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Source1

{
  "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"
  }
}