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
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Claim ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "PJ2LKFRequest1"] ; #
fhir:meta [
( fhir:profile [
fhir:v "https://elga.moped.at/StructureDefinition/MopedLKFRequest"^^xsd:anyURI ;
fhir:link <https://elga.moped.at/StructureDefinition/MopedLKFRequest> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir: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>"^^rdf:XMLLiteral
] ; #
fhir:extension ( [
fhir:url [ fhir:v "https://elga.moped.at/StructureDefinition/moped-ext-diagnoseKnoten"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "https://elga.moped.at/CodeSystem/LKFAbrechnungsKnotenCS"^^xsd:anyURI ] ;
fhir:code [ fhir:v "C" ] ]
] [
( fhir:extension [
fhir:url [ fhir:v "PunkteBelagsdauerausreisserUntenLeistungskomponente"^^xsd:anyURI ] ;
fhir:value [
a fhir:unsignedInt ;
fhir:v "0"^^xsd:nonNegativeInteger ] ] [
fhir:url [ fhir:v "PunkteBelagsdauerausreisserUntenTageskomponente"^^xsd:anyURI ] ;
fhir:value [
a fhir:unsignedInt ;
fhir:v "0"^^xsd:nonNegativeInteger ] ] [
fhir:url [ fhir:v "ZusatzpunkteBelagsdauerausreisserNachOben"^^xsd:anyURI ] ;
fhir:value [
a fhir:unsignedInt ;
fhir:v "0"^^xsd:nonNegativeInteger ] ] [
fhir:url [ fhir:v "ZusatzpunkteIntensiv"^^xsd:anyURI ] ;
fhir:value [
a fhir:unsignedInt ;
fhir:v "0"^^xsd:nonNegativeInteger ] ] [
fhir:url [ fhir:v "ZusatzpunkteMehrfachleistungen"^^xsd:anyURI ] ;
fhir:value [
a fhir:unsignedInt ;
fhir:v "0"^^xsd:nonNegativeInteger ] ] [
fhir:url [ fhir:v "PunkteSpeziellerBereicheTageweise"^^xsd:anyURI ] ;
fhir:value [
a fhir:unsignedInt ;
fhir:v "0"^^xsd:nonNegativeInteger ] ] [
fhir:url [ fhir:v "PunkteTotal"^^xsd:anyURI ] ;
fhir:value [
a fhir:unsignedInt ;
fhir:v "1384"^^xsd:nonNegativeInteger ] ] [
fhir:url [ fhir:v "Leistungskomponente"^^xsd:anyURI ] ;
fhir:value [
a fhir:unsignedInt ;
fhir:v "62"^^xsd:nonNegativeInteger ] ] [
fhir:url [ fhir:v "TageskomponenteKontaktpunkte"^^xsd:anyURI ] ;
fhir:value [
a fhir:unsignedInt ;
fhir:v "1322"^^xsd:nonNegativeInteger ] ] ) ;
fhir:url [ fhir:v "https://elga.moped.at/StructureDefinition/moped-ext-LKFPunkte"^^xsd:anyURI ]
] [
fhir:url [ fhir:v "https://elga.moped.at/StructureDefinition/moped-ext-fondsrelevanz"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "https://elga.moped.at/CodeSystem/FondsrelevanzCS"^^xsd:anyURI ] ;
fhir:code [ fhir:v "J" ] ]
] [
fhir:url [ fhir:v "https://elga.moped.at/StructureDefinition/Plausibilitaetskennzeichen"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "2" ]
] ) ; #
fhir:status [ fhir:v "active"] ; #
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claim-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "institutional" ] ] )
] ; #
fhir:use [ fhir:v "claim"] ; #
fhir:patient [
fhir:reference [ fhir:v "Patient?identifier=urn:oid:1.2.40.0.10.1.4.3.1|2873111374" ]
] ; #
fhir:created [ fhir:v "2025-02-24"^^xsd:date] ; #
fhir:insurer [
fhir:reference [ fhir:v "Organization?identifier=http://svc.co.at/CodeSystem/ecard-svt-cs|14" ]
] ; #
fhir:provider [
fhir:reference [ fhir:v "Organization?identifier=urn:ietf:rfc:3986|urn:oid:1.3.6.1.4.1.36124.5.427" ]
] ; #
fhir:encounter ( [
fhir:reference [ fhir:v "Encounter?identifier=urn:oid:1.3.6.1.4.1.36124.5.427|324200063" ]
] [
fhir:reference [ fhir:v "Encounter/PJ2TransferEncounter1" ]
] [
fhir:reference [ fhir:v "Encounter/PJ2TransferEncounter2" ]
] [
fhir:reference [ fhir:v "Encounter/PJ2TransferEncounter3" ]
] [
fhir:reference [ fhir:v "Encounter/PJ2TransferEncounter4" ]
] [
fhir:reference [ fhir:v "Encounter/PJ2TransferEncounter5" ]
] ) ; #
fhir:diagnosisRelatedGroup [
( fhir:coding [
fhir:system [ fhir:v "https://elga.moped.at/CodeSystem/LKFHauptdiagnosegruppenCS"^^xsd:anyURI ] ;
fhir:code [ fhir:v "HDG15.03" ] ] )
] ; #
fhir:diagnosis ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:diagnosis [
a fhir:Reference ;
fhir:reference [ fhir:v "Condition?identifier.value=324200063urn:oid:1.3.6.1.4.1.36124.5.427-S82.0" ] ] ;
fhir:onAdmission [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/ex-diagnosis-on-admission"^^xsd:anyURI ] ;
fhir:code [ fhir:v "unknown" ] ] ) ]
] [
fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ;
fhir:diagnosis [
a fhir:Reference ;
fhir:reference [ fhir:v "Condition?identifier.value=324200063urn:oid:1.3.6.1.4.1.36124.5.427-999.9" ] ] ;
fhir:onAdmission [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/ex-diagnosis-on-admission"^^xsd:anyURI ] ;
fhir:code [ fhir:v "unknown" ] ] ) ]
] ) ; #
fhir:procedure ( [
( fhir:extension [
fhir:url [ fhir:v "https://elga.moped.at/StructureDefinition/moped-ext-AbrechnungsRelevanz"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "https://elga.moped.at/CodeSystem/AbrechnungsRelevanzCS"^^xsd:anyURI ] ;
fhir:code [ fhir:v "J" ] ] ] ) ;
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:procedure [
a fhir:Reference ;
fhir:reference [ fhir:v "Procedure?identifier.value=324200063urn:oid:1.3.6.1.4.1.36124.5.427-PE010-2024-08-08T08:21" ] ]
] [
( fhir:extension [
fhir:url [ fhir:v "https://elga.moped.at/StructureDefinition/moped-ext-AbrechnungsRelevanz"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "https://elga.moped.at/CodeSystem/AbrechnungsRelevanzCS"^^xsd:anyURI ] ;
fhir:code [ fhir:v "J" ] ] ] ) ;
fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ;
fhir:procedure [
a fhir:Reference ;
fhir:reference [ fhir:v "Procedure?identifier.value=324200063urn:oid:1.3.6.1.4.1.36124.5.427-AN010-2024-08-08T08:21" ] ]
] ) ; #
fhir:insurance ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:focal [ fhir:v "true"^^xsd:boolean ] ;
fhir:coverage [
fhir:reference [ fhir:v "Coverage?identifier=FJK5MCDPMRCY" ] ]
] ) ; #
fhir:item ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
( fhir:procedureSequence [ fhir:v "1"^^xsd:positiveInteger ] )
] [
fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ;
( fhir:procedureSequence [ fhir:v "2"^^xsd:positiveInteger ] )
] [
fhir:sequence [ fhir:v "3"^^xsd:positiveInteger ] ;
( fhir:diagnosisSequence [ fhir:v "1"^^xsd:positiveInteger ] ) ;
fhir:category [
( fhir:coding [
fhir:system [ fhir:v "https://termgit.elga.gv.at/CodeSystem/lkf-diagnose-typ"^^xsd:anyURI ] ;
fhir:code [ fhir:v "H" ] ] ) ]
] [
fhir:sequence [ fhir:v "4"^^xsd:positiveInteger ] ;
( fhir:diagnosisSequence [ fhir:v "2"^^xsd:positiveInteger ] ) ;
fhir:category [
( fhir:coding [
fhir:system [ fhir:v "https://termgit.elga.gv.at/CodeSystem/lkf-diagnose-typ"^^xsd:anyURI ] ;
fhir:code [ fhir:v "Z" ] ] ) ]
] ) . #
IG © 2024+ ELGA GmbH. Package elga.moped#0.1.0 based on FHIR® 5.0.0. Generated 2025-03-02
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