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 mixed-tax elective-service invoice - JSON Representation

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{
  "resourceType" : "Invoice",
  "id" : "ExampleGozMixedTaxInvoice",
  "meta" : {
    "profile" : [
      🔗 "https://fhir.cognovis.de/dental/StructureDefinition/goz-invoice-de"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Invoice ExampleGozMixedTaxInvoice</b></p><a name=\"ExampleGozMixedTaxInvoice\"> </a><a name=\"hcExampleGozMixedTaxInvoice\"> </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-2026-0002</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>: 2026-02-20 10:00:00+0100</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-ExampleGozChargeItem.html\">ChargeItem Aufbaufüllung</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>187.45</td><td>Euro</td></tr></table></blockquote></blockquote><blockquote><p><b>lineItem</b></p><p><b>sequence</b>: 2</p><p><b>chargeItem</b>: <a href=\"ChargeItem-ExampleGozChargeItemVerlangens.html\">ChargeItem Adhäsive Befestigung</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>178.5</td><td>Euro</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: tax</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>28.5</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>337.45</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>365.95</td><td>Euro</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "https://gematik.de/fhir/dipag/StructureDefinition/dipag-behandlungsart",
      "valueCoding" : {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "AMB",
        "display" : "ambulatory"
      }
    },
    {
      "url" : "https://gematik.de/fhir/dipag/StructureDefinition/dipag-fachrichtung",
      "valueCoding" : {
        "system" : "http://ihe-d.de/CodeSystems/AerztlicheFachrichtungen",
        "code" : "MZKH",
        "display" : "Zahnmedizin"
      }
    }
  ],
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "https://gematik.de/fhir/dipag/CodeSystem/dipag-rechnung-identifier-type-cs",
            "code" : "invoice",
            "display" : "Rechnungsnummer"
          }
        ]
      },
      "system" : "https://example.org/fhir/sid/dental-invoice",
      "value" : "GOZ-2026-0002"
    }
  ],
  "status" : "issued",
  "subject" : {
    🔗 "reference" : "Patient/pat-pkv-01"
  },
  "recipient" : {
    🔗 "reference" : "Patient/pat-pkv-01",
    "identifier" : {
      "system" : "http://fhir.de/sid/gkv/kvid-10",
      "value" : "B123456789"
    },
    "display" : "Private dental patient"
  },
  "date" : "2026-02-20T10:00:00+01:00",
  "participant" : [
    {
      "role" : {
        "coding" : [
          {
            "system" : "https://gematik.de/fhir/dipag/CodeSystem/dipag-participant-role-cs",
            "code" : "leistungserbringer",
            "display" : "Leistungserbringer"
          }
        ]
      },
      "actor" : {
        🔗 "reference" : "Practitioner/prac-schoell"
      }
    }
  ],
  "issuer" : {
    🔗 "reference" : "Organization/org-dental-mvz"
  },
  "account" : {
    🔗 "reference" : "Account/acct-dental-02-pkv-q1"
  },
  "lineItem" : [
    {
      "sequence" : 1,
      "chargeItemReference" : {
        🔗 "reference" : "ChargeItem/ExampleGozChargeItem"
      },
      "priceComponent" : [
        {
          "type" : "base",
          "amount" : {
            "value" : 187.45,
            "currency" : "EUR"
          }
        }
      ]
    },
    {
      "sequence" : 2,
      "chargeItemReference" : {
        🔗 "reference" : "ChargeItem/ExampleGozChargeItemVerlangens"
      },
      "priceComponent" : [
        {
          "type" : "base",
          "amount" : {
            "value" : 178.5,
            "currency" : "EUR"
          }
        },
        {
          "type" : "tax",
          "amount" : {
            "value" : 28.5,
            "currency" : "EUR"
          }
        }
      ]
    }
  ],
  "totalNet" : {
    "value" : 337.45,
    "currency" : "EUR"
  },
  "totalGross" : {
    "value" : 365.95,
    "currency" : "EUR"
  }
}