{
  "resourceType" : "ChargeItem",
  "id" : "ExampleGozChargeItem",
  "meta" : {
    "profile" : ["https://fhir.cognovis.de/dental/StructureDefinition/goz-charge-item"]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ChargeItem ExampleGozChargeItem</b></p><a name=\"ExampleGozChargeItem\"> </a><a name=\"hcExampleGozChargeItem\"> </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-goz-charge-item.html\">GOZ Leistungsposition (DE)</a></p></div><p><b>Steuerkategorie</b>: <span title=\"Codes:{urn:un:unece:uncefact:codelist:standard:5305 E}\">Steuerfrei</span></p><p><b>FDI Zahnnummer</b>: 15</p><p><b>Zahnflächen</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/tooth-surfaces M}\">Mesial</span></p><p><b>Zahnflächen</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/tooth-surfaces O}\">Okklusal</span></p><blockquote><p><b>Privatgebühr Steigerungsfaktor</b></p><ul><li>faktor: 2.3</li><li>schwellenwert: 2.3</li><li>leistungsart: persoenlich</li></ul></blockquote><blockquote><p><b>Privatgebühr Analogleistung</b></p><ul><li>analoge-nummer: 2150</li><li>gebuehrenordnung: goz</li><li>begruendung: Keramik-Inlay CAD/CAM, Analogabrechnung nach §6 GOZ</li></ul></blockquote><p><b>Umsatzsteuerbefreiungsgrund</b>: <span title=\"Codes:{https://fhir.cognovis.de/praxis/CodeSystem/ust-befreiungsgrund para4-nr14a}\">§ 4 Nr. 14a UStG</span></p><p><b>status</b>: Billable</p><p><b>code</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bzaek/goz 2150}\">Aufbaufüllung</span></p><p><b>subject</b>: <a href=\"Patient-pat-pkv-01.html\">Charlotte von Hohenstein (official) Female, DoB: 1975-09-03</a></p><p><b>context</b>: <a href=\"Encounter-enc-dental-02-privatschein.html\">Encounter: identifier = https://example-dental-practice.de/fall-id#DENTAL-2026-0002; status = finished; class = ambulatory (v3 Code System ActCode#AMB); period = 2026-01-22 --&gt; 2026-01-22</a></p><p><b>occurrence</b>: 2026-01-22</p><p><b>bodysite</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/tooth-identification-fdi 15}\">Zahn 15 — zweiter oberer rechter Prämolar</span></p><p><b>factorOverride</b>: 2.3</p><h3>PriceOverrides</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>187.45</td><td>Euro</td></tr></table><p><b>account</b>: <a href=\"Account-acct-dental-02-pkv-q1.html\">Account: identifier = https://fhir.cognovis.de/praxis/sid/scheinNummer#ScheinNummer#PKV-2026-Q1-00002; status = active; type = PKV; servicePeriod = 2026-01-01 --&gt; 2026-03-31</a></p></div>"
  },
  "extension" : [{
    "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-category",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "urn:un:unece:uncefact:codelist:standard:5305",
        "code" : "E",
        "display" : "Steuerfrei"
      }]
    }
  },
  {
    "url" : "https://fhir.cognovis.de/dental/StructureDefinition/fdi-tooth-number",
    "valueCode" : "15"
  },
  {
    "url" : "https://fhir.cognovis.de/dental/StructureDefinition/tooth-surfaces",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.cognovis.de/dental/CodeSystem/tooth-surfaces",
        "code" : "M",
        "display" : "Mesial"
      }]
    }
  },
  {
    "url" : "https://fhir.cognovis.de/dental/StructureDefinition/tooth-surfaces",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.cognovis.de/dental/CodeSystem/tooth-surfaces",
        "code" : "O",
        "display" : "Okklusal"
      }]
    }
  },
  {
    "extension" : [{
      "url" : "faktor",
      "valueDecimal" : 2.3
    },
    {
      "url" : "schwellenwert",
      "valueDecimal" : 2.3
    },
    {
      "url" : "leistungsart",
      "valueCode" : "persoenlich"
    }],
    "url" : "https://fhir.cognovis.de/dental/StructureDefinition/privatgebuehr-steigerungsfaktor"
  },
  {
    "extension" : [{
      "url" : "analoge-nummer",
      "valueString" : "2150"
    },
    {
      "url" : "gebuehrenordnung",
      "valueCode" : "goz"
    },
    {
      "url" : "begruendung",
      "valueString" : "Keramik-Inlay CAD/CAM, Analogabrechnung nach §6 GOZ"
    }],
    "url" : "https://fhir.cognovis.de/dental/StructureDefinition/privatgebuehr-analog-reference"
  },
  {
    "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/ext-tax-exemption-reason",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.cognovis.de/praxis/CodeSystem/ust-befreiungsgrund",
        "code" : "para4-nr14a",
        "display" : "§ 4 Nr. 14a UStG"
      }]
    }
  }],
  "status" : "billable",
  "code" : {
    "coding" : [{
      "system" : "http://fhir.de/CodeSystem/bzaek/goz",
      "code" : "2150",
      "display" : "Aufbaufüllung"
    }]
  },
  "subject" : {
    "reference" : "Patient/pat-pkv-01"
  },
  "context" : {
    "reference" : "Encounter/enc-dental-02-privatschein"
  },
  "occurrenceDateTime" : "2026-01-22",
  "bodysite" : [{
    "coding" : [{
      "system" : "https://fhir.cognovis.de/dental/CodeSystem/tooth-identification-fdi",
      "code" : "15",
      "display" : "15"
    }],
    "text" : "Zahn 15 — zweiter oberer rechter Prämolar"
  }],
  "factorOverride" : 2.3,
  "priceOverride" : {
    "value" : 187.45,
    "currency" : "EUR"
  },
  "account" : [{
    "reference" : "Account/acct-dental-02-pkv-q1"
  }]
}