{
  "resourceType" : "ChargeItem",
  "id" : "ExampleGozChargeItemWithAgreement",
  "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 ExampleGozChargeItemWithAgreement</b></p><a name=\"ExampleGozChargeItemWithAgreement\"> </a><a name=\"hcExampleGozChargeItemWithAgreement\"> </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><blockquote><p><b>Privatgebühr Steigerungsfaktor</b></p><ul><li>faktor: 4.5</li><li>schwellenwert: 2.3</li><li>leistungsart: persoenlich</li><li>begruendungstext: Besondere Schwierigkeit und erhöhter Zeitaufwand</li></ul></blockquote><blockquote><p><b>GOZ-Honorarvereinbarung nach § 2 Abs. 1 und 2</b></p><ul><li>document: <a href=\"DocumentReference-ExampleGozHonorarvereinbarung.html\">DocumentReference: status = current; type = Honorarvereinbarung nach § 2 Abs. 1 und 2 GOZ; date = 2026-05-20 10:00:00+0200</a></li><li>agreedOn: 2026-05-20</li><li>agreedAmount: <span title=\"Euro\">€180,00</span> (EUR)</li><li>reimbursementNoticeGiven: true</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 2080}\">GOZ-2080</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 (ActCode#AMB); period = 2026-01-22 --&gt; 2026-01-22</a></p><p><b>occurrence</b>: 2026-06-01</p><p><b>factorOverride</b>: 4.5</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>180</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"
      }]
    }
  },
  {
    "extension" : [{
      "url" : "faktor",
      "valueDecimal" : 4.5
    },
    {
      "url" : "schwellenwert",
      "valueDecimal" : 2.3
    },
    {
      "url" : "leistungsart",
      "valueCode" : "persoenlich"
    },
    {
      "url" : "begruendungstext",
      "valueString" : "Besondere Schwierigkeit und erhöhter Zeitaufwand"
    }],
    "url" : "https://fhir.cognovis.de/dental/StructureDefinition/privatgebuehr-steigerungsfaktor"
  },
  {
    "extension" : [{
      "url" : "document",
      "valueReference" : {
        "reference" : "DocumentReference/ExampleGozHonorarvereinbarung"
      }
    },
    {
      "url" : "agreedOn",
      "valueDate" : "2026-05-20"
    },
    {
      "url" : "agreedAmount",
      "valueMoney" : {
        "value" : 180,
        "currency" : "EUR"
      }
    },
    {
      "url" : "reimbursementNoticeGiven",
      "valueBoolean" : true
    }],
    "url" : "https://fhir.cognovis.de/dental/StructureDefinition/goz-honorarvereinbarung"
  },
  {
    "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" : "2080",
      "display" : "GOZ-2080"
    }]
  },
  "subject" : {
    "reference" : "Patient/pat-pkv-01"
  },
  "context" : {
    "reference" : "Encounter/enc-dental-02-privatschein"
  },
  "occurrenceDateTime" : "2026-06-01",
  "factorOverride" : 4.5,
  "priceOverride" : {
    "value" : 180,
    "currency" : "EUR"
  },
  "account" : [{
    "reference" : "Account/acct-dental-02-pkv-q1"
  }]
}