<ChargeItem xmlns="http://hl7.org/fhir">
  <id value="Example-chargeitem-goae-1" />
  <meta>
    <profile value="http://fhir.de/StructureDefinition/chargeItem-de-art-abrechnung" />
  </meta>
  <identifier>
    <use value="official" />
    <system value="W10110" />
    <value value="2021-1313-0001" />
  </identifier>
  <status value="billable" />
  <code>
    <coding>
      <system value="https://fhir.kbv.de/NamingSystem/KBV_NS_AW_GOAE" />
      <version value="2021-1" />
      <code value="1200" />
      <display value="Subjektive Refraktionsbestimmung mit sphärischen Gläsern" />
    </coding>
  </code>
  <subject>
    <reference value="Patient/Example-patient-de-art-abrechnung-1" />
  </subject>
  <occurrenceDateTime value="2021-03-19T09:29:23+01:00" />
  <performer>
    <actor>
      <reference value="Practitioner/Example-practitioner-de-art-abrechnung-1" />
    </actor>
  </performer>
  <performingOrganization>
    <reference value="Organization/Example-organization-de-art-abrechnung-1" />
  </performingOrganization>
  <requestingOrganization>
    <reference value="Organization/Example-organization-de-art-abrechnung-1" />
    <identifier>
      <assigner>
        <reference value="Practitioner/Example-practitioner-de-art-abrechnung-2" />
      </assigner>
    </identifier>
  </requestingOrganization>
  <quantity>
    <value value="1" />
  </quantity>
  <bodysite>
    <coding>
      <system value="http://hl7.org/fhir/ValueSet/body-site" />
      <code value="8966001" />
      <display value="Linkes Auge" />
    </coding>
  </bodysite>
  <reason>
    <coding>
      <system value="http://fhir.de/StructureDefinition/CodingICD10GM" />
      <version value="2021" />
      <code value="H25.0" />
      <display value="Cataracta senilis incipiens" />
    </coding>
  </reason>
</ChargeItem>