German Practice Management FHIR Profiles (R4)
0.49.0 - STU1
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
<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,->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>