German Practice Management FHIR Profiles (R4)
0.90.0 - STU1 Germany

German Practice Management FHIR Profiles (R4) - Local Development build (v0.90.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Privatrechnung Weber Q1/2026 - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Claim/ExampleClaimPrivat> a fhir:Claim ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "ExampleClaimPrivat"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index 0 ;
     fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/rech-form-art" ] ;
     fhir:Extension.valueString [ fhir:value "GOAE" ]
  ], [
     fhir:index 1 ;
     fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/goae-faktor" ] ;
     fhir:Extension.valueDecimal [ fhir:value "2.2"^^xsd:decimal ]
  ], [
     fhir:index 2 ;
     fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/goae-punkte" ] ;
     fhir:Extension.valueDecimal [ fhir:value "80"^^xsd:decimal ]
  ], [
     fhir:index 3 ;
     fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/goae-organ" ] ;
     fhir:Extension.valueString [ fhir:value "Abdomen" ]
  ], [
     fhir:index 4 ;
     fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/goae-uhrzeit" ] ;
     fhir:Extension.valueTime [ fhir:value "09:45:00"^^xsd:time ]
  ], [
     fhir:index 5 ;
     fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/goae-sachkosten-bezeichnung" ] ;
     fhir:Extension.valueString [ fhir:value "Teststreifen Glucose" ]
  ], [
     fhir:index 6 ;
     fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/goae-materialkosten" ] ;
     fhir:Extension.valueMoney [
       fhir:Money.value [ fhir:value "1.5"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "EUR" ]
     ]
  ], [
     fhir:index 7 ;
     fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/analog-reference" ] ;
     fhir:Extension.valueString [ fhir:value "A420" ]
  ], [
     fhir:index 8 ;
     fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/rab-status" ] ;
     fhir:Extension.valueString [ fhir:value "sent" ]
  ], [
     fhir:index 9 ;
     fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/rab-ref" ] ;
     fhir:Extension.valueString [ fhir:value "Claim/rab-privat-weber-q1-2026" ]
  ], [
     fhir:index 10 ;
     fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/manual-override" ] ;
     fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ]
  ], [
     fhir:index 11 ;
     fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/bg-aktenzeichen" ] ;
     fhir:Extension.valueString [ fhir:value "BG-2026-12345" ]
  ], [
     fhir:index 12 ;
     fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/bg-unfalltag" ] ;
     fhir:Extension.valueDate [ fhir:value "2026-01-10"^^xsd:date ]
  ], [
     fhir:index 13 ;
     fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/privat-freigabe-status" ] ;
     fhir:Extension.valueString [ fhir:value "billable" ]
  ], [
     fhir:index 14 ;
     fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/privat-reviewed-status" ] ;
     fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
  ], [
     fhir:index 15 ;
     fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/privat-reviewed-at" ] ;
     fhir:Extension.valueDateTime [ fhir:value "2026-01-31T16:00:00+01:00"^^xsd:dateTime ]
  ], [
     fhir:index 16 ;
     fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/reviewed-status" ] ;
     fhir:Extension.valueString [ fhir:value "approved" ]
  ], [
     fhir:index 17 ;
     fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/reviewed-at" ] ;
     fhir:Extension.valueDateTime [ fhir:value "2026-01-31T16:00:00+01:00"^^xsd:dateTime ]
  ] ;
  fhir:Claim.status [ fhir:value "active"] ;
  fhir:Claim.type [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/claim-type" ] ;
       fhir:Coding.code [ fhir:value "professional" ]
     ]
  ] ;
  fhir:Claim.use [ fhir:value "claim"] ;
  fhir:Claim.patient [
     fhir:link <http://hl7.org/fhir/Patient/example-patient> ;
     fhir:Reference.reference [ fhir:value "Patient/example-patient" ]
  ] ;
  fhir:Claim.created [ fhir:value "2026-01-31"^^xsd:date] ;
  fhir:Claim.provider [
     fhir:link <http://hl7.org/fhir/Practitioner/example-practitioner> ;
     fhir:Reference.reference [ fhir:value "Practitioner/example-practitioner" ]
  ] ;
  fhir:Claim.priority [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/processpriority" ] ;
       fhir:Coding.code [ fhir:value "normal" ]
     ]
  ] ;
  fhir:Claim.payee [
     fhir:Claim.payee.type [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/payeetype" ] ;
         fhir:Coding.code [ fhir:value "other" ] ;
         fhir:Coding.display [ fhir:value "Other" ]
       ]
     ] ;
     fhir:Claim.payee.party [
       fhir:link <http://hl7.org/fhir/Organization/ExamplePvsOrganization> ;
       fhir:Reference.reference [ fhir:value "Organization/ExamplePvsOrganization" ]
     ]
  ] ;
  fhir:Claim.insurance [
     fhir:index 0 ;
     fhir:Claim.insurance.sequence [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:Claim.insurance.focal [ fhir:value "true"^^xsd:boolean ] ;
     fhir:Claim.insurance.coverage [
       fhir:link <http://hl7.org/fhir/Coverage/ExampleCoveragePrivat> ;
       fhir:Reference.reference [ fhir:value "Coverage/ExampleCoveragePrivat" ]
     ]
  ] ;
  fhir:Claim.item [
     fhir:index 0 ;
     fhir:Element.extension [
       fhir:index 0 ;
       fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/abrech-satzart" ] ;
       fhir:Extension.valueString [ fhir:value "ACH" ]
     ], [
       fhir:index 1 ;
       fhir:Extension.url [ fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/abrech-feldkennung" ] ;
       fhir:Extension.valueInteger [ fhir:value "5001"^^xsd:integer ]
     ] ;
     fhir:Claim.item.sequence [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:Claim.item.productOrService [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.de/CodeSystem/goae" ] ;
         fhir:Coding.code [ fhir:value "5" ] ;
         fhir:Coding.display [ fhir:value "Symptombezogene Untersuchung" ]
       ]
     ]
  ] .

<http://hl7.org/fhir/Patient/example-patient> a fhir:Patient .

<http://hl7.org/fhir/Practitioner/example-practitioner> a fhir:Practitioner .

<http://hl7.org/fhir/Organization/ExamplePvsOrganization> a fhir:Organization .

<http://hl7.org/fhir/Coverage/ExampleCoveragePrivat> a fhir:Coverage .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Claim/ExampleClaimPrivat.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Claim/ExampleClaimPrivat.ttl> .