@prefix fhir: . @prefix owl: . @prefix rdf: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:Claim ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "ExampleClaimPrivat"] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div [ fhir:v "

Generated Narrative: Claim ExampleClaimPrivat

Rechnungsformular-Art: GOAE

GOÄ-Faktor: 2.2

GOÄ-Punkte: 80

Ultraschall-Organ: Abdomen

Behandlungsuhrzeit: 09:45:00

Sachkosten-Bezeichnung: Teststreifen Glucose

Materialkosten: €1,50 (EUR)

Analogziffer-Referenz: A420

RAB-Status: sent

RAB-Referenz: Claim/rab-privat-weber-q1-2026

Manuelle Überschreibung: false

BG-Aktenzeichen: BG-2026-12345

BG-Unfalltag: 2026-01-10

Privat-Freigabestatus: billable

Privat-Prüfstatus: true

Privat-Prüfungszeitpunkt: 2026-01-31 16:00:00+0100

Prüfstatus: approved

Prüfungszeitpunkt: 2026-01-31 16:00:00+0100

status: Active

type: Professional

use: Claim

patient: Thomas Weber (official) Male, DoB: 1975-06-15

created: 2026-01-31

provider: Practitioner Markus Schoell (official)

priority: Normal

Payees

-TypeParty
*OtherOrganization PVS Rhein-Main GmbH

Insurances

-SequenceFocalCoverage
*1trueCoverage: extension = A123456789,->Organization PVS Rhein-Main GmbH; status = active; type = private Krankenversicherung

item

Abrechnung Satzart: ACH

Abrechnung Feldkennung: 5001

sequence: 1

productOrService: Symptombezogene Untersuchung

"^^rdf:XMLLiteral ] ] ; # fhir:extension ( [ fhir:url [ fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/rech-form-art"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "GOAE" ] ] [ fhir:url [ fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/goae-faktor"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Decimal ; fhir:v 2.2 ] ] [ fhir:url [ fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/goae-punkte"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Decimal ; fhir:v "80"^^xsd:decimal ] ] [ fhir:url [ fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/goae-organ"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "Abdomen" ] ] [ fhir:url [ fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/goae-uhrzeit"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Time ; fhir:v "09:45:00"^^xsd:time ] ] [ fhir:url [ fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/goae-sachkosten-bezeichnung"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "Teststreifen Glucose" ] ] [ fhir:url [ fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/goae-materialkosten"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Money ; fhir:value [ fhir:v 1.5 ] ; fhir:currency [ fhir:v "EUR" ] ] ] [ fhir:url [ fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/analog-reference"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "A420" ] ] [ fhir:url [ fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/rab-status"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "sent" ] ] [ fhir:url [ fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/rab-ref"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "Claim/rab-privat-weber-q1-2026" ] ] [ fhir:url [ fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/manual-override"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Boolean ; fhir:v false ] ] [ fhir:url [ fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/bg-aktenzeichen"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "BG-2026-12345" ] ] [ fhir:url [ fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/bg-unfalltag"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Date ; fhir:v "2026-01-10"^^xsd:date ] ] [ fhir:url [ fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/privat-freigabe-status"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "billable" ] ] [ fhir:url [ fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/privat-reviewed-status"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Boolean ; fhir:v true ] ] [ fhir:url [ fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/privat-reviewed-at"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:DateTime ; fhir:v "2026-01-31T16:00:00+01:00"^^xsd:dateTime ] ] [ fhir:url [ fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/reviewed-status"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "approved" ] ] [ fhir:url [ fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/reviewed-at"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:DateTime ; fhir:v "2026-01-31T16:00:00+01:00"^^xsd:dateTime ] ] ) ; # fhir:status [ fhir:v "active"] ; # fhir:type [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claim-type"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "professional" ] ] ) ] ; # fhir:use [ fhir:v "claim"] ; # fhir:patient [ fhir:l ; fhir:reference [ fhir:v "Patient/example-patient" ] ] ; # fhir:created [ fhir:v "2026-01-31"^^xsd:date] ; # fhir:provider [ fhir:l ; fhir:reference [ fhir:v "Practitioner/example-practitioner" ] ] ; # fhir:priority [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/processpriority"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "normal" ] ] ) ] ; # fhir:payee [ fhir:type [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/payeetype"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "other" ] ; fhir:display [ fhir:v "Other" ] ] ) ] ; fhir:party [ fhir:l ; fhir:reference [ fhir:v "Organization/ExamplePvsOrganization" ] ] ] ; # fhir:insurance ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:focal [ fhir:v true ] ; fhir:coverage [ fhir:l ; fhir:reference [ fhir:v "Coverage/ExampleCoveragePrivat" ] ] ] ) ; # fhir:item ( [ fhir:extension ( [ fhir:url [ fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/abrech-satzart"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "ACH" ] ] [ fhir:url [ fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/abrech-feldkennung"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Integer ; fhir:v 5001 ] ] ) ; fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:productOrService [ fhir:coding ( [ fhir:system [ fhir:v "http://fhir.de/CodeSystem/goae"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "5" ] ; fhir:display [ fhir:v "Symptombezogene Untersuchung" ] ] ) ] ] ) . # # -------------------------------------------------------------------------------------