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

: Preliminary Billing Claim Example - XML Representation

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<Claim xmlns="http://hl7.org/fhir">
  <id value="PraxisPreliminaryBillingClaimExample"/>
  <meta>
    <profile
             value="https://fhir.cognovis.de/praxis/StructureDefinition/praxis-preliminary-billing-claim-de"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
      <code value="professional"/>
    </coding>
  </type>
  <subType>
    <coding>
      <system
              value="https://fhir.cognovis.de/praxis/CodeSystem/billing-claim-subtype"/>
      <code value="vorlaeufig"/>
    </coding>
  </subType>
  <use value="predetermination"/>
  <patient>🔗 
    <reference value="Patient/BillingClaimPatientExample"/>
  </patient>
  <created value="2024-04-01T08:00:00+02:00"/>
  <insurer>🔗 
    <reference value="Organization/BillingClaimGKVInsurerExample"/>
  </insurer>
  <provider>🔗 
    <reference value="Practitioner/BillingClaimPractitionerExample"/>
  </provider>
  <priority>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/processpriority"/>
      <code value="normal"/>
    </coding>
  </priority>
  <diagnosis>
    <sequence value="1"/>
    <diagnosisReference>🔗 
      <reference
                 value="Condition/BillingClaimQuarterDiabetesConfirmedCondition"/>
    </diagnosisReference>
  </diagnosis>
  <diagnosis>
    <sequence value="2"/>
    <diagnosisReference>🔗 
      <reference
                 value="Condition/BillingClaimQuarterDiabetesSuspectedCondition"/>
    </diagnosisReference>
  </diagnosis>
  <diagnosis>
    <sequence value="3"/>
    <diagnosisReference>🔗 
      <reference value="Condition/BillingClaimQuarterBackPainRightCondition"/>
    </diagnosisReference>
  </diagnosis>
  <diagnosis>
    <sequence value="4"/>
    <diagnosisReference>🔗 
      <reference value="Condition/BillingClaimQuarterBackPainLeftCondition"/>
    </diagnosisReference>
  </diagnosis>
  <diagnosis>
    <sequence value="5"/>
    <diagnosisReference>🔗 
      <reference
                 value="Condition/BillingClaimQuarterBackPainDuplicateACondition"/>
    </diagnosisReference>
  </diagnosis>
  <insurance>
    <sequence value="1"/>
    <focal value="true"/>
    <coverage>
      <display value="TK GKV-Versicherung"/>
    </coverage>
  </insurance>
  <item>
    <sequence value="1"/>
    <productOrService>
      <coding>
        <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_EBM"/>
        <code value="03000"/>
        <display value="Hausarztpauschale"/>
      </coding>
    </productOrService>
    <quantity>
      <value value="1"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="1"/>
    </quantity>
  </item>
  <item>
    <sequence value="2"/>
    <productOrService>
      <coding>
        <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_EBM"/>
        <code value="03220"/>
        <display value="Chronikerzuschlag"/>
      </coding>
    </productOrService>
    <quantity>
      <value value="1"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="1"/>
    </quantity>
  </item>
</Claim>