@prefix fhir: . @prefix owl: . @prefix rdf: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:Claim ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "PraxisPreliminaryBillingClaimExample"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/praxis-preliminary-billing-claim-de"^^xsd:anyURI ; fhir:l ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div [ fhir:v "

Generated Narrative: Claim PraxisPreliminaryBillingClaimExample

status: Active

type: Professional

subType: Preliminary Billing Claim

use: Predetermination

patient: Erika Musterfrau Female, DoB: 1965-07-20 ( http://fhir.de/NamingSystem/gkv/kvid-10#A987654321)

created: 2024-04-01 08:00:00+0200

insurer: Organization Techniker Krankenkasse

provider: Practitioner Hans Mueller

priority: Normal

diagnosis

sequence: 1

diagnosis: Condition Diabetes mellitus, Typ 2, ohne Komplikationen

diagnosis

sequence: 2

diagnosis: Condition Diabetes mellitus, Typ 2, ohne Komplikationen

diagnosis

sequence: 3

diagnosis: Condition Lumboischialgie

diagnosis

sequence: 4

diagnosis: Condition Lumboischialgie

diagnosis

sequence: 5

diagnosis: Condition Lumboischialgie

Insurances

-SequenceFocalCoverage
*1trueTK GKV-Versicherung

item

sequence: 1

productOrService: Hausarztpauschale

quantity: 1 1 (Details: UCUM code1 = '1')

item

sequence: 2

productOrService: Chronikerzuschlag

quantity: 1 1 (Details: UCUM code1 = '1')

"^^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 ] ; fhir:code [ fhir:v "professional" ] ] ) ] ; # fhir:subType [ fhir:coding ( [ fhir:system [ fhir:v "https://fhir.cognovis.de/praxis/CodeSystem/billing-claim-subtype"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "vorlaeufig" ] ] ) ] ; # fhir:use [ fhir:v "predetermination"] ; # fhir:patient [ fhir:l ; fhir:reference [ fhir:v "Patient/BillingClaimPatientExample" ] ] ; # fhir:created [ fhir:v "2024-04-01T08:00:00+02:00"^^xsd:dateTime] ; # fhir:insurer [ fhir:l ; fhir:reference [ fhir:v "Organization/BillingClaimGKVInsurerExample" ] ] ; # fhir:provider [ fhir:l ; fhir:reference [ fhir:v "Practitioner/BillingClaimPractitionerExample" ] ] ; # fhir:priority [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/processpriority"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "normal" ] ] ) ] ; # fhir:diagnosis ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:diagnosis [ a fhir:Reference ; fhir:l ; fhir:reference [ fhir:v "Condition/BillingClaimQuarterDiabetesConfirmedCondition" ] ] ] [ fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ; fhir:diagnosis [ a fhir:Reference ; fhir:l ; fhir:reference [ fhir:v "Condition/BillingClaimQuarterDiabetesSuspectedCondition" ] ] ] [ fhir:sequence [ fhir:v "3"^^xsd:positiveInteger ] ; fhir:diagnosis [ a fhir:Reference ; fhir:l ; fhir:reference [ fhir:v "Condition/BillingClaimQuarterBackPainRightCondition" ] ] ] [ fhir:sequence [ fhir:v "4"^^xsd:positiveInteger ] ; fhir:diagnosis [ a fhir:Reference ; fhir:l ; fhir:reference [ fhir:v "Condition/BillingClaimQuarterBackPainLeftCondition" ] ] ] [ fhir:sequence [ fhir:v "5"^^xsd:positiveInteger ] ; fhir:diagnosis [ a fhir:Reference ; fhir:l ; fhir:reference [ fhir:v "Condition/BillingClaimQuarterBackPainDuplicateACondition" ] ] ] ) ; # fhir:insurance ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:focal [ fhir:v true ] ; fhir:coverage [ fhir:display [ fhir:v "TK GKV-Versicherung" ] ] ] ) ; # fhir:item ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:productOrService [ fhir:coding ( [ fhir:system [ fhir:v "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_EBM"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "03000" ] ; fhir:display [ fhir:v "Hausarztpauschale" ] ] ) ] ; fhir:quantity [ fhir:value [ fhir:v "1"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "1" ] ] ] [ fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ; fhir:productOrService [ fhir:coding ( [ fhir:system [ fhir:v "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_EBM"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "03220" ] ; fhir:display [ fhir:v "Chronikerzuschlag" ] ] ) ] ; fhir:quantity [ fhir:value [ fhir:v "1"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "1" ] ] ] ) . # # -------------------------------------------------------------------------------------