German Dental FHIR Profiles (R4)
0.36.1 - trial-use DE

German Dental FHIR Profiles (R4) - Local Development build (v0.36.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Beispiel GKV-Abrechnungsanspruch Q1/2026 mit BEMA-Position - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Claim ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ExampleDentalClaimGkvQ1"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://fhir.cognovis.de/dental/StructureDefinition/dental-claim-de"^^xsd:anyURI ;
fhir:l <https://fhir.cognovis.de/dental/StructureDefinition/dental-claim-de>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim ExampleDentalClaimGkvQ1</b></p><a name=\"ExampleDentalClaimGkvQ1\"> </a><a name=\"hcExampleDentalClaimGkvQ1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-dental-claim-de.html\">Zahnärztlicher Abrechnungsanspruch (DE)</a></p></div><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type professional}\">Professional</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href=\"Patient-pat-gkv-01.html\">Klaus Bergmann (official) (no stated gender), DoB: 1962-04-17 ( Krankenversichertennummer)</a></p><p><b>billablePeriod</b>: 2026-01-01 --&gt; 2026-03-31</p><p><b>created</b>: 2026-01-31</p><p><b>insurer</b>: AOK Bayern</p><p><b>provider</b>: <a href=\"PractitionerRole-role-schoell-gibitzenhof.html\">PractitionerRole Doctor</a></p><p><b>priority</b>: <span title=\"Codes:\">normal</span></p><h3>SupportingInfos</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Category</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claiminformationcategory info}\">Information</span></td><td><a href=\"ChargeItem-ExampleBemaChargeItem.html\">ChargeItem Kompositfüllung dreiflächig</a></td></tr></table><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><a href=\"Condition-ExampleDentalCondition.html\">Condition Karies des Dentins</a></td></tr></table><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td><a href=\"Coverage-cov-gkv-01-aok.html\">Coverage: status = active; type = Gesetzliche Krankenversicherung; period = 2020-01-01 --&gt; (ongoing)</a></td></tr></table><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>ProductOrService</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><span title=\"Codes:{http://fhir.de/CodeSystem/kzbv/bema 13c}\">Kompositfüllung dreiflächig</span></td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:type [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/claim-type"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/claim-type>       ] ;
fhir:code [ fhir:v "professional" ]     ] )
  ] ; # 
  fhir:use [ fhir:v "claim"] ; # 
  fhir:patient [
fhir:l fhir:Patient/pat-gkv-01 ;
fhir:reference [ fhir:v "Patient/pat-gkv-01" ]
  ] ; # 
  fhir:billablePeriod [
fhir:start [ fhir:v "2026-01-01"^^xsd:date ] ;
fhir:end [ fhir:v "2026-03-31"^^xsd:date ]
  ] ; # 
  fhir:created [ fhir:v "2026-01-31"^^xsd:date] ; # 
  fhir:insurer [
fhir:display [ fhir:v "AOK Bayern" ]
  ] ; # 
  fhir:provider [
fhir:l fhir:PractitionerRole/role-schoell-gibitzenhof ;
fhir:reference [ fhir:v "PractitionerRole/role-schoell-gibitzenhof" ]
  ] ; # 
  fhir:priority [
    ( fhir:coding [
fhir:code [ fhir:v "normal" ]     ] )
  ] ; # 
  fhir:supportingInfo ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:category [
      ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/claiminformationcategory"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/claiminformationcategory>         ] ;
fhir:code [ fhir:v "info" ]       ] )     ] ;
fhir:value [
a fhir:Reference ;
fhir:l fhir:ChargeItem/ExampleBemaChargeItem ;
fhir:reference [ fhir:v "ChargeItem/ExampleBemaChargeItem" ]     ]
  ] ) ; # 
  fhir:diagnosis ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:diagnosis [
a fhir:Reference ;
fhir:l fhir:Condition/ExampleDentalCondition ;
fhir:reference [ fhir:v "Condition/ExampleDentalCondition" ]     ]
  ] ) ; # 
  fhir:insurance ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:focal [ fhir:v true ] ;
fhir:coverage [
fhir:l fhir:Coverage/cov-gkv-01-aok ;
fhir:reference [ fhir:v "Coverage/cov-gkv-01-aok" ]     ]
  ] ) ; # 
  fhir:item ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:productOrService [
      ( fhir:coding [
fhir:system [
fhir:v "http://fhir.de/CodeSystem/kzbv/bema"^^xsd:anyURI ;
fhir:l <http://fhir.de/CodeSystem/kzbv/bema>         ] ;
fhir:code [ fhir:v "13c" ] ;
fhir:display [ fhir:v "Kompositfüllung dreiflächig" ]       ] )     ]
  ] ) . #