<?xml version="1.0" encoding="UTF-8"?>

<Claim xmlns="http://hl7.org/fhir">
  <id value="PraxisSelectiveContractClaimExample"/>
  <meta>
    <profile value="https://fhir.cognovis.de/praxis/StructureDefinition/praxis-selective-contract-claim-de"/>
  </meta>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Claim PraxisSelectiveContractClaimExample</b></p><a name="PraxisSelectiveContractClaimExample"> </a><a name="hcPraxisSelectiveContractClaimExample"> </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-selective-contract-claim-de.html">Praxis Selective Contract 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 hzv-selektiv}">HZV / Selective Contract 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 12:00:00+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 HZV-Selektivvertrag</td></tr></table></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="hzv-selektiv"/>
    </coding>
  </subType>
  <use value="claim"/>
  <patient>
    <reference value="Patient/BillingClaimPatientExample"/>
  </patient>
  <created value="2024-04-30T12:00:00+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>
  <related>
    <claim>
      <reference value="Claim/PraxisPreliminaryBillingClaimExample"/>
    </claim>
    <relationship>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship"/>
        <code value="associated"/>
      </coding>
    </relationship>
  </related>
  <insurance>
    <sequence value="1"/>
    <focal value="true"/>
    <coverage>
      <display value="TK HZV-Selektivvertrag"/>
    </coverage>
  </insurance>
</Claim>