German Practice Management FHIR Profiles (R4)
0.71.0 - STU1
DE
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
{
"resourceType" : "Claim",
"id" : "PraxisPreliminaryBillingClaimExample",
"meta" : {
"profile" : [
🔗 "https://fhir.cognovis.de/praxis/StructureDefinition/praxis-preliminary-billing-claim-de"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim PraxisPreliminaryBillingClaimExample</b></p><a name=\"PraxisPreliminaryBillingClaimExample\"> </a><a name=\"hcPraxisPreliminaryBillingClaimExample\"> </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-preliminary-billing-claim-de.html\">Praxis Preliminary Billing 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 vorlaeufig}\">Preliminary Billing Claim</span></p><p><b>use</b>: Predetermination</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>: 2024-04-01 08:00:00+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><blockquote><p><b>diagnosis</b></p><p><b>sequence</b>: 1</p><p><b>diagnosis</b>: <a href=\"Condition-BillingClaimQuarterDiabetesConfirmedCondition.html\">Condition Diabetes mellitus, Typ 2, ohne Komplikationen</a></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>sequence</b>: 2</p><p><b>diagnosis</b>: <a href=\"Condition-BillingClaimQuarterDiabetesSuspectedCondition.html\">Condition Diabetes mellitus, Typ 2, ohne Komplikationen</a></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>sequence</b>: 3</p><p><b>diagnosis</b>: <a href=\"Condition-BillingClaimQuarterBackPainRightCondition.html\">Condition Lumboischialgie</a></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>sequence</b>: 4</p><p><b>diagnosis</b>: <a href=\"Condition-BillingClaimQuarterBackPainLeftCondition.html\">Condition Lumboischialgie</a></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>sequence</b>: 5</p><p><b>diagnosis</b>: <a href=\"Condition-BillingClaimQuarterBackPainDuplicateACondition.html\">Condition Lumboischialgie</a></p></blockquote><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><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_EBM 03000}\">Hausarztpauschale</span></p><p><b>quantity</b>: 1 1<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code1 = '1')</span></p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 2</p><p><b>productOrService</b>: <span title=\"Codes:{https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_EBM 03220}\">Chronikerzuschlag</span></p><p><b>quantity</b>: 1 1<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code1 = '1')</span></p></blockquote></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" : "vorlaeufig"
}
]
},
"use" : "predetermination",
"patient" : {
🔗 "reference" : "Patient/BillingClaimPatientExample"
},
"created" : "2024-04-01T08:00:00+02:00",
"insurer" : {
🔗 "reference" : "Organization/BillingClaimGKVInsurerExample"
},
"provider" : {
🔗 "reference" : "Practitioner/BillingClaimPractitionerExample"
},
"priority" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/processpriority",
"code" : "normal"
}
]
},
"diagnosis" : [
{
"sequence" : 1,
"diagnosisReference" : {
🔗 "reference" : "Condition/BillingClaimQuarterDiabetesConfirmedCondition"
}
},
{
"sequence" : 2,
"diagnosisReference" : {
🔗 "reference" : "Condition/BillingClaimQuarterDiabetesSuspectedCondition"
}
},
{
"sequence" : 3,
"diagnosisReference" : {
🔗 "reference" : "Condition/BillingClaimQuarterBackPainRightCondition"
}
},
{
"sequence" : 4,
"diagnosisReference" : {
🔗 "reference" : "Condition/BillingClaimQuarterBackPainLeftCondition"
}
},
{
"sequence" : 5,
"diagnosisReference" : {
🔗 "reference" : "Condition/BillingClaimQuarterBackPainDuplicateACondition"
}
}
],
"insurance" : [
{
"sequence" : 1,
"focal" : true,
"coverage" : {
"display" : "TK GKV-Versicherung"
}
}
],
"item" : [
{
"sequence" : 1,
"productOrService" : {
"coding" : [
{
"system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_EBM",
"code" : "03000",
"display" : "Hausarztpauschale"
}
]
},
"quantity" : {
"value" : 1,
"system" : "http://unitsofmeasure.org",
"code" : "1"
}
},
{
"sequence" : 2,
"productOrService" : {
"coding" : [
{
"system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_EBM",
"code" : "03220",
"display" : "Chronikerzuschlag"
}
]
},
"quantity" : {
"value" : 1,
"system" : "http://unitsofmeasure.org",
"code" : "1"
}
}
]
}