Moderne Patient:innenabrechnung und Datenkommunikation on FHIR (MOPED)
0.1.0 - ci-build
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
{
"resourceType" : "Claim",
"id" : "PJ2LKFRequest1",
"meta" : {
"profile" : [
🔗 "https://elga.moped.at/StructureDefinition/MopedLKFRequest"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim PJ2LKFRequest1</b></p><a name=\"PJ2LKFRequest1\"> </a><a name=\"hcPJ2LKFRequest1\"> </a><a name=\"PJ2LKFRequest1-en-US\"> </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-C\">LKF Abrechnungsknoten C</a>: C</p><blockquote><p><b>LKF Punkte</b></p><ul><li>PunkteBelagsdauerausreisserUntenLeistungskomponente: 0</li><li>PunkteBelagsdauerausreisserUntenTageskomponente: 0</li><li>ZusatzpunkteBelagsdauerausreisserNachOben: 0</li><li>ZusatzpunkteIntensiv: 0</li><li>ZusatzpunkteMehrfachleistungen: 0</li><li>PunkteSpeziellerBereicheTageweise: 0</li><li>PunkteTotal: 1384</li><li>Leistungskomponente: 62</li><li>TageskomponenteKontaktpunkte: 1322</li></ul></blockquote><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>Plausibilitaetskennzeichen</b>: 2</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>: <code>Patient?identifier=urn:oid:1.2.40.0.10.1.4.3.1|2873111374</code></p><p><b>created</b>: 2025-02-24</p><p><b>insurer</b>: <code>Organization?identifier=http://svc.co.at/CodeSystem/ecard-svt-cs|14</code></p><p><b>provider</b>: <code>Organization?identifier=urn:ietf:rfc:3986|urn:oid:1.3.6.1.4.1.36124.5.427</code></p><p><b>encounter</b>: </p><ul><li><code>Encounter?identifier=urn:oid:1.3.6.1.4.1.36124.5.427|324200063</code></li><li><a href=\"Encounter-PJ2TransferEncounter1.html\">Encounter: status = completed; type = Moped Transfer Encounter; subjectStatus = physisch anwesend; actualPeriod = 2024-08-08 08:21:00+0200 --> 2024-08-08 11:22:00+0200</a></li><li><a href=\"Encounter-PJ2TransferEncounter2.html\">Encounter: status = completed; type = Moped Transfer Encounter; subjectStatus = physisch anwesend; actualPeriod = 2024-08-08 11:22:00+0200 --> 2024-08-08 11:41:00+0200</a></li><li><a href=\"Encounter-PJ2TransferEncounter3.html\">Encounter: status = completed; type = Moped Transfer Encounter; subjectStatus = physisch anwesend; actualPeriod = 2024-08-08 11:41:00+0200 --> 2024-08-09 11:38:00+0200</a></li><li><a href=\"Encounter-PJ2TransferEncounter4.html\">Encounter: status = completed; type = Moped Transfer Encounter; subjectStatus = physisch anwesend; actualPeriod = 2024-08-09 11:38:00+0200 --> 2024-08-10 17:00:00+0200</a></li><li><a href=\"Encounter-PJ2TransferEncounter5.html\">Encounter: status = completed; type = Moped Transfer Encounter; subjectStatus = physisch anwesend; actualPeriod = 2024-08-10 17:00:00+0200 --> 2024-08-12 19:22:00+0200</a></li></ul><p><b>diagnosisRelatedGroup</b>: <span title=\"Codes:{https://elga.moped.at/CodeSystem/LKFHauptdiagnosegruppenCS HDG15.03}\">Frakturen der unteren Extremität/Becken, außer Vorfuß</span></p><blockquote><p><b>diagnosis</b></p><p><b>sequence</b>: 1</p><p><b>diagnosis</b>: <code>Condition?identifier.value=324200063urn:oid:1.3.6.1.4.1.36124.5.427-S82.0</code></p><p><b>onAdmission</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-diagnosis-on-admission unknown}\">Unknown</span></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>sequence</b>: 2</p><p><b>diagnosis</b>: <code>Condition?identifier.value=324200063urn:oid:1.3.6.1.4.1.36124.5.427-999.9</code></p><p><b>onAdmission</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-diagnosis-on-admission unknown}\">Unknown</span></p></blockquote><blockquote><p><b>procedure</b></p><p><b>Medizinische Leistung - Abrechnungsrelevanz</b>: <a href=\"CodeSystem-AbrechnungsRelevanzCS.html#AbrechnungsRelevanzCS-J\">Abrechnungsrelevanz der medizinischen Leistung J</a>: Ja (Die Leistung ist bei der Bepunktung zu berücksichtigen.)</p><p><b>sequence</b>: 1</p><p><b>procedure</b>: <code>Procedure?identifier.value=324200063urn:oid:1.3.6.1.4.1.36124.5.427-PE010-2024-08-08T08:21</code></p></blockquote><blockquote><p><b>procedure</b></p><p><b>Medizinische Leistung - Abrechnungsrelevanz</b>: <a href=\"CodeSystem-AbrechnungsRelevanzCS.html#AbrechnungsRelevanzCS-J\">Abrechnungsrelevanz der medizinischen Leistung J</a>: Ja (Die Leistung ist bei der Bepunktung zu berücksichtigen.)</p><p><b>sequence</b>: 2</p><p><b>procedure</b>: <code>Procedure?identifier.value=324200063urn:oid:1.3.6.1.4.1.36124.5.427-AN010-2024-08-08T08:21</code></p></blockquote><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td><code>Coverage?identifier=FJK5MCDPMRCY</code></td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>procedureSequence</b>: 1</p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 2</p><p><b>procedureSequence</b>: 2</p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 3</p><p><b>diagnosisSequence</b>: 1</p><p><b>category</b>: <span title=\"Codes:{https://termgit.elga.gv.at/CodeSystem/lkf-diagnose-typ H}\">H</span></p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 4</p><p><b>diagnosisSequence</b>: 2</p><p><b>category</b>: <span title=\"Codes:{https://termgit.elga.gv.at/CodeSystem/lkf-diagnose-typ Z}\">Z</span></p></blockquote></div>"
},
"extension" : [
{
"url" : "https://elga.moped.at/StructureDefinition/moped-ext-diagnoseKnoten",
"valueCoding" : {
"system" : "https://elga.moped.at/CodeSystem/LKFAbrechnungsKnotenCS",
"code" : "C"
}
},
{
"extension" : [
{
"url" : "PunkteBelagsdauerausreisserUntenLeistungskomponente",
"valueUnsignedInt" : 0
},
{
"url" : "PunkteBelagsdauerausreisserUntenTageskomponente",
"valueUnsignedInt" : 0
},
{
"url" : "ZusatzpunkteBelagsdauerausreisserNachOben",
"valueUnsignedInt" : 0
},
{
"url" : "ZusatzpunkteIntensiv",
"valueUnsignedInt" : 0
},
{
"url" : "ZusatzpunkteMehrfachleistungen",
"valueUnsignedInt" : 0
},
{
"url" : "PunkteSpeziellerBereicheTageweise",
"valueUnsignedInt" : 0
},
{
"url" : "PunkteTotal",
"valueUnsignedInt" : 1384
},
{
"url" : "Leistungskomponente",
"valueUnsignedInt" : 62
},
{
"url" : "TageskomponenteKontaktpunkte",
"valueUnsignedInt" : 1322
}
],
"url" : "https://elga.moped.at/StructureDefinition/moped-ext-LKFPunkte"
},
{
"url" : "https://elga.moped.at/StructureDefinition/moped-ext-fondsrelevanz",
"valueCoding" : {
"system" : "https://elga.moped.at/CodeSystem/FondsrelevanzCS",
"code" : "J"
}
},
{
"url" : "https://elga.moped.at/StructureDefinition/Plausibilitaetskennzeichen",
"valueString" : "2"
}
],
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/claim-type",
"code" : "institutional"
}
]
},
"use" : "claim",
"patient" : {
"reference" : "Patient?identifier=urn:oid:1.2.40.0.10.1.4.3.1|2873111374"
},
"created" : "2025-02-24",
"insurer" : {
"reference" : "Organization?identifier=http://svc.co.at/CodeSystem/ecard-svt-cs|14"
},
"provider" : {
"reference" : "Organization?identifier=urn:ietf:rfc:3986|urn:oid:1.3.6.1.4.1.36124.5.427"
},
"encounter" : [
{
"reference" : "Encounter?identifier=urn:oid:1.3.6.1.4.1.36124.5.427|324200063"
},
{
🔗 "reference" : "Encounter/PJ2TransferEncounter1"
},
{
🔗 "reference" : "Encounter/PJ2TransferEncounter2"
},
{
🔗 "reference" : "Encounter/PJ2TransferEncounter3"
},
{
🔗 "reference" : "Encounter/PJ2TransferEncounter4"
},
{
🔗 "reference" : "Encounter/PJ2TransferEncounter5"
}
],
"diagnosisRelatedGroup" : {
"coding" : [
{
"system" : "https://elga.moped.at/CodeSystem/LKFHauptdiagnosegruppenCS",
"code" : "HDG15.03"
}
]
},
"diagnosis" : [
{
"sequence" : 1,
"diagnosisReference" : {
"reference" : "Condition?identifier.value=324200063urn:oid:1.3.6.1.4.1.36124.5.427-S82.0"
},
"onAdmission" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/ex-diagnosis-on-admission",
"code" : "unknown"
}
]
}
},
{
"sequence" : 2,
"diagnosisReference" : {
"reference" : "Condition?identifier.value=324200063urn:oid:1.3.6.1.4.1.36124.5.427-999.9"
},
"onAdmission" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/ex-diagnosis-on-admission",
"code" : "unknown"
}
]
}
}
],
"procedure" : [
{
"extension" : [
{
"url" : "https://elga.moped.at/StructureDefinition/moped-ext-AbrechnungsRelevanz",
"valueCoding" : {
"system" : "https://elga.moped.at/CodeSystem/AbrechnungsRelevanzCS",
"code" : "J"
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"sequence" : 1,
"procedureReference" : {
"reference" : "Procedure?identifier.value=324200063urn:oid:1.3.6.1.4.1.36124.5.427-PE010-2024-08-08T08:21"
}
},
{
"extension" : [
{
"url" : "https://elga.moped.at/StructureDefinition/moped-ext-AbrechnungsRelevanz",
"valueCoding" : {
"system" : "https://elga.moped.at/CodeSystem/AbrechnungsRelevanzCS",
"code" : "J"
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"sequence" : 2,
"procedureReference" : {
"reference" : "Procedure?identifier.value=324200063urn:oid:1.3.6.1.4.1.36124.5.427-AN010-2024-08-08T08:21"
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}
],
"insurance" : [
{
"sequence" : 1,
"focal" : true,
"coverage" : {
"reference" : "Coverage?identifier=FJK5MCDPMRCY"
}
}
],
"item" : [
{
"sequence" : 1,
"procedureSequence" : [
1
]
},
{
"sequence" : 2,
"procedureSequence" : [
2
]
},
{
"sequence" : 3,
"diagnosisSequence" : [
1
],
"category" : {
"coding" : [
{
"system" : "https://termgit.elga.gv.at/CodeSystem/lkf-diagnose-typ",
"code" : "H"
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}
},
{
"sequence" : 4,
"diagnosisSequence" : [
2
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"category" : {
"coding" : [
{
"system" : "https://termgit.elga.gv.at/CodeSystem/lkf-diagnose-typ",
"code" : "Z"
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]
}
}
]
}