German Practice Management FHIR Profiles (R4)
0.49.0 - STU1 Germany flag

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 — abgelehnt - XML Representation

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<ClaimResponse xmlns="http://hl7.org/fhir">
  <id value="PASClaimResponseRejectedExample"/>
  <meta>
    <profile
             value="https://fhir.cognovis.de/praxis/StructureDefinition/pas-claim-response-de"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </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="2024-03-07T11:15:00+01:00"/>
  <insurer>🔗 
    <reference value="Organization/PASClaimInsurerExample"/>
  </insurer>
  <request>🔗 
    <reference value="Claim/PASClaimHausarztExample"/>
  </request>
  <outcome value="error"/>
  <item>
    <itemSequence value="1"/>
    <adjudication>
      <category>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
          <code value="submitted"/>
          <display value="Submitted Amount"/>
        </coding>
      </category>
    </adjudication>
  </item>
  <error>
    <code>
      <coding>
        <system
                value="https://fhir.cognovis.de/praxis/CodeSystem/adjudication-error"/>
        <code value="nicht-genehmigungspflichtig"/>
        <display value="Nicht genehmigungspflichtig"/>
      </coding>
    </code>
  </error>
</ClaimResponse>