German Practice Management FHIR Profiles (R4)
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German Practice Management FHIR Profiles (R4) - Local Development build (v0.49.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Privatrechnung Weber Q1/2026 - JSON Representation

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{
  "resourceType" : "Claim",
  "id" : "ExampleClaimPrivat",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim ExampleClaimPrivat</b></p><a name=\"ExampleClaimPrivat\"> </a><a name=\"hcExampleClaimPrivat\"> </a><p><b>Rechnungsformular-Art</b>: GOAE</p><p><b>GOÄ-Faktor</b>: 2.2</p><p><b>GOÄ-Punkte</b>: 80</p><p><b>Ultraschall-Organ</b>: Abdomen</p><p><b>Behandlungsuhrzeit</b>: 09:45:00</p><p><b>Sachkosten-Bezeichnung</b>: Teststreifen Glucose</p><p><b>Materialkosten</b>: <span title=\"Euro\">€1,50</span> (EUR)</p><p><b>Analogziffer-Referenz</b>: A420</p><p><b>RAB-Status</b>: sent</p><p><b>RAB-Referenz</b>: Claim/rab-privat-weber-q1-2026</p><p><b>Manuelle Überschreibung</b>: false</p><p><b>BG-Aktenzeichen</b>: BG-2026-12345</p><p><b>BG-Unfalltag</b>: 2026-01-10</p><p><b>Privat-Freigabestatus</b>: billable</p><p><b>Privat-Prüfstatus</b>: true</p><p><b>Privat-Prüfungszeitpunkt</b>: 2026-01-31 16:00:00+0100</p><p><b>Prüfstatus</b>: approved</p><p><b>Prüfungszeitpunkt</b>: 2026-01-31 16:00:00+0100</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type professional}\">Professional</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href=\"Patient-example-patient.html\">Thomas Weber (official) Male, DoB: 1975-06-15</a></p><p><b>created</b>: 2026-01-31</p><p><b>provider</b>: <a href=\"Practitioner-example-practitioner.html\">Practitioner Markus Schoell (official)</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><h3>Payees</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Party</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/payeetype other}\">Other</span></td><td><a href=\"Organization-ExamplePvsOrganization.html\">Organization PVS Rhein-Main GmbH</a></td></tr></table><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td><a href=\"Coverage-ExampleCoveragePrivat.html\">Coverage: extension = A123456789,-&gt;Organization PVS Rhein-Main GmbH; status = active; type = private Krankenversicherung</a></td></tr></table><blockquote><p><b>item</b></p><p><b>Abrechnung Satzart</b>: ACH</p><p><b>Abrechnung Feldkennung</b>: 5001</p><p><b>sequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/goae 5}\">Symptombezogene Untersuchung</span></p></blockquote></div>"
  },
  "extension" : [
    {
      "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/rech-form-art",
      "valueString" : "GOAE"
    },
    {
      "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/goae-faktor",
      "valueDecimal" : 2.2
    },
    {
      "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/goae-punkte",
      "valueDecimal" : 80
    },
    {
      "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/goae-organ",
      "valueString" : "Abdomen"
    },
    {
      "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/goae-uhrzeit",
      "valueTime" : "09:45:00"
    },
    {
      "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/goae-sachkosten-bezeichnung",
      "valueString" : "Teststreifen Glucose"
    },
    {
      "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/goae-materialkosten",
      "valueMoney" : {
        "value" : 1.5,
        "currency" : "EUR"
      }
    },
    {
      "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/analog-reference",
      "valueString" : "A420"
    },
    {
      "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/rab-status",
      "valueString" : "sent"
    },
    {
      "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/rab-ref",
      "valueString" : "Claim/rab-privat-weber-q1-2026"
    },
    {
      "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/manual-override",
      "valueBoolean" : false
    },
    {
      "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/bg-aktenzeichen",
      "valueString" : "BG-2026-12345"
    },
    {
      "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/bg-unfalltag",
      "valueDate" : "2026-01-10"
    },
    {
      "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/privat-freigabe-status",
      "valueString" : "billable"
    },
    {
      "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/privat-reviewed-status",
      "valueBoolean" : true
    },
    {
      "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/privat-reviewed-at",
      "valueDateTime" : "2026-01-31T16:00:00+01:00"
    },
    {
      "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/reviewed-status",
      "valueString" : "approved"
    },
    {
      "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/reviewed-at",
      "valueDateTime" : "2026-01-31T16:00:00+01:00"
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
        "code" : "professional"
      }
    ]
  },
  "use" : "claim",
  "patient" : {
    🔗 "reference" : "Patient/example-patient"
  },
  "created" : "2026-01-31",
  "provider" : {
    🔗 "reference" : "Practitioner/example-practitioner"
  },
  "priority" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
        "code" : "normal"
      }
    ]
  },
  "payee" : {
    "type" : {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/payeetype",
          "code" : "other",
          "display" : "Other"
        }
      ]
    },
    "party" : {
      🔗 "reference" : "Organization/ExamplePvsOrganization"
    }
  },
  "insurance" : [
    {
      "sequence" : 1,
      "focal" : true,
      "coverage" : {
        🔗 "reference" : "Coverage/ExampleCoveragePrivat"
      }
    }
  ],
  "item" : [
    {
      "extension" : [
        {
          "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/abrech-satzart",
          "valueString" : "ACH"
        },
        {
          "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/abrech-feldkennung",
          "valueInteger" : 5001
        }
      ],
      "sequence" : 1,
      "productOrService" : {
        "coding" : [
          {
            "system" : "http://fhir.de/CodeSystem/goae",
            "code" : "5",
            "display" : "Symptombezogene Untersuchung"
          }
        ]
      }
    }
  ]
}