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

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: LKFRequest42 - XML Representation

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<Claim xmlns="http://hl7.org/fhir">
  <id value="LKFRequest42"/>
  <meta>
    <profile
             value="https://elga.moped.at/StructureDefinition/MopedLKFRequest"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Claim LKFRequest42</b></p><a name="LKFRequest42"> </a><a name="hcLKFRequest42"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-MopedLKFRequest.html">MOPED LKFRequest</a></p></div><p><b>Abrechnung - Knoten</b>: <a href="CodeSystem-LKFAbrechnungsKnotenCS.html#LKFAbrechnungsKnotenCS-D">LKF Abrechnungsknoten D</a>: D</p><p><b>Fondsrelevanz</b>: <a href="CodeSystem-FondsrelevanzCS.html#FondsrelevanzCS-J">Fondsrelevanz J</a>: Ja (Abrechnung des stationären Aufenthalts/ambulanten Besuchs erfolgt über den Landesgesundheitsfonds/PRIKRAF)</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claim-type institutional}">Institutional</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href="Patient-Patient42.html">Patient42 Patient42FamilienName  Male, DoB: 1937-12-31 ( Social Security Number: 123456)</a></p><p><b>created</b>: 2025-08-30</p><p><b>insurer</b>: <a href="Organization-SV11.html">Organization Österreichische Gesundheitskasse Wien</a></p><p><b>provider</b>: <a href="Organization-KHK999.html">Organization Testkrankenhaus</a></p><p><b>encounter</b>: </p><ul><li><a href="Encounter-Encounter42.html">Encounter: extension = ; identifier = Visit number,Anonymous identifier; status = completed; class = Stationär,geplante stationäre Aufnahme/geplanter ambulanter Besuch (mit vorhergehender Terminvereinbarung, Richtwert: mindestens 24 Stunden); type = Moped Encounter; actualPeriod = 2025-01-01 12:00:00+0200 --&gt; 2025-01-04 12:00:00+0200</a></li><li><a href="Encounter-TransferEncounter42.1.html">Encounter: status = completed; type = Moped Transfer Encounter; actualPeriod = 2025-01-01 --&gt; (ongoing)</a></li><li><a href="Encounter-TransferEncounter42.2.html">Encounter: status = completed; type = Moped Transfer Encounter; actualPeriod = 2025-01-02 00:00:00+0200 --&gt; 2025-01-04 00:00:00+0200</a></li></ul><p><b>diagnosisRelatedGroup</b>: <span title="Codes:{https://elga.moped.at/ValueSet/LKFAbrechnungsGruppeVS HDG01.12}">HDG01.12</span></p><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 1</p><p><b>category</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS PLAUS}">Plausibilitätskennzeichen</span></p><p><b>value</b>: 2</p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 2</p><p><b>category</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS ENDG}">Endgültige Meldung</span></p><p><b>value</b>: true</p></blockquote><h3>Diagnoses</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td><td><b>OnAdmission</b></td></tr><tr><td style="display: none">*</td><td>1</td><td><a href="Condition-Condition42.1.html">Condition G40.0</a></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/ex-diagnosis-on-admission unknown}">Unknown</span></td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>category</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS LDFPLK}">Leistungskomponente/Leistungspunkte</span></p><p><b>quantity</b>: 366.0 LKF Punkte</p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 2</p><p><b>category</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS LDFPTK}">Tageskomponente/Kontaktpunktet</span></p><p><b>quantity</b>: 2730.0 LKF Punkte</p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 3</p><p><b>category</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS SCULK}">Punkte Belagsdauerausreißer nach unten – Leistungskomponente</span></p><p><b>quantity</b>: 0.0 LKF Punkte</p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 4</p><p><b>category</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS SCUTK}">Punkte Belagsdauerausreißer nach unten – Tageskomponente</span></p><p><b>quantity</b>: 0.0 LKF Punkte</p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 5</p><p><b>category</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS BDZU}">Zusatzpunkte Belagsdauerausreißer nach oben</span></p><p><b>quantity</b>: 0.0 LKF Punkte</p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 6</p><p><b>category</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS INTZU}">Zusatzpunkte Intensiv</span></p><p><b>quantity</b>: 2436.0 LKF Punkte</p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 7</p><p><b>category</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS MELZU}">Zusatzpunkte Mehrfachleistungen</span></p><p><b>quantity</b>: 0.0 LKF Punkte</p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 8</p><p><b>category</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS SCSPEZ}">Punkte spezieller Bereiche (tageweise)</span></p><p><b>quantity</b>: 0.0 LKF Punkte</p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 9</p><p><b>category</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS SCGES}">Punkte total</span></p><p><b>quantity</b>: 5532.0 LKF Punkte</p></blockquote></div>
  </text>
  <extension
             url="https://elga.moped.at/StructureDefinition/moped-ext-diagnoseKnoten">
    <valueCoding>
      <system
              value="https://elga.moped.at/CodeSystem/LKFAbrechnungsKnotenCS"/>
      <code value="D"/>
    </valueCoding>
  </extension>
  <extension
             url="https://elga.moped.at/StructureDefinition/moped-ext-fondsrelevanz">
    <valueCoding>
      <system value="https://elga.moped.at/CodeSystem/FondsrelevanzCS"/>
      <code value="J"/>
    </valueCoding>
  </extension>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
      <code value="institutional"/>
      <display value="Institutional"/>
    </coding>
  </type>
  <use value="claim"/>
  <patient>🔗 
    <reference value="Patient/Patient42"/>
  </patient>
  <created value="2025-08-30"/>
  <insurer>🔗 
    <reference value="Organization/SV11"/>
  </insurer>
  <provider>🔗 
    <reference value="Organization/KHK999"/>
  </provider>
  <encounter>🔗 
    <reference value="Encounter/Encounter42"/>
  </encounter>
  <encounter>🔗 
    <reference value="Encounter/TransferEncounter42.1"/>
  </encounter>
  <encounter>🔗 
    <reference value="Encounter/TransferEncounter42.2"/>
  </encounter>
  <diagnosisRelatedGroup>
    <coding>
      <system value="https://elga.moped.at/ValueSet/LKFAbrechnungsGruppeVS"/>
      <code value="HDG01.12"/>
    </coding>
  </diagnosisRelatedGroup>
  <supportingInfo>
    <sequence value="1"/>
    <category>
      <coding>
        <system
                value="https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS"/>
        <code value="PLAUS"/>
      </coding>
    </category>
    <valueString value="2"/>
  </supportingInfo>
  <supportingInfo>
    <sequence value="2"/>
    <category>
      <coding>
        <system
                value="https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS"/>
        <code value="ENDG"/>
      </coding>
    </category>
    <valueBoolean value="true"/>
  </supportingInfo>
  <diagnosis>
    <sequence value="1"/>
    <diagnosisReference>🔗 
      <reference value="Condition/Condition42.1"/>
    </diagnosisReference>
    <onAdmission>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/ex-diagnosis-on-admission"/>
        <code value="unknown"/>
      </coding>
    </onAdmission>
  </diagnosis>
  <item>
    <sequence value="1"/>
    <category>
      <coding>
        <system
                value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
        <code value="LDFPLK"/>
      </coding>
    </category>
    <quantity>
      <value value="366.0"/>
      <unit value="LKF Punkte"/>
    </quantity>
  </item>
  <item>
    <sequence value="2"/>
    <category>
      <coding>
        <system
                value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
        <code value="LDFPTK"/>
      </coding>
    </category>
    <quantity>
      <value value="2730.0"/>
      <unit value="LKF Punkte"/>
    </quantity>
  </item>
  <item>
    <sequence value="3"/>
    <category>
      <coding>
        <system
                value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
        <code value="SCULK"/>
      </coding>
    </category>
    <quantity>
      <value value="0.0"/>
      <unit value="LKF Punkte"/>
    </quantity>
  </item>
  <item>
    <sequence value="4"/>
    <category>
      <coding>
        <system
                value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
        <code value="SCUTK"/>
      </coding>
    </category>
    <quantity>
      <value value="0.0"/>
      <unit value="LKF Punkte"/>
    </quantity>
  </item>
  <item>
    <sequence value="5"/>
    <category>
      <coding>
        <system
                value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
        <code value="BDZU"/>
      </coding>
    </category>
    <quantity>
      <value value="0.0"/>
      <unit value="LKF Punkte"/>
    </quantity>
  </item>
  <item>
    <sequence value="6"/>
    <category>
      <coding>
        <system
                value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
        <code value="INTZU"/>
      </coding>
    </category>
    <quantity>
      <value value="2436.0"/>
      <unit value="LKF Punkte"/>
    </quantity>
  </item>
  <item>
    <sequence value="7"/>
    <category>
      <coding>
        <system
                value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
        <code value="MELZU"/>
      </coding>
    </category>
    <quantity>
      <value value="0.0"/>
      <unit value="LKF Punkte"/>
    </quantity>
  </item>
  <item>
    <sequence value="8"/>
    <category>
      <coding>
        <system
                value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
        <code value="SCSPEZ"/>
      </coding>
    </category>
    <quantity>
      <value value="0.0"/>
      <unit value="LKF Punkte"/>
    </quantity>
  </item>
  <item>
    <sequence value="9"/>
    <category>
      <coding>
        <system
                value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
        <code value="SCGES"/>
      </coding>
    </category>
    <quantity>
      <value value="5532.0"/>
      <unit value="LKF Punkte"/>
    </quantity>
  </item>
</Claim>