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

Example ClaimResponse: Function training rejection

identifier: https://fhir.cognovis.de/praxis/NamingSystem/authorization-response-id/E56-DECISION-2026-0002

status: Active

type: Professional

use: Preauthorization

patient: Alex Becker (official) Unknown, DoB: 1978-04-17

created: 2026-07-19 09:30:00+0200

insurer: Organization Example statutory payer

request: Claim: identifier = https://fhir.cognovis.de/praxis/NamingSystem/authorization-request-id#E56-PAS-2026-0002; status = active; type = Professional; use = preauthorization; created = 2026-07-16 11:00:00+0200; priority = Normal

outcome: Processing Complete

disposition: The requested service requires additional clinical evidence.

item

itemSequence: 1

Adjudications

-CategoryReasonValue
*Eligible AmountInsufficient Clinical Evidence0