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  <timestamp value="2024-03-15T14:30:00+01:00" />
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    <fullUrl value="urn:uuid:c3d4e5f6-4b5c-6d7e-1f2a-3b4c5d6e7f8a" />
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        <meta>
          <profile value="https://gematik.de/fhir/dipag/StructureDefinition/dipag-rechnung" />
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            <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" />
            <code value="AMB" />
            <display value="ambulatory" />
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        <extension url="https://gematik.de/fhir/dipag/StructureDefinition/dipag-fachrichtung">
          <valueCoding>
            <system value="http://ihe-d.de/CodeSystems/AerztlicheFachrichtungen" />
            <code value="MZKH" />
            <display value="Zahnmedizin" />
          </valueCoding>
        </extension>
        <extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Invoice.period[x]">
          <valuePeriod>
            <start value="2024-01-15" />
            <end value="2024-03-10" />
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        <extension url="https://gematik.de/fhir/dipag/StructureDefinition/DiPagAbrechnungsDiagnoseProzedur">
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              <reference value="Condition/f0a1b2c3-1e2f-3a4b-8c9d-0e1f2a3b4c5d" />
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          <extension url="Use">
            <valueCoding>
              <system value="https://gematik.de/fhir/dipag/CodeSystem/dipag-abrechnungs-diagnose-use-CS" />
              <code value="main-diagnosis" />
              <display value="Hauptdiagnose" />
            </valueCoding>
          </extension>
        </extension>
        <extension url="https://gematik.de/fhir/dipag/StructureDefinition/DiPagAbrechnungsDiagnoseProzedur">
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            <valueReference>
              <reference value="Condition/a1b2c3d4-2f3a-4b5c-9d0e-1f2a3b4c5d6e" />
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              <reference value="Procedure/b2c3d4e5-3a4b-5c6d-0e1f-2a3b4c5d6e7f" />
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        <extension url="https://gematik.de/fhir/dipag/StructureDefinition/DiPagAbrechnungsDiagnoseProzedurFreitext">
          <valueString value="Behandlung von Karies und Parodontitis mit Implantation" />
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        <extension url="https://gematik.de/fhir/dipag/StructureDefinition/DiPagInvoiceBasedOn">
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            <type>
              <coding>
                <system value="https://gematik.de/fhir/dipag/CodeSystem/dipag-rechnung-identifier-type-cs" />
                <code value="antragsreferenz" />
              </coding>
            </type>
            <system value="https://example.org/fhir/sid/kostenplan" />
            <value value="HKP-2024-001-123456" />
          </valueIdentifier>
        </extension>
        <identifier>
          <type>
            <coding>
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              <code value="invoice" />
            </coding>
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          <system value="https://zahnarzt-schulz.de/fhir/sid/rechnungsnummer" />
          <value value="RG-2024-001234" />
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        <status value="issued" />
        <type>
          <coding>
            <system value="https://gematik.de/fhir/dipag/CodeSystem/dipag-rechnung-abrechnungsart-cs" />
            <code value="GOÄ" />
            <display value="Gebührenordnung für Ärzte" />
          </coding>
          <coding>
            <system value="https://gematik.de/fhir/dipag/CodeSystem/dipag-rechnungsart-cs" />
            <code value="ABSCHLUSS" />
            <display value="Abschlussrechnung" />
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        </type>
        <subject>
          <reference value="Patient/8e2b7c2a-4f3a-4e7a-9c1a-2d6b8f7e1a3c" />
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          <reference value="Patient/8e2b7c2a-4f3a-4e7a-9c1a-2d6b8f7e1a3c" />
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            <type>
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                <system value="http://fhir.de/CodeSystem/identifier-type-de-basis" />
                <code value="KVZ10" />
              </coding>
            </type>
            <system value="http://fhir.de/sid/gkv/kvid-10" />
            <value value="K123456789" />
          </identifier>
          <display value="Max Mustermann" />
        </recipient>
        <date value="2024-03-15" />
        <participant>
          <role>
            <coding>
              <system value="https://gematik.de/fhir/dipag/CodeSystem/dipag-participant-role-cs" />
              <code value="leistungserbringer" />
            </coding>
          </role>
          <actor>
            <reference value="Practitioner/d2e3f4a5-3c4d-5e6f-0a1b-2c3d4e5f6a7b" />
          </actor>
        </participant>
        <participant>
          <role>
            <coding>
              <system value="https://gematik.de/fhir/dipag/CodeSystem/dipag-participant-role-cs" />
              <code value="forderungsinhaber" />
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          </role>
          <actor>
            <reference value="Organization/e3f4a5b6-4d5e-6f7a-1b2c-3d4e5f6a7b8c" />
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        </participant>
        <issuer>
          <reference value="Organization/e3f4a5b6-4d5e-6f7a-1b2c-3d4e5f6a7b8c" />
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          <chargeItemReference>
            <reference value="ChargeItem/a5b6c7d8-6f7a-8b9c-3d4e-5f6a7b8c9d0e" />
          </chargeItemReference>
          <priceComponent>
            <type value="base" />
            <amount>
              <value value="29.35" />
              <currency value="EUR" />
            </amount>
          </priceComponent>
          <priceComponent>
            <type value="tax" />
            <amount>
              <value value="4.69" />
              <currency value="EUR" />
            </amount>
          </priceComponent>
        </lineItem>
        <lineItem>
          <sequence value="3" />
          <chargeItemReference>
            <reference value="ChargeItem/b6c7d8e9-7a8b-9c0d-4e5f-6a7b8c9d0e1f" />
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          <priceComponent>
            <type value="base" />
            <amount>
              <value value="142.8" />
              <currency value="EUR" />
            </amount>
          </priceComponent>
          <priceComponent>
            <type value="tax" />
            <amount>
              <value value="22.8" />
              <currency value="EUR" />
            </amount>
          </priceComponent>
        </lineItem>
        <lineItem>
          <sequence value="4" />
          <chargeItemReference>
            <reference value="ChargeItem/c7d8e9f0-8b9c-0d1e-5f6a-7b8c9d0e1f2a" />
          </chargeItemReference>
          <priceComponent>
            <type value="base" />
            <amount>
              <value value="952" />
              <currency value="EUR" />
            </amount>
          </priceComponent>
          <priceComponent>
            <type value="tax" />
            <amount>
              <value value="152" />
              <currency value="EUR" />
            </amount>
          </priceComponent>
        </lineItem>
        <lineItem>
          <sequence value="5" />
          <chargeItemReference>
            <reference value="ChargeItem/d8e9f0a1-9c0d-1e2f-6a7b-8c9d0e1f2a3b" />
          </chargeItemReference>
          <priceComponent>
            <type value="base" />
            <amount>
              <value value="53.55" />
              <currency value="EUR" />
            </amount>
          </priceComponent>
          <priceComponent>
            <type value="tax" />
            <amount>
              <value value="8.55" />
              <currency value="EUR" />
            </amount>
          </priceComponent>
        </lineItem>
        <lineItem>
          <sequence value="6" />
          <chargeItemReference>
            <reference value="ChargeItem/e9f0a1b2-0d1e-2f3a-7b8c-9d0e1f2a3b4c" />
          </chargeItemReference>
          <priceComponent>
            <type value="base" />
            <amount>
              <value value="238" />
              <currency value="EUR" />
            </amount>
          </priceComponent>
          <priceComponent>
            <type value="tax" />
            <amount>
              <value value="45.22" />
              <currency value="EUR" />
            </amount>
          </priceComponent>
        </lineItem>
        <totalPriceComponent>
          <type value="base" />
          <code>
            <coding>
              <system value="https://gematik.de/fhir/dipag/CodeSystem/dipag-total-price-component-type-cs" />
              <code value="SummeRechnungspositionen" />
              <display value="Summe aller Rechnungspositionen" />
            </coding>
          </code>
          <amount>
            <value value="1415.7" />
            <currency value="EUR" />
          </amount>
        </totalPriceComponent>
        <totalPriceComponent>
          <type value="base" />
          <code>
            <coding>
              <system value="https://gematik.de/fhir/dipag/CodeSystem/dipag-total-price-component-type-cs" />
              <code value="Fremdlaborleistungen" />
              <display value="Fremdlaborleistungen" />
            </coding>
          </code>
          <amount>
            <value value="800" />
            <currency value="EUR" />
          </amount>
        </totalPriceComponent>
        <totalPriceComponent>
          <type value="deduction" />
          <code>
            <coding>
              <system value="https://gematik.de/fhir/dipag/CodeSystem/dipag-total-price-component-type-cs" />
              <code value="FestzuschussKasse" />
              <display value="Festzuschuss Kasse" />
            </coding>
          </code>
          <amount>
            <value value="-250" />
            <currency value="EUR" />
          </amount>
        </totalPriceComponent>
        <totalNet>
          <value value="1415.7" />
          <currency value="EUR" />
        </totalNet>
        <totalGross>
          <value value="1648.96" />
          <currency value="EUR" />
        </totalGross>
        <paymentTerms value="Überweisung auf Konto: IBAN DE89370400440532013000, BIC COBADEFFXXX. Zahlbar bis zum 30.04.2024 ohne Abzug.">
          <extension url="https://gematik.de/fhir/dipag/StructureDefinition/dipag-zahlungsziel">
            <valueDate value="2024-04-30" />
          </extension>
        </paymentTerms>
        <note>
          <text value="Gemäß §1 Abs. 2 GOÄ werden diese Leistungen nach dieser Gebührenordnung für Ärzte berechnet. Bitte überweisen Sie den Betrag innerhalb von 14 Tagen." />
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  <entry>
    <fullUrl value="urn:uuid:8e2b7c2a-4f3a-4e7a-9c1a-2d6b8f7e1a3c" />
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      <Patient>
        <id value="8e2b7c2a-4f3a-4e7a-9c1a-2d6b8f7e1a3c" />
        <meta>
          <profile value="https://gematik.de/fhir/dipag/StructureDefinition/dipag-patient" />
        </meta>
        <identifier>
          <type>
            <coding>
              <system value="http://fhir.de/CodeSystem/identifier-type-de-basis" />
              <code value="KVZ10" />
            </coding>
          </type>
          <system value="http://fhir.de/sid/gkv/kvid-10" />
          <value value="K123456789" />
          <assigner>
            <identifier>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
                  <code value="XX" />
                </coding>
              </type>
              <system value="http://fhir.de/sid/arge-ik/iknr" />
              <value value="109500969" />
            </identifier>
          </assigner>
        </identifier>
        <name>
          <use value="official" />
          <text value="Max Mustermann" />
          <family value="Mustermann" />
          <given value="Max" />
        </name>
        <gender value="male" />
        <birthDate value="1980-05-15" />
        <address>
          <use value="home" />
          <type value="both" />
          <line value="Musterstraße 42">
            <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
              <valueString value="Musterstraße" />
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
              <valueString value="42" />
            </extension>
          </line>
          <city value="Berlin" />
          <postalCode value="10115" />
          <country value="DE" />
        </address>
        <address>
          <type value="postal" />
          <line value="Postfach 123456">
            <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox">
              <valueString value="123456" />
            </extension>
          </line>
          <city value="Berlin" />
          <postalCode value="10115" />
          <country value="DE" />
        </address>
      </Patient>
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  </entry>
  <entry>
    <fullUrl value="urn:uuid:c1d2e3f4-2b3c-4d5e-9f0a-1b2c3d4e5f6a" />
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        <meta>
          <profile value="https://gematik.de/fhir/dipag/StructureDefinition/dipag-person" />
        </meta>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
              <code value="PRN" />
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          <system value="https://gematik.de/fhir/sid/telematik-id" />
          <value value="1-HBA-Testkarte-883110000123465" />
        </identifier>
        <name>
          <use value="official" />
          <text value="Dr. Hans Schulz" />
          <family value="Schulz" />
          <given value="Hans" />
          <prefix value="Dr.">
            <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
              <valueCode value="AC" />
            </extension>
          </prefix>
        </name>
        <telecom>
          <system value="phone" />
          <value value="+49 30 123456" />
        </telecom>
        <address>
          <type value="both" />
          <line value="Praxisstraße 10">
            <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
              <valueString value="Praxisstraße" />
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            <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
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          </line>
          <city value="Berlin" />
          <postalCode value="10115" />
          <country value="DE" />
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        <qualification>
          <code>
            <coding>
              <system value="http://ihe-d.de/CodeSystems/AerztlicheFachrichtungen" />
              <code value="MZKH" />
              <display value="Zahnmedizin" />
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          <value value="1-HBA-Testkarte-883110000123466" />
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        <name>
          <use value="official" />
          <text value="Dr. Anna Mueller" />
          <family value="Mueller" />
          <given value="Anna" />
          <prefix value="Dr.">
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          <value value="+49 30 123457" />
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        <address>
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          <line value="Praxisstraße 10">
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          <city value="Berlin" />
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          <country value="DE" />
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              <display value="Zahnmedizin" />
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              <code value="PRN" />
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          <system value="https://gematik.de/fhir/sid/telematik-id" />
          <value value="1-SMC-B-Testkarte-883110000123465" />
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              <system value="https://gematik.de/fhir/dipag/CodeSystem/dipag-rechnung-identifier-type-cs" />
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        <type>
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            <system value="http://ihe-d.de/CodeSystems/AerztlicheFachrichtungen" />
            <code value="MZKH" />
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        <name value="Zahnarztpraxis Dr. Schulz" />
        <telecom>
          <system value="phone" />
          <value value="+49 30 123456" />
        </telecom>
        <address>
          <type value="both" />
          <line value="Praxisstraße 10">
            <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
              <valueString value="Praxisstraße" />
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
              <valueString value="10" />
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          </line>
          <city value="Berlin" />
          <postalCode value="10115" />
          <country value="DE" />
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        <meta>
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              <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
              <code value="PRN" />
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          <system value="https://gematik.de/fhir/sid/telematik-id" />
          <value value="1-SMC-B-Testkarte-883110000987654" />
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        <identifier>
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            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
              <code value="XX" />
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          <system value="http://fhir.de/sid/arge-ik/iknr" />
          <value value="109876543" />
        </identifier>
        <type>
          <coding>
            <system value="http://ihe-d.de/CodeSystems/AerztlicheFachrichtungen" />
            <code value="MZKH" />
            <display value="Zahnmedizin" />
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        </type>
        <name value="Zahnlabor Müller GmbH" />
        <telecom>
          <system value="phone" />
          <value value="+49 30 987654" />
        </telecom>
        <address>
          <type value="both" />
          <line value="Laborstraße 5">
            <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
              <valueString value="Laborstraße" />
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
              <valueString value="5" />
            </extension>
          </line>
          <city value="Berlin" />
          <postalCode value="10116" />
          <country value="DE" />
        </address>
      </Organization>
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  <entry>
    <fullUrl value="urn:uuid:a5b6c7d8-6f7a-8b9c-3d4e-5f6a7b8c9d0e" />
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      <ChargeItem>
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        <meta>
          <profile value="https://gematik.de/fhir/dipag/StructureDefinition/dipag-rechnungsposition" />
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        <extension url="https://gematik.de/fhir/dipag/StructureDefinition/dipag-rechnungsposition-type">
          <valueCoding>
            <system value="https://gematik.de/fhir/dipag/CodeSystem/dipag-chargeitem-type-cs" />
            <code value="GOÄ" />
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        </extension>
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