ExampleGozMixedTaxInvoice
type: Invoice
node role: treeRoot
resource.id:
  value: ExampleGozMixedTaxInvoice
resource.meta:
  meta.profile:
    value: https://fhir.cognovis.de/dental/StructureDefinition/goz-invoice-de
    index: 0
    link: https://fhir.cognovis.de/dental/StructureDefinition/goz-invoice-de
domain resource.text:
  narrative.status:
    value: extensions
  narrative.div: Generated Narrative: Invoice ExampleGozMixedTaxInvoice Profile: GOZ Invoice (DE) Digitale Patientenrechnung Extension Behandlungsart: ActCode: AMB (ambulatory) Digitale Patientenrechnung Extension Fachrichtung: Aerztliche Fachrichtungen: MZKH (Zahnmedizin) identifier: Rechnungsnummer/GOZ-2026-0002 status: issued subject: Charlotte von Hohenstein (official) Female, DoB: 1975-09-03 recipient: Private dental patient date: 2026-02-20 10:00:00+0100 Participants - Role Actor * Leistungserbringer Practitioner Martin Schöll (official) issuer: Organization Demo-Zahnarztpraxis MVZ Nürnberg account: Account: identifier = https://fhir.cognovis.de/praxis/sid/scheinNummer#ScheinNummer#PKV-2026-Q1-00002; status = active; type = PKV; servicePeriod = 2026-01-01 --> 2026-03-31 lineItem sequence: 1 chargeItem: ChargeItem Aufbaufüllung priceComponent type: base price Amounts - Value Currency * 187.45 Euro lineItem sequence: 2 chargeItem: ChargeItem Adhäsive Befestigung priceComponent type: base price Amounts - Value Currency * 178.5 Euro priceComponent type: tax Amounts - Value Currency * 28.5 Euro TotalNets - Value Currency * 337.45 Euro TotalGrosses - Value Currency * 365.95 Euro
domain resource.extension:
  index: 0
  extension.url:
    value: https://gematik.de/fhir/dipag/StructureDefinition/dipag-behandlungsart
  extension.value coding:
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/v3-ActCode
    coding.code:
      value: AMB
    coding.display:
      value: ambulatory
domain resource.extension:
  index: 1
  extension.url:
    value: https://gematik.de/fhir/dipag/StructureDefinition/dipag-fachrichtung
  extension.value coding:
    coding.system:
      value: http://ihe-d.de/CodeSystems/AerztlicheFachrichtungen
    coding.code:
      value: MZKH
    coding.display:
      value: Zahnmedizin
invoice.identifier:
  index: 0
  identifier.type:
    codeable concept.coding:
      index: 0
      coding.system:
        value: https://gematik.de/fhir/dipag/CodeSystem/dipag-rechnung-identifier-type-cs
      coding.code:
        value: invoice
      coding.display:
        value: Rechnungsnummer
  identifier.system:
    value: https://example.org/fhir/sid/dental-invoice
  identifier.value:
    value: GOZ-2026-0002
invoice.status:
  value: issued
invoice.subject:
  link: https://fhir.cognovis.de/dental/Patient/pat-pkv-01
  reference.reference:
    value: Patient/pat-pkv-01
invoice.recipient:
  link: https://fhir.cognovis.de/dental/Patient/pat-pkv-01
  reference.reference:
    value: Patient/pat-pkv-01
  reference.identifier:
    identifier.system:
      value: http://fhir.de/sid/gkv/kvid-10
    identifier.value:
      value: B123456789
  reference.display:
    value: Private dental patient
invoice.date:
  value: 2026-02-20T10:00:00+01:00
invoice.participant:
  index: 0
  invoice.participant.role:
    codeable concept.coding:
      index: 0
      coding.system:
        value: https://gematik.de/fhir/dipag/CodeSystem/dipag-participant-role-cs
      coding.code:
        value: leistungserbringer
      coding.display:
        value: Leistungserbringer
  invoice.participant.actor:
    link: https://fhir.cognovis.de/dental/Practitioner/prac-schoell
    reference.reference:
      value: Practitioner/prac-schoell
invoice.issuer:
  link: https://fhir.cognovis.de/dental/Organization/org-dental-mvz
  reference.reference:
    value: Organization/org-dental-mvz
invoice.account:
  link: https://fhir.cognovis.de/dental/Account/acct-dental-02-pkv-q1
  reference.reference:
    value: Account/acct-dental-02-pkv-q1
invoice.line item:
  index: 0
  invoice.line item.sequence:
    value: 1
  invoice.line item.charge item reference:
    link: https://fhir.cognovis.de/dental/ChargeItem/ExampleGozChargeItem
    reference.reference:
      value: ChargeItem/ExampleGozChargeItem
  invoice.line item.price component:
    index: 0
    invoice.line item.price component.type:
      value: base
    invoice.line item.price component.amount:
      money.value:
        value: 187.45
      money.currency:
        value: EUR
invoice.line item:
  index: 1
  invoice.line item.sequence:
    value: 2
  invoice.line item.charge item reference:
    link: https://fhir.cognovis.de/dental/ChargeItem/ExampleGozChargeItemVerlangens
    reference.reference:
      value: ChargeItem/ExampleGozChargeItemVerlangens
  invoice.line item.price component:
    index: 0
    invoice.line item.price component.type:
      value: base
    invoice.line item.price component.amount:
      money.value:
        value: 178.5
      money.currency:
        value: EUR
  invoice.line item.price component:
    index: 1
    invoice.line item.price component.type:
      value: tax
    invoice.line item.price component.amount:
      money.value:
        value: 28.5
      money.currency:
        value: EUR
invoice.total net:
  money.value:
    value: 337.45
  money.currency:
    value: EUR
invoice.total gross:
  money.value:
    value: 365.95
  money.currency:
    value: EUR