Moderne Patient:innenabrechnung und Datenkommunikation on FHIR (MOPED)
0.1.0 - ci-build

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

Resource Profile: MOPED ARKRequest

Official URL: https://elga.moped.at/StructureDefinition/MopedARKRequest Version: 0.1.0
Draft as of 2025-10-02 Responsible: ELGA GmbH Computable Name: MopedARKRequest

MOPED Profil der Claim Ressource für die Kostenmeldung für Ausländerverrechnung und Regresse.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Claim 0..* Claim Claim, Pre-determination or Pre-authorization
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnoseKnoten 0..1 Coding "Abrechnung - Knoten:" Lukriert die Patient:innen über eine reguläre Gruppe Punkte, so ist in diesem Datenfeld die entsprechende Knotenbezeichnung einzutragen.
URL: https://elga.moped.at/StructureDefinition/moped-ext-diagnoseKnoten
Binding: LKF Abrechnungsknoten (required)
.... extension:Beihilfenaequivalent 0..1 decimal Beihilfenaequivalent
URL: https://elga.moped.at/StructureDefinition/moped-ext-Beihilfenaequivalent
... status ?!Σ 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
... type Σ 1..1 CodeableConcept Category or discipline
Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/claim-type
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: institutional
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subType 1..1 CodeableConcept Kostenmeldung für Ausländerverrechnung, Regressangelegenheiten und Kosteninformation
Binding: Kostenmeldung für (A/R/K) (required)
... use Σ 1..1 code claim | preauthorization | predetermination
Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim.
Required Pattern: claim
... patient Σ 1..1 Reference(HL7® AT Core Patient Profile) The recipient of the products and services
... created Σ 1..1 dateTime Resource creation date
... insurer Σ 1..1 Reference(SV Organization) Target
... provider Σ 1..1 Reference(KH Organization) Party responsible for the claim
... Slices for encounter 1..* Reference(Encounter) Encounters associated with the listed treatments
Slice: Unordered, Open by profile:resolve()
.... encounter:MopedEncounter 1..1 Reference(MOPED Encounter) Generelle Informationen zu Aufnahme und Entlassung des Patienten
... diagnosisRelatedGroup 0..1 CodeableConcept "Abrechnung - Gruppe:" Dieses Datenfeld ist mit der Codenummer der zutreffenden Abrechnungsgruppe zu befüllen. Bei Datensätzen von stationären Krankenhausaufenthalten, die keiner leistungsorientier- ten Diagnosenfallgruppe zugeordnet werden, erfolgt ein Eintrag entsprechend der jeweiligen Aufnahmeart.
Binding: LKF Abrechnungsgruppe (required)
... Slices for item 3..* BackboneElement Product or service provided
Slice: Unordered, Open by value:category.coding
.... item:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
.... item:Leistungskomponente 1..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... category 0..1 CodeableConcept Benefit classification
Binding: Moped Claim Item Category ValueSet (required)
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LDFPLK
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:Tageskomponente 1..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:PunkteBelagsdauerausreisserUntenLeistungskomponente 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:PunkteBelagsdauerausreisserUntenTageskomponente 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:ZusatzpunkteBelagsdauerausreisserNachOben 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:ZusatzpunkteIntensiv 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:ZusatzpunkteMehrfachleistungen 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:PunkteSpeziellerBereicheTageweise 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:Gesamtpunkte 1..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
..... unitPrice 1..1 Money LDF-Punktewert Netto
..... factor 0..1 decimal Price scaling factor
Required Pattern: 1
..... net 1..1 Money LDF-Betrag Netto
.... item:Patientenanteil 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... unitPrice 1..1 Money Patientenanteil für Angehörige (tägl. Satz) netto
..... factor 0..1 decimal Price scaling factor
Required Pattern: -1
..... net 1..1 Money Patientenanteil netto
... total 0..1 Money Forderungsbetrag für Ausländerverrechnung/Regresse

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Claim.status Base required Financial Resource Status Codes 📍5.0.0 FHIR Std.
Claim.type Base extensible Claim Type Codes 📍5.0.0 FHIR Std.
Claim.subType Base required Kostenmeldung für (A/R/K) 📦0.1.0 This IG
Claim.use Base required Use 📍5.0.0 FHIR Std.
Claim.diagnosisRelatedGroup Base required LKF Abrechnungsgruppe 📦0.1.0 This IG
Claim.item:Leistungskomponente.​category Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Claim If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Claim If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Claim If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Claim If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Claim A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Claim

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Claim 0..* Claim Claim, Pre-determination or Pre-authorization
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnoseKnoten 0..1 Coding "Abrechnung - Knoten:" Lukriert die Patient:innen über eine reguläre Gruppe Punkte, so ist in diesem Datenfeld die entsprechende Knotenbezeichnung einzutragen.
URL: https://elga.moped.at/StructureDefinition/moped-ext-diagnoseKnoten
Binding: LKF Abrechnungsknoten (required)
.... extension:Beihilfenaequivalent 0..1 decimal Beihilfenaequivalent
URL: https://elga.moped.at/StructureDefinition/moped-ext-Beihilfenaequivalent
... type 1..1 CodeableConcept Category or discipline
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/claim-type
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: institutional
... subType 1..1 CodeableConcept Kostenmeldung für Ausländerverrechnung, Regressangelegenheiten und Kosteninformation
Binding: Kostenmeldung für (A/R/K) (required)
... patient 1..1 Reference(HL7® AT Core Patient Profile) The recipient of the products and services
... insurer 1..1 Reference(SV Organization) Target
... provider 1..1 Reference(KH Organization) Party responsible for the claim
... related
.... claim 1..1 Reference(MOPED LKFRequest) Reference to the related claim
.... relationship 0..1 CodeableConcept How the reference claim is related
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: associated
... Slices for encounter 1..* Reference(Encounter) Encounters associated with the listed treatments
Slice: Unordered, Open by profile:resolve()
.... encounter:MopedEncounter 1..1 Reference(MOPED Encounter) Generelle Informationen zu Aufnahme und Entlassung des Patienten
... diagnosisRelatedGroup 0..1 CodeableConcept "Abrechnung - Gruppe:" Dieses Datenfeld ist mit der Codenummer der zutreffenden Abrechnungsgruppe zu befüllen. Bei Datensätzen von stationären Krankenhausaufenthalten, die keiner leistungsorientier- ten Diagnosenfallgruppe zugeordnet werden, erfolgt ein Eintrag entsprechend der jeweiligen Aufnahmeart.
Binding: LKF Abrechnungsgruppe (required)
... Slices for item 3..* BackboneElement Product or service provided
Slice: Unordered, Open by value:category.coding
.... item:Leistungskomponente 1..1 BackboneElement Product or service provided
..... category 0..1 CodeableConcept Benefit classification
Binding: Moped Claim Item Category ValueSet (required)
...... coding 1..* Coding Code defined by a terminology system
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LDFPLK
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... unit 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:Tageskomponente 1..1 BackboneElement Product or service provided
..... category
...... coding 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LDFPTK
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value 1..1 decimal Numerical value (with implicit precision)
...... unit 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:PunkteBelagsdauerausreisserUntenLeistungskomponente 0..1 BackboneElement Product or service provided
..... category
...... coding 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SCULK
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value 1..1 decimal Numerical value (with implicit precision)
...... unit 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:PunkteBelagsdauerausreisserUntenTageskomponente 0..1 BackboneElement Product or service provided
..... category
...... coding 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SCUTK
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value 1..1 decimal Numerical value (with implicit precision)
...... unit 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:ZusatzpunkteBelagsdauerausreisserNachOben 0..1 BackboneElement Product or service provided
..... category
...... coding 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: BDZU
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value 1..1 decimal Numerical value (with implicit precision)
...... unit 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:ZusatzpunkteIntensiv 0..1 BackboneElement Product or service provided
..... category
...... coding 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: INTZU
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value 1..1 decimal Numerical value (with implicit precision)
...... unit 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:ZusatzpunkteMehrfachleistungen 0..1 BackboneElement Product or service provided
..... category
...... coding 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MELZU
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value 1..1 decimal Numerical value (with implicit precision)
...... unit 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:PunkteSpeziellerBereicheTageweise 0..1 BackboneElement Product or service provided
..... category
...... coding 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SCSPEZ
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value 1..1 decimal Numerical value (with implicit precision)
...... unit 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:Gesamtpunkte 1..1 BackboneElement Product or service provided
..... category
...... coding 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SCGES
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value 1..1 decimal Numerical value (with implicit precision)
...... unit 0..1 string Unit representation
Required Pattern: LKF Punkte
..... unitPrice 1..1 Money LDF-Punktewert Netto
..... factor 0..1 decimal Price scaling factor
Required Pattern: 1
..... net 1..1 Money LDF-Betrag Netto
.... item:Patientenanteil 0..1 BackboneElement Product or service provided
..... category
...... coding 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: Patientenanteil
..... unitPrice 1..1 Money Patientenanteil für Angehörige (tägl. Satz) netto
..... factor 0..1 decimal Price scaling factor
Required Pattern: -1
..... net 1..1 Money Patientenanteil netto
... total 0..1 Money Forderungsbetrag für Ausländerverrechnung/Regresse

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Claim.subType Base required Kostenmeldung für (A/R/K) 📦0.1.0 This IG
Claim.diagnosisRelatedGroup Base required LKF Abrechnungsgruppe 📦0.1.0 This IG
Claim.item:Leistungskomponente.​category Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:Tageskomponente.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:ZusatzpunkteIntensiv.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:ZusatzpunkteMehrfachleistungen.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:PunkteSpeziellerBereicheTageweise.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:Gesamtpunkte.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:Patientenanteil.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Claim 0..* Claim Claim, Pre-determination or Pre-authorization
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnoseKnoten 0..1 Coding "Abrechnung - Knoten:" Lukriert die Patient:innen über eine reguläre Gruppe Punkte, so ist in diesem Datenfeld die entsprechende Knotenbezeichnung einzutragen.
URL: https://elga.moped.at/StructureDefinition/moped-ext-diagnoseKnoten
Binding: LKF Abrechnungsknoten (required)
.... extension:Beihilfenaequivalent 0..1 decimal Beihilfenaequivalent
URL: https://elga.moped.at/StructureDefinition/moped-ext-Beihilfenaequivalent
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Business Identifier for claim
... traceNumber 0..* Identifier Number for tracking
... status ?!Σ 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
... type Σ 1..1 CodeableConcept Category or discipline
Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/claim-type
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: institutional
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subType 1..1 CodeableConcept Kostenmeldung für Ausländerverrechnung, Regressangelegenheiten und Kosteninformation
Binding: Kostenmeldung für (A/R/K) (required)
... use Σ 1..1 code claim | preauthorization | predetermination
Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim.
Required Pattern: claim
... patient Σ 1..1 Reference(HL7® AT Core Patient Profile) The recipient of the products and services
... billablePeriod Σ 0..1 Period Relevant time frame for the claim
... created Σ 1..1 dateTime Resource creation date
... enterer 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Author of the claim
... insurer Σ 1..1 Reference(SV Organization) Target
... provider Σ 1..1 Reference(KH Organization) Party responsible for the claim
... priority Σ 0..1 CodeableConcept Desired processing urgency
Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred.
... fundsReserve 0..1 CodeableConcept For whom to reserve funds
Binding: FundsReservationCodes (example): For whom funds are to be reserved: (Patient, Provider, None).
... related 0..* BackboneElement Prior or corollary claims
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... claim 1..1 Reference(MOPED LKFRequest) Reference to the related claim
.... relationship 0..1 CodeableConcept How the reference claim is related
Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: associated
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... reference 0..1 Identifier File or case reference
... prescription 0..1 Reference(DeviceRequest | MedicationRequest | VisionPrescription) Prescription authorizing services and products
... originalPrescription 0..1 Reference(DeviceRequest | MedicationRequest | VisionPrescription) Original prescription if superseded by fulfiller
... payee 0..1 BackboneElement Recipient of benefits payable
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type 1..1 CodeableConcept Category of recipient
Binding: ClaimPayeeTypeCodes (example): A code for the party to be reimbursed.
.... party 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson) Recipient reference
... referral 0..1 Reference(ServiceRequest) Treatment referral
... Slices for encounter 1..* Reference(Encounter) Encounters associated with the listed treatments
Slice: Unordered, Open by profile:resolve()
.... encounter:MopedEncounter 1..1 Reference(MOPED Encounter) Generelle Informationen zu Aufnahme und Entlassung des Patienten
... facility 0..1 Reference(Location | Organization) Servicing facility
... diagnosisRelatedGroup 0..1 CodeableConcept "Abrechnung - Gruppe:" Dieses Datenfeld ist mit der Codenummer der zutreffenden Abrechnungsgruppe zu befüllen. Bei Datensätzen von stationären Krankenhausaufenthalten, die keiner leistungsorientier- ten Diagnosenfallgruppe zugeordnet werden, erfolgt ein Eintrag entsprechend der jeweiligen Aufnahmeart.
Binding: LKF Abrechnungsgruppe (required)
... event 0..* BackboneElement Event information
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type 1..1 CodeableConcept Specific event
Binding: DatesTypeCodes (example)
.... when[x] 1..1 Occurance date or period
..... whenDateTime dateTime
..... whenPeriod Period
... careTeam 0..* BackboneElement Members of the care team
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence 1..1 positiveInt Order of care team
.... provider 1..1 Reference(Practitioner | PractitionerRole | Organization) Practitioner or organization
.... responsible 0..1 boolean Indicator of the lead practitioner
.... role 0..1 CodeableConcept Function within the team
Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members.
.... specialty 0..1 CodeableConcept Practitioner or provider specialization
Binding: ExampleProviderQualificationCodes (example)
... supportingInfo 0..* BackboneElement Supporting information
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence 1..1 positiveInt Information instance identifier
.... category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
.... code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
.... timing[x] 0..1 When it occurred
..... timingDate date
..... timingPeriod Period
.... value[x] 0..1 Data to be provided
..... valueBoolean boolean
..... valueString string
..... valueQuantity Quantity
..... valueAttachment Attachment
..... valueReference Reference(Resource)
..... valueIdentifier Identifier
.... reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
... diagnosis 0..* BackboneElement Pertinent diagnosis information
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence 1..1 positiveInt Diagnosis instance identifier
.... diagnosis[x] 1..1 Nature of illness or problem
Binding: ICD10Codes (example): Example ICD10 Diagnostic codes.
..... diagnosisCodeableConcept CodeableConcept
..... diagnosisReference Reference(Condition)
.... type 0..* CodeableConcept Timing or nature of the diagnosis
Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.
.... onAdmission 0..1 CodeableConcept Present on admission
Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
... procedure 0..* BackboneElement Clinical procedures performed
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence 1..1 positiveInt Procedure instance identifier
.... type 0..* CodeableConcept Category of Procedure
Binding: ExampleProcedureTypeCodes (example): Example procedure type codes.
.... date 0..1 dateTime When the procedure was performed
.... procedure[x] 1..1 Specific clinical procedure
Binding: ICD10ProcedureCodes (example): Example ICD10 Procedure codes.
..... procedureCodeableConcept CodeableConcept
..... procedureReference Reference(Procedure)
.... udi 0..* Reference(Device) Unique device identifier
... insurance Σ 0..* BackboneElement Patient insurance information
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence Σ 1..1 positiveInt Insurance instance identifier
.... focal Σ 1..1 boolean Coverage to be used for adjudication
.... identifier 0..1 Identifier Pre-assigned Claim number
.... coverage Σ 1..1 Reference(Coverage) Insurance information
.... businessArrangement 0..1 string Additional provider contract number
.... preAuthRef 0..* string Prior authorization reference number
.... claimResponse 0..1 Reference(ClaimResponse) Adjudication results
... accident 0..1 BackboneElement Details of the event
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... date 1..1 date When the incident occurred
.... type 0..1 CodeableConcept The nature of the accident
Binding: ActIncidentCode (extensible): Type of accident: work place, auto, etc.
.... location[x] 0..1 Where the event occurred
..... locationAddress Address
..... locationReference Reference(Location)
... patientPaid 0..1 Money Paid by the patient
... Slices for item 3..* BackboneElement Product or service provided
Slice: Unordered, Open by value:category.coding
.... item:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:Leistungskomponente 1..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: Moped Claim Item Category ValueSet (required)
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LDFPLK
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:Tageskomponente 1..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LDFPTK
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:PunkteBelagsdauerausreisserUntenLeistungskomponente 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SCULK
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:PunkteBelagsdauerausreisserUntenTageskomponente 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SCUTK
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:ZusatzpunkteBelagsdauerausreisserNachOben 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: BDZU
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:ZusatzpunkteIntensiv 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: INTZU
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:ZusatzpunkteMehrfachleistungen 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MELZU
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:PunkteSpeziellerBereicheTageweise 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SCSPEZ
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:Gesamtpunkte 1..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SCGES
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 1..1 Money LDF-Punktewert Netto
..... factor 0..1 decimal Price scaling factor
Required Pattern: 1
..... tax 0..1 Money Total tax
..... net 1..1 Money LDF-Betrag Netto
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:Patientenanteil 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: Patientenanteil
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
..... unitPrice 1..1 Money Patientenanteil für Angehörige (tägl. Satz) netto
..... factor 0..1 decimal Price scaling factor
Required Pattern: -1
..... tax 0..1 Money Total tax
..... net 1..1 Money Patientenanteil netto
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
... total 0..1 Money Forderungsbetrag für Ausländerverrechnung/Regresse

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Claim.language Base required All Languages 📍5.0.0 FHIR Std.
Claim.status Base required Financial Resource Status Codes 📍5.0.0 FHIR Std.
Claim.type Base extensible Claim Type Codes 📍5.0.0 FHIR Std.
Claim.subType Base required Kostenmeldung für (A/R/K) 📦0.1.0 This IG
Claim.use Base required Use 📍5.0.0 FHIR Std.
Claim.priority Base example Process Priority Codes 📍5.0.0 FHIR Std.
Claim.fundsReserve Base example Funds Reservation Codes 📍5.0.0 FHIR Std.
Claim.related.relationship Base example Example Related Claim Relationship Codes 📍5.0.0 FHIR Std.
Claim.payee.type Base example Claim Payee Type Codes 📍5.0.0 FHIR Std.
Claim.diagnosisRelatedGroup Base required LKF Abrechnungsgruppe 📦0.1.0 This IG
Claim.event.type Base example Dates Type Codes 📍5.0.0 FHIR Std.
Claim.careTeam.role Base example Claim Care Team Role Codes 📍5.0.0 FHIR Std.
Claim.careTeam.specialty Base example Example Provider Qualification Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo.​category Base example Claim Information Category Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo.​code Base example Exception Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo.​reason Base example Missing Tooth Reason Codes 📍5.0.0 FHIR Std.
Claim.diagnosis.diagnosis[x] Base example ICD-10 Codes 📍5.0.0 FHIR Std.
Claim.diagnosis.type Base example Example Diagnosis Type Codes 📍5.0.0 FHIR Std.
Claim.diagnosis.onAdmission Base example Example Diagnosis on Admission Codes 📍5.0.0 FHIR Std.
Claim.procedure.type Base example Example Procedure Type Codes 📍5.0.0 FHIR Std.
Claim.procedure.procedure[x] Base example ICD-10 Procedure Codes 📍5.0.0 FHIR Std.
Claim.accident.type Base extensible ActIncidentCode 📦3.0.0 THO v6.5
Claim.item.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item.location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item.bodySite.​site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item.bodySite.​subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item.detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item.detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item.detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item.detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item.detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item.detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item.detail.subDetail.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item.detail.subDetail.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item.detail.subDetail.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item.detail.subDetail.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item.detail.subDetail.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item.detail.subDetail.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​category Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:Leistungskomponente.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:Tageskomponente.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:ZusatzpunkteIntensiv.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:ZusatzpunkteMehrfachleistungen.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:PunkteSpeziellerBereicheTageweise.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:Gesamtpunkte.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:Patientenanteil.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Claim If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Claim If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Claim If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Claim If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Claim A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Claim

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Claim 0..* Claim Claim, Pre-determination or Pre-authorization
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnoseKnoten 0..1 Coding "Abrechnung - Knoten:" Lukriert die Patient:innen über eine reguläre Gruppe Punkte, so ist in diesem Datenfeld die entsprechende Knotenbezeichnung einzutragen.
URL: https://elga.moped.at/StructureDefinition/moped-ext-diagnoseKnoten
Binding: LKF Abrechnungsknoten (required)
.... extension:Beihilfenaequivalent 0..1 decimal Beihilfenaequivalent
URL: https://elga.moped.at/StructureDefinition/moped-ext-Beihilfenaequivalent
... status ?!Σ 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
... type Σ 1..1 CodeableConcept Category or discipline
Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/claim-type
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: institutional
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subType 1..1 CodeableConcept Kostenmeldung für Ausländerverrechnung, Regressangelegenheiten und Kosteninformation
Binding: Kostenmeldung für (A/R/K) (required)
... use Σ 1..1 code claim | preauthorization | predetermination
Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim.
Required Pattern: claim
... patient Σ 1..1 Reference(HL7® AT Core Patient Profile) The recipient of the products and services
... created Σ 1..1 dateTime Resource creation date
... insurer Σ 1..1 Reference(SV Organization) Target
... provider Σ 1..1 Reference(KH Organization) Party responsible for the claim
... Slices for encounter 1..* Reference(Encounter) Encounters associated with the listed treatments
Slice: Unordered, Open by profile:resolve()
.... encounter:MopedEncounter 1..1 Reference(MOPED Encounter) Generelle Informationen zu Aufnahme und Entlassung des Patienten
... diagnosisRelatedGroup 0..1 CodeableConcept "Abrechnung - Gruppe:" Dieses Datenfeld ist mit der Codenummer der zutreffenden Abrechnungsgruppe zu befüllen. Bei Datensätzen von stationären Krankenhausaufenthalten, die keiner leistungsorientier- ten Diagnosenfallgruppe zugeordnet werden, erfolgt ein Eintrag entsprechend der jeweiligen Aufnahmeart.
Binding: LKF Abrechnungsgruppe (required)
... Slices for item 3..* BackboneElement Product or service provided
Slice: Unordered, Open by value:category.coding
.... item:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
.... item:Leistungskomponente 1..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... category 0..1 CodeableConcept Benefit classification
Binding: Moped Claim Item Category ValueSet (required)
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LDFPLK
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:Tageskomponente 1..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:PunkteBelagsdauerausreisserUntenLeistungskomponente 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:PunkteBelagsdauerausreisserUntenTageskomponente 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:ZusatzpunkteBelagsdauerausreisserNachOben 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:ZusatzpunkteIntensiv 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:ZusatzpunkteMehrfachleistungen 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:PunkteSpeziellerBereicheTageweise 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:Gesamtpunkte 1..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
..... unitPrice 1..1 Money LDF-Punktewert Netto
..... factor 0..1 decimal Price scaling factor
Required Pattern: 1
..... net 1..1 Money LDF-Betrag Netto
.... item:Patientenanteil 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... unitPrice 1..1 Money Patientenanteil für Angehörige (tägl. Satz) netto
..... factor 0..1 decimal Price scaling factor
Required Pattern: -1
..... net 1..1 Money Patientenanteil netto
... total 0..1 Money Forderungsbetrag für Ausländerverrechnung/Regresse

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Claim.status Base required Financial Resource Status Codes 📍5.0.0 FHIR Std.
Claim.type Base extensible Claim Type Codes 📍5.0.0 FHIR Std.
Claim.subType Base required Kostenmeldung für (A/R/K) 📦0.1.0 This IG
Claim.use Base required Use 📍5.0.0 FHIR Std.
Claim.diagnosisRelatedGroup Base required LKF Abrechnungsgruppe 📦0.1.0 This IG
Claim.item:Leistungskomponente.​category Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Claim If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Claim If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Claim If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Claim If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Claim A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from Claim

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Claim 0..* Claim Claim, Pre-determination or Pre-authorization
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnoseKnoten 0..1 Coding "Abrechnung - Knoten:" Lukriert die Patient:innen über eine reguläre Gruppe Punkte, so ist in diesem Datenfeld die entsprechende Knotenbezeichnung einzutragen.
URL: https://elga.moped.at/StructureDefinition/moped-ext-diagnoseKnoten
Binding: LKF Abrechnungsknoten (required)
.... extension:Beihilfenaequivalent 0..1 decimal Beihilfenaequivalent
URL: https://elga.moped.at/StructureDefinition/moped-ext-Beihilfenaequivalent
... type 1..1 CodeableConcept Category or discipline
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/claim-type
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: institutional
... subType 1..1 CodeableConcept Kostenmeldung für Ausländerverrechnung, Regressangelegenheiten und Kosteninformation
Binding: Kostenmeldung für (A/R/K) (required)
... patient 1..1 Reference(HL7® AT Core Patient Profile) The recipient of the products and services
... insurer 1..1 Reference(SV Organization) Target
... provider 1..1 Reference(KH Organization) Party responsible for the claim
... related
.... claim 1..1 Reference(MOPED LKFRequest) Reference to the related claim
.... relationship 0..1 CodeableConcept How the reference claim is related
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: associated
... Slices for encounter 1..* Reference(Encounter) Encounters associated with the listed treatments
Slice: Unordered, Open by profile:resolve()
.... encounter:MopedEncounter 1..1 Reference(MOPED Encounter) Generelle Informationen zu Aufnahme und Entlassung des Patienten
... diagnosisRelatedGroup 0..1 CodeableConcept "Abrechnung - Gruppe:" Dieses Datenfeld ist mit der Codenummer der zutreffenden Abrechnungsgruppe zu befüllen. Bei Datensätzen von stationären Krankenhausaufenthalten, die keiner leistungsorientier- ten Diagnosenfallgruppe zugeordnet werden, erfolgt ein Eintrag entsprechend der jeweiligen Aufnahmeart.
Binding: LKF Abrechnungsgruppe (required)
... Slices for item 3..* BackboneElement Product or service provided
Slice: Unordered, Open by value:category.coding
.... item:Leistungskomponente 1..1 BackboneElement Product or service provided
..... category 0..1 CodeableConcept Benefit classification
Binding: Moped Claim Item Category ValueSet (required)
...... coding 1..* Coding Code defined by a terminology system
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LDFPLK
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... unit 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:Tageskomponente 1..1 BackboneElement Product or service provided
..... category
...... coding 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LDFPTK
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value 1..1 decimal Numerical value (with implicit precision)
...... unit 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:PunkteBelagsdauerausreisserUntenLeistungskomponente 0..1 BackboneElement Product or service provided
..... category
...... coding 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SCULK
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value 1..1 decimal Numerical value (with implicit precision)
...... unit 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:PunkteBelagsdauerausreisserUntenTageskomponente 0..1 BackboneElement Product or service provided
..... category
...... coding 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SCUTK
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value 1..1 decimal Numerical value (with implicit precision)
...... unit 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:ZusatzpunkteBelagsdauerausreisserNachOben 0..1 BackboneElement Product or service provided
..... category
...... coding 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: BDZU
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value 1..1 decimal Numerical value (with implicit precision)
...... unit 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:ZusatzpunkteIntensiv 0..1 BackboneElement Product or service provided
..... category
...... coding 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: INTZU
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value 1..1 decimal Numerical value (with implicit precision)
...... unit 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:ZusatzpunkteMehrfachleistungen 0..1 BackboneElement Product or service provided
..... category
...... coding 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MELZU
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value 1..1 decimal Numerical value (with implicit precision)
...... unit 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:PunkteSpeziellerBereicheTageweise 0..1 BackboneElement Product or service provided
..... category
...... coding 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SCSPEZ
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value 1..1 decimal Numerical value (with implicit precision)
...... unit 0..1 string Unit representation
Required Pattern: LKF Punkte
.... item:Gesamtpunkte 1..1 BackboneElement Product or service provided
..... category
...... coding 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SCGES
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... value 1..1 decimal Numerical value (with implicit precision)
...... unit 0..1 string Unit representation
Required Pattern: LKF Punkte
..... unitPrice 1..1 Money LDF-Punktewert Netto
..... factor 0..1 decimal Price scaling factor
Required Pattern: 1
..... net 1..1 Money LDF-Betrag Netto
.... item:Patientenanteil 0..1 BackboneElement Product or service provided
..... category
...... coding 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: Patientenanteil
..... unitPrice 1..1 Money Patientenanteil für Angehörige (tägl. Satz) netto
..... factor 0..1 decimal Price scaling factor
Required Pattern: -1
..... net 1..1 Money Patientenanteil netto
... total 0..1 Money Forderungsbetrag für Ausländerverrechnung/Regresse

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Claim.subType Base required Kostenmeldung für (A/R/K) 📦0.1.0 This IG
Claim.diagnosisRelatedGroup Base required LKF Abrechnungsgruppe 📦0.1.0 This IG
Claim.item:Leistungskomponente.​category Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:Tageskomponente.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:ZusatzpunkteIntensiv.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:ZusatzpunkteMehrfachleistungen.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:PunkteSpeziellerBereicheTageweise.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:Gesamtpunkte.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:Patientenanteil.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Claim 0..* Claim Claim, Pre-determination or Pre-authorization
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnoseKnoten 0..1 Coding "Abrechnung - Knoten:" Lukriert die Patient:innen über eine reguläre Gruppe Punkte, so ist in diesem Datenfeld die entsprechende Knotenbezeichnung einzutragen.
URL: https://elga.moped.at/StructureDefinition/moped-ext-diagnoseKnoten
Binding: LKF Abrechnungsknoten (required)
.... extension:Beihilfenaequivalent 0..1 decimal Beihilfenaequivalent
URL: https://elga.moped.at/StructureDefinition/moped-ext-Beihilfenaequivalent
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Business Identifier for claim
... traceNumber 0..* Identifier Number for tracking
... status ?!Σ 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
... type Σ 1..1 CodeableConcept Category or discipline
Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/claim-type
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: institutional
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subType 1..1 CodeableConcept Kostenmeldung für Ausländerverrechnung, Regressangelegenheiten und Kosteninformation
Binding: Kostenmeldung für (A/R/K) (required)
... use Σ 1..1 code claim | preauthorization | predetermination
Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim.
Required Pattern: claim
... patient Σ 1..1 Reference(HL7® AT Core Patient Profile) The recipient of the products and services
... billablePeriod Σ 0..1 Period Relevant time frame for the claim
... created Σ 1..1 dateTime Resource creation date
... enterer 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Author of the claim
... insurer Σ 1..1 Reference(SV Organization) Target
... provider Σ 1..1 Reference(KH Organization) Party responsible for the claim
... priority Σ 0..1 CodeableConcept Desired processing urgency
Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred.
... fundsReserve 0..1 CodeableConcept For whom to reserve funds
Binding: FundsReservationCodes (example): For whom funds are to be reserved: (Patient, Provider, None).
... related 0..* BackboneElement Prior or corollary claims
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... claim 1..1 Reference(MOPED LKFRequest) Reference to the related claim
.... relationship 0..1 CodeableConcept How the reference claim is related
Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: associated
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... reference 0..1 Identifier File or case reference
... prescription 0..1 Reference(DeviceRequest | MedicationRequest | VisionPrescription) Prescription authorizing services and products
... originalPrescription 0..1 Reference(DeviceRequest | MedicationRequest | VisionPrescription) Original prescription if superseded by fulfiller
... payee 0..1 BackboneElement Recipient of benefits payable
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type 1..1 CodeableConcept Category of recipient
Binding: ClaimPayeeTypeCodes (example): A code for the party to be reimbursed.
.... party 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson) Recipient reference
... referral 0..1 Reference(ServiceRequest) Treatment referral
... Slices for encounter 1..* Reference(Encounter) Encounters associated with the listed treatments
Slice: Unordered, Open by profile:resolve()
.... encounter:MopedEncounter 1..1 Reference(MOPED Encounter) Generelle Informationen zu Aufnahme und Entlassung des Patienten
... facility 0..1 Reference(Location | Organization) Servicing facility
... diagnosisRelatedGroup 0..1 CodeableConcept "Abrechnung - Gruppe:" Dieses Datenfeld ist mit der Codenummer der zutreffenden Abrechnungsgruppe zu befüllen. Bei Datensätzen von stationären Krankenhausaufenthalten, die keiner leistungsorientier- ten Diagnosenfallgruppe zugeordnet werden, erfolgt ein Eintrag entsprechend der jeweiligen Aufnahmeart.
Binding: LKF Abrechnungsgruppe (required)
... event 0..* BackboneElement Event information
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type 1..1 CodeableConcept Specific event
Binding: DatesTypeCodes (example)
.... when[x] 1..1 Occurance date or period
..... whenDateTime dateTime
..... whenPeriod Period
... careTeam 0..* BackboneElement Members of the care team
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence 1..1 positiveInt Order of care team
.... provider 1..1 Reference(Practitioner | PractitionerRole | Organization) Practitioner or organization
.... responsible 0..1 boolean Indicator of the lead practitioner
.... role 0..1 CodeableConcept Function within the team
Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members.
.... specialty 0..1 CodeableConcept Practitioner or provider specialization
Binding: ExampleProviderQualificationCodes (example)
... supportingInfo 0..* BackboneElement Supporting information
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence 1..1 positiveInt Information instance identifier
.... category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
.... code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
.... timing[x] 0..1 When it occurred
..... timingDate date
..... timingPeriod Period
.... value[x] 0..1 Data to be provided
..... valueBoolean boolean
..... valueString string
..... valueQuantity Quantity
..... valueAttachment Attachment
..... valueReference Reference(Resource)
..... valueIdentifier Identifier
.... reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
... diagnosis 0..* BackboneElement Pertinent diagnosis information
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence 1..1 positiveInt Diagnosis instance identifier
.... diagnosis[x] 1..1 Nature of illness or problem
Binding: ICD10Codes (example): Example ICD10 Diagnostic codes.
..... diagnosisCodeableConcept CodeableConcept
..... diagnosisReference Reference(Condition)
.... type 0..* CodeableConcept Timing or nature of the diagnosis
Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.
.... onAdmission 0..1 CodeableConcept Present on admission
Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
... procedure 0..* BackboneElement Clinical procedures performed
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence 1..1 positiveInt Procedure instance identifier
.... type 0..* CodeableConcept Category of Procedure
Binding: ExampleProcedureTypeCodes (example): Example procedure type codes.
.... date 0..1 dateTime When the procedure was performed
.... procedure[x] 1..1 Specific clinical procedure
Binding: ICD10ProcedureCodes (example): Example ICD10 Procedure codes.
..... procedureCodeableConcept CodeableConcept
..... procedureReference Reference(Procedure)
.... udi 0..* Reference(Device) Unique device identifier
... insurance Σ 0..* BackboneElement Patient insurance information
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence Σ 1..1 positiveInt Insurance instance identifier
.... focal Σ 1..1 boolean Coverage to be used for adjudication
.... identifier 0..1 Identifier Pre-assigned Claim number
.... coverage Σ 1..1 Reference(Coverage) Insurance information
.... businessArrangement 0..1 string Additional provider contract number
.... preAuthRef 0..* string Prior authorization reference number
.... claimResponse 0..1 Reference(ClaimResponse) Adjudication results
... accident 0..1 BackboneElement Details of the event
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... date 1..1 date When the incident occurred
.... type 0..1 CodeableConcept The nature of the accident
Binding: ActIncidentCode (extensible): Type of accident: work place, auto, etc.
.... location[x] 0..1 Where the event occurred
..... locationAddress Address
..... locationReference Reference(Location)
... patientPaid 0..1 Money Paid by the patient
... Slices for item 3..* BackboneElement Product or service provided
Slice: Unordered, Open by value:category.coding
.... item:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:Leistungskomponente 1..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: Moped Claim Item Category ValueSet (required)
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LDFPLK
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:Tageskomponente 1..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LDFPTK
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:PunkteBelagsdauerausreisserUntenLeistungskomponente 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SCULK
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:PunkteBelagsdauerausreisserUntenTageskomponente 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SCUTK
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:ZusatzpunkteBelagsdauerausreisserNachOben 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: BDZU
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:ZusatzpunkteIntensiv 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: INTZU
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:ZusatzpunkteMehrfachleistungen 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MELZU
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:PunkteSpeziellerBereicheTageweise 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SCSPEZ
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:Gesamtpunkte 1..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SCGES
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Punkteanzahl
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
Required Pattern: LKF Punkte
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 1..1 Money LDF-Punktewert Netto
..... factor 0..1 decimal Price scaling factor
Required Pattern: 1
..... tax 0..1 Money Total tax
..... net 1..1 Money LDF-Betrag Netto
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:Patientenanteil 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: Patientenanteil
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
..... unitPrice 1..1 Money Patientenanteil für Angehörige (tägl. Satz) netto
..... factor 0..1 decimal Price scaling factor
Required Pattern: -1
..... tax 0..1 Money Total tax
..... net 1..1 Money Patientenanteil netto
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
... total 0..1 Money Forderungsbetrag für Ausländerverrechnung/Regresse

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Claim.language Base required All Languages 📍5.0.0 FHIR Std.
Claim.status Base required Financial Resource Status Codes 📍5.0.0 FHIR Std.
Claim.type Base extensible Claim Type Codes 📍5.0.0 FHIR Std.
Claim.subType Base required Kostenmeldung für (A/R/K) 📦0.1.0 This IG
Claim.use Base required Use 📍5.0.0 FHIR Std.
Claim.priority Base example Process Priority Codes 📍5.0.0 FHIR Std.
Claim.fundsReserve Base example Funds Reservation Codes 📍5.0.0 FHIR Std.
Claim.related.relationship Base example Example Related Claim Relationship Codes 📍5.0.0 FHIR Std.
Claim.payee.type Base example Claim Payee Type Codes 📍5.0.0 FHIR Std.
Claim.diagnosisRelatedGroup Base required LKF Abrechnungsgruppe 📦0.1.0 This IG
Claim.event.type Base example Dates Type Codes 📍5.0.0 FHIR Std.
Claim.careTeam.role Base example Claim Care Team Role Codes 📍5.0.0 FHIR Std.
Claim.careTeam.specialty Base example Example Provider Qualification Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo.​category Base example Claim Information Category Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo.​code Base example Exception Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo.​reason Base example Missing Tooth Reason Codes 📍5.0.0 FHIR Std.
Claim.diagnosis.diagnosis[x] Base example ICD-10 Codes 📍5.0.0 FHIR Std.
Claim.diagnosis.type Base example Example Diagnosis Type Codes 📍5.0.0 FHIR Std.
Claim.diagnosis.onAdmission Base example Example Diagnosis on Admission Codes 📍5.0.0 FHIR Std.
Claim.procedure.type Base example Example Procedure Type Codes 📍5.0.0 FHIR Std.
Claim.procedure.procedure[x] Base example ICD-10 Procedure Codes 📍5.0.0 FHIR Std.
Claim.accident.type Base extensible ActIncidentCode 📦3.0.0 THO v6.5
Claim.item.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item.location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item.bodySite.​site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item.bodySite.​subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item.detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item.detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item.detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item.detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item.detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item.detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item.detail.subDetail.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item.detail.subDetail.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item.detail.subDetail.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item.detail.subDetail.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item.detail.subDetail.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item.detail.subDetail.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​category Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:Leistungskomponente.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:Tageskomponente.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:ZusatzpunkteIntensiv.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:ZusatzpunkteMehrfachleistungen.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:PunkteSpeziellerBereicheTageweise.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:Gesamtpunkte.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:Patientenanteil.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Patientenanteil.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Claim If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Claim If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Claim If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Claim If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Claim A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Claim

 

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