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<invoice:request xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.xmlData.ch/xmlInvoice/XSD MDInvoiceRequest_300.xsd" xmlns="http://www.xmlData.ch/xmlInvoice/XSD" xmlns:invoice="http://www.xmlData.ch/xmlInvoice/XSD" role="test"><invoice:header><invoice:sender ean_party="7601000178046"/><invoice:intermediate ean_party="7601001304307"/><invoice:recipient ean_party="7601000178046"/></invoice:header><invoice:prolog><invoice:package version="100" id="1009061220">TarPoint Copyright © by ZMT</invoice:package><invoice:generator><invoice:software version="300" id="1021050627">export(err=0xc00ce183): MDInvoiceRequest3.00.021</invoice:software></invoice:generator><invoice:validator focus="tarmed" version_software="100" version_db="0" id="1108991230">tarmedValidator100 ATL Module Copyright © by Suva &amp; santésuisse</invoice:validator></invoice:prolog><invoice:invoice invoice_timestamp="1166592345" invoice_id="987087" invoice_date="2007-01-21T00:00:00"><invoice:balance currency="CHF" amount="1550" amount_due="1550" amount_tarmed="1550" amount_cantonal="0" amount_unclassified="0" amount_lab="0" amount_migel="0" amount_physio="0" amount_drug="0"/><invoice:esr9 type="16or27" participant_number="01-51568-3" reference_number="99 84210 00000 00378 32391 10234" coding_line="0100001550007&gt;998421000000003783239110234+ 010259112&gt;"><invoice:bank><invoice:company><invoice:companyname>Meier</invoice:companyname><invoice:department>Rolf</invoice:department><invoice:postal><invoice:pobox>Pstfach</invoice:pobox><invoice:street>Musterweg 9</invoice:street><invoice:zip countrycode="CH">6090</invoice:zip><invoice:city>Kriens</invoice:city></invoice:postal></invoice:company></invoice:bank></invoice:esr9><invoice:tiers_payant><invoice:biller ean_party="7601000178275" zsr="H534607"><invoice:person salutation="Herr" title="Biller/Rechnungssteller"><invoice:familyname>Muster</invoice:familyname><invoice:givenname>Luzius</invoice:givenname><invoice:postal><invoice:pobox>Postfach</invoice:pobox><invoice:street>Musterstrasse 7</invoice:street><invoice:zip statecode="NW" countrycode="CH">6370</invoice:zip><invoice:city>Stans</invoice:city></invoice:postal><invoice:telecom><invoice:phone>041 610 33 44</invoice:phone><invoice:phone>041 610 33 44</invoice:phone><invoice:phone>041 610 33 44</invoice:phone><invoice:fax>041 610 33 44</invoice:fax></invoice:telecom><invoice:online><invoice:email>a.b@bluewin.ch</invoice:email></invoice:online></invoice:person></invoice:biller><invoice:provider ean_party="7601000178275" zsr="H534607"><invoice:person salutation="Herr" title="Provider/Leistungserbringer"><invoice:familyname>Muster</invoice:familyname><invoice:givenname>Luzius</invoice:givenname><invoice:postal><invoice:pobox>Postfach_Tuor</invoice:pobox><invoice:street>Musterstrasse 7</invoice:street><invoice:zip countrycode="CH">6370</invoice:zip><invoice:city>Stans</invoice:city></invoice:postal><invoice:telecom><invoice:phone>041 610 33 44</invoice:phone><invoice:fax>041 610 33 44</invoice:fax></invoice:telecom><invoice:online><invoice:email>aa.bbr@bluewin.ch</invoice:email></invoice:online></invoice:person></invoice:provider><invoice:insurance ean_party="7601003001075"><invoice:company><invoice:companyname>Versichrung XYZ</invoice:companyname><invoice:department>Muster</invoice:department><invoice:postal><invoice:pobox>Postfach</invoice:pobox><invoice:street>Mstrasse 4</invoice:street><invoice:zip countrycode="CH">6002</invoice:zip><invoice:city>Luzern</invoice:city></invoice:postal><invoice:telecom><invoice:phone>041 418 13 13</invoice:phone><invoice:phone>041 418 13 14</invoice:phone></invoice:telecom></invoice:company></invoice:insurance><invoice:patient gender="male" birthdate="1964-02-28T00:00:00"><invoice:person salutation="Herr" title="Patient/Patient"><invoice:familyname>Patient Muster</invoice:familyname><invoice:givenname>Urs R.</invoice:givenname><invoice:postal><invoice:pobox>Postfach</invoice:pobox><invoice:street>Mustermattweg 9</invoice:street><invoice:zip countrycode="CH">6000</invoice:zip><invoice:city>Luzern</invoice:city></invoice:postal></invoice:person></invoice:patient><invoice:guarantor><invoice:person salutation="Frau" title="Guarantor/Garant"><invoice:familyname>Meier</invoice:familyname><invoice:givenname>Agatha</invoice:givenname><invoice:postal><invoice:pobox>Postfach</invoice:pobox><invoice:street>Musterweg 9</invoice:street><invoice:zip countrycode="CH">6000</invoice:zip><invoice:city>Luzern</invoice:city></invoice:postal></invoice:person></invoice:guarantor><invoice:referrer ean_party="7601000292483" zsr="J031502"><invoice:person salutation="Herr" title="Referrer/Auftraggeber"><invoice:familyname>Muster</invoice:familyname><invoice:givenname>Othmar</invoice:givenname><invoice:postal><invoice:pobox>Pstfach</invoice:pobox><invoice:street>Mstrasse 7</invoice:street><invoice:zip countrycode="CH">6362</invoice:zip><invoice:city>Stansstad</invoice:city></invoice:postal><invoice:telecom><invoice:phone>041 633 55 66</invoice:phone><invoice:phone>041 633 55 67</invoice:phone></invoice:telecom></invoice:person></invoice:referrer></invoice:tiers_payant><invoice:detail date_begin="2007-01-20T00:00:00" date_end="2007-01-20T00:00:00" canton="BS"><invoice:uvg reason="disease" patient_id="12345" case_id="123.123.123" case_date="2007-01-20T00:00:00" contract_number="A-12-A" ssn="12350345111"><invoice:employer><invoice:person title="Employer/Arbeitgeber"><invoice:familyname>Muster</invoice:familyname><invoice:givenname>Sissi</invoice:givenname><invoice:postal><invoice:pobox>Pstfach</invoice:pobox><invoice:street>Musterweg 9</invoice:street><invoice:zip countrycode="CH">6370</invoice:zip><invoice:city>Stans</invoice:city></invoice:postal><invoice:telecom><invoice:phone>041 610 33 44</invoice:phone><invoice:phone>041 610 22 23</invoice:phone></invoice:telecom></invoice:person></invoice:employer></invoice:uvg><invoice:services><invoice:record_tarmed number="1" ean_provider="7601000178275" ean_responsible="7601000178275" billing_role="mt" medical_role="self_employed" body_location="none" unit.mt="1550" unit_factor.mt="1" scale_factor.mt="1" amount.mt="1550" unit.tt="0" unit_factor.tt="1" scale_factor.tt="1" amount="1550" record_id="1" validate="1" date_begin="2007-01-20T00:00:00" code="50.1000" quantity="1">Versorgung Claviculaschaftfraktur inkl. Pseudarthrose</invoice:record_tarmed></invoice:services></invoice:detail></invoice:invoice></invoice:request>

