{
  "resourceType" : "Claim",
  "id" : "ExampleFestzuschussAmount2025",
  "meta" : {
    "profile" : ["https://fhir.cognovis.de/dental/StructureDefinition/dental-claim-de"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim ExampleFestzuschussAmount2025</b></p><a name=\"ExampleFestzuschussAmount2025\"> </a><a name=\"hcExampleFestzuschussAmount2025\"> </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>created</b>: 2025-06-01</p><p><b>insurer</b>: Example statutory insurer</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>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>Extension</b></td><td><b>Sequence</b></td><td><b>ProductOrService</b></td></tr><tr><td style=\"display: none\">*</td><td/><td>1</td><td><span title=\"Codes:{http://fhir.de/CodeSystem/kzbv/bema 91d}\">BEMA-91d</span></td></tr></table></div>"
  },
  "status" : "active",
  "type" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
      "code" : "professional"
    }]
  },
  "use" : "claim",
  "patient" : {
    "reference" : "Patient/pat-gkv-01"
  },
  "created" : "2025-06-01",
  "insurer" : {
    "display" : "Example statutory insurer"
  },
  "provider" : {
    "reference" : "PractitionerRole/role-schoell-gibitzenhof"
  },
  "priority" : {
    "coding" : [{
      "code" : "normal"
    }]
  },
  "insurance" : [{
    "sequence" : 1,
    "focal" : true,
    "coverage" : {
      "reference" : "Coverage/cov-gkv-01-aok"
    }
  }],
  "item" : [{
    "extension" : [{
      "extension" : [{
        "url" : "finding",
        "valueCoding" : {
          "system" : "https://fhir.cognovis.de/dental/CodeSystem/festzuschuss-befund",
          "code" : "1.1",
          "display" : "Festzuschuss-Befund 1.1"
        }
      },
      {
        "url" : "benefitPercentage",
        "valuePositiveInt" : 60
      },
      {
        "url" : "amount",
        "valueMoney" : {
          "value" : 120,
          "currency" : "EUR"
        }
      },
      {
        "url" : "effectivePeriod",
        "valuePeriod" : {
          "start" : "2025-01-01",
          "end" : "2025-12-31"
        }
      },
      {
        "url" : "source",
        "valueUri" : "https://example.org/festzuschuss/synthetic/2025"
      }],
      "url" : "https://fhir.cognovis.de/dental/StructureDefinition/festzuschuss-betrag"
    }],
    "sequence" : 1,
    "productOrService" : {
      "coding" : [{
        "system" : "http://fhir.de/CodeSystem/kzbv/bema",
        "code" : "91d",
        "display" : "BEMA-91d"
      }]
    }
  }]
}