FHIR IG analytics| Package | kbv.ita.aws |
| Resource Type | Claim |
| Id | BSP_KBV_PR_AW_Abrechnung_BG.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
FHIR
FHIRsmith{
"resourceType": "Claim",
"id": "3193",
"meta": {
"versionId": "1",
"lastUpdated": "2020-09-23T15:17:00+00:00",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Abrechnung_BG|1.2.0"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "https://fhir.kbv.de/StructureDefinition/KBV_EX_AW_Abrechnung_Mahnung",
"extension": [
{
"url": "mahndatum",
"valueDateTime": "2020-05-15"
},
{
"url": "mahnstufe",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Mahnung",
"code": "1"
}
]
}
},
{
"url": "mahngebuehr",
"valueMoney": {
"value": 0,
"currency": "EUR"
}
},
{
"url": "zahldatum",
"valueDateTime": "2020-05-25"
},
{
"url": "zahlbetrag",
"valueMoney": {
"value": 0.45,
"currency": "EUR"
}
}
]
},
{
"url": "https://fhir.kbv.de/StructureDefinition/KBV_EX_AW_Abrechnung_Mahnung",
"extension": [
{
"url": "mahndatum",
"valueDateTime": "2020-07-29"
},
{
"url": "mahnstufe",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Mahnung",
"code": "2"
}
]
}
},
{
"url": "mahngebuehr",
"valueMoney": {
"value": 2,
"currency": "EUR"
}
},
{
"url": "zahldatum",
"valueDateTime": "2020-08-05"
},
{
"url": "zahlbetrag",
"valueMoney": {
"value": 4.45,
"currency": "EUR"
}
}
]
},
{
"url": "https://fhir.kbv.de/StructureDefinition/KBV_EX_AW_Abrechnung_BG_Unfallbetrieb",
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "Organization/3158"
}
},
{
"url": "kontaktdaten",
"valueContactPoint": {
"system": "phone",
"value": "08877/665544-0"
}
},
{
"url": "ort",
"valueString": "Testmannshausen"
}
]
}
],
"identifier": [
{
"type": {
"coding": [
{
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Identifiertyp",
"code": "Rechnungsnummer"
}
]
},
"value": "685/2018"
}
],
"status": "active",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
}
]
},
"subType": {
"coding": [
{
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Art",
"code": "BG"
}
]
},
"use": "claim",
"patient": {
"reference": "Patient/3181"
},
"created": "2020-03-31",
"insurer": {
"reference": "Organization/3157"
},
"provider": {
"reference": "Organization/3155"
},
"priority": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
}
]
},
"related": [
{
"claim": {
"reference": "Claim/3197"
}
}
],
"referral": {
"reference": "ServiceRequest/3218"
},
"insurance": [
{
"sequence": 1,
"focal": true,
"coverage": {
"reference": "Coverage/3225"
}
}
],
"item": [
{
"sequence": 1,
"category": {
"coding": [
{
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Item_Kategorie",
"code": "Auslagen"
}
]
},
"productOrService": {
"text": "Briefmarken"
},
"modifier": [
{
"coding": [
{
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Auslagenart",
"code": "Porto_Versandkosten"
}
]
}
],
"quantity": {
"value": 2,
"unit": "1",
"system": "http://unitsofmeasure.org",
"code": "1"
},
"unitPrice": {
"value": 1.45,
"currency": "EUR"
},
"encounter": [
{
"reference": "Encounter/3188"
}
]
},
{
"sequence": 2,
"category": {
"coding": [
{
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Item_Kategorie",
"code": "Besondere_Kosten"
}
]
},
"productOrService": {
"text": "Begutachtung Mobilität"
},
"quantity": {
"value": 1,
"unit": "1",
"system": "http://unitsofmeasure.org",
"code": "1"
},
"unitPrice": {
"value": 38.5,
"currency": "EUR"
},
"encounter": [
{
"reference": "Encounter/3188"
}
]
},
{
"sequence": 3,
"category": {
"coding": [
{
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Item_Kategorie",
"code": "Besondere_Kosten"
}
]
},
"productOrService": {
"text": "Bearbeitungsaufwand"
},
"quantity": {
"value": 1,
"unit": "1",
"system": "http://unitsofmeasure.org",
"code": "1"
},
"unitPrice": {
"value": 12.7,
"currency": "EUR"
},
"encounter": [
{
"reference": "Encounter/3188"
}
]
}
]
}