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 - XML Representation

Active as of 2026-05-30

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="billing-claim-subtype"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url
       value="https://fhir.cognovis.de/praxis/CodeSystem/billing-claim-subtype"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.3.7985.16.11"/>
  </identifier>
  <version value="0.71.0"/>
  <name value="PraxisBillingClaimSubTypeCS"/>
  <title value="Praxis Billing Claim SubType"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-05-30T10:39:27+02:00"/>
  <publisher value="cognovis GmbH"/>
  <contact>
    <name value="cognovis GmbH"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.cognovis.de"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="info@cognovis.de"/>
    </telecom>
  </contact>
  <description
               value="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 value="urn:iso:std:iso:3166"/>
      <code value="DE"/>
      <display value="Germany"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="5"/>
  <concept>
    <code value="vorlaeufig"/>
    <display value="Preliminary Billing Claim"/>
    <definition
                value="Preliminary item-carrier claim (AW: Abrechnung_Vorlaeufig). Carries the billable service-line items. Referenced by all final claims via Claim.related."/>
  </concept>
  <concept>
    <code value="gkv"/>
    <display value="GKV Final Claim"/>
    <definition
                value="Final statutory health insurance (GKV) billing claim (AW: Abrechnung_vertragsaerztlich). No item lines; references the preliminary claim."/>
  </concept>
  <concept>
    <code value="privat"/>
    <display value="Private Final Claim"/>
    <definition
                value="Final private billing claim (AW: Abrechnung_privat). No item lines; references the preliminary claim."/>
  </concept>
  <concept>
    <code value="bg"/>
    <display value="BG Final Claim"/>
    <definition
                value="Final occupational accident insurance (BG/DGUV) billing claim (AW: Abrechnung_BG). No item lines; references the preliminary claim."/>
  </concept>
  <concept>
    <code value="hzv-selektiv"/>
    <display value="HZV / Selective Contract Final Claim"/>
    <definition
                value="Final selective-contract or HZV billing claim (AW: Abrechnung_HzV_BesondereVersorgung_Selektiv). No item lines; references the preliminary claim."/>
  </concept>
</CodeSystem>