{
  "resourceType" : "Claim",
  "id" : "ExampleZeEigenanteilAndersartigClaim",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim ExampleZeEigenanteilAndersartigClaim</b></p><a name=\"ExampleZeEigenanteilAndersartigClaim\"> </a><a name=\"hcExampleZeEigenanteilAndersartigClaim\"> </a><p><b>ZE Bonus-Prozent</b>: 70</p><p><b>Eigenanteil Regelversorgung</b>: <span title=\"Euro\">€180,00</span> (EUR)</p><p><b>Eigenanteil andersartige Versorgung</b>: <span title=\"Euro\">€580,00</span> (EUR)</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type oral}\">Oral</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href=\"Patient-pat-gkv-dental-01.html\">Aylin Özdemir (official) (no stated gender), DoB: 1988-03-14 ( Krankenversichertennummer)</a></p><p><b>created</b>: 2026-02-10</p><p><b>provider</b>: <a href=\"PractitionerRole-role-schoell-gibitzenhof.html\">PractitionerRole Doctor</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">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-dental-01-gkv.html\">Coverage: status = active; type = Gesetzliche Krankenversicherung; period = 2024-01-01 --&gt; (ongoing)</a></td></tr></table></div>"
  },
  "extension" : [{
    "url" : "https://fhir.cognovis.de/dental/StructureDefinition/ze-bonus-prozent",
    "valueInteger" : 70
  },
  {
    "url" : "https://fhir.cognovis.de/dental/StructureDefinition/eigenanteil-regelversorgung",
    "valueMoney" : {
      "value" : 180,
      "currency" : "EUR"
    }
  },
  {
    "url" : "https://fhir.cognovis.de/dental/StructureDefinition/eigenanteil-andersartig",
    "valueMoney" : {
      "value" : 580,
      "currency" : "EUR"
    }
  }],
  "status" : "active",
  "type" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
      "code" : "oral",
      "display" : "Oral"
    }]
  },
  "use" : "claim",
  "patient" : {
    "reference" : "Patient/pat-gkv-dental-01"
  },
  "created" : "2026-02-10",
  "provider" : {
    "reference" : "PractitionerRole/role-schoell-gibitzenhof"
  },
  "priority" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
      "code" : "normal"
    }]
  },
  "insurance" : [{
    "sequence" : 1,
    "focal" : true,
    "coverage" : {
      "reference" : "Coverage/cov-gkv-dental-01-gkv"
    }
  }]
}