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

: PJ2VAERequest1 - XML Representation

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<Claim xmlns="http://hl7.org/fhir">
  <id value="PJ2VAERequest1"/>
  <meta>
    <profile
             value="https://elga.moped.at/StructureDefinition/MopedVAERequest"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Claim PJ2VAERequest1</b></p><a name="PJ2VAERequest1"> </a><a name="hcPJ2VAERequest1"> </a><a name="PJ2VAERequest1-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-MopedVAERequest.html">MOPED VAERequest</a></p></div><p><b>Sonderklasse</b>: <a href="CodeSystem-SonderklasseCS.html#SonderklasseCS-A">Sonderklasse CodeSystem A</a>: Allgemeine Gebührenklasse</p><p><b>Verlaengerungstage</b>: 0</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>: Preauthorization</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>: 2025-02-17</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></ul><h3>SupportingInfos</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Category</b></td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td>1</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/claim-informationcategory info}">info</span></td><td><span title="Codes:{https://elga.moped.at/CodeSystem/VAESupportingInformationTypesCS FREVER}">Fremdversschluden</span></td><td>false</td></tr></table><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><h3>Accidents</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Date</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td/><td>0001</td><td><span title="Codes:{https://elga.moped.at/CodeSystem/VerdachtArbeitsSchuelerunfallCS 0}">Nein/Unbekannt</span></td></tr></table></div>
  </text>
  <extension
             url="https://elga.moped.at/StructureDefinition/moped-ext-sonderklasse">
    <valueCoding>
      <system value="https://elga.moped.at/CodeSystem/SonderklasseCS"/>
      <code value="A"/>
    </valueCoding>
  </extension>
  <extension
             url="https://elga.moped.at/StructureDefinition/moped-ext-verlaengerungstage">
    <valueUnsignedInt value="0"/>
  </extension>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
      <code value="institutional"/>
    </coding>
  </type>
  <use value="preauthorization"/>
  <patient>
    <reference
               value="Patient?identifier=urn:oid:1.2.40.0.10.1.4.3.1|2873111374"/>
  </patient>
  <created value="2025-02-17"/>
  <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>
  <supportingInfo>
    <sequence value="1"/>
    <category>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/claim-informationcategory"/>
        <code value="info"/>
      </coding>
    </category>
    <code>
      <coding>
        <system
                value="https://elga.moped.at/CodeSystem/VAESupportingInformationTypesCS"/>
        <code value="FREVER"/>
      </coding>
    </code>
    <valueBoolean value="false"/>
  </supportingInfo>
  <insurance>
    <sequence value="1"/>
    <focal value="true"/>
    <coverage>
      <reference value="Coverage?identifier=FJK5MCDPMRCY"/>
    </coverage>
  </insurance>
  <accident>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
      <valueCode value="not-applicable"/>
    </extension>
    <date value="0001"/>
    <type>
      <coding>
        <system
                value="https://elga.moped.at/CodeSystem/VerdachtArbeitsSchuelerunfallCS"/>
        <code value="0"/>
        <display value="Nein/Unbekannt"/>
      </coding>
    </type>
  </accident>
</Claim>