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

: PJ1VAEResponse1 - JSON Representation

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{
  "resourceType" : "ClaimResponse",
  "id" : "PJ1VAEResponse1",
  "meta" : {
    "profile" : [
      🔗 "https://elga.moped.at/StructureDefinition/MopedVAEResponse"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ClaimResponse PJ1VAEResponse1</b></p><a name=\"PJ1VAEResponse1\"> </a><a name=\"hcPJ1VAEResponse1\"> </a><a name=\"PJ1VAEResponse1-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-MopedVAEResponse.html\">MOPED VAEResponse</a></p></div><p><b>VerpflegskostenBeitragsbefreiung</b>: <a href=\"CodeSystem-VerpflegskostenBeitragsbefreiungCS.html#VerpflegskostenBeitragsbefreiungCS-N\">Befreiung für den Verpflegskostenbeitrag N</a>: Es liegt keine Befreiung vom Verpflegskostenbeitrag vor.</p><p><b>Vortageanzahl auf Kostenbeitrag</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>: Preauthorization</p><p><b>patient</b>: <code>Patient?identifier=urn:oid:1.2.40.0.10.1.4.3.1|9994210469</code></p><p><b>created</b>: 2025-02-18</p><p><b>insurer</b>: <code>Organization?identifier=http://svc.co.at/CodeSystem/ecard-svt-cs|11</code></p><p><b>requestor</b>: <code>Organization?identifier=urn:ietf:rfc:3986|urn:oid:1.3.6.1.4.1.36124.5.914</code></p><p><b>request</b>: <a href=\"Claim-PJ1VAERequest1.html\">Claim: extension = Allgemeine Gebührenklasse (Sonderklasse CodeSystem#A),0; status = active; type = Institutional; use = preauthorization; created = 2025-02-17</a></p><p><b>outcome</b>: Processing Complete</p><p><b>decision</b>: <span title=\"Codes:{https://elga.moped.at/CodeSystem/VAEStatusCS 00}\">bewilligt (nur für stationären Bereich)</span></p><p><b>preAuthPeriod</b>: 2024-02-22 --&gt; 2024-08-21</p><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><a href=\"Coverage-PJ1Coverage.html\">Coverage: identifier = urn:oid:1.2.40.0.10.1.4.3.9.1#XB4G37PFN9FJ; status = active; kind = insurance</a></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "https://elga.moped.at/StructureDefinition/moped-ext-verpflegskostenBeitragsbefreiung",
      "valueCoding" : {
        "system" : "https://elga.moped.at/CodeSystem/VerpflegskostenBeitragsbefreiungCS",
        "code" : "N"
      }
    },
    {
      "url" : "https://elga.moped.at/StructureDefinition/moped-ext-vortageanzahlAufKostenbeitrag",
      "valueUnsignedInt" : 2
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
        "code" : "institutional"
      }
    ]
  },
  "use" : "preauthorization",
  "patient" : {
    "reference" : "Patient?identifier=urn:oid:1.2.40.0.10.1.4.3.1|9994210469"
  },
  "created" : "2025-02-18",
  "insurer" : {
    "reference" : "Organization?identifier=http://svc.co.at/CodeSystem/ecard-svt-cs|11"
  },
  "requestor" : {
    "reference" : "Organization?identifier=urn:ietf:rfc:3986|urn:oid:1.3.6.1.4.1.36124.5.914"
  },
  "request" : {
    🔗 "reference" : "Claim/PJ1VAERequest1"
  },
  "outcome" : "complete",
  "decision" : {
    "coding" : [
      {
        "system" : "https://elga.moped.at/CodeSystem/VAEStatusCS",
        "code" : "00"
      }
    ]
  },
  "preAuthPeriod" : {
    "start" : "2024-02-22",
    "end" : "2024-08-21"
  },
  "insurance" : [
    {
      "sequence" : 1,
      "focal" : true,
      "coverage" : {
        🔗 "reference" : "Coverage/PJ1Coverage"
      }
    }
  ]
}