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 - XML Representation

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<Claim xmlns="http://hl7.org/fhir">
  <id value="ExampleClaimPrivat"/>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <extension
             url="https://fhir.cognovis.de/praxis/StructureDefinition/rech-form-art">
    <valueString value="GOAE"/>
  </extension>
  <extension
             url="https://fhir.cognovis.de/praxis/StructureDefinition/goae-faktor">
    <valueDecimal value="2.2"/>
  </extension>
  <extension
             url="https://fhir.cognovis.de/praxis/StructureDefinition/goae-punkte">
    <valueDecimal value="80"/>
  </extension>
  <extension
             url="https://fhir.cognovis.de/praxis/StructureDefinition/goae-organ">
    <valueString value="Abdomen"/>
  </extension>
  <extension
             url="https://fhir.cognovis.de/praxis/StructureDefinition/goae-uhrzeit">
    <valueTime value="09:45:00"/>
  </extension>
  <extension
             url="https://fhir.cognovis.de/praxis/StructureDefinition/goae-sachkosten-bezeichnung">
    <valueString value="Teststreifen Glucose"/>
  </extension>
  <extension
             url="https://fhir.cognovis.de/praxis/StructureDefinition/goae-materialkosten">
    <valueMoney>
      <value value="1.5"/>
      <currency value="EUR"/>
    </valueMoney>
  </extension>
  <extension
             url="https://fhir.cognovis.de/praxis/StructureDefinition/analog-reference">
    <valueString value="A420"/>
  </extension>
  <extension
             url="https://fhir.cognovis.de/praxis/StructureDefinition/rab-status">
    <valueString value="sent"/>
  </extension>
  <extension
             url="https://fhir.cognovis.de/praxis/StructureDefinition/rab-ref">
    <valueString value="Claim/rab-privat-weber-q1-2026"/>
  </extension>
  <extension
             url="https://fhir.cognovis.de/praxis/StructureDefinition/manual-override">
    <valueBoolean value="false"/>
  </extension>
  <extension
             url="https://fhir.cognovis.de/praxis/StructureDefinition/bg-aktenzeichen">
    <valueString value="BG-2026-12345"/>
  </extension>
  <extension
             url="https://fhir.cognovis.de/praxis/StructureDefinition/bg-unfalltag">
    <valueDate value="2026-01-10"/>
  </extension>
  <extension
             url="https://fhir.cognovis.de/praxis/StructureDefinition/privat-freigabe-status">
    <valueString value="billable"/>
  </extension>
  <extension
             url="https://fhir.cognovis.de/praxis/StructureDefinition/privat-reviewed-status">
    <valueBoolean value="true"/>
  </extension>
  <extension
             url="https://fhir.cognovis.de/praxis/StructureDefinition/privat-reviewed-at">
    <valueDateTime value="2026-01-31T16:00:00+01:00"/>
  </extension>
  <extension
             url="https://fhir.cognovis.de/praxis/StructureDefinition/reviewed-status">
    <valueString value="approved"/>
  </extension>
  <extension
             url="https://fhir.cognovis.de/praxis/StructureDefinition/reviewed-at">
    <valueDateTime value="2026-01-31T16:00:00+01:00"/>
  </extension>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
      <code value="professional"/>
    </coding>
  </type>
  <use value="claim"/>
  <patient>🔗 
    <reference value="Patient/example-patient"/>
  </patient>
  <created value="2026-01-31"/>
  <provider>🔗 
    <reference value="Practitioner/example-practitioner"/>
  </provider>
  <priority>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/processpriority"/>
      <code value="normal"/>
    </coding>
  </priority>
  <payee>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/payeetype"/>
        <code value="other"/>
        <display value="Other"/>
      </coding>
    </type>
    <party>🔗 
      <reference value="Organization/ExamplePvsOrganization"/>
    </party>
  </payee>
  <insurance>
    <sequence value="1"/>
    <focal value="true"/>
    <coverage>🔗 
      <reference value="Coverage/ExampleCoveragePrivat"/>
    </coverage>
  </insurance>
  <item>
    <extension
               url="https://fhir.cognovis.de/praxis/StructureDefinition/abrech-satzart">
      <valueString value="ACH"/>
    </extension>
    <extension
               url="https://fhir.cognovis.de/praxis/StructureDefinition/abrech-feldkennung">
      <valueInteger value="5001"/>
    </extension>
    <sequence value="1"/>
    <productOrService>
      <coding>
        <system value="http://fhir.de/CodeSystem/goae"/>
        <code value="5"/>
        <display value="Symptombezogene Untersuchung"/>
      </coding>
    </productOrService>
  </item>
</Claim>