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

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

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

<http://hl7.org/fhir/ClaimResponse/PASClaimResponseRejectedExample> a fhir:ClaimResponse ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "PASClaimResponseRejectedExample"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/pas-claim-response-de" ;
       fhir:index 0 ;
       fhir:link <https://fhir.cognovis.de/praxis/StructureDefinition/pas-claim-response-de>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:ClaimResponse.status [ fhir:value "active"] ;
  fhir:ClaimResponse.type [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/claim-type" ] ;
       fhir:Coding.code [ fhir:value "professional" ]
     ]
  ] ;
  fhir:ClaimResponse.use [ fhir:value "preauthorization"] ;
  fhir:ClaimResponse.patient [
     fhir:link <http://hl7.org/fhir/Patient/PASClaimPatientExample> ;
     fhir:Reference.reference [ fhir:value "Patient/PASClaimPatientExample" ]
  ] ;
  fhir:ClaimResponse.created [ fhir:value "2024-03-07T11:15:00+01:00"^^xsd:dateTime] ;
  fhir:ClaimResponse.insurer [
     fhir:link <http://hl7.org/fhir/Organization/PASClaimInsurerExample> ;
     fhir:Reference.reference [ fhir:value "Organization/PASClaimInsurerExample" ]
  ] ;
  fhir:ClaimResponse.request [
     fhir:link <http://hl7.org/fhir/Claim/PASClaimHausarztExample> ;
     fhir:Reference.reference [ fhir:value "Claim/PASClaimHausarztExample" ]
  ] ;
  fhir:ClaimResponse.outcome [ fhir:value "error"] ;
  fhir:ClaimResponse.item [
     fhir:index 0 ;
     fhir:ClaimResponse.item.itemSequence [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:ClaimResponse.item.adjudication [
       fhir:index 0 ;
       fhir:ClaimResponse.item.adjudication.category [
         fhir:CodeableConcept.coding [
           fhir:index 0 ;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/adjudication" ] ;
           fhir:Coding.code [ fhir:value "submitted" ] ;
           fhir:Coding.display [ fhir:value "Submitted Amount" ]
         ]
       ]
     ]
  ] ;
  fhir:ClaimResponse.error [
     fhir:index 0 ;
     fhir:ClaimResponse.error.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.cognovis.de/praxis/CodeSystem/adjudication-error" ] ;
         fhir:Coding.code [ fhir:value "nicht-genehmigungspflichtig" ] ;
         fhir:Coding.display [ fhir:value "Nicht genehmigungspflichtig" ]
       ]
     ]
  ] .

<http://hl7.org/fhir/Patient/PASClaimPatientExample> a fhir:Patient .

<http://hl7.org/fhir/Organization/PASClaimInsurerExample> a fhir:Organization .

<http://hl7.org/fhir/Claim/PASClaimHausarztExample> a fhir:Claim .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/ClaimResponse/PASClaimResponseRejectedExample.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ClaimResponse/PASClaimResponseRejectedExample.ttl> .