German Practice Management FHIR Profiles (R4) - Local Development build (v0.71.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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• JSON
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: GKV Claim Example - JSON Representation

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{
  "resourceType" : "Claim",
  "id" : "PraxisGKVClaimExample",
  "meta" : {
    "profile" : [
      🔗 "https://fhir.cognovis.de/praxis/StructureDefinition/praxis-gkv-claim-de"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim PraxisGKVClaimExample</b></p><a name=\"PraxisGKVClaimExample\"> </a><a name=\"hcPraxisGKVClaimExample\"> </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-praxis-gkv-claim-de.html\">Praxis GKV Claim 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>subType</b>: <span title=\"Codes:{https://fhir.cognovis.de/praxis/CodeSystem/billing-claim-subtype gkv}\">GKV Final Claim</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href=\"Patient-BillingClaimPatientExample.html\">Erika Musterfrau  Female, DoB: 1965-07-20 ( http://fhir.de/NamingSystem/gkv/kvid-10#A987654321)</a></p><p><b>created</b>: 2024-04-30 10:00:00+0200</p><p><b>insurer</b>: <a href=\"Organization-BillingClaimGKVInsurerExample.html\">Organization Techniker Krankenkasse</a></p><p><b>provider</b>: <a href=\"Practitioner-BillingClaimPractitionerExample.html\">Practitioner Hans Mueller </a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><h3>Relateds</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Claim</b></td><td><b>Relationship</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Claim-PraxisPreliminaryBillingClaimExample.html\">Claim: status = active; type = Professional; subType = Preliminary Billing Claim; use = predetermination; created = 2024-04-01 08:00:00+0200; priority = Normal</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship associated}\">Associated Claim</span></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>TK GKV-Versicherung</td></tr></table></div>"
  },
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
        "code" : "professional"
      }
    ]
  },
  "subType" : {
    "coding" : [
      {
        "system" : "https://fhir.cognovis.de/praxis/CodeSystem/billing-claim-subtype",
        "code" : "gkv"
      }
    ]
  },
  "use" : "claim",
  "patient" : {
    🔗 "reference" : "Patient/BillingClaimPatientExample"
  },
  "created" : "2024-04-30T10:00:00+02:00",
  "insurer" : {
    🔗 "reference" : "Organization/BillingClaimGKVInsurerExample"
  },
  "provider" : {
    🔗 "reference" : "Practitioner/BillingClaimPractitionerExample"
  },
  "priority" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
        "code" : "normal"
      }
    ]
  },
  "related" : [
    {
      "claim" : {
        🔗 "reference" : "Claim/PraxisPreliminaryBillingClaimExample"
      },
      "relationship" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship",
            "code" : "associated"
          }
        ]
      }
    }
  ],
  "insurance" : [
    {
      "sequence" : 1,
      "focal" : true,
      "coverage" : {
        "display" : "TK GKV-Versicherung"
      }
    }
  ]
}