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

: Praxis Billing Claim SubType - JSON Representation

Active as of 2026-05-30

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{
  "resourceType" : "CodeSystem",
  "id" : "billing-claim-subtype",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem billing-claim-subtype</b></p><a name=\"billing-claim-subtype\"> </a><a name=\"hcbilling-claim-subtype\"> </a><p>This case-sensitive code system <code>https://fhir.cognovis.de/praxis/CodeSystem/billing-claim-subtype</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">vorlaeufig<a name=\"billing-claim-subtype-vorlaeufig\"> </a></td><td>Preliminary Billing Claim</td><td>Preliminary item-carrier claim (AW: Abrechnung_Vorlaeufig). Carries the billable service-line items. Referenced by all final claims via Claim.related.</td></tr><tr><td style=\"white-space:nowrap\">gkv<a name=\"billing-claim-subtype-gkv\"> </a></td><td>GKV Final Claim</td><td>Final statutory health insurance (GKV) billing claim (AW: Abrechnung_vertragsaerztlich). No item lines; references the preliminary claim.</td></tr><tr><td style=\"white-space:nowrap\">privat<a name=\"billing-claim-subtype-privat\"> </a></td><td>Private Final Claim</td><td>Final private billing claim (AW: Abrechnung_privat). No item lines; references the preliminary claim.</td></tr><tr><td style=\"white-space:nowrap\">bg<a name=\"billing-claim-subtype-bg\"> </a></td><td>BG Final Claim</td><td>Final occupational accident insurance (BG/DGUV) billing claim (AW: Abrechnung_BG). No item lines; references the preliminary claim.</td></tr><tr><td style=\"white-space:nowrap\">hzv-selektiv<a name=\"billing-claim-subtype-hzv-selektiv\"> </a></td><td>HZV / Selective Contract Final Claim</td><td>Final selective-contract or HZV billing claim (AW: Abrechnung_HzV_BesondereVersorgung_Selektiv). No item lines; references the preliminary claim.</td></tr></table></div>"
  },
  "url" : "https://fhir.cognovis.de/praxis/CodeSystem/billing-claim-subtype",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.3.7985.16.11"
    }
  ],
  "version" : "0.71.0",
  "name" : "PraxisBillingClaimSubTypeCS",
  "title" : "Praxis Billing Claim SubType",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-05-30T10:39:27+02:00",
  "publisher" : "cognovis GmbH",
  "contact" : [
    {
      "name" : "cognovis GmbH",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.cognovis.de"
        },
        {
          "system" : "email",
          "value" : "info@cognovis.de"
        }
      ]
    }
  ],
  "description" : "Machine-readable subType codes for the AW billing claim split. Each code identifies the role of a Claim resource within the AW-SST preliminary/final billing model.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "DE",
          "display" : "Germany"
        }
      ]
    }
  ],
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 5,
  "concept" : [
    {
      "code" : "vorlaeufig",
      "display" : "Preliminary Billing Claim",
      "definition" : "Preliminary item-carrier claim (AW: Abrechnung_Vorlaeufig). Carries the billable service-line items. Referenced by all final claims via Claim.related."
    },
    {
      "code" : "gkv",
      "display" : "GKV Final Claim",
      "definition" : "Final statutory health insurance (GKV) billing claim (AW: Abrechnung_vertragsaerztlich). No item lines; references the preliminary claim."
    },
    {
      "code" : "privat",
      "display" : "Private Final Claim",
      "definition" : "Final private billing claim (AW: Abrechnung_privat). No item lines; references the preliminary claim."
    },
    {
      "code" : "bg",
      "display" : "BG Final Claim",
      "definition" : "Final occupational accident insurance (BG/DGUV) billing claim (AW: Abrechnung_BG). No item lines; references the preliminary claim."
    },
    {
      "code" : "hzv-selektiv",
      "display" : "HZV / Selective Contract Final Claim",
      "definition" : "Final selective-contract or HZV billing claim (AW: Abrechnung_HzV_BesondereVersorgung_Selektiv). No item lines; references the preliminary claim."
    }
  ]
}