FHIR IG analytics| Package | de.gematik.dipag |
| Resource Type | Bundle |
| Id | Bundle-BundleExample.json |
| FHIR Version | R4 |
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No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "BundleExample",
"meta": {
"profile": [
"https://gematik.de/fhir/dipag/StructureDefinition/dipag-rechnungsbundle"
]
},
"type": "collection",
"timestamp": "2024-03-15T14:30:00+01:00",
"entry": [
{
"fullUrl": "urn:uuid:c3d4e5f6-4b5c-6d7e-1f2a-3b4c5d6e7f8a",
"resource": {
"resourceType": "Invoice",
"id": "c3d4e5f6-4b5c-6d7e-1f2a-3b4c5d6e7f8a",
"meta": {
"profile": [
"https://gematik.de/fhir/dipag/StructureDefinition/dipag-rechnung"
]
},
"identifier": [
{
"type": {
"coding": [
{
"code": "invoice",
"system": "https://gematik.de/fhir/dipag/CodeSystem/dipag-rechnung-identifier-type-cs"
}
]
},
"system": "https://zahnarzt-schulz.de/fhir/sid/rechnungsnummer",
"value": "RG-2024-001234"
}
],
"status": "issued",
"extension": [
{
"url": "https://gematik.de/fhir/dipag/StructureDefinition/dipag-behandlungsart",
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "ambulatory"
}
},
{
"url": "https://gematik.de/fhir/dipag/StructureDefinition/dipag-fachrichtung",
"valueCoding": {
"system": "http://ihe-d.de/CodeSystems/AerztlicheFachrichtungen",
"code": "MZKH",
"display": "Zahnmedizin"
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Invoice.period[x]",
"valuePeriod": {
"start": "2024-01-15",
"end": "2024-03-10"
}
},
{
"url": "https://gematik.de/fhir/dipag/StructureDefinition/DiPagAbrechnungsDiagnoseProzedur",
"extension": [
{
"url": "Referenz",
"valueReference": {
"reference": "Condition/f0a1b2c3-1e2f-3a4b-8c9d-0e1f2a3b4c5d"
}
},
{
"url": "Use",
"valueCoding": {
"code": "main-diagnosis",
"system": "https://gematik.de/fhir/dipag/CodeSystem/dipag-abrechnungs-diagnose-use-CS",
"display": "Hauptdiagnose"
}
}
]
},
{
"url": "https://gematik.de/fhir/dipag/StructureDefinition/DiPagAbrechnungsDiagnoseProzedur",
"extension": [
{
"url": "Referenz",
"valueReference": {
"reference": "Condition/a1b2c3d4-2f3a-4b5c-9d0e-1f2a3b4c5d6e"
}
},
{
"url": "Referenz",
"valueReference": {
"reference": "Procedure/b2c3d4e5-3a4b-5c6d-0e1f-2a3b4c5d6e7f"
}
}
]
},
{
"url": "https://gematik.de/fhir/dipag/StructureDefinition/DiPagAbrechnungsDiagnoseProzedurFreitext",
"valueString": "Behandlung von Karies und Parodontitis mit Implantation"
},
{
"url": "https://gematik.de/fhir/dipag/StructureDefinition/DiPagInvoiceBasedOn",
"valueIdentifier": {
"type": {
"coding": [
{
"code": "antragsreferenz",
"system": "https://gematik.de/fhir/dipag/CodeSystem/dipag-rechnung-identifier-type-cs"
}
]
},
"system": "https://example.org/fhir/sid/kostenplan",
"value": "HKP-2024-001-123456"
}
}
],
"participant": [
{
"role": {
"coding": [
{
"code": "leistungserbringer",
"system": "https://gematik.de/fhir/dipag/CodeSystem/dipag-participant-role-cs"
}
]
},
"actor": {
"reference": "Practitioner/d2e3f4a5-3c4d-5e6f-0a1b-2c3d4e5f6a7b"
}
},
{
"role": {
"coding": [
{
"code": "forderungsinhaber",
"system": "https://gematik.de/fhir/dipag/CodeSystem/dipag-participant-role-cs"
}
]
},
"actor": {
"reference": "Organization/e3f4a5b6-4d5e-6f7a-1b2c-3d4e5f6a7b8c"
}
}
],
"recipient": {
"identifier": {
"type": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
"code": "KVZ10"
}
]
},
"system": "http://fhir.de/sid/gkv/kvid-10",
"value": "K123456789"
},
"reference": "Patient/8e2b7c2a-4f3a-4e7a-9c1a-2d6b8f7e1a3c",
"display": "Max Mustermann"
},
"type": {
"coding": [
{
"system": "https://gematik.de/fhir/dipag/CodeSystem/dipag-rechnung-abrechnungsart-cs",
"code": "GOÄ",
"display": "Gebührenordnung für Ärzte"
},
{
"system": "https://gematik.de/fhir/dipag/CodeSystem/dipag-rechnungsart-cs",
"code": "ABSCHLUSS",
"display": "Abschlussrechnung"
}
]
},
"totalPriceComponent": [
{
"type": "base",
"code": {
"coding": [
{
"code": "SummeRechnungspositionen",
"system": "https://gematik.de/fhir/dipag/CodeSystem/dipag-total-price-component-type-cs",
"display": "Summe aller Rechnungspositionen"
}
]
},
"amount": {
"currency": "EUR",
"value": 1415.7
}
},
{
"type": "base",
"code": {
"coding": [
{
"code": "Fremdlaborleistungen",
"system": "https://gematik.de/fhir/dipag/CodeSystem/dipag-total-price-component-type-cs",
"display": "Fremdlaborleistungen"
}
]
},
"amount": {
"currency": "EUR",
"value": 800
}
},
{
"type": "deduction",
"amount": {
"currency": "EUR",
"value": -250
},
"code": {
"coding": [
{
"code": "FestzuschussKasse",
"system": "https://gematik.de/fhir/dipag/CodeSystem/dipag-total-price-component-type-cs",
"display": "Festzuschuss Kasse"
}
]
}
}
],
"lineItem": [
{
"priceComponent": [
{
"type": "base",
"amount": {
"value": 29.35,
"currency": "EUR"
}
},
{
"type": "tax",
"amount": {
"value": 4.69,
"currency": "EUR"
}
}
],
"sequence": 1,
"chargeItemReference": {
"reference": "ChargeItem/a5b6c7d8-6f7a-8b9c-3d4e-5f6a7b8c9d0e"
}
},
{
"priceComponent": [
{
"type": "base",
"amount": {
"value": 142.8,
"currency": "EUR"
}
},
{
"type": "tax",
"amount": {
"value": 22.8,
"currency": "EUR"
}
}
],
"sequence": 3,
"chargeItemReference": {
"reference": "ChargeItem/b6c7d8e9-7a8b-9c0d-4e5f-6a7b8c9d0e1f"
}
},
{
"priceComponent": [
{
"type": "base",
"amount": {
"value": 952,
"currency": "EUR"
}
},
{
"type": "tax",
"amount": {
"value": 152,
"currency": "EUR"
}
}
],
"sequence": 4,
"chargeItemReference": {
"reference": "ChargeItem/c7d8e9f0-8b9c-0d1e-5f6a-7b8c9d0e1f2a"
}
},
{
"priceComponent": [
{
"type": "base",
"amount": {
"value": 53.55,
"currency": "EUR"
}
},
{
"type": "tax",
"amount": {
"value": 8.55,
"currency": "EUR"
}
}
],
"sequence": 5,
"chargeItemReference": {
"reference": "ChargeItem/d8e9f0a1-9c0d-1e2f-6a7b-8c9d0e1f2a3b"
}
},
{
"priceComponent": [
{
"type": "base",
"amount": {
"value": 238,
"currency": "EUR"
}
},
{
"type": "tax",
"amount": {
"value": 45.22,
"currency": "EUR"
}
}
],
"sequence": 6,
"chargeItemReference": {
"reference": "ChargeItem/e9f0a1b2-0d1e-2f3a-7b8c-9d0e1f2a3b4c"
}
}
],
"date": "2024-03-15",
"subject": {
"reference": "Patient/8e2b7c2a-4f3a-4e7a-9c1a-2d6b8f7e1a3c"
},
"issuer": {
"reference": "Organization/e3f4a5b6-4d5e-6f7a-1b2c-3d4e5f6a7b8c"
},
"note": [
{
"text": "Gemäß §1 Abs. 2 GOÄ werden diese Leistungen nach dieser Gebührenordnung für Ärzte berechnet. Bitte überweisen Sie den Betrag innerhalb von 14 Tagen."
}
],
"paymentTerms": "Überweisung auf Konto: IBAN DE89370400440532013000, BIC COBADEFFXXX. Zahlbar bis zum 30.04.2024 ohne Abzug.",
"_paymentTerms": {
"extension": [
{
"url": "https://gematik.de/fhir/dipag/StructureDefinition/dipag-zahlungsziel",
"valueDate": "2024-04-30"
}
]
},
"totalNet": {
"value": 1415.7,
"currency": "EUR"
},
"totalGross": {
"value": 1648.96,
"currency": "EUR"
}
}
},
{
"fullUrl": "urn:uuid:8e2b7c2a-4f3a-4e7a-9c1a-2d6b8f7e1a3c",
"resource": {
"resourceType": "Patient",
"id": "8e2b7c2a-4f3a-4e7a-9c1a-2d6b8f7e1a3c",
"meta": {
"profile": [
"https://gematik.de/fhir/dipag/StructureDefinition/dipag-patient"
]
},
"identifier": [
{
"type": {
"coding": [
{
"code": "KVZ10",
"system": "http://fhir.de/CodeSystem/identifier-type-de-basis"
}
]
},
"system": "http://fhir.de/sid/gkv/kvid-10",
"assigner": {
"identifier": {
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "XX"
}
]
},
"system": "http://fhir.de/sid/arge-ik/iknr",
"value": "109500969"
}
},
"value": "K123456789"
}
],
"address": [
{
"type": "both",
"line": [
"Musterstraße 42"
],
"_line": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
"valueString": "Musterstraße"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
"valueString": "42"
}
]
}
],
"use": "home",
"city": "Berlin",
"postalCode": "10115",
"country": "DE"
},
{
"type": "postal",
"line": [
"Postfach 123456"
],
"_line": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox",
"valueString": "123456"
}
]
}
],
"city": "Berlin",
"postalCode": "10115",
"country": "DE"
}
],
"name": [
{
"use": "official",
"text": "Max Mustermann",
"family": "Mustermann",
"given": [
"Max"
]
}
],
"birthDate": "1980-05-15",
"gender": "male"
}
},
{
"fullUrl": "urn:uuid:c1d2e3f4-2b3c-4d5e-9f0a-1b2c3d4e5f6a",
"resource": {
"resourceType": "Practitioner",
"id": "c1d2e3f4-2b3c-4d5e-9f0a-1b2c3d4e5f6a",
"meta": {
"profile": [
"https://gematik.de/fhir/dipag/StructureDefinition/dipag-person"
]
},
"identifier": [
{
"type": {
"coding": [
{
"code": "PRN",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203"
}
]
},
"system": "https://gematik.de/fhir/sid/telematik-id",
"value": "1-HBA-Testkarte-883110000123465"
}
],
"name": [
{
"prefix": [
"Dr."
],
"_prefix": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
"valueCode": "AC"
}
]
}
],
"use": "official",
"text": "Dr. Hans Schulz",
"family": "Schulz",
"given": [
"Hans"
]
}
],
"telecom": [
{
"system": "phone",
"value": "+49 30 123456"
}
],
"address": [
{
"type": "both",
"line": [
"Praxisstraße 10"
],
"_line": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
"valueString": "Praxisstraße"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
"valueString": "10"
}
]
}
],
"city": "Berlin",
"postalCode": "10115",
"country": "DE"
}
],
"qualification": [
{
"code": {
"coding": [
{
"system": "http://ihe-d.de/CodeSystems/AerztlicheFachrichtungen",
"code": "MZKH",
"display": "Zahnmedizin"
}
]
}
}
]
}
},
{
"fullUrl": "urn:uuid:d2e3f4a5-3c4d-5e6f-0a1b-2c3d4e5f6a7b",
"resource": {
"resourceType": "Practitioner",
"id": "d2e3f4a5-3c4d-5e6f-0a1b-2c3d4e5f6a7b",
"meta": {
"profile": [
"https://gematik.de/fhir/dipag/StructureDefinition/dipag-person"
]
},
"identifier": [
{
"type": {
"coding": [
{
"code": "PRN",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203"
}
]
},
"system": "https://gematik.de/fhir/sid/telematik-id",
"value": "1-HBA-Testkarte-883110000123466"
}
],
"name": [
{
"prefix": [
"Dr."
],
"_prefix": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
"valueCode": "AC"
}
]
}
],
"use": "official",
"text": "Dr. Anna Mueller",
"family": "Mueller",
"given": [
"Anna"
]
}
],
"telecom": [
{
"system": "phone",
"value": "+49 30 123457"
}
],
"address": [
{
"type": "both",
"line": [
"Praxisstraße 10"
],
"_line": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
"valueString": "Praxisstraße"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
"valueString": "10"
}
]
}
],
"city": "Berlin",
"postalCode": "10115",
"country": "DE"
}
],
"qualification": [
{
"code": {
"coding": [
{
"system": "http://ihe-d.de/CodeSystems/AerztlicheFachrichtungen",
"code": "MZKH",
"display": "Zahnmedizin"
}
]
}
}
]
}
},
{
"fullUrl": "urn:uuid:e3f4a5b6-4d5e-6f7a-1b2c-3d4e5f6a7b8c",
"resource": {
"resourceType": "Organization",
"id": "e3f4a5b6-4d5e-6f7a-1b2c-3d4e5f6a7b8c",
"meta": {
"profile": [
"https://gematik.de/fhir/dipag/StructureDefinition/dipag-institution"
]
},
"identifier": [
{
"type": {
"coding": [
{
"code": "PRN",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203"
}
]
},
"system": "https://gematik.de/fhir/sid/telematik-id",
"value": "1-SMC-B-Testkarte-883110000123465"
},
{
"type": {
"coding": [
{
"code": "BSNR",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203"
}
]
},
"system": "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_BSNR",
"value": "123456789"
},
{
"type": {
"coding": [
{
"code": "KZVA",
"system": "http://fhir.de/CodeSystem/identifier-type-de-basis"
}
]
},
"system": "http://fhir.de/sid/kzbv/kzvabrechnungsnummer",
"value": "987654321"
},
{
"type": {
"coding": [
{
"code": "ustid",
"system": "https://gematik.de/fhir/dipag/CodeSystem/dipag-rechnung-identifier-type-cs"
}
]
},
"value": "DE123456789"
}
],
"address": [
{
"type": "both",
"line": [
"Praxisstraße 10"
],
"_line": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
"valueString": "Praxisstraße"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
"valueString": "10"
}
]
}
],
"city": "Berlin",
"postalCode": "10115",
"country": "DE"
}
],
"telecom": [
{
"system": "phone",
"value": "+49 30 123456"
}
],
"name": "Zahnarztpraxis Dr. Schulz",
"type": [
{
"coding": [
{
"system": "http://ihe-d.de/CodeSystems/AerztlicheFachrichtungen",
"code": "MZKH",
"display": "Zahnmedizin"
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:f4a5b6c7-5e6f-7a8b-2c3d-4e5f6a7b8c9d",
"resource": {
"resourceType": "Organization",
"id": "f4a5b6c7-5e6f-7a8b-2c3d-4e5f6a7b8c9d",
"meta": {
"profile": [
"https://gematik.de/fhir/dipag/StructureDefinition/dipag-institution"
]
},
"identifier": [
{
"type": {
"coding": [
{
"code": "PRN",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203"
}
]
},
"system": "https://gematik.de/fhir/sid/telematik-id",
"value": "1-SMC-B-Testkarte-883110000987654"
},
{
"type": {
"coding": [
{
"code": "XX",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203"
}
]
},
"system": "http://fhir.de/sid/arge-ik/iknr",
"value": "109876543"
}
],
"address": [
{
"type": "both",
"line": [
"Laborstraße 5"
],
"_line": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
"valueString": "Laborstraße"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
"valueString": "5"
}
]
}
],
"city": "Berlin",
"postalCode": "10116",
"country": "DE"
}
],
"telecom": [
{
"system": "phone",
"value": "+49 30 987654"
}
],
"name": "Zahnlabor Müller GmbH",
"type": [
{
"coding": [
{
"system": "http://ihe-d.de/CodeSystems/AerztlicheFachrichtungen",
"code": "MZKH",
"display": "Zahnmedizin"
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:a5b6c7d8-6f7a-8b9c-3d4e-5f6a7b8c9d0e",
"resource": {
"resourceType": "ChargeItem",
"id": "a5b6c7d8-6f7a-8b9c-3d4e-5f6a7b8c9d0e",
"meta": {
"profile": [
"https://gematik.de/fhir/dipag/StructureDefinition/dipag-rechnungsposition"
]
},
"status": "billable",
"extension": [
{
"url": "https://gematik.de/fhir/dipag/StructureDefinition/dipag-rechnungsposition-type",
"valueCoding": {
"code": "GOÄ",
"system": "https://gematik.de/fhir/dipag/CodeSystem/dipag-chargeitem-type-cs"
}
},
{
"url": "https://gematik.de/fhir/dipag/StructureDefinition/DiPagRechnungspositionZusatz",
"valueCoding": {
"code": "V",
"system": "https://gematik.de/fhir/dipag/CodeSystem/dipag-rechnungsposition-zusatz-cs",
"display": "auf Verlangen erbrachte Leistung"
}
},
{
"url": "https://gematik.de/fhir/dipag/StructureDefinition/dipag-wegegeld-reiseentschaedigung",
"extension": [
{
"url": "Wegegeld",
"extension": [
{
"url": "Entfernung",
"valueQuantity": {
"unit": "km",
"system": "http://unitsofmeasure.org",
"code": "km",
"value": 15
}
},
{
"url": "Nacht",
"valueBoolean": false
}
]
}
]
},
{
"url": "https://gematik.de/fhir/dipag/StructureDefinition/dipag-rechnungsposition-go-angaben",
"extension": [
{
"url": "Einfachsatz",
"valueMoney": {
"currency": "EUR",
"value": 10.72
}
},
{
"url": "Punktzahl",
"valueDecimal": 100
},
{
"url": "Faktor",
"extension": [
{
"url": "Value",
"valueDecimal": 2.3
},
{
"url": "FaktorGrund",
"valueCoding": {
"code": "AB",
"system": "https://gematik.de/fhir/dipag/CodeSystem/dipag-rechnungsposition-faktor-gruende-cs",
"display": "Allgemeine Bestimmung"
}
}
]
}
]
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