@prefix fhir: . @prefix owl: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:Claim ; fhir:nodeRole fhir:treeRoot ; fhir:Resource.id [ fhir:value "ExampleDentalClaimMixed"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "https://fhir.cognovis.de/dental/StructureDefinition/dental-claim-de" ; fhir:index 0 ; fhir:link ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "extensions" ] ; fhir:Narrative.div "

Generated Narrative: Claim ExampleDentalClaimMixed

Profile: Zahnärztlicher Abrechnungsanspruch (DE)

status: Active

type: Professional

use: Claim

patient: Aylin Özdemir (official) (no stated gender), DoB: 1988-03-14 ( Krankenversichertennummer)

billablePeriod: 2026-05-01 --> 2026-05-31

created: 2026-05-31

insurer: Barmer

provider: PractitionerRole Doctor

priority: normal

supportingInfo
sequence: 1
category: Information
value: ChargeItem BEMA-91d

supportingInfo
sequence: 2
category: Information
value: ChargeItem GOZ-5040

Diagnoses

-	Sequence	Diagnosis[x]
*	1	Condition Karies des Dentins

insurance
sequence: 1
focal: true
coverage: Coverage: status = active; type = Gesetzliche Krankenversicherung; period = 2024-01-01 --> (ongoing)

insurance
sequence: 2
focal: false
coverage: Coverage: status = active; type = private Krankenversicherung; period = 2024-01-01 --> (ongoing)

item
ZE Versorgungsart: gleichartig
Versionierter Festzuschuss-Betrag
finding: Festzuschuss-Befund nach §55 SGB V: 1.1 (Festzuschuss-Befund 1.1)
benefitPercentage: 75
amount: €125,00 (EUR)
effectivePeriod: 2026-01-01 --> 2026-12-31
source: https://example.org/festzuschuss/synthetic/2026
sequence: 1
informationSequence: 1
productOrService: BEMA-91d
UnitPrices
- Value Currency
* 210 Euro
Nets
- Value Currency
* 210 Euro

item
ZE Versorgungsart: gleichartig
sequence: 2
informationSequence: 2
productOrService: GOZ-5040
UnitPrices
- Value Currency
* 480 Euro
factor: 1
Nets
- Value Currency
* 480 Euro

Totals

-	Value	Currency
*	690	Euro

" ] ; 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 ; fhir:Reference.reference [ fhir:value "Patient/pat-gkv-dental-01" ] ] ; fhir:Claim.billablePeriod [ fhir:Period.start [ fhir:value "2026-05-01"^^xsd:date ] ; fhir:Period.end [ fhir:value "2026-05-31"^^xsd:date ] ] ; fhir:Claim.created [ fhir:value "2026-05-31"^^xsd:date] ; fhir:Claim.insurer [ fhir:Reference.display [ fhir:value "Barmer" ] ] ; fhir:Claim.provider [ fhir:link ; 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 ; fhir:Reference.reference [ fhir:value "ChargeItem/ExampleMixedBemaChargeItem" ] ] ], [ fhir:index 1 ; fhir:Claim.supportingInfo.sequence [ fhir:value "2"^^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 ; fhir:Reference.reference [ fhir:value "ChargeItem/ExampleMixedGozChargeItem" ] ] ] ; fhir:Claim.diagnosis [ fhir:index 0 ; fhir:Claim.diagnosis.sequence [ fhir:value "1"^^xsd:positiveInteger ] ; fhir:Claim.diagnosis.diagnosisReference [ fhir:link ; fhir:Reference.reference [ fhir:value "Condition/ExampleMixedDentalCondition" ] ] ] ; 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 ; fhir:Reference.reference [ fhir:value "Coverage/cov-gkv-dental-01-gkv" ] ] ], [ fhir:index 1 ; fhir:Claim.insurance.sequence [ fhir:value "2"^^xsd:positiveInteger ] ; fhir:Claim.insurance.focal [ fhir:value "false"^^xsd:boolean ] ; fhir:Claim.insurance.coverage [ fhir:link ; fhir:Reference.reference [ fhir:value "Coverage/cov-zzv-dental-01" ] ] ] ; fhir:Claim.item [ fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/dental/StructureDefinition/ze-versorgungsart" ] ; fhir:Extension.valueCode [ fhir:value "gleichartig" ] ], [ fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "finding" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "https://fhir.cognovis.de/dental/CodeSystem/festzuschuss-befund" ] ; fhir:Coding.code [ fhir:value "1.1" ] ; fhir:Coding.display [ fhir:value "Festzuschuss-Befund 1.1" ] ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "benefitPercentage" ] ; fhir:Extension.valuePositiveInt [ fhir:value "75"^^xsd:positiveInteger ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "amount" ] ; fhir:Extension.valueMoney [ fhir:Money.value [ fhir:value "125"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "EUR" ] ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "effectivePeriod" ] ; fhir:Extension.valuePeriod [ fhir:Period.start [ fhir:value "2026-01-01"^^xsd:date ] ; fhir:Period.end [ fhir:value "2026-12-31"^^xsd:date ] ] ], [ fhir:index 4 ; fhir:Extension.url [ fhir:value "source" ] ; fhir:Extension.valueUri [ fhir:value "https://example.org/festzuschuss/synthetic/2026" ] ] ; fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/dental/StructureDefinition/festzuschuss-betrag" ] ] ; fhir:Claim.item.sequence [ fhir:value "1"^^xsd:positiveInteger ] ; fhir:Claim.item.informationSequence [ fhir:value "1"^^xsd:positiveInteger ; fhir:index 0 ] ; 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 "91d" ] ; fhir:Coding.display [ fhir:value "BEMA-91d" ] ] ] ; fhir:Claim.item.unitPrice [ fhir:Money.value [ fhir:value "210"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "EUR" ] ] ; fhir:Claim.item.net [ fhir:Money.value [ fhir:value "210"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "EUR" ] ] ], [ fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/dental/StructureDefinition/ze-versorgungsart" ] ; fhir:Extension.valueCode [ fhir:value "gleichartig" ] ] ; fhir:Claim.item.sequence [ fhir:value "2"^^xsd:positiveInteger ] ; fhir:Claim.item.informationSequence [ fhir:value "2"^^xsd:positiveInteger ; fhir:index 0 ] ; fhir:Claim.item.productOrService [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://fhir.de/CodeSystem/bzaek/goz" ] ; fhir:Coding.code [ fhir:value "5040" ] ; fhir:Coding.display [ fhir:value "GOZ-5040" ] ] ] ; fhir:Claim.item.unitPrice [ fhir:Money.value [ fhir:value "480"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "EUR" ] ] ; fhir:Claim.item.factor [ fhir:value "1"^^xsd:decimal ] ; fhir:Claim.item.net [ fhir:Money.value [ fhir:value "480"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "EUR" ] ] ] ; fhir:Claim.total [ fhir:Money.value [ fhir:value "690"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "EUR" ] ] . # - ontology header ------------------------------------------------------------ a owl:Ontology ; owl:imports fhir:fhir.ttl . # -------------------------------------------------------------------------------------