Moderne Patient:innenabrechnung und Datenkommunikation on FHIR (MOPED)
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Moderne Patient:innenabrechnung und Datenkommunikation on FHIR (MOPED) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: PJ1VAEResponse1 - JSON Representation

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{
  "resourceType" : "ClaimResponse",
  "id" : "PJ1VAEResponse1",
  "meta" : {
    "profile" : [
      🔗 "https://elga.moped.at/StructureDefinition/MopedVAEResponse"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ClaimResponse PJ1VAEResponse1</b></p><a name=\"PJ1VAEResponse1\"> </a><a name=\"hcPJ1VAEResponse1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-MopedVAEResponse.html\">MOPED VAEResponse</a></p></div><blockquote><p><b>VerpflegskostenBeitragsbefreiung</b></p><ul><li>Befreiung: <a href=\"CodeSystem-VerpflegskostenBeitragsbefreiungCS.html#VerpflegskostenBeitragsbefreiungCS-N\">Befreiung für den Verpflegskostenbeitrag N</a>: Es liegt keine Befreiung vom Verpflegskostenbeitrag vor.</li><li>Zeitraum: 2024-02-22 --&gt; 2024-08-21</li></ul></blockquote><blockquote><p><b>Supporting Info Extension for ClaimResponse - Sonderklasse Slice</b></p><ul><li>category: <span title=\"Codes:{https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS KLAS}\">Allgemeine Gebührenklasse/Sonderklasse</span></li><li>code: <span title=\"Codes:{https://elga.moped.at/CodeSystem/SonderklasseCS A}\">Allgemeine Gebührenklasse</span></li><li>sequence: 2</li><li>timing: 2024-02-22 19:33:00+0200 --&gt; (ongoing)</li></ul></blockquote><blockquote><p><b>Supporting Info Extension for ClaimResponse - Vortageanzahl auf Kostenbeitrag</b></p><ul><li>category: <span title=\"Codes:{https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS VTAGE}\">Vortageanzahl auf Kostenbeitrag</span></li><li>value: 2</li><li>sequence: 4</li></ul></blockquote><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type institutional}\">Institutional</span></p><p><b>use</b>: Preauthorization</p><p><b>patient</b>: <a href=\"Patient-PJ1Patient.html\">Sonnenschein Susi (official) Female, DoB: 1969-04-21 ( Social Security Number: 9994210469)</a></p><p><b>created</b>: 2025-02-18</p><p><b>insurer</b>: <a href=\"Organization-oegk-wien.html\">Organization Österreichische Gesundheitskasse Wien</a></p><p><b>request</b>: <a href=\"Claim-PJ1VAERequest1.html\">Claim: status = active; type = Institutional; use = preauthorization; created = 2025-02-17</a></p><p><b>outcome</b>: Processing Complete</p><p><b>decision</b>: <span title=\"Codes:{https://elga.moped.at/CodeSystem/VAEStatusCS 00}\">bewilligt (nur für stationären Bereich)</span></p><p><b>preAuthPeriod</b>: 2024-02-22 --&gt; 2024-08-21</p></div>"
  },
  "extension" : [
    {
      "extension" : [
        {
          "url" : "Befreiung",
          "valueCoding" : {
            "system" : "https://elga.moped.at/CodeSystem/VerpflegskostenBeitragsbefreiungCS",
            "code" : "N"
          }
        },
        {
          "url" : "Zeitraum",
          "valuePeriod" : {
            "start" : "2024-02-22",
            "end" : "2024-08-21"
          }
        }
      ],
      "url" : "https://elga.moped.at/StructureDefinition/moped-ext-verpflegskostenBeitragsbefreiung"
    },
    {
      "extension" : [
        {
          "url" : "category",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS",
                "code" : "KLAS"
              }
            ]
          }
        },
        {
          "url" : "code",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://elga.moped.at/CodeSystem/SonderklasseCS",
                "code" : "A"
              }
            ]
          }
        },
        {
          "url" : "sequence",
          "valuePositiveInt" : 2
        },
        {
          "url" : "timing",
          "valuePeriod" : {
            "start" : "2024-02-22T19:33:00+02:00"
          }
        }
      ],
      "url" : "https://elga.moped.at/StructureDefinition/MopedSupportingInfoSonderklasse"
    },
    {
      "extension" : [
        {
          "url" : "category",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS",
                "code" : "VTAGE"
              }
            ]
          }
        },
        {
          "url" : "value",
          "valueQuantity" : {
            "value" : 2
          }
        },
        {
          "url" : "sequence",
          "valuePositiveInt" : 4
        }
      ],
      "url" : "https://elga.moped.at/StructureDefinition/MopedSupportingInfoVortageanzahlAufKostenbeitrag"
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
        "code" : "institutional"
      }
    ]
  },
  "use" : "preauthorization",
  "patient" : {
    🔗 "reference" : "Patient/PJ1Patient"
  },
  "created" : "2025-02-18",
  "insurer" : {
    🔗 "reference" : "Organization/oegk-wien"
  },
  "request" : {
    🔗 "reference" : "Claim/PJ1VAERequest1"
  },
  "outcome" : "complete",
  "decision" : {
    "coding" : [
      {
        "system" : "https://elga.moped.at/CodeSystem/VAEStatusCS",
        "code" : "00"
      }
    ]
  },
  "preAuthPeriod" : {
    "start" : "2024-02-22",
    "end" : "2024-08-21"
  }
}