substitute funds with the hospital responsible entity.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Contracted ambulatory care is regulated through written contracts between physician associations and sickness-fund associations within statute and G-BA directives.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 72 para. 2" }, "material_id": "material:cc405e4613cfd5a1e15f530b", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Acquire the current national and selected-Land contracts.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "Contracted ambulatory care is regulated through written contracts between physician associations and sickness-fund associations within statute and G-BA directives.", "tags": [], "territory": null, "title": "Contracted ambulatory care is regulated through written contracts between physician associations and sickness-fund associations within statute and G-BA directives.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Contracted physicians form physician and dentist associations for each Land, subject to statutory possibilities for cross-Land consolidation.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 77 paras. 1 to 2" }, "material_id": "material:05c232883c67f27bc965bb86", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Acquire the current association register and territorial instruments.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "Contracted physicians form physician and dentist associations for each Land, subject to statutory possibilities for cross-Land consolidation.", "tags": [], "territory": null, "title": "Contracted physicians form physician and dentist associations for each Land, subject to statutory possibilities for cross-Land consolidation.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Each Land prepares hospital plans and investment programs, while Land law determines further detail.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`DEU-LAW-KHG`, s. 6 paras. 1 and 4" }, "material_id": "material:bcff41717ffcdde7569f73de", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Select a Land and acquire its current law, plan, and investment program.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "while_clause_boundary", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Consolidation downloaded 2026-08-10", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "c7c0631d2efe1dfca004405d7017c3284995af35c155a1d24576d5f61d298f75" }, "statement": "Each Land prepares hospital plans and investment programs, while Land law determines further detail.", "tags": [], "territory": null, "title": "Each Land prepares hospital plans and investment programs, while Land law determines further detail.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/khg/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/khg/KHG.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "For university hospitals and plan hospitals, the specified recognition or Land plan inclusion has the legal effect of concluding the service contract, which binds all domestic sickness funds.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 109 para. 1" }, "material_id": "material:f7ddf58c0cf37d1b1e830940", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Confirm selected-date plan status and any narrower bed or service agreement.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "long_claim_28_words_or_more", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "For university hospitals and plan hospitals, the specified recognition or Land plan inclusion has the legal effect of concluding the service contract, which binds all domestic sickness funds.", "tags": [], "territory": null, "title": "For university hospitals and plan hospitals, the specified recognition or Land plan inclusion has the legal effect of concluding the service contract, which binds all domestic sickness funds.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Hospital plan inclusion and specified investment-program inclusion determine statutory funding eligibility, while inclusion or exclusion is made by administrative decision.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 8 para. 1" }, "material_id": "material:e6585cb4b91232e9b81b6ce7", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Eligibility is not proof of an actual grant or payment.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "while_clause_boundary", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "c7c0631d2efe1dfca004405d7017c3284995af35c155a1d24576d5f61d298f75" }, "statement": "Hospital plan inclusion and specified investment-program inclusion determine statutory funding eligibility, while inclusion or exclusion is made by administrative decision.", "tags": [], "territory": null, "title": "Hospital plan inclusion and specified investment-program inclusion determine statutory funding eligibility, while inclusion or exclusion is made by administrative decision.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/khg/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/khg/KHG.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Land fund associations, physician associations, and hospital representatives must conclude Land-level agreements aimed at seamless ambulatory and inpatient treatment.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 115 paras. 1 to 2" }, "material_id": "material:135167f4d2dc727fd7383542", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Acquire the selected Land's current agreement before asserting implementation.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "Land fund associations, physician associations, and hospital representatives must conclude Land-level agreements aimed at seamless ambulatory and inpatient treatment.", "tags": [], "territory": null, "title": "Land fund associations, physician associations, and hospital representatives must conclude Land-level agreements aimed at seamless ambulatory and inpatient treatment.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Land physician associations form national physician and dentist associations, and both levels are public-law corporations.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 77 paras. 4 to 5" }, "material_id": "material:c89a149700d989cc0bf70711", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Keep physician and dentist bodies distinct.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "Land physician associations form national physician and dentist associations, and both levels are public-law corporations.", "tags": [], "territory": null, "title": "Land physician associations form national physician and dentist associations, and both levels are public-law corporations.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Listed contracted and authorized clinicians are members of the physician association responsible for their practice seat, subject to the statutory conditions.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 77 para. 3" }, "material_id": "material:c184dd2fa516ff49d66f7318", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Do not infer every clinician or facility is a member.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "Listed contracted and authorized clinicians are members of the physician association responsible for their practice seat, subject to the statutory conditions.", "tags": [], "territory": null, "title": "Listed contracted and authorized clinicians are members of the physician association responsible for their practice seat, subject to the statutory conditions.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Physician associations and their national associations carry the statutory responsibility to secure contracted physician care within the scope defined by section 73.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 75 para. 1" }, "material_id": "material:fc2477da85de328ab239d671", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Review exceptions and transfers of the assurance responsibility.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "Physician associations and their national associations carry the statutory responsibility to secure contracted physician care within the scope defined by section 73.", "tags": [], "territory": null, "title": "Physician associations and their national associations carry the statutory responsibility to secure contracted physician care within the scope defined by section 73.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Sickness funds form the GKV-Spitzenverband, which is a public-law corporation.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 217a" }, "material_id": "material:1587e7e527b408c0f2c32969", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Membership does not erase each fund's legal identity.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "Sickness funds form the GKV-Spitzenverband, which is a public-law corporation.", "tags": [], "territory": null, "title": "Sickness funds form the GKV-Spitzenverband, which is a public-law corporation.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Sickness funds may arrange hospital treatment only through the statutory categories of admitted hospitals.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 108" }, "material_id": "material:d1fe780c24b414e856e7c1e9", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Keep university recognition, Land plan inclusion, service contract, and Bundeswehr designation as separate admission bases.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "Sickness funds may arrange hospital treatment only through the statutory categories of admitted hospitals.", "tags": [], "territory": null, "title": "Sickness funds may arrange hospital treatment only through the statutory categories of admitted hospitals.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Social Code Book V provides the governing framework for legal relationships between sickness funds, their associations, listed provider groups, hospitals, and their associations.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 69 para. 1" }, "material_id": "material:bf39c7897083a9b31bb0c287", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Preserve the statutes and regulations incorporated by reference.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "Social Code Book V provides the governing framework for legal relationships between sickness funds, their associations, listed provider groups, hospitals, and their associations.", "tags": [], "territory": null, "title": "Social Code Book V provides the governing framework for legal relationships between sickness funds, their associations, listed provider groups, hospitals, and their associations.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Statutory sickness funds are legally capable public-law corporations with self-administration.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`DEU-LAW-SGB-V`, s. 4 para. 1" }, "material_id": "material:19cc96f411a5a2bf3114e614", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Verify current commencement and legal translation.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Consolidation downloaded 2026-08-10", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "Statutory sickness funds are legally capable public-law corporations with self-administration.", "tags": [], "territory": null, "title": "Statutory sickness funds are legally capable public-law corporations with self-administration.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Federal Ministry of Health supervises the G-BA under section 91a.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 91a para. 1" }, "material_id": "material:17ba7b87de5d4e9f23ba5631", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Supervision must not be rendered as routine operational control.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "The Federal Ministry of Health supervises the G-BA under section 91a.", "tags": [], "territory": null, "title": "The Federal Ministry of Health supervises the G-BA under section 91a.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Federal Ministry's 2026 explanatory page reports sickness funds and physician associations as self-governing public-law bodies, but describes the DKG as privately organized.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "DEU-BMG-SELF-GOVERNANCE`, `Einrichtungen der Selbstverwaltung" }, "material_id": "material:9e760d681db64611a61c2481", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Cross-check legal form and membership against current entity instruments.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Page status 2026-01-08", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "6290cfaa7b4566e7f23024f3bebd38ad851e499dabe0b3348a2623a0a3456369" }, "statement": "The Federal Ministry's 2026 explanatory page reports sickness funds and physician associations as self-governing public-law bodies, but describes the DKG as privately organized.", "tags": [], "territory": null, "title": "The Federal Ministry's 2026 explanatory page reports sickness funds and physician associations as self-governing public-law bodies, but describes the DKG as privately organized.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.bundesgesundheitsministerium.de/gesundheitswesen-selbstverwaltung" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.bundesgesundheitsministerium.de/fileadmin/Dateien/5_Publikationen/Ministerium/Flyer_Poster_Etc/BMG_Infografik_Gesundheitssystem_bf.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The G-BA adopts directives across specified benefit, treatment, planning, and quality domains to secure adequate, appropriate, and economical care.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 92 para. 1" }, "material_id": "material:06d22f4e6962ecb99913be5b", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "A named benefit claim requires its current directive and decision record.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "The G-BA adopts directives across specified benefit, treatment, planning, and quality domains to secure adequate, appropriate, and economical care.", "tags": [], "territory": null, "title": "The G-BA adopts directives across specified benefit, treatment, planning, and quality domains to secure adequate, appropriate, and economical care.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The G-BA decision body combines impartial members with members nominated by the provider-side and sickness-fund organizations in the statutory allocation.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 91 para. 2" }, "material_id": "material:caba17cdfa33f8a71b048ee7", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Preserve sector-specific vote-transfer rules and current membership separately.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "The G-BA decision body combines impartial members with members nominated by the provider-side and sickness-fund organizations in the statutory allocation.", "tags": [], "territory": null, "title": "The G-BA decision body combines impartial members with members nominated by the provider-side and sickness-fund organizations in the statutory allocation.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The acquired G-BA hospital-reference-database shell does not expose a reproducible extract, schema, record period, or coverage statement.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "`DEU-GBA-HOSPITAL-REGISTRY`, root HTML shell" }, "material_id": "material:da42f63e186f295467bb4f70", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "No provider count, site count, coverage rate, or ownership claim may be inferred.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Downloaded 2026-08-10", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "c9ffbc8b5da6bfb5e2949b44991c5396b48a232fa5f99e99d148c0b73a5fcab2" }, "statement": "The acquired G-BA hospital-reference-database shell does not expose a reproducible extract, schema, record period, or coverage statement.", "tags": [], "territory": null, "title": "The acquired G-BA hospital-reference-database shell does not expose a reproducible extract, schema, record period, or coverage statement.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://qb-referenzdatenbank.g-ba.de/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The assurance responsibility includes appropriate and timely access and specified appointment-service functions.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 75 para. 1a" }, "material_id": "material:0449f5b21011f767e23846cc", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Map current subordinate rules and operational performance evidence.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "The assurance responsibility includes appropriate and timely access and specified appointment-service functions.", "tags": [], "territory": null, "title": "The assurance responsibility includes appropriate and timely access and specified appointment-service functions.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The national physician, dentist, hospital, and sickness-fund organizations form the G-BA.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 91 para. 1" }, "material_id": "material:2e3211673d2891dcbba1c27f", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Confirm current entity identities and statutory names.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "The national physician, dentist, hospital, and sickness-fund organizations form the G-BA.", "tags": [], "territory": null, "title": "The national physician, dentist, hospital, and sickness-fund organizations form the G-BA.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "When several hospitals compete for inclusion, the competent Land authority applies statutory public-interest, quality, provider-diversity, and planning criteria through bounded discretion.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 8 para. 2" }, "material_id": "material:585df0b2c4653903c0873b18", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Review current amendment commencement and the selected Land's procedure.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "c7c0631d2efe1dfca004405d7017c3284995af35c155a1d24576d5f61d298f75" }, "statement": "When several hospitals compete for inclusion, the competent Land authority applies statutory public-interest, quality, provider-diversity, and planning criteria through bounded discretion.", "tags": [], "territory": null, "title": "When several hospitals compete for inclusion, the competent Land authority applies statutory public-interest, quality, provider-diversity, and planning criteria through bounded discretion.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/khg/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/khg/KHG.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "With the stated exception, G-BA decisions bind its constituent organizations, their members and member funds, insured people, and providers.", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 91 para. 6" }, "material_id": "material:26e5665a8f756cbe8c37cfb8", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Review the section 136d exception and decision-specific effective dates.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Same", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b8f51a0addb36ae64b8f42476c3cd632b3112e3c0372ac1740fadb5d36bd988a" }, "statement": "With the stated exception, G-BA decisions bind its constituent organizations, their members and member funds, insured people, and providers.", "tags": [], "territory": null, "title": "With the stated exception, G-BA decisions bind its constituent organizations, their members and member funds, insured people, and providers.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gesetze-im-internet.de/sgb_5/" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.gesetze-im-internet.de/sgb_5/SGB_5.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Intergovernmental fiscal transfer in nine countries : lessons for developing countries. 1997. https://documents1.worldbank.org/curated/en/406481468771272831/pdf/multi-page.pdf", "country_ids": [ "DEU" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": "per capita transfers for health and education with federal conditions on accessibility", "institution": null, "locator": { "physical_pdf_page": 12, "source_word_anchor": "per capita transfers for health and education with federal conditions on accessibility", "source_word_count": 12 }, "material_id": "material:85f96842c6522114b51ea246", "notes": [], "origin": "global-corpus-excerpt-queue", "period": null, "publication_date": null, "publication_year": 1997, "record_kind": "corpus_page_anchor", "record_kind_label": "Corpus Page Anchor", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "101513f04a64e156597c875a9e9323862c096ec4a3dac11bae5e323ade67a79f", "page_count": 86, "text_sha256": "33dc1ae64dc1ab26da2d66f204d43d17cccc549e7d4b59a0c038aa3a6b231a05" }, "statement": null, "tags": [ "control_knob:organization", "language:en", "source:World Bank Documents and Reports", "source_layer:global_literature" ], "territory": null, "title": "Intergovernmental fiscal transfer in nine countries : lessons for developing countries", "urls": [ { "kind": "stable_source_url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/406481468771272831/pdf/multi-page.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "OECD and European Observatory on Health Systems and Policies. Country Health Profile 2025: Germany. 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