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

• Narrative Content
• XML
• JSON
• TTL

: Genehmigungsantrag Hausarztpauschale - XML Representation

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<Claim xmlns="http://hl7.org/fhir">
  <id value="PASClaimHausarztExample"/>
  <meta>
    <profile
             value="https://fhir.cognovis.de/praxis/StructureDefinition/pas-claim-de"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Claim PASClaimHausarztExample</b></p><a name="PASClaimHausarztExample"> </a><a name="hcPASClaimHausarztExample"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-pas-claim-de.html">PAS Claim DE</a></p></div><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>: Preauthorization</p><p><b>patient</b>: <a href="Patient-PASClaimPatientExample.html">Max Mustermann  Male, DoB: 1970-03-15 ( http://fhir.de/NamingSystem/gkv/kvid-10#A123456789)</a></p><p><b>created</b>: 2024-03-05 10:30:00+0100</p><p><b>insurer</b>: <a href="Organization-PASClaimInsurerExample.html">Organization AOK Bayern</a></p><p><b>provider</b>: <a href="Practitioner-PASClaimPractitionerExample.html">Practitioner Maria Schmidt </a></p><p><b>priority</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}">Normal</span></p><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>AOK Bayern GKV-Versicherung</td></tr></table><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>ProductOrService</b></td><td><b>Quantity</b></td></tr><tr><td style="display: none">*</td><td>1</td><td><span title="Codes:{https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_EBM 03000}">Hausarztpauschale</span></td><td>4 Quartal<span style="background: LightGoldenRodYellow"> (Details: UCUM  code1 = '1')</span></td></tr></table></div>
  </text>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
      <code value="professional"/>
    </coding>
  </type>
  <use value="preauthorization"/>
  <patient>🔗 
    <reference value="Patient/PASClaimPatientExample"/>
  </patient>
  <created value="2024-03-05T10:30:00+01:00"/>
  <insurer>🔗 
    <reference value="Organization/PASClaimInsurerExample"/>
  </insurer>
  <provider>🔗 
    <reference value="Practitioner/PASClaimPractitionerExample"/>
  </provider>
  <priority>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/processpriority"/>
      <code value="normal"/>
    </coding>
  </priority>
  <insurance>
    <sequence value="1"/>
    <focal value="true"/>
    <coverage>
      <display value="AOK Bayern GKV-Versicherung"/>
    </coverage>
  </insurance>
  <item>
    <sequence value="1"/>
    <productOrService>
      <coding>
        <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_EBM"/>
        <code value="03000"/>
        <display value="Hausarztpauschale"/>
      </coding>
    </productOrService>
    <quantity>
      <value value="4"/>
      <unit value="Quartal"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="1"/>
    </quantity>
  </item>
</Claim>