FHIR IG analytics| Package | kbv.ita.aws |
| Resource Type | Claim |
| Id | BSP_KBV_PR_AW_Abrechnung_HzV_BesondereVersorgung_Selektiv.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
{
"resourceType": "Claim",
"id": "3194",
"meta": {
"versionId": "1",
"lastUpdated": "2020-09-23T15:50:00+00:00",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Abrechnung_HzV_BesondereVersorgung_Selektiv|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": "2018-05-15"
},
{
"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": "2018-05-25"
},
{
"url": "zahlbetrag",
"valueMoney": {
"value": 0.45,
"currency": "EUR"
}
}
]
},
{
"url": "https://fhir.kbv.de/StructureDefinition/KBV_EX_AW_Abrechnung_Mahnung",
"extension": [
{
"url": "mahndatum",
"valueDateTime": "2018-07-29"
},
{
"url": "mahnstufe",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Mahnung",
"code": "2"
}
]
}
},
{
"url": "mahngebuehr",
"valueMoney": {
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"currency": "EUR"
}
},
{
"url": "zahldatum",
"valueDateTime": "2018-08-05"
},
{
"url": "zahlbetrag",
"valueMoney": {
"value": 4.45,
"currency": "EUR"
}
}
]
}
],
"identifier": [
{
"type": {
"coding": [
{
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Identifiertyp",
"code": "Rechnungsnummer"
}
]
},
"value": "003569898"
}
],
"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": "HzV_BesondereVersorgung_Selektiv"
}
]
},
"use": "claim",
"patient": {
"reference": "Patient/3181"
},
"created": "2018-03-31",
"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"
},
"supportingInfo": [
{
"sequence": 1,
"category": {
"coding": [
{
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Information_Kategorie",
"code": "Korrekturzaehler"
}
]
},
"valueQuantity": {
"value": 1,
"unit": "1",
"system": "http://unitsofmeasure.org",
"code": "1"
}
},
{
"sequence": 2,
"category": {
"coding": [
{
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Information_Kategorie",
"code": "Rechnungsinformationen"
}
]
},
"valueString": "Weitere Informationen zur Rechnung wurden Ihnen am 31.03.2018 telefonisch mitgeteilt."
},
{
"sequence": 3,
"category": {
"coding": [
{
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Information_Kategorie",
"code": "Ringversuchszertifikat"
}
]
},
"valueReference": {
"reference": "Device/3178"
}
},
{
"sequence": 4,
"category": {
"coding": [
{
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Information_Kategorie",
"code": "Ringversuchszertifikat"
}
]
},
"valueReference": {
"reference": "Device/3179"
}
},
{
"sequence": 5,
"category": {
"coding": [
{
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Information_Kategorie",
"code": "Leistungsgenehmigung"
}
]
},
"valueReference": {
"reference": "CoverageEligibilityResponse/3214"
}
},
{
"sequence": 6,
"category": {
"coding": [
{
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Information_Kategorie",
"code": "Leistungsgenehmigung"
}
]
},
"valueReference": {
"reference": "CoverageEligibilityResponse/3215"
}
},
{
"sequence": 7,
"category": {
"coding": [
{
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Abrechnung_Information_Kategorie",
"code": "Vertragskennzeichen"
}
]
},
"valueString": "AB1"
}
],
"insurance": [
{
"sequence": 1,
"focal": true,
"coverage": {
"reference": "Coverage/3225"
}
}
]
}