@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 -------------------------------------------------------------------

<https://fhir.cognovis.de/dental/Claim/ExampleFestzuschussAmount2025> a fhir:Claim ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "ExampleFestzuschussAmount2025"] ;
  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 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>"
  ] ;
  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 <https://fhir.cognovis.de/dental/Patient/pat-gkv-01> ;
     fhir:Reference.reference [ fhir:value "Patient/pat-gkv-01" ]
  ] ;
  fhir:Claim.created [ fhir:value "2025-06-01"^^xsd:date] ;
  fhir:Claim.insurer [
     fhir:Reference.display [ fhir:value "Example statutory insurer" ]
  ] ;
  fhir:Claim.provider [
     fhir:link <https://fhir.cognovis.de/dental/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.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 <https://fhir.cognovis.de/dental/Coverage/cov-gkv-01-aok> ;
       fhir:Reference.reference [ fhir:value "Coverage/cov-gkv-01-aok" ]
     ]
  ] ;
  fhir:Claim.item [
     fhir:index 0 ;
     fhir:Element.extension [
       fhir:index 0 ;
       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 "60"^^xsd:positiveInteger ]
       ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "amount" ] ;
         fhir:Extension.valueMoney [
           fhir:Money.value [ fhir:value "120"^^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 "2025-01-01"^^xsd:date ] ;
           fhir:Period.end [ fhir:value "2025-12-31"^^xsd:date ]
         ]
       ], [
         fhir:index 4 ;
         fhir:Extension.url [ fhir:value "source" ] ;
         fhir:Extension.valueUri [ fhir:value "https://example.org/festzuschuss/synthetic/2025" ]
       ] ;
       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.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" ]
       ]
     ]
  ] .

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

<https://fhir.cognovis.de/dental/Claim/ExampleFestzuschussAmount2025.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl .

# -------------------------------------------------------------------------------------