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

: Genehmigungsbescheid — genehmigt - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

 a fhir:ClaimResponse ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "PASClaimResponseApprovedExample"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/pas-claim-response-de"^^xsd:anyURI ;
fhir:l <https://fhir.cognovis.de/praxis/StructureDefinition/pas-claim-response-de>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ClaimResponse PASClaimResponseApprovedExample</b></p><a name=\"PASClaimResponseApprovedExample\"> </a><a name=\"hcPASClaimResponseApprovedExample\"> </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-response-de.html\">PAS ClaimResponse 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>: 2024-03-03 14:00:00+0100</p><p><b>insurer</b>: <a href=\"Organization-PASClaimInsurerExample.html\">Organization AOK Bayern</a></p><p><b>request</b>: <a href=\"Claim-PASClaimExample.html\">Claim: status = active; type = Professional; use = preauthorization; created = 2024-03-01 09:00:00+0100; priority = Normal</a></p><p><b>outcome</b>: Processing Complete</p><blockquote><p><b>item</b></p><p><b>itemSequence</b>: 1</p><h3>Adjudications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Category</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication eligible}\">Eligible Amount</span></td></tr></table></blockquote></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:type [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/claim-type"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/claim-type>       ] ;
fhir:code [ fhir:v "professional" ]     ] )
  ] ; # 
  fhir:use [ fhir:v "preauthorization"] ; # 
  fhir:patient [
fhir:l fhir:Patient/PASClaimPatientExample ;
fhir:reference [ fhir:v "Patient/PASClaimPatientExample" ]
  ] ; # 
  fhir:created [ fhir:v "2024-03-03T14:00:00+01:00"^^xsd:dateTime] ; # 
  fhir:insurer [
fhir:l fhir:Organization/PASClaimInsurerExample ;
fhir:reference [ fhir:v "Organization/PASClaimInsurerExample" ]
  ] ; # 
  fhir:request [
fhir:l fhir:Claim/PASClaimExample ;
fhir:reference [ fhir:v "Claim/PASClaimExample" ]
  ] ; # 
  fhir:outcome [ fhir:v "complete"] ; # 
  fhir:item ( [
fhir:itemSequence [ fhir:v "1"^^xsd:positiveInteger ] ;
    ( fhir:adjudication [
fhir:category [
        ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/adjudication>           ] ;
fhir:code [ fhir:v "eligible" ] ;
fhir:display [ fhir:v "Eligible Amount" ]         ] )       ]     ] )
  ] ) . #