<?xml version="1.0" encoding="UTF-8"?>

<ChargeItem xmlns="http://hl7.org/fhir">
  <id value="ChargeItem-GET-Completed"/>
  <meta>
    <profile value="https://gematik.de/fhir/erpchrg/StructureDefinition/GEM_ERPCHRG_PR_ChargeItem"/>
  </meta>
  <extension url="https://gematik.de/fhir/erpchrg/StructureDefinition/GEM_ERPCHRG_EX_MarkingFlag">
    <extension url="insuranceProvider">
      <valueBoolean value="false"/>
    </extension>
    <extension url="subsidy">
      <valueBoolean value="false"/>
    </extension>
    <extension url="taxOffice">
      <valueBoolean value="false"/>
    </extension>
  </extension>
  <identifier>
    <system value="https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId"/>
    <value value="200.000.000.000.000.01"/>
  </identifier>
  <identifier>
    <system value="https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_AccessCode"/>
    <value value="777bea0e13cc9c42ceec14aec3ddee2263325dc2c6c699db115f58fe423607ea"/>
  </identifier>
  <status value="billable"/>
  <code>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>
      <code value="not-applicable"/>
    </coding>
  </code>
  <subject>
    <identifier>
      <system value="http://fhir.de/sid/gkv/kvid-10"/>
      <value value="P987654321"/>
    </identifier>
  </subject>
  <enterer>
    <identifier>
      <system value="https://gematik.de/fhir/sid/telematik-id"/>
      <value value="3-2-APO-XanthippeVeilchenblau01"/>
    </identifier>
  </enterer>
  <enteredDate value="2028-10-01T15:29:00.434+00:00"/>
  <supportingInformation>
    <reference value="Bundle/72bd741c-7ad8-41d8-97c3-9aabbdd0f5b4"/>
    <display value="http://fhir.abda.de/eRezeptAbgabedaten/StructureDefinition/DAV-PKV-PR-ERP-AbgabedatenBundle"/>
  </supportingInformation>
  <supportingInformation>
    <reference value="Bundle/200.000.000.000.000.01"/>
    <display value="https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_Bundle"/>
  </supportingInformation>
  <supportingInformation>
    <reference value="Bundle/0428d416-149e-48a4-977c-394887b3d85c"/>
    <display value="https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Bundle"/>
  </supportingInformation>
</ChargeItem>