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

: PJ2LKFRequest1 - XML Representation

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<Claim xmlns="http://hl7.org/fhir">
  <id value="PJ2LKFRequest1"/>
  <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 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 --&gt; 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 --&gt; 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 --&gt; 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 --&gt; 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 --&gt; 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>
  </text>
  <extension
             url="https://elga.moped.at/StructureDefinition/moped-ext-diagnoseKnoten">
    <valueCoding>
      <system
              value="https://elga.moped.at/CodeSystem/LKFAbrechnungsKnotenCS"/>
      <code value="C"/>
    </valueCoding>
  </extension>
  <extension
             url="https://elga.moped.at/StructureDefinition/moped-ext-LKFPunkte">
    <extension url="PunkteBelagsdauerausreisserUntenLeistungskomponente">
      <valueUnsignedInt value="0"/>
    </extension>
    <extension url="PunkteBelagsdauerausreisserUntenTageskomponente">
      <valueUnsignedInt value="0"/>
    </extension>
    <extension url="ZusatzpunkteBelagsdauerausreisserNachOben">
      <valueUnsignedInt value="0"/>
    </extension>
    <extension url="ZusatzpunkteIntensiv">
      <valueUnsignedInt value="0"/>
    </extension>
    <extension url="ZusatzpunkteMehrfachleistungen">
      <valueUnsignedInt value="0"/>
    </extension>
    <extension url="PunkteSpeziellerBereicheTageweise">
      <valueUnsignedInt value="0"/>
    </extension>
    <extension url="PunkteTotal">
      <valueUnsignedInt value="1384"/>
    </extension>
    <extension url="Leistungskomponente">
      <valueUnsignedInt value="62"/>
    </extension>
    <extension url="TageskomponenteKontaktpunkte">
      <valueUnsignedInt value="1322"/>
    </extension>
  </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>
  <extension
             url="https://elga.moped.at/StructureDefinition/Plausibilitaetskennzeichen">
    <valueString value="2"/>
  </extension>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
      <code value="institutional"/>
    </coding>
  </type>
  <use value="claim"/>
  <patient>
    <reference
               value="Patient?identifier=urn:oid:1.2.40.0.10.1.4.3.1|2873111374"/>
  </patient>
  <created value="2025-02-24"/>
  <insurer>
    <reference
               value="Organization?identifier=http://svc.co.at/CodeSystem/ecard-svt-cs|14"/>
  </insurer>
  <provider>
    <reference
               value="Organization?identifier=urn:ietf:rfc:3986|urn:oid:1.3.6.1.4.1.36124.5.427"/>
  </provider>
  <encounter>
    <reference
               value="Encounter?identifier=urn:oid:1.3.6.1.4.1.36124.5.427|324200063"/>
  </encounter>
  <encounter>🔗 
    <reference value="Encounter/PJ2TransferEncounter1"/>
  </encounter>
  <encounter>🔗 
    <reference value="Encounter/PJ2TransferEncounter2"/>
  </encounter>
  <encounter>🔗 
    <reference value="Encounter/PJ2TransferEncounter3"/>
  </encounter>
  <encounter>🔗 
    <reference value="Encounter/PJ2TransferEncounter4"/>
  </encounter>
  <encounter>🔗 
    <reference value="Encounter/PJ2TransferEncounter5"/>
  </encounter>
  <diagnosisRelatedGroup>
    <coding>
      <system
              value="https://elga.moped.at/CodeSystem/LKFHauptdiagnosegruppenCS"/>
      <code value="HDG15.03"/>
    </coding>
  </diagnosisRelatedGroup>
  <diagnosis>
    <sequence value="1"/>
    <diagnosisReference>
      <reference
                 value="Condition?identifier.value=324200063urn:oid:1.3.6.1.4.1.36124.5.427-S82.0"/>
    </diagnosisReference>
    <onAdmission>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/ex-diagnosis-on-admission"/>
        <code value="unknown"/>
      </coding>
    </onAdmission>
  </diagnosis>
  <diagnosis>
    <sequence value="2"/>
    <diagnosisReference>
      <reference
                 value="Condition?identifier.value=324200063urn:oid:1.3.6.1.4.1.36124.5.427-999.9"/>
    </diagnosisReference>
    <onAdmission>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/ex-diagnosis-on-admission"/>
        <code value="unknown"/>
      </coding>
    </onAdmission>
  </diagnosis>
  <procedure>
    <extension
               url="https://elga.moped.at/StructureDefinition/moped-ext-AbrechnungsRelevanz">
      <valueCoding>
        <system
                value="https://elga.moped.at/CodeSystem/AbrechnungsRelevanzCS"/>
        <code value="J"/>
      </valueCoding>
    </extension>
    <sequence value="1"/>
    <procedureReference>
      <reference
                 value="Procedure?identifier.value=324200063urn:oid:1.3.6.1.4.1.36124.5.427-PE010-2024-08-08T08:21"/>
    </procedureReference>
  </procedure>
  <procedure>
    <extension
               url="https://elga.moped.at/StructureDefinition/moped-ext-AbrechnungsRelevanz">
      <valueCoding>
        <system
                value="https://elga.moped.at/CodeSystem/AbrechnungsRelevanzCS"/>
        <code value="J"/>
      </valueCoding>
    </extension>
    <sequence value="2"/>
    <procedureReference>
      <reference
                 value="Procedure?identifier.value=324200063urn:oid:1.3.6.1.4.1.36124.5.427-AN010-2024-08-08T08:21"/>
    </procedureReference>
  </procedure>
  <insurance>
    <sequence value="1"/>
    <focal value="true"/>
    <coverage>
      <reference value="Coverage?identifier=FJK5MCDPMRCY"/>
    </coverage>
  </insurance>
  <item>
    <sequence value="1"/>
    <procedureSequence value="1"/>
  </item>
  <item>
    <sequence value="2"/>
    <procedureSequence value="2"/>
  </item>
  <item>
    <sequence value="3"/>
    <diagnosisSequence value="1"/>
    <category>
      <coding>
        <system
                value="https://termgit.elga.gv.at/CodeSystem/lkf-diagnose-typ"/>
        <code value="H"/>
      </coding>
    </category>
  </item>
  <item>
    <sequence value="4"/>
    <diagnosisSequence value="2"/>
    <category>
      <coding>
        <system
                value="https://termgit.elga.gv.at/CodeSystem/lkf-diagnose-typ"/>
        <code value="Z"/>
      </coding>
    </category>
  </item>
</Claim>