{
  "resourceType" : "Claim",
  "id" : "TestPraxisSelectiveContractClaimInstance",
  "meta" : {
    "profile" : ["https://fhir.cognovis.de/praxis/StructureDefinition/praxis-selective-contract-claim-de"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim TestPraxisSelectiveContractClaimInstance</b></p><a name=\"TestPraxisSelectiveContractClaimInstance\"> </a><a name=\"hcTestPraxisSelectiveContractClaimInstance\"> </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>: Draft</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-TestAWSSTPatient.html\">Test  (no stated gender), DoB Unknown</a></p><p><b>created</b>: 2024-01-01</p><p><b>insurer</b>: <a href=\"Organization-TestAWSSTInsurerOrg.html\">Organization Test Insurer</a></p><p><b>provider</b>: Test Provider</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-TestPraxisPreliminaryBillingClaimInstance.html\">Claim: status = draft; type = Professional; subType = Preliminary Billing Claim; use = predetermination; created = 2024-01-01; 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>Test Coverage</td></tr></table></div>"
  },
  "status" : "draft",
  "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" : "hzv-selektiv"
    }]
  },
  "use" : "claim",
  "patient" : {
    "reference" : "Patient/TestAWSSTPatient"
  },
  "created" : "2024-01-01",
  "insurer" : {
    "reference" : "Organization/TestAWSSTInsurerOrg"
  },
  "provider" : {
    "display" : "Test Provider"
  },
  "priority" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
      "code" : "normal"
    }]
  },
  "related" : [{
    "claim" : {
      "reference" : "Claim/TestPraxisPreliminaryBillingClaimInstance"
    },
    "relationship" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship",
        "code" : "associated"
      }]
    }
  }],
  "insurance" : [{
    "sequence" : 1,
    "focal" : true,
    "coverage" : {
      "display" : "Test Coverage"
    }
  }]
}