German Dental FHIR Profiles (R4)
0.41.6 - trial-use Germany

German Dental FHIR Profiles (R4) - Local Development build (v0.41.6) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: GOZ section 2 fee-agreement invoice - XML Representation

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<Invoice xmlns="http://hl7.org/fhir">
  <id value="ExampleGozAgreementInvoice"/>
  <meta>
    <profile
             value="https://fhir.cognovis.de/dental/StructureDefinition/goz-invoice-de"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Invoice ExampleGozAgreementInvoice</b></p><a name="ExampleGozAgreementInvoice"> </a><a name="hcExampleGozAgreementInvoice"> </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-goz-invoice-de.html">GOZ Invoice (DE)</a></p></div><p><b>Digitale Patientenrechnung Extension Behandlungsart</b>: <a href="http://terminology.hl7.org/7.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB">ActCode: AMB</a> (ambulatory)</p><p><b>Digitale Patientenrechnung Extension Fachrichtung</b>: <a href="https://simplifier.net/resolve?scope=de.gematik.dipag@1.0.8&amp;canonical=http://ihe-d.de/CodeSystems/AerztlicheFachrichtungen#AerztlicheFachrichtungen-MZKH">Aerztliche Fachrichtungen: MZKH</a> (Zahnmedizin)</p><p><b>identifier</b>: Rechnungsnummer/GOZ-2026-0003</p><p><b>status</b>: issued</p><p><b>subject</b>: <a href="Patient-pat-pkv-01.html">Charlotte von Hohenstein (official) Female, DoB: 1975-09-03</a></p><p><b>recipient</b>: <a href="Patient-pat-pkv-01.html">Private dental patient</a></p><p><b>date</b>: 2026-06-10 10:00:00+0200</p><h3>Participants</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Role</b></td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{https://gematik.de/fhir/dipag/CodeSystem/dipag-participant-role-cs leistungserbringer}">Leistungserbringer</span></td><td><a href="Practitioner-prac-schoell.html">Practitioner Martin Schöll (official)</a></td></tr></table><p><b>issuer</b>: <a href="Organization-org-dental-mvz.html">Organization Demo-Zahnarztpraxis MVZ Nürnberg</a></p><p><b>account</b>: <a href="Account-acct-dental-02-pkv-q1.html">Account: identifier = https://fhir.cognovis.de/praxis/sid/scheinNummer#ScheinNummer#PKV-2026-Q1-00002; status = active; type = PKV; servicePeriod = 2026-01-01 --&gt; 2026-03-31</a></p><blockquote><p><b>lineItem</b></p><p><b>sequence</b>: 1</p><p><b>chargeItem</b>: <a href="ChargeItem-ExampleGozChargeItemWithAgreement.html">ChargeItem GOZ-2080</a></p><blockquote><p><b>priceComponent</b></p><p><b>type</b>: base price</p><h3>Amounts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>180</td><td>Euro</td></tr></table></blockquote></blockquote><h3>TotalNets</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>180</td><td>Euro</td></tr></table><h3>TotalGrosses</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>180</td><td>Euro</td></tr></table></div>
  </text>
  <extension
             url="https://gematik.de/fhir/dipag/StructureDefinition/dipag-behandlungsart">
    <valueCoding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <code value="AMB"/>
      <display value="ambulatory"/>
    </valueCoding>
  </extension>
  <extension
             url="https://gematik.de/fhir/dipag/StructureDefinition/dipag-fachrichtung">
    <valueCoding>
      <system value="http://ihe-d.de/CodeSystems/AerztlicheFachrichtungen"/>
      <code value="MZKH"/>
      <display value="Zahnmedizin"/>
    </valueCoding>
  </extension>
  <identifier>
    <type>
      <coding>
        <system
                value="https://gematik.de/fhir/dipag/CodeSystem/dipag-rechnung-identifier-type-cs"/>
        <code value="invoice"/>
        <display value="Rechnungsnummer"/>
      </coding>
    </type>
    <system value="https://example.org/fhir/sid/dental-invoice"/>
    <value value="GOZ-2026-0003"/>
  </identifier>
  <status value="issued"/>
  <subject>🔗 
    <reference value="Patient/pat-pkv-01"/>
  </subject>
  <recipient>🔗 
    <reference value="Patient/pat-pkv-01"/>
    <identifier>
      <system value="http://fhir.de/sid/gkv/kvid-10"/>
      <value value="B123456789"/>
    </identifier>
    <display value="Private dental patient"/>
  </recipient>
  <date value="2026-06-10T10:00:00+02:00"/>
  <participant>
    <role>
      <coding>
        <system
                value="https://gematik.de/fhir/dipag/CodeSystem/dipag-participant-role-cs"/>
        <code value="leistungserbringer"/>
        <display value="Leistungserbringer"/>
      </coding>
    </role>
    <actor>🔗 
      <reference value="Practitioner/prac-schoell"/>
    </actor>
  </participant>
  <issuer>🔗 
    <reference value="Organization/org-dental-mvz"/>
  </issuer>
  <account>🔗 
    <reference value="Account/acct-dental-02-pkv-q1"/>
  </account>
  <lineItem>
    <sequence value="1"/>
    <chargeItemReference>🔗 
      <reference value="ChargeItem/ExampleGozChargeItemWithAgreement"/>
    </chargeItemReference>
    <priceComponent>
      <type value="base"/>
      <amount>
        <value value="180"/>
        <currency value="EUR"/>
      </amount>
    </priceComponent>
  </lineItem>
  <totalNet>
    <value value="180"/>
    <currency value="EUR"/>
  </totalNet>
  <totalGross>
    <value value="180"/>
    <currency value="EUR"/>
  </totalGross>
</Invoice>