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Source1

{
  "resourceType": "Invoice",
  "id": "Example-invoice-4",
  "meta": {
    "profile": [
      "http://fhir.de/StructureDefinition/invoice-de-art-abrechnung"
    ]
  },
  "identifier": [
    {
      "use": "official",
      "system": "W10110",
      "value": "2021-1316"
    }
  ],
  "status": "issued",
  "subject": {
    "reference": "Patient/Example-patient-de-art-abrechnung-1"
  },
  "recipient": {
    "reference": "Patient/Example-organization-de-art-kv"
  },
  "date": "2021-03-20T09:29:23+01:00",
  "issuer": {
    "reference": "Organization/Example-organization-de-art-rechnungssteller"
  },
  "lineItem": [
    {
      "sequence": 1,
      "chargeItemReference": {
        "reference": "chargeItem/Example-chargeitem-ebm-1"
      },
      "priceComponent": [
        {
          "type": "base",
          "code": {
            "coding": [
              {
                "system": "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_EBM",
                "code": "06212",
                "display": "Grundpauschale ab 60. LebensjahrGrundpauschale ab 60. Lebensjahr"
              }
            ]
          },
          "factor": 1,
          "amount": {
            "value": 15.13,
            "currency": "EUR"
          }
        }
      ]
    },
    {
      "sequence": 2,
      "chargeItemReference": {
        "reference": "chargeItem/Example-chargeitem-ebm-2"
      },
      "priceComponent": [
        {
          "type": "base",
          "code": {
            "coding": [
              {
                "system": "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_EBM",
                "code": "06225",
                "display": "Zuschlag für die Behandlung durch (einen) konservativ tätige(n) Augenarzt/-ärzte"
              }
            ]
          },
          "factor": 1,
          "amount": {
            "value": 14.02,
            "currency": "EUR"
          }
        }
      ]
    },
    {
      "sequence": 3,
      "chargeItemReference": {
        "reference": "chargeItem/Example-chargeitem-ebm-3"
      },
      "priceComponent": [
        {
          "type": "base",
          "code": {
            "coding": [
              {
                "system": "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_EBM",
                "code": "06333",
                "display": "Binokulare Untersuchung des Augenhintergrundes"
              }
            ]
          },
          "factor": 2,
          "amount": {
            "value": 11.8,
            "currency": "EUR"
          }
        }
      ]
    }
  ],
  "totalNet": {
    "value": 40.95,
    "currency": "EUR"
  },
  "totalGross": {
    "value": 40.95,
    "currency": "EUR"
  }
}