ExampleFestzuschussAmount2025
type: Claim
node role: treeRoot
resource.id:
  value: ExampleFestzuschussAmount2025
resource.meta:
  meta.profile:
    value: https://fhir.cognovis.de/dental/StructureDefinition/dental-claim-de
    index: 0
    link: https://fhir.cognovis.de/dental/StructureDefinition/dental-claim-de
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative: Claim ExampleFestzuschussAmount2025 Profile: Zahnärztlicher Abrechnungsanspruch (DE) status: Active type: Professional use: Claim patient: Klaus Bergmann (official) (no stated gender), DoB: 1962-04-17 ( Krankenversichertennummer) created: 2025-06-01 insurer: Example statutory insurer provider: PractitionerRole Doctor priority: normal Insurances - Sequence Focal Coverage * 1 true Coverage: status = active; type = Gesetzliche Krankenversicherung; period = 2020-01-01 --> (ongoing) Items - Extension Sequence ProductOrService * 1 BEMA-91d
claim.status:
  value: active
claim.type:
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/claim-type
    coding.code:
      value: professional
claim.use:
  value: claim
claim.patient:
  link: https://fhir.cognovis.de/dental/Patient/pat-gkv-01
  reference.reference:
    value: Patient/pat-gkv-01
claim.created:
  value: 2025-06-01
claim.insurer:
  reference.display:
    value: Example statutory insurer
claim.provider:
  link: https://fhir.cognovis.de/dental/PractitionerRole/role-schoell-gibitzenhof
  reference.reference:
    value: PractitionerRole/role-schoell-gibitzenhof
claim.priority:
  codeable concept.coding:
    index: 0
    coding.code:
      value: normal
claim.insurance:
  index: 0
  claim.insurance.sequence:
    value: 1
  claim.insurance.focal:
    value: true
  claim.insurance.coverage:
    link: https://fhir.cognovis.de/dental/Coverage/cov-gkv-01-aok
    reference.reference:
      value: Coverage/cov-gkv-01-aok
claim.item:
  index: 0
  element.extension:
    index: 0
    element.extension:
      index: 0
      extension.url:
        value: finding
    element.extension:
      index: 1
      extension.url:
        value: benefitPercentage
      extension.value positive int:
        value: 60
    element.extension:
      index: 2
      extension.url:
        value: amount
    element.extension:
      index: 3
      extension.url:
        value: effectivePeriod
    element.extension:
      index: 4
      extension.url:
        value: source
      extension.value uri:
        value: https://example.org/festzuschuss/synthetic/2025
    extension.url:
      value: https://fhir.cognovis.de/dental/StructureDefinition/festzuschuss-betrag
  claim.item.sequence:
    value: 1
  claim.item.product or service:
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://fhir.de/CodeSystem/kzbv/bema
      coding.code:
        value: 91d
      coding.display:
        value: BEMA-91d

value: 1.1

value: Festzuschuss-Befund 1.1

value: 120

value: EUR

value: 2025-01-01

value: 2025-12-31