Profile: Medical Preliminary Billing Claim DE
status: Active
type: Professional
subType: Preliminary
use: Predetermination
patient: Erika Musterfrau Female, DoB: 1965-07-20 ( http://fhir.de/NamingSystem/gkv/kvid-10#A987654321)
created: 2024-04-01 08:00:00+0200
insurer: Organization Techniker Krankenkasse
provider: Practitioner Hans Mueller
priority: Normal
diagnosis
sequence: 1
diagnosis: Condition Diabetes mellitus, Typ 2, ohne Komplikationen
diagnosis
sequence: 2
diagnosis: Condition Diabetes mellitus, Typ 2, ohne Komplikationen
diagnosis
sequence: 3
diagnosis: Condition Lumboischialgie
diagnosis
sequence: 4
diagnosis: Condition Lumboischialgie
diagnosis
sequence: 5
diagnosis: Condition Lumboischialgie
| Sequence | Focal | Coverage |
| 1 | true | TK GKV-Versicherung |
item
sequence: 1
productOrService: 03000
quantity: 1 1 (Details: UCUM code1 = '1')
item
sequence: 2
productOrService: 03220
quantity: 1 1 (Details: UCUM code1 = '1')