Profile: PAS Claim DE
status: Active
type: Professional
use: Preauthorization
patient: Max Mustermann Male, DoB: 1970-03-15 ( http://fhir.de/NamingSystem/gkv/kvid-10#A123456789)
created: 2024-03-05 10:30:00+0100
insurer: Organization AOK Bayern
provider: Practitioner Maria Schmidt
priority: Normal
| Sequence | Focal | Coverage |
| 1 | true | AOK Bayern GKV-Versicherung |
| Sequence | ProductOrService | Quantity |
| 1 | 03000 | 4 Quartal (Details: UCUM code1 = '1') |