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

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: Genehmigungsbescheid — abgelehnt - JSON Representation

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{
  "resourceType" : "ClaimResponse",
  "id" : "PASClaimResponseRejectedExample",
  "meta" : {
    "profile" : [
      🔗 "https://fhir.cognovis.de/praxis/StructureDefinition/pas-claim-response-de"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ClaimResponse PASClaimResponseRejectedExample</b></p><a name=\"PASClaimResponseRejectedExample\"> </a><a name=\"hcPASClaimResponseRejectedExample\"> </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>: 2024-03-07 11:15:00+0100</p><p><b>insurer</b>: <a href=\"Organization-PASClaimInsurerExample.html\">Organization AOK Bayern</a></p><p><b>request</b>: <a href=\"Claim-PASClaimHausarztExample.html\">Claim: status = active; type = Professional; use = preauthorization; created = 2024-03-05 10:30:00+0100; priority = Normal</a></p><p><b>outcome</b>: Error</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 submitted}\">Submitted Amount</span></td></tr></table></blockquote><h3>Errors</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://fhir.cognovis.de/praxis/CodeSystem/adjudication-error nicht-genehmigungspflichtig}\">Nicht genehmigungspflichtig</span></td></tr></table></div>"
  },
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
        "code" : "professional"
      }
    ]
  },
  "use" : "preauthorization",
  "patient" : {
    🔗 "reference" : "Patient/PASClaimPatientExample"
  },
  "created" : "2024-03-07T11:15:00+01:00",
  "insurer" : {
    🔗 "reference" : "Organization/PASClaimInsurerExample"
  },
  "request" : {
    🔗 "reference" : "Claim/PASClaimHausarztExample"
  },
  "outcome" : "error",
  "item" : [
    {
      "itemSequence" : 1,
      "adjudication" : [
        {
          "category" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/adjudication",
                "code" : "submitted",
                "display" : "Submitted Amount"
              }
            ]
          }
        }
      ]
    }
  ],
  "error" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "https://fhir.cognovis.de/praxis/CodeSystem/adjudication-error",
            "code" : "nicht-genehmigungspflichtig",
            "display" : "Nicht genehmigungspflichtig"
          }
        ]
      }
    }
  ]
}