FHIR © HL7.org  |  FHIRsmith 4.0.1  |  Server Home  |  XIG Home  |  XIG Stats  | 

FHIR IG analytics

Packagekbv.ita.aws
Resource TypeClaim
IdBSP_KBV_PR_AW_Abrechnung_HzV_BesondereVersorgung_Selektiv.json
FHIR VersionR4

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

Note: links and images are rebased to the (stated) source

TBD

Source1

{
  "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": {
            "value": 2,
            "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"
      }
    }
  ]
}