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
<ClaimResponse xmlns="http://hl7.org/fhir">
<id value="PJ2VAEResponse1"/>
<meta>
<profile
value="https://elga.moped.at/StructureDefinition/MopedVAEResponse"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ClaimResponse PJ2VAEResponse1</b></p><a name="PJ2VAEResponse1"> </a><a name="hcPJ2VAEResponse1"> </a><a name="PJ2VAEResponse1-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>: 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>: <a href="Patient-PJ2Patient.html">Santiago Schnabeltier Test (official) Male, DoB: 1985-03-19 ( Social Security Number: 2873111374)</a></p><p><b>created</b>: 2025-02-24</p><p><b>insurer</b>: <a href="Organization-oegk-oberoesterreich.html">Organization Österreichische Gesundheitskasse Oberösterreich</a></p><p><b>requestor</b>: <a href="Organization-OrganizationKrankenhausRied.html">Organization Krankenhaus der Barmherzigen Schwestern vom Hl. Vinzenz von Paul Ried</a></p><p><b>request</b>: <a href="Claim-PJ2VAERequest1.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>: 2024-08-08 --> 2024-08-26</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-PJ2Coverage.html">Coverage: identifier = urn:oid:1.2.40.0.10.1.4.3.9.1#FJK5MCDPMRCY; status = active; kind = insurance</a></td></tr></table></div>
</text>
<extension
url="https://elga.moped.at/StructureDefinition/moped-ext-verpflegskostenBeitragsbefreiung">
<valueCoding>
<system
value="https://elga.moped.at/CodeSystem/VerpflegskostenBeitragsbefreiungCS"/>
<code value="N"/>
</valueCoding>
</extension>
<extension
url="https://elga.moped.at/StructureDefinition/moped-ext-vortageanzahlAufKostenbeitrag">
<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/PJ2Patient"/>
</patient>
<created value="2025-02-24"/>
<insurer>🔗
<reference value="Organization/oegk-oberoesterreich"/>
</insurer>
<requestor>🔗
<reference value="Organization/OrganizationKrankenhausRied"/>
</requestor>
<request>🔗
<reference value="Claim/PJ2VAERequest1"/>
</request>
<outcome value="complete"/>
<decision>
<coding>
<system value="https://elga.moped.at/CodeSystem/VAEStatusCS"/>
<code value="00"/>
</coding>
</decision>
<preAuthPeriod>
<start value="2024-08-08"/>
<end value="2024-08-26"/>
</preAuthPeriod>
<insurance>
<sequence value="1"/>
<focal value="true"/>
<coverage>🔗
<reference value="Coverage/PJ2Coverage"/>
</coverage>
</insurance>
</ClaimResponse>