German Dental FHIR Profiles (R4)
0.41.6 - trial-use Germany

German Dental FHIR Profiles (R4) - Local Development build (v0.41.6) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Beispiel GKV-Abrechnungsanspruch Q1/2026 mit BEMA-Position - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Claim/ExampleDentalClaimGkvQ1> a fhir:Claim ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "ExampleDentalClaimGkvQ1"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.cognovis.de/dental/StructureDefinition/dental-claim-de" ;
       fhir:index 0 ;
       fhir:link <https://fhir.cognovis.de/dental/StructureDefinition/dental-claim-de>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim ExampleDentalClaimGkvQ1</b></p><a name=\"ExampleDentalClaimGkvQ1\"> </a><a name=\"hcExampleDentalClaimGkvQ1\"> </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-dental-claim-de.html\">Zahnärztlicher Abrechnungsanspruch (DE)</a></p></div><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type professional}\">Professional</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href=\"Patient-pat-gkv-01.html\">Klaus Bergmann (official) (no stated gender), DoB: 1962-04-17 ( Krankenversichertennummer)</a></p><p><b>billablePeriod</b>: 2026-01-01 --&gt; 2026-03-31</p><p><b>created</b>: 2026-01-31</p><p><b>insurer</b>: AOK Bayern</p><p><b>provider</b>: <a href=\"PractitionerRole-role-schoell-gibitzenhof.html\">PractitionerRole Doctor</a></p><p><b>priority</b>: <span title=\"Codes:\">normal</span></p><h3>SupportingInfos</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Category</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claiminformationcategory info}\">Information</span></td><td><a href=\"ChargeItem-ExampleBemaChargeItem.html\">ChargeItem Kompositfüllung dreiflächig</a></td></tr></table><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><a href=\"Condition-ExampleDentalCondition.html\">Condition Karies des Dentins</a></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><a href=\"Coverage-cov-gkv-01-aok.html\">Coverage: status = active; type = Gesetzliche Krankenversicherung; period = 2020-01-01 --&gt; (ongoing)</a></td></tr></table><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>ProductOrService</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><span title=\"Codes:{http://fhir.de/CodeSystem/kzbv/bema 13c}\">Kompositfüllung dreiflächig</span></td></tr></table></div>"
  ] ;
  fhir:Claim.status [ fhir:value "active"] ;
  fhir:Claim.type [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/claim-type" ] ;
       fhir:Coding.code [ fhir:value "professional" ]
     ]
  ] ;
  fhir:Claim.use [ fhir:value "claim"] ;
  fhir:Claim.patient [
     fhir:link <http://hl7.org/fhir/Patient/pat-gkv-01> ;
     fhir:Reference.reference [ fhir:value "Patient/pat-gkv-01" ]
  ] ;
  fhir:Claim.billablePeriod [
     fhir:Period.start [ fhir:value "2026-01-01"^^xsd:date ] ;
     fhir:Period.end [ fhir:value "2026-03-31"^^xsd:date ]
  ] ;
  fhir:Claim.created [ fhir:value "2026-01-31"^^xsd:date] ;
  fhir:Claim.insurer [
     fhir:Reference.display [ fhir:value "AOK Bayern" ]
  ] ;
  fhir:Claim.provider [
     fhir:link <http://hl7.org/fhir/PractitionerRole/role-schoell-gibitzenhof> ;
     fhir:Reference.reference [ fhir:value "PractitionerRole/role-schoell-gibitzenhof" ]
  ] ;
  fhir:Claim.priority [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.code [ fhir:value "normal" ]
     ]
  ] ;
  fhir:Claim.supportingInfo [
     fhir:index 0 ;
     fhir:Claim.supportingInfo.sequence [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:Claim.supportingInfo.category [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/claiminformationcategory" ] ;
         fhir:Coding.code [ fhir:value "info" ]
       ]
     ] ;
     fhir:Claim.supportingInfo.valueReference [
       fhir:link <http://hl7.org/fhir/ChargeItem/ExampleBemaChargeItem> ;
       fhir:Reference.reference [ fhir:value "ChargeItem/ExampleBemaChargeItem" ]
     ]
  ] ;
  fhir:Claim.diagnosis [
     fhir:index 0 ;
     fhir:Claim.diagnosis.sequence [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:Claim.diagnosis.diagnosisReference [
       fhir:link <http://hl7.org/fhir/Condition/ExampleDentalCondition> ;
       fhir:Reference.reference [ fhir:value "Condition/ExampleDentalCondition" ]
     ]
  ] ;
  fhir:Claim.insurance [
     fhir:index 0 ;
     fhir:Claim.insurance.sequence [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:Claim.insurance.focal [ fhir:value "true"^^xsd:boolean ] ;
     fhir:Claim.insurance.coverage [
       fhir:link <http://hl7.org/fhir/Coverage/cov-gkv-01-aok> ;
       fhir:Reference.reference [ fhir:value "Coverage/cov-gkv-01-aok" ]
     ]
  ] ;
  fhir:Claim.item [
     fhir:index 0 ;
     fhir:Claim.item.sequence [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:Claim.item.productOrService [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.de/CodeSystem/kzbv/bema" ] ;
         fhir:Coding.code [ fhir:value "13c" ] ;
         fhir:Coding.display [ fhir:value "Kompositfüllung dreiflächig" ]
       ]
     ]
  ] .

<http://hl7.org/fhir/Patient/pat-gkv-01> a fhir:Patient .

<http://hl7.org/fhir/PractitionerRole/role-schoell-gibitzenhof> a fhir:PractitionerRole .

<http://hl7.org/fhir/ChargeItem/ExampleBemaChargeItem> a fhir:ChargeItem .

<http://hl7.org/fhir/Condition/ExampleDentalCondition> a fhir:Condition .

<http://hl7.org/fhir/Coverage/cov-gkv-01-aok> a fhir:Coverage .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Claim/ExampleDentalClaimGkvQ1.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Claim/ExampleDentalClaimGkvQ1.ttl> .