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Source1

{
  "resourceType": "Invoice",
  "id": "a0b1c2d3-e4f5-6a7b-8c9d-0e1f2a3b4c5d",
  "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://praxis-dr-arzt.de/fhir/sid/rechnungsnummer",
      "value": "1425"
    }
  ],
  "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": "INNE",
        "display": "Innere Medizin"
      }
    },
    {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Invoice.period[x]",
      "valuePeriod": {
        "start": "2018-10-04",
        "end": "2018-10-19"
      }
    },
    {
      "url": "https://gematik.de/fhir/dipag/StructureDefinition/DiPagAbrechnungsDiagnoseProzedurFreitext",
      "valueString": "Grippaler Infekt; Hepatopathie"
    }
  ],
  "participant": [
    {
      "role": {
        "coding": [
          {
            "code": "leistungserbringer",
            "system": "https://gematik.de/fhir/dipag/CodeSystem/dipag-participant-role-cs"
          }
        ]
      },
      "actor": {
        "reference": "Practitioner/2b3c4d5e-6f7a-8b9c-0d1e-2f3a4b5c6d7e"
      }
    },
    {
      "role": {
        "coding": [
          {
            "code": "forderungsinhaber",
            "system": "https://gematik.de/fhir/dipag/CodeSystem/dipag-participant-role-cs"
          }
        ]
      },
      "actor": {
        "reference": "Organization/3c4d5e6f-7a8b-9c0d-1e2f-3a4b5c6d7e8f"
      }
    }
  ],
  "recipient": {
    "identifier": {
      "type": {
        "coding": [
          {
            "system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
            "code": "KVZ10"
          }
        ]
      },
      "system": "http://fhir.de/sid/gkv/kvid-10",
      "value": "B123456789"
    },
    "reference": "Patient/1a2b3c4d-5e6f-7a8b-9c0d-1e2f3a4b5c6d",
    "display": "Herr B. Patient"
  },
  "type": {
    "coding": [
      {
        "system": "https://gematik.de/fhir/dipag/CodeSystem/dipag-rechnung-abrechnungsart-cs",
        "code": "GOÄ",
        "display": "Gebührenordnung für Ärzte"
      }
    ]
  },
  "lineItem": [
    {
      "priceComponent": [
        {
          "type": "base",
          "amount": {
            "value": 10.72,
            "currency": "EUR"
          }
        }
      ],
      "sequence": 1,
      "chargeItemReference": {
        "reference": "ChargeItem/4d5e6f7a-8b9c-0d1e-2f3a-4b5c6d7e8f9a"
      }
    },
    {
      "priceComponent": [
        {
          "type": "base",
          "amount": {
            "value": 10.72,
            "currency": "EUR"
          }
        }
      ],
      "sequence": 2,
      "chargeItemReference": {
        "reference": "ChargeItem/5e6f7a8b-9c0d-1e2f-3a4b-5c6d7e8f9a0b"
      }
    },
    {
      "priceComponent": [
        {
          "type": "base",
          "amount": {
            "value": 5.36,
            "currency": "EUR"
          }
        }
      ],
      "sequence": 3,
      "chargeItemReference": {
        "reference": "ChargeItem/6f7a8b9c-0d1e-2f3a-4b5c-6d7e8f9a0b1c"
      }
    },
    {
      "priceComponent": [
        {
          "type": "base",
          "amount": {
            "value": 10.72,
            "currency": "EUR"
          }
        }
      ],
      "sequence": 4,
      "chargeItemReference": {
        "reference": "ChargeItem/7a8b9c0d-1e2f-3a4b-5c6d-7e8f9a0b1c2d"
      }
    },
    {
      "priceComponent": [
        {
          "type": "base",
          "amount": {
            "value": 10.72,
            "currency": "EUR"
          }
        }
      ],
      "sequence": 5,
      "chargeItemReference": {
        "reference": "ChargeItem/8b9c0d1e-2f3a-4b5c-6d7e-8f9a0b1c2d3e"
      }
    },
    {
      "priceComponent": [
        {
          "type": "base",
          "amount": {
            "value": 4.02,
            "currency": "EUR"
          }
        }
      ],
      "sequence": 6,
      "chargeItemReference": {
        "reference": "ChargeItem/9c0d1e2f-3a4b-5c6d-7e8f-9a0b1c2d3e4f"
      }
    },
    {
      "priceComponent": [
        {
          "type": "base",
          "amount": {
            "value": 2.68,
            "currency": "EUR"
          }
        }
      ],
      "sequence": 7,
      "chargeItemReference": {
        "reference": "ChargeItem/0d1e2f3a-4b5c-6d7e-8f9a-0b1c2d3e4f5a"
      }
    }
  ],
  "date": "2018-10-24",
  "subject": {
    "reference": "Patient/1a2b3c4d-5e6f-7a8b-9c0d-1e2f3a4b5c6d"
  },
  "issuer": {
    "reference": "Organization/3c4d5e6f-7a8b-9c0d-1e2f-3a4b5c6d7e8f"
  },
  "note": [
    {
      "text": "Berechnet nach der Gebührenordnung für Ärzte / GOÄ (Stand 01.01.2002). Bitte überweisen Sie den Betrag unter Angabe der Rechnungsnummer und des Rechnungsdatums bis zum 14.11.2018 auf das unten angegebene Konto."
    }
  ],
  "paymentTerms": "Zahlbar bis zum 14.11.2018",
  "_paymentTerms": {
    "extension": [
      {
        "url": "https://gematik.de/fhir/dipag/StructureDefinition/dipag-zahlungsziel",
        "valueDate": "2018-11-14"
      }
    ]
  },
  "totalNet": {
    "value": 54.95,
    "currency": "EUR"
  },
  "totalGross": {
    "value": 54.95,
    "currency": "EUR"
  }
}